Physician Compensation

Physicians moving to larger groups

This is the finding of Muhlestein and Smith (2016):

The proportion of physicians in groups of nine or fewer dropped from 40.1 percent in 2013 to 35.3 percent in 2015, while the proportion of those in groups of one hundred or more increased from 29.6 percent to 35.1 percent during the same time period.

Initiatives requiring quality reporting and use of electronic medical records impose significant cost on small practices, whereas large practices can spread these costs across more patients and physicians.  However, whether the increase in large group practices results in better patient outcomes is unclear.

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