Orthopedic Surgeons are selling their practices to join hospital or larger multispecialty group models :
Many physicians surveyed practicing in Orthopedic Surgery believe that you're going to see more doctors joining hospital model vertical integrated healthcare practices:
There are a few things driving this percentage up right now. A culmination of financial pressures in the market over the past two years has driven reimbursement down.
Orthopedic surgeons in a small practice (under four to six surgeons) are finding it extremely difficult to financially support a practice.
I think another factor is the continued trend to centralize and automate : Electronic medical records and other requirements under healthcare legislation are going to be impossible for small groups to handle when they are already under such pressure right now. These physicians will be driven to an employed model instead of a large group practice because they've been in a small group for a while and they don't see advantages to larger groups. They think they won't be able to improve their position.