The resurgence of hospitals buying physician practices, the shortage of primary care physicians, contract and reimbursement models, market consolidation and the pressure to transform primary care practices are among the key issues the leadership of the nation’s physician organizations – PHOs and IPAs are keenly concerned about.
The issues emerged from the results of the IPA -PHO Physician Organization Leadership Survey 2012 by the Managed Care Information Center (MCIC.)
The National Directory of Physician Organizations Database is produced by the MCIC. https://www.healthresourcesonline.com/payer-provider-data/the-national-directory-of-physician-organizations-database-on-cd-rom.html
Many of the physician organizations’ key executives acknowledge that the way things were is changing and many physician members don’t want to deal with it, the survey found.
Physicians need to have a strategic vision for the future, said the CEO of a physician hospital organization. “Physicians are locked into facing the day to day challenges and don’t see the need to change,” he observed.
“Once they identify the need to change it will be too late and they will have lost negotiation position in the health enterprise,” he warned.
“Take-overs by big hospitals of small practices,” was cited by a general practitioner who is a member of an IPA.
Physician employment by hospitals has “really been a large threat to the independence of POs, said a consultant to physician organizations. “Large health systems and hospitals employing physicians have caused physicians to leave their POs for the safety net of a guaranteed income.”
It is providing “more power to the institution, at the expense of independent, community physicians,” he said.
“Our physicians are not willing to become part of a consolidated delivery system,” reported a PHO manager. “They very much view health systems that are hiring physicians as ‘corporate monsters’ that will take away control.”
The CEO of an IPA believes there is a “way to align incentives and to actually achieve the triple aim of incentives alignment among the entire team of providers, patients and purchasers, a way which physicians must adopt and be effective leaders in for it to succeed.”
“I think the greatest threat to that outcome is physicians failing to make the cultural transformation, said the CEO.
The exclusive Physician Organization Leadership Survey was conducted among physician organization executives and members of The Managed Care Information Center’s online community.
More results from the survey will be reported shortly.
The National Directory of Physician Organizations Database is produced by the Managed Care Information Center. https://www.healthresourcesonline.com/managed_care/23poe.htm
Copyright 2012 Managed Care Information Center, Health Resources Publishing LLC.