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Hospital-Physician Relations in a Post-Health Care Reform Environment

According to the United States Department of Labor, in 2008, only 12% of physicians were self-employed. Of course, not all physicians employed by others were employed by hospitals. However, Kocher and Sahni report that “more than half of practicing physicians are now employed by hospitals or integrated delivery systems.” As explained below, ACA and other health care reforms anticipated in the future are expected to accelerate the employment of physicians by hospitals. “Under current reform scenarios, hospital employment of physicians is expected to increase between 10 and 25 percent over the next five years.” Not only are physicians increasingly becoming employees of hospitals, so too is physician ownership of physician practices declining. In data from