Will red ink cause IDSs to self-destruct?

Faced with mounting losses associated with owned medical practices, leaders of integrated systems can be tempted to allow their concerns about the situation to goad them to act too hastily to remedy it. IDS leaders require a process for examining the causes of medical practice underperformance that focuses simply on clarifying the facts. As part of this process, they should examine five areas: accounting methodology, structural decisions, post-integration changes, accounts receivable, and productivity of physicians and nonphysician practitioners.