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Trends in Ophthalmology Practice Consolidation: 2015-2022.

Jacob F Smith1, Braden C Hintze2, Scott T Anderson3

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Ophthalmology
|May 11, 2023
PubMed
Summary
This summary is machine-generated.

Ophthalmology practices in the US consolidated significantly between 2015 and 2022. More ophthalmologists are joining larger groups, indicating a trend away from smaller, independent practices.

Keywords:
ConsolidationHealth economicsOphthalmology workforcePractice sizePractice trends

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Area of Science:

  • Ophthalmology
  • Health Services Research
  • Healthcare Economics

Background:

  • Ophthalmology practice structures are evolving.
  • Understanding consolidation trends is crucial for healthcare policy and physician workforce planning.
  • Previous research has not fully captured recent consolidation patterns.

Purpose of the Study:

  • To quantify trends in ophthalmology practice consolidation in the United States from 2015 to 2022.
  • To analyze consolidation by physician and group practice levels.
  • To examine regional, sex-specific, and experience-related variations in consolidation.

Main Methods:

  • Retrospective cross-sectional study using Centers for Medicare and Medicaid Services (CMS) data.
  • Analysis of ophthalmology providers from 2015 to 2022.
  • Statistical analysis (Cochran-Armitage test) to assess practice size trends.

Main Results:

  • The number of ophthalmology practices decreased by 18% between 2015 and 2022.
  • Ophthalmologists increasingly joined larger practices (50+ members), rising from 7% to 11%.
  • Consolidation was statistically significant across all regions, sexes, and experience levels (P < 0.001).

Conclusions:

  • Ophthalmology practice consolidation is a significant trend in the US.
  • There is a clear shift from smaller practices to larger group affiliations.
  • This consolidation impacts the distribution of ophthalmologists across different practice sizes.