The trends, vectors, and forces that are rapidly re-shaping health care are far deeper and broader than what is written into the health care reform act. Within a decade the structure, economics, legal position, and technological underpinnings of health care will be nearly unrecognizable. The organizations that thrive in these changes will be the organizations that best understand, anticipate, and build for them.
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I agree completely. The one question/answer that continues to elude me is are we going to be able to support physicians who want to be self-employed and outside of the ‘unrecognizable’ system
That is the question I am getting asked every day by physicians, physician groups, and others across healthcare, people asking me to come speak, or to consult on building new organizations. It’s a big question, one with no single simple answer. I do believe that answers are emerging. For the system to work better, doctors must be better knit together with it – and with each other – economically, clinically, and technologically. That does not mean, though, that they have to all draw a paycheck. There are many business and clinical structures that could create “virtual accountable care” among independent docs.