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Hospital-cardiologist integration often occurs without a practice acquisition.
Brady Post1, Brahmajee K Nallamothu2,3, Brent Hollenbeck4
1Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.
Health Services Research
|December 18, 2021
Summary
Hospital-cardiologist integration increased significantly, with nearly half driven by individual physician employment rather than practice acquisitions. Early-career physicians show rapid growth in hospital-based practice.
Area of Science:
- Health economics
- Cardiology practice management
- Physician integration trends
Background:
- Recent years have seen increased integration between hospitals and cardiology practices.
- Physician practice acquisitions are a commonly discussed driver of this integration.
- However, individual physician employment by hospitals may also contribute significantly.
Purpose of the Study:
- To quantify the contribution of individual physician employment versus practice acquisitions to hospital-cardiologist integration.
- To analyze trends in hospital-cardiologist integration from 2011 to 2018.
Main Methods:
- Utilized American Medical Association Physician Masterfile and Medicare data.
- Analyzed changes in hospital-cardiologist integration and practice ownership structures over the study period.
Main Results:
- Integrated cardiologists increased from 18% in 2011 to 25% in 2016.
- Approximately 48% of this integration growth occurred without practice acquisitions.
- Early-career physicians demonstrated higher and increasing integration rates, rising from 25% to 32% in hospital systems.
Conclusions:
- A substantial and increasing proportion of hospital-cardiologist integration results from individual physicians joining hospital systems.
- Understanding physician employment trends is crucial for policies addressing healthcare competition and affordability.
Keywords:
delivery system organizationhospital workforcehospital-physician integrationoutpatient care deliveryphysician employmentphysician practice organizationvertical integrationMore Related Videos
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