Small groups have big advantages

By Jennie McKee

Setting offers autonomy, flexibility, but has downsides as well

Recently, AAOS Now explored why some orthopaedists are leaving private practice to become full-time employees of a multi-specialty group, hospital, or health maintenance organization (See “Is the private practice orthopaedist disappearing?”). Although the problems of diminishing reimbursements, difficulty in managing ancillary services, and unwillingness or inability to provide uncompensated care while on call are shared by all orthopaedic practices, these issues are exacerbated in solo and small group settings.

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