JAMA Network August 22, 2024
An estimated 80% of physicians are now employed by hospitals, health systems, and corporations.1 Many factors have contributed to this shift away from independent practices, including rising administrative burdens, changing employment preferences, greater capital demands for health information technology, and favorable financial incentives (eg, site-differential payments). However, underappreciated among these factors is another important accelerant of corporate consolidation: the shift from fee-for-service to value-based payment models. These models, which require clinicians to manage a budget or spending target for subgroups...
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