New England Journal of Medicine · 2000 · 22 citations · 4 references
ManagementHealth Care ManagementHealth Services AdministrationHealth Services ResearchHealthcare AdministrationManaged CareClinical GovernanceDisease ManagementHealth Systems ManagementPhysician Practice FinanceCollapseContracting With Physician GroupsHealth System CollapsePhysician ExitPhysician Practice ConsolidationPhysician Practice ManagementPhysician Practice OrganizationPhysician Practice Ownership
The reports of my death are greatly exaggerated.—Mark TwainOn September 2, 1999, the California Medical Association released a highly publicized report entitled, “The Coming Medical Group Failure Epidemic.”1 The report begins, “Mounting evidence collected by the California Medical Association now points to the imminent collapse of a key element in the state's health care delivery sys-tem . . . with as many as 90 percent of . . . physician organizations in the state poised for bankruptcy or closure.”In 1998, the financial collapse of two large physician-practice–management companies, MedPartners and FPA Medical Management, left thousands of California . . .
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