Tools & Tips | Value-Based Payment

Medical Group Perspectives

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Tools & Tips | Value-Based Payment

Medical Group Perspectives

A medical group’s perspectives on physician alignment and engagement opportunities can differ significantly based on the group’s demographics. Demographic categories include the group’s ownership status, type of group, performance and experience, and personality.  Common traits within these categories are shown in

A medical group’s perspectives on physician alignment and engagement opportunities can differ significantly based on the group’s demographics. Demographic categories include the group’s ownership status, type of group, performance and experience, and personality. 

Common traits within these categories are shown in the table below. 

Common Physician Group Demographics

Ownership Status  Type of Group Performance and Experience Personality
Independent/physician-owned Primary care group Stability Entrepreneurial
Hospital/health system-owned Single specialty group Financial performance Early adopter
  Multispecialty group Asset base Traditionalist
    Reputation Collaborative
    Price position Individualistic
    Relationships  

Different combinations of these traits will suggest different opportunities for engagement or alignment. For example: 

  • A primary care group with a strong reputation and collaborative personality that is seeking greater stability may be interested in seeking alignment with—and potentially acquisition by—a health system or larger multispecialty group. 
  • An independent single-specialty group with strong financial performance and an entrepreneurial personality may seek a joint venture or co-management relationship with a health system.
  • A health-system-owned multispecialty group may seek to develop stronger physician governance structures within the system.
  • An independent multispecialty group with a competitive price position and early adopter personality may seek to form an ACO with other provider organizations in its market.

A medical group’s perspective on alignment and engagement opportunities will be further shaped by its answers to such questions as: 

  • What opportunities are other medical groups pursuing, and why are they pursuing them?
  • How quickly is our market moving from fee-for-service to value-based payment?
  • How well positioned are we currently to manage the transition to value-based payment?
  • To what extent will we need to look at partners, co-investors, or others to help us get from here to there?
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