Keep up with the rapidly evolving nature of healthcare 
  1. Health Reform
    Health Reform
    “Informal reform,” (i.e., societal and economic trends exerting pressure on the current healthcare system independent of the Patient Protection and Affordable Care Act), and “formal reform,” The independent, private physician practice model will be largely, though not uniformly, replaced.
  2. Need for Centralization
    Need for Centralization
    If not adapted, most physicians will be compelled to consolidate with other practitioners, become hospital employees, or align with large hospitals and health systems for capital, administrative and technical resources. Some physicians will respond by opting out of private practice or by abandoning medicine altogether, contributing to the physician shortage.
  3. Standard of Care
    Standard of Care
    Emerging practice models will vary by region—one size will not fit all. Large, Accountable Care Organizations (ACOs), private practice medical homes, large independent groups, large aligned groups, community health centers (CHCs), concierge practices, and small aligned groups will proliferate.
  4. Legislative Burden
    Legislative Burden
    Reform will drastically increase physician legal compliance obligations and potential liability. Enhanced funding for enforcement, additional latitude for “whistleblowers” and the suspension of the government’s need to prove “intent” will create a compliance environment many physicians will find problematic.
  5. Higher Expectations
    Higher Expectations
    The imperative to care for more patients, to provide higher perceived quality, at less cost, with increased reporting and tracking demands, in an environment of high potential liability and problematic reimbursement, will put additional stress on physicians, particularly those in private practice.
  6. Sustainable Growth Rate (SGR)
    Sustainable Growth Rate (SGR)
    SGR will be folded into new payment mechanisms Net gains in coverage, quality and costs are to be hoped for, but the transition will be challenging to all physicians and onerous to many.