"Both papers are saying that, with the amount of uncertainty created by all the paperwork requirements, the uncertainty over SGR (sustainable growth rate formula) payments, no one knows with clarity what the ultimate impact may be on healthcare reform," says Lou Goodman, PhD, president of The Physicians Foundation, and CEO of the Texas Medical Association.
In 2009, Isaacs and Jellinek wrote a report entitled, "The Independent Physician: Going, Going…" As they note in their recent report, the previous study discusses "the strong current of pessimism regarding the future of private practice."
"Such information as we were able to piece together about what has been happening since we wrote that paper, especially in many local health care markets, seemed to directly confirm that pessimistic outlook," the author wrote in the recent report.
"Yet as we started to learn more about some of those private practices that have somehow managed to buck the trend, and as we talked to the physicians who are running those practices, we began to wonder whether maybe, just maybe, this isn't the end of the private practice after all."
Of course, that remains to be seen. And yet another report by healthcare researchers may tell that story, ostensibly "written" by doctors themselves.