As primary care physicians continue to migrate from small independent practices to large multispecialty medical groups, or join hospital staffs as salaried employees, an alternative organizational model has gone largely unnoticed: the large independent primary care medical group. Anecdotal evidence suggests these groups are thriving financially and performing at a high level. A Cornell research team will conduct a qualitative study of at least six large primary care groups―along with the providers and payers with whom they interact―to understand how these groups got started, how they are structured, how they coordinate care with other providers, and how they remain financially viable. By studying their experience, the investigators will be able to tell us whether the model could potentially play a significant role in delivery system reform.
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Joan and Sanford I. Weill Medical College of Cornell University
Lawrence P. Casalino, M.D., Ph.D.