Andrew L. Pecora, MD
I have had the privilege of forging several partnerships of physician groups and, more recently, hospitals and hospital systems. Not surprisingly, I have found the core reasons for merging—scale and efficiencies—are no different whether it involves small groups of physicians (my first merger involved NNJCA Capital and Hackensack Medical Center in 1994) or a partnership between big healthcare systems (Memorial Sloan Kettering Cancer Center and Hackensack Meridian Health in 2016). Some scale may be needed to determine the value of any business initiative. An analysis of work flow to improve office efficiencies can be done successfully in a small group of 5 to 7 physicians. However, determining the best pattern of care for the best clinical outcome at the lowest total cost may take over 1000 physicians working together. To get physicians to work together, you need an organizing structure and the drive to create partnerships.
... to read the full story