Author name: Team Aimpa

Physician Practice Affiliation Drives Site of Care Cost Differentials: An Opportunity to Reduce Healthcare Expenditures

The continued migration of physicians from independent practice to affiliation with larger entities has garnered significant scrutiny. These affiliation models include hospitals and health systems, payers and corporate entities, and management services organizations, which may or may not be private equity (PE)-backed. Data on the impact of different physician affiliation models on cost of care […]

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New Study: Hospital Affiliation Key Driver of Surging Cost of Outpatient Care

Data show urgent need for site-neutral payment reform WASHINGTON (July 24, 2025) — A groundbreaking peer-reviewed study published today in Journal of Market Access & Health Policy reveals that hospital-affiliated physicians across four specialties are far more likely to perform procedures in high-cost hospital outpatient departments than in lower-cost ambulatory surgery centers or medical offices. 

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Dr. Thomas Stone: Kentucky’s doctor shortage will get worse if Congress doesn’t reform Medicare

Kentucky’s population is growing. The Bluegrass State gained roughly 83,000 residents between 2020 and 2024, according to the U.S. Census Bureau, and is now home to nearly 4.6 million people. Yet the number of doctors in our state is shrinking. As of 2022 — the most recent year for which data is available — Kentucky

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Dr. George Dickstein: Block corporate sway, but let doctors seek management services

Neil Mehta is correct that “medicine cannot owe its first allegiance to financial interests” (“The loophole that could allow another private equity debacle in Mass. health care,” Ideas, July 13). Physicians must have complete clinical autonomy, free from corporate interference. However, as Massachusetts legislators contemplate changes to state corporate practice of medicine laws, they must

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Dr. Gamal Wazni: Florida’s independent doctors jeopardized by recent Medicare cuts

The massive budget reconciliation bill currently making its way through Congress would, among other things, raise reimbursement for physicians under Medicare next year. That’s good news for patients. Many of their physicians have been leaving private practice, thanks in no small part to declining reimbursement from Medicare. The public program has cut pay for independent

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Interview series: Physicians in Private Practice — or not

Paul Berggreen, MD, is a gastroenterologist and president and board chair of the American Independent Medical Practice Association (AIMPA). He discusses recent findings about the current state of physicians in private practice as outlined in the Policy Research Perspectives paper, “Physician Practice Characteristics in 2024: Private Practices Account for Less Than Half of Physicians in

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