Did you know that PSAs were first developed by a surgeon? Well, sort of. In 1845, Dr. Horace Day invented pressure-sensitive glue (EPI) – the first form of duct tape. Today, “PSA” is better known as an acronym for a certain type of hospital physician arrangement, the agreement on professional services. Band has come a long way in the last 173 years – and it can be much more sticky than Dr. Day`s invention. It`s time to make your PSAs more gooey to create mutually beneficial long-term cooperation that will help meet the needs of the communities you serve. Chad Mulvany of the HFMA says it is imperative that everyone in the U.S. supports safety hospitals, or there will be an increase in the differences in access to basic health services between having and nothing. We assume that health care professionals who read this article are unlikely to need further study of the benefits of the acquisition or the factors that drive private equity systems and companies to purchase practices. Instead, we want to use this Coker connection to highlight some of the off-use options that practices and systems can use to achieve better results.
There are signals in the market that independent practices are not decreasing as much as the above articles suggest. It was only last October, at the mgMA 2018 annual conference, that a group of doctors shared some of the unintended consequences – increased costs, withdrawal of doctors, flat or declining results – of this flow of acquisitions, predicting that independent practices could return in the near future.  So whether our readers come from large systems, private equity firms or private firms, we hope that this piece will serve as a productive reminder that employment is not the only option to track the alignment between doctors and hospitals or health systems. Depending on the situation, the structures described below may show an upward trend similar to that of employment or acquisition without the same unintended consequences or risks. Many physicians believe that ASPs are advantageous (compared to the acquisition of the practice) because they offer a high level of autonomy and decision-making on physician coverage and distribution of compensation. PPE can also reduce the administrative burden on physicians in managing and operating a comprehensive medical practice and provide physicians with greater flexibility in retirement and other benefit options.