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Related Experiment Video

Updated: May 2, 2026

New Variations for Strategy Set-shifting in the Rat

New Variations for Strategy Set-shifting in the Rat

Published on: January 23, 2017

Survival strategies in a changing practice environment.

Bruce M Leslie¹, Michael L Blau¹

¹Department of Orthopaedic Surgery, Newton-Wellesley Hospital, Newton, MA.; Foley & Lardner, LLP, Boston, MA.

The Journal of Hand Surgery

|March 22, 2014

Summary

Independent physicians face practice disruptions and must explore new models like ACOs for economic survival. Evaluating options such as super groups and partnerships is crucial for navigating the evolving healthcare landscape.

Keywords:

ACO PSA co-management specialty network super group

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Area of Science:

Health Policy
Healthcare Management
Medical Economics

Background:

Physician referral patterns are disrupted by consolidation and evolving medical practice.
Strategies focus on in-network care, population health, cost reduction, and risk sharing.

Purpose of the Study:

To identify viable practice models for independent, unintegrated physicians.
To guide physicians in adapting to the changing healthcare environment for economic survival.

Main Methods:

Analysis of current trends impacting physician practices.
Review of alternative practice models available to independent physicians.

Main Results:

Several practice models can enhance physician economic survival.
Models include accountable care organizations (ACOs), super groups, specialty networks, co-management agreements, professional service agreements (PSAs), and hospital partnerships.

Conclusions:

Independent physicians must adapt to survive economically.
Strategic adoption of new practice models is essential for long-term viability.