One practice model doesn’t fit all

There was a time when most medical practices looked much the same. Many were solo or small independent practices that served their local community. Insurance covered much of the cost and patients paid a reasonable premium and a copay. Most patients stayed with their provider unless they moved or changed insurance.

It was all pretty vanilla, as they say. But then premiums began rising more and more every year, and copays and deductibles increased. From 2004 to 2014 the number of patients with a high deductible plan increased 31 percent. Regulations around medical billing, use of technology, and patient privacy and security have increased, too.

Over the past few years the number of providers saying that their biggest frustration is too much third-party interference in their practice has been on a steady increase in the annual Great American Physician Survey. For some, this has been a leading reason to consider leaving private practice for employment.

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