Health Care Blog October 16, 2024
JEFF GOLDSMITH

As health systems struggle to emerge from the post-COVID financial crisis, the importance of the clinical enterprise to these systems has dramatically increased. Healthcare organizations are getting larger, as failing enterprises are absorbed into growing systems.

Yet clinicians of all stripes but particularly physicians feel a deepening sense of alienation from the expanding care systems in which they work. In many “wanna-be” health systems, the clinical “enterprise” is a loosely connected roll-up of independent practices held together by RVU-based compensation plans and a common corporate logo on the door.

A roll-up is not a credible foundation for a system, but merely a holding action. If you have lost your clinicians, you do not have a franchise!

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