Health Affairs, 23, no. 2 (2004): 82-90 doi: 10.1377/hlthaff.23.2.82 © 2004 by Project HOPE	New Online   New Issue: China & India   Obesity In China   Pay Cuts For Medicare Docs   Access To Care Woes

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (8) Citing Articles via Google Scholar Google Scholar Articles by Casalino, L. P. Articles by Bazzoli, G. Search for Related Content PubMed PubMed Citation Articles by Casalino, L. P. Articles by Bazzoli, G. Related Collections Health Reform Home Care Managed Care Managed Care - Physicians Physicians Quality Of Care

Physicians

Growth Of Single-Specialty Medical Groups

Using site-visit data from the Community Tracking Study, we show that specialists are increasingly forming large single-specialty medical groups, particularly in orthopedics and cardiology, where new technologies have increased the number of diagnostic imaging and surgical services that can be provided in outpatient settings. Specialists are also forming large groups to gain negotiating leverage with health plans; the decline of managed care and the fading of the perception of a specialist surplus has made single- rather than multispecialty groups an attractive means to gain leverage. We explore possible consequences of this shift in physician practice organization and its policy implications.

                      What's this?

This article has been cited by other articles:

				H. H. Pham and P. B. Ginsburg Unhealthy Trends: The Future Of Physician Services Health Aff., November 1, 2007; 26(6): 1586 - 1598. [Abstract] [Full Text] [PDF]

				T. Bodenheimer, R. A. Berenson, and P. Rudolf The Primary Care-Specialty Income Gap: Why It Matters Ann Intern Med, February 20, 2007; 146(4): 301 - 306. [Abstract] [Full Text] [PDF]