Knowledge Expansion

Survival Guide: How to Remain Independent in this Value-Driven Paradigm Shift

Fellowship Paper

Financial Management

Value-Based Operations

Francisco Gonzaba PMP, FACMPE, MBA
The focus of this exploratory paper is centered on the idea of sustaining and enhancing independent physician practices within the context of health care’s paradigm shift from volume to value. This objective was achieved through the analysis of numerous factors that contributed to the current volume-based health care environment, from historical trends to the facts behind why the U.S. health care system is comparatively more expensive and inefficient than other countries. Additionally, the analysis extends to infrastructure enhancements and value-focused opportunities that are required for independent practices to positively impact the delivery of value-based health care while resisting the growing trend of consolidation.  To ensure a pragmatic approach was taken, the barriers that could prevent the survival of independent practices were also considered. Conclusively, the results yielded the deduction that the survival for the independent practice is ultimately shaped by health care professionals, especially physicians. Furthermore, it was established that independent practices cannot function in isolation in a bid to manage the continuum of care and deliver desirable patient outcomes. They must embrace a coordinate care model with the realization that creating and maintaining independent medical practices is both viable and necessary to combat the rising cost of health care and deliver value.
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About the Author

Francisco Gonzaba PMP, FACMPE, MBA
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