Among those who ponder the technical aspects of health care reform, there is strong sentiment for more use of Integrated Delivery Systems (
This is hardly a new concept, being decades old, and it may well be the concept of the future.
The first big
The idea is that if a central entity (an insurer, a hospital, or a hospital network) owns and coordinates services there will better care coordination and cost savings.
The successful integrations so far have largely focused on family practice, internal medicine and ob-gyn (the OBs assistance with malpractice premiums and 24/7 coverage issues).
An interesting change is surfacing, the acceptance of specialists and surgeons into
Why the change? Fear of dire economic consequences of staying in a traditional group practice model. Preliminary numbers from the
So, any problems?
Hospitals are notoriously bad at managing physician practices, physician contracts must be structured carefully, physician productivity sometimes drops off with a steady paycheck, and the process of merging practices and/or converting ownership is a great deal of complex work at no small cost. Also, making this work in rural areas is tough.
Biggest question, will