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Group Practice Size Consolidation in Emergency Medicine
Annals of Emergency Medicine ( IF 6.2 ) Pub Date : 2021-08-18 , DOI: 10.1016/j.annemergmed.2021.07.122
Jordan R Pollock 1 , Jacob S Hogan 2 , Arjun K Venkatesh 3 , Benjamin J Sandefur 4 , Jeffery A Weyand 5 , Maya T Harrington 1 , Anna M Pisac 1 , Rachel A Lindor 6
Affiliation  

Study objective

Practice consolidation is common and has been shown to affect the quality and cost of care across multiple health care delivery settings, including hospitals, nursing homes, and physician practices. Despite a long history of large practice management group formation in emergency medicine and intensifying media attention paid to this topic, little is known about the recent practice consolidation trends within the specialty.

Methods

All data were obtained from the Centers for Medicare and Medicaid Services Physician Compare database, which contains physician and group practice data from 2012 to 2020. We assessed practice size changes for both individual emergency physicians and groups.

Results

From 2012 to 2020, the proportion of emergency physicians in groups sized less than 25 has decreased substantially from 40.2% to 22.7%. Physicians practicing in groups of more than or equal to 500 physicians increased from 15.5% to 24%.

Conclusion

Since 2012, we observed a steady trend toward increased consolidation of emergency department practice with nearly 1 in 4 emergency physicians nationally working in groups with more than 500 physicians in 2020 compared with 1 in 7 in 2012. Although the relationship between consolidation is likely to draw the most attention from policymakers or payers seeking to negotiate prices in the near term and advance payment models in the long term, greater attention is required to understand the effects of practice consolidation on emergency care.



中文翻译:

急诊医学中的团体实践规模整合

学习目标

实践整合很常见,并且已被证明会影响多种医疗保健提供环境的护理质量和成本,包括医院、疗养院和医师实践。尽管在急诊医学领域形成大型实践管理小组已有悠久的历史,并且媒体对该主题的关注度越来越高,但对该专业最近的实践整合趋势知之甚少。

方法

所有数据均来自医疗保险和医疗补助服务中心医师比较数据库,该数据库包含 2012 年至 2020 年的医师和团体实践数据。我们评估了个体急诊医师和团体的实践规模变化。

结果

从 2012 年到 2020 年,25 人以下团体的急诊医师比例从 40.2% 大幅下降到 22.7%。在超过或等于 500 名医生的团体中执业的医生从 15.5% 增加到 24%。

结论

自 2012 年以来,我们观察到急诊科实践不断巩固的趋势,到 2020 年,全国有近四分之一的急诊医师在 500 多名医师的团队中工作,而 2012 年这一比例为七分之一。尽管合并之间的关系可能会拉政策制定者或付款人最关注的是短期内谈判价格和长期预付款模式,因此需要更多关注以了解实践整合对急诊护理的影响。

更新日期:2021-08-18
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