Many changes have occurred in the structure of the physician market, as more doctors are employed and located in large practices or health systems. A Statistical Brief from the Agency for Healthcare Research & Quality, based on Medical Expenditure Panel Survey data, examines whether these structural changes are affecting where Americans get their medical care. (AHRQ Brief) In 2015, around 250 million people, or 80% of the population, reported a usual source of care and 44% of those saw that source at least once during the year. 30% of these people with a usual care source visited a practice with between 4 and 10 physicians and 24.8% visited a solo practice, while 23.2% went to one with 2 to 3 doctors. So surprisingly, for their usual care source, probably a primary care physician, over three-quarters of Americans still go to relatively small practices. 63% of practices that were used as usual care sources were single specialty, again likely a primary care one. 54.7% of the patients visited practices that were independent, 20% to those owned by a hospital and 17% to a clinic owned by a government or a non-profit. 21% of the practices had at least one nurse practitioner or physician’s assistant and 51% had two or more of these professionals. More than 90% of the usual care source patients went to a doctor who used an electronic medical record. An interesting glance at characteristics of where people get their care.
Sources of Usual Care
By Kevin RocheJuly 5, 2017Commentary
✅ Subscribe via Email
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
Healthy Skeptic Podcast
This is an outstanding report on total global drug spending and trends, with projections out to 2025. It helps you understand this important area of health care, which does much...
June 1, 2021
MedPAC 2019 Report to Congress
June 18, 2019
CVS has finalized its $10.6 billion buyout of Oak Street health, which operates primary care centers for Medicare members. People may think CVS is a drug store company, but it...
May 4, 2023
Option Care, a large home health care provider is acquiring Amedisys, another large player in that market, for $3.6 billion, as consolidation ramps up across health care, likely meaning higher...
May 4, 2023
Another example of over-priced companies trying to find some way to survive in the post-epidemic financial world. Transcarent, which does something, somehow to “access high quality, affordable care” is buying...
March 6, 2023
Access ACO Care Management Chronic Disease Comparative Effectiveness Consumer Directed Health Consumers Devices Disease Management Drugs EHRs Elder Care End-of-Life Care FDA Financings Genomics Government Health Care Costs Health Care Quality Health Care Reform Health Insurance Health Insurance Exchange HIT HomeCare Hospital Hospital Readmissions Legislation M&A Malpractice Meaningful Use Medicaid Medical Care Medicare Medicare Advantage Mobile Pay For Performance Pharmaceutical Physicians Providers Regulation Repealing Reform Telehealth Telemedicine Wellness and Prevention Workplace
June 1, 2023
More Examples of Why Health Care Costs Are High
A couple of pieces on prices for services in different treatment settings and physician compensation…
May 31, 2023
Medical Inflation is Real
A long-running report on the health care costs of a typical family reveals higher growth…
May 31, 2023
The Damage from the Epidemic Response
A great paper summarizes the harms from the epidemic response.