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Physicians are still hot commodities and this has been shown with the way institutions maintain them despite the challenges in medical reform. Physician management companies have been purchasing doctors specializing in pediatrics, general medicine and internal medicine all over the state. The top dogs in the present culture of medical reform are considered to be these primary care specialists and this is what moves the big companies to go for them like gold says an expert investment banker.

With the nation's supply of these doctors, already short by thousands of physicians, changes in the nation's health care system will accelerate demand for them. Among the benefits that can be derived from the growth of the system of managed care is how these companies make primary care practitioners the leaders that enable the medical system to cut costs especially when it comes to test, consultation and price of medicines. Managed care is relied upon by the federal and state governments as well as large companies to minimize medical expenses and costs.

Consumers and their employers are the main market targeted by the hospitals and health maintenance groups which are the physician management firms' main clients. Physician management companies continue to sprout in the past few years since it first started around the 1980s. The business requires capital that could come from doctors, high-risk business capitalists as well as medical insurance providers. A steady climb has been apparent among most publicly traded care management firms amid the depreciation of most general medical stocks.

There are many advantages in joining these care management groups for doctors. Once they join, the physicians get a handsome upfront fee that ranges from a few hundred thousand dollars or more. They then come to a binding agreement that could have a tenure of 30 years, which states that they are entitled to 100,000 dollars or more in annual income, and be protected from monetary uncertainties that would certainly arise from medical reform. Doctor salaries under the care management companies are as comparable and sometimes even larger than unmanaged doctors.

Even the strenuous corporate duties such as collections, pay check writing, client marketing, photocopy machine leasing, hiring staff, office space leasing as well as malpractice insurance are undertaken by these care management firms. Engaging physicians to work closer to eight hours per day instead of being on call at an uncertain number of hour is something that these firms also undertake. In the corporate oversight that grows from an interest of magnifying the bottom line, patients might get short changed and this is something many fear.

These doctors have to keep on with their craft even with their commercial overlord keeping a strong grasp in ensuring minimal cost and maintaining above average service. Many doctors clearly can't relish the idea of having a boss that will be making sure they don't exceed budgets. But experts agree that only in time can the promises of care management companies can be assessed, that the patients will not pile up at doctors offices causing them to lessen the quality of treatment and that their income will not dictate the kind of service they will provide.

By: Mary Ward

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