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Trends in Ophthalmology Practice Consolidation: 2015-2022
Jacob F Smith1, Braden C Hintze2, Scott T Anderson3
1Department of Ophthalmology, Mayo Clinic Alix School of Medicine, Scottsdale, Arizona.
Ophthalmology
|May 11, 2023
Summary
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.
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.
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