Doctor-Hiring Rush is On

The fervor by physicians to become employed stems from the decline in reimbursements. But if a hospital's financial and clinical goals aren't clearly defined, the employment arrangement can be disjointed from the outset.

4 comments on "Doctor-Hiring Rush is On"
Dr Bob (4/28/2013 at 7:49 PM)

"healthcare reform as the time that not only made improvements in the quality of patient care " Karen, with that one statement in the opening sentence I realized you are clueless re medical care, the determinants of health, and the intent of the "Affordable Care Act" Dr Bob
Paul Schwartz (4/3/2013 at 9:29 PM)

The current trend in employment opportunity for physicians, while unarguable, is certainly both disappointing, and worrisome. The pure employment model of healthcare is not what the average U.S citizen desires, or expects. Think Canada, think V.A. hospital, think Kaiser. Low production models that save money primarily by limiting access to services. Certainly some organizations such as the Mayo Clinic, and Cleveland Clinic have been very successful with an employment model and provide superb medical care, but these are definitely in the minority, and, are at their root, superb examples of private practice medicine expanded to offer large arrays of service, rather than a hospital organization seeking to capture market share. We have resisted this change, as a medium sized multispecialty group practice, but are certainly worried by the seeming ignorance of the federal government and it's inability to recognize and treat the real problems that exist in today's health care in the United States. I hope that at some point both the government, and the populace in general will begin to recognize the worth in having hard working, independent physicians, who care most for the health of their patients, and are willing to devote time and money towards research and exemplary health care, rather than encouraging an entire army of complacent, unmotivated physicians simply collecting a salary from the hospital behemoth that is controlling all of medicine in it's own best interest.
Greg Mercer, MSN (4/2/2013 at 7:18 PM)

Physicians had their time of power and prestige, and they gave it away for all the money thrown their way by all the insurance and Pharma conflicts of interest they have become quite addicted to as a group. The loss of credibility and presitige that has resulted has, at long last, beugn to seriously erode physician power, autonomy, and incomes. You reap what you sow, and power lasts only as long as you maintain it: take it for granted for an few generations and poof! It's gone.
A. J. Rosmarin (4/2/2013 at 10:06 AM)

I strongly believe serious consideration by physicians is also impacted by the realization there are few exit strategy options available to those who can visualize the finish line. The lack of currency as was the case in the halcyon period of the late 1990s where common stock was the intoxicating elixir has resulted in physicians recognizing the reality of few alternatives to [INVALID] an exit strategy where buyouts by their partners or by an up-and-coming associate is not feasible. Thus, physicians seek to monetize what they can and accept the delegation and future navigation of their business and its cumbersome 2013 infrastructure demands to a hospital-owned entity willing to pay them a salary for production with some windfall up front for fair market value of furniture and equipment. The downside is total loss of control of the goodwill driving the business including the hiring the hiring/firing of employees, wage/salary administration, and other aspects impacting the physician practice brand that separates him/her from others in same specialty.


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