Plenty of people will tell you that the independent physician is a rapidly dying breed. A few reasons they cite:
I could go on and on. It's true that challenges like these aren't going away. Indeed, they're a necessary part of the transformation of healthcare into a more predictable, more high-quality endeavor.
That doesn't mean they don't cause a lot of upheaval. Some of this upheaval means lots of formerly independent physicians are giving up the business side and joining as employees with hospitals, health systems, and health plans. Some physicians equate that outcome as "giving up."
The challenges of adaptation are real and seismic for every healthcare organization, and they're exceedingly more difficult to deal with for small independent physician groups.