In recent years, financial pressures have convinced hospitals that they must merge into large corporate entities to survive, and that they must acquire physician practices to insure a strong referral base. As a result, hospitals are predatory in their quest for physician services. The business of medicine has emerged as a force that physicians are unprepared to understand or deal with. Hospitals sell these stressed individuals the idea that if they become full-time employees, their troubles are over. No more rent to pay, insurance to acquire, or bills to send out. Utopia is here! Or is it?
But what can physicians do to eliminate the hassle factors without sacrificing autonomy by becoming an employee of a hospital conglomerate?
One solution is for our trade organizations to organize an alternative to the sale of practices by putting a large MSO in place for members to join, which will offer all of the same services that the hospital and corporate predators are selling: EHR systems, billing and collection entities, insurance, practice management, HR, pension planning, etc. This could be done by us, for us. It simply takes vision and leadership. Physicians would still own practices and yet have relief from the hassle factors driving them to a move toward employee status.