The tangled hospital-physician relationship

JC Goldsmith, N Kaufman, L Burns - Health Affairs Forefront, 2016 - healthaffairs.org
Together, hospital and physician services account for more than half of national health
spending. In its 2014 National Health Expenditures estimates, the Centers for Medicare and
Medicaid Services' actuaries make the hospital (nearly $1 trillion) and physician practice
(nearly $600 billion) sectors appear to be independent and non-overlapping. This is an
optical illusion. Hospitals and physicians are, in day-to-day practice, hopelessly
intertwined.And while power appears to be shifting from physicians to hospitals with the …