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More U.S. Doctors Leaving Private Practice Due to Rising Costs and Technology Mandates, Accenture Report Finds

As we approach a very important election this week, healthcare is still an uncertain future. Patients, physicians and health systems are still trying to navigate this new and ever changing landscape.

Last week, Accenture announced a new report that reveals partly due to the IT costs associated with expensive technology mandates, physicians are increasingly leaving private practice for more secure employment with larger hospital systems. In fact, Accenture predicts that by the end of 2013, the number of independent physicians will drop to 36 percent (down from 57 percent in 2000). And for those who do not decide to remain independent, one in three physicians will begin offering subscription-based services such as concierge medicine in order to sustain profits.

More U.S. Doctors Leaving Private Practice Due to Rising Costs and Technology Mandates, Accenture Report Finds
By 2013, only 36 percent of doctors are projected to remain independent while subscription-based services for patients continue to increase

ARLINGTON, Va; Oct. 31, 2012 – An increasing number of U.S. doctors are expected to leave private practice for hospital employment over the next 18 months, due to rising costs and technology mandates, according to a new report from Accenture. By the end of 2013, Accenture also estimates that one-in-three doctors remaining independent will offer patients with subscription-based services, such as telemedicine or online consultations, for sustaining profit – a trend that is expected to increase three-fold over the next three years.

Over the past decade, the number of independent U.S. physicians has dropped dramatically, from 57 percent in 2000 to 39 percent in 2012. By the end of 2013, Accenture predicts this number will likely drop further, to 36 percent, and is 3.6 percent lower than Accenture’s 2011 report. The Accenture findings resulted from extensive market analysis on U.S. physician employment and a survey of 204 physicians in independent practice that was conducted in May 2012.

Among the other key findings of the survey:

The majority (87 percent) of physicians surveyed cited the cost and expense of running a business as a chief concern.
Most doctors (65 percent) joining health systems said they expect to make the same or less compensation than in private practice.
Sixty-one percent cited business operations as a main reason for seeking hospital employment rather than remaining independent.
More than half of doctors (53 percent) cited electronic medical record requirements as a main reason for leaving private practice.
“More independent physicians are offering subscription-based services as a way for patients to customize their care experience,” said Kaveh Safavi, M.D., J.D., who leads Accenture’s North America health industry. “Meanwhile, patients appreciate the opportunity to supplement their existing coverage with premium, subscription-based services, such as same-day appointments and online prescription refills.”

Learn more about Accenture’s Insight Driven Health.

About Accenture

Accenture is a global management consulting, technology services and outsourcing company, with 257,000 people serving clients in more than 120 countries. Combining unparalleled experience, comprehensive capabilities across all industries and business functions, and extensive research on the world’s most successful companies, Accenture collaborates with clients to help them become high-performance businesses and governments. The company generated net revenues of US$27.9 billion for the fiscal year ended Aug. 31, 2012. Its home page is

November 5, 2012 I Written By

Merge Healthcare Sees Traction in Client Adoption of Subscription-Based Models

Physician Practices of All Sizes Look to a New Purchasing Model Across Range of Merge Solutions

CHICAGO, Aug. 15, 2012 (GLOBE NEWSWIRE) — Merge Healthcare Incorporated (Nasdaq:MRGE), a leading provider of clinical systems and innovations that seek to transform healthcare, announced several new additions to its growing list of clients who have selected to utilize a Merge solution via a subscription-based model.

“Increasing demand for subscription offerings was an important trend we continued to witness in the second quarter of 2012,” said Jeff Surges, CEO of Merge Healthcare. “This followed the announcement in Q1 that we were making changes in our operations to offer subscription-based pricing to align more closely with our clients’ long-term operating plans. Since that time we have seen acceleration in clients’ eagerness to adopt this of type of purchasing model. The interest has ranged from very large multi-location groups to single doctor practices. Additionally, the interest has spanned a wide range of our solutions including Merge RISTM, Merge PACSTM, and Merge Eye Care PACSTM among others.”

“With many locations across Long Island and throughout the greater New York area, our strategic plans are based on continued growth. We needed the flexibility to continue our expansion,” said Dr. Daniel Beyda, Medical Director, Long Island Radiology Associates. “Not only was the economic model a factor in our decisions, but we knew we also needed to partner with one vendor who could offer an end-to-end solution for our practice across our six locations.”

“We are a long-time Merge client and are excited to be able to upgrade to the latest version of Merge PACS in a manner that worked for the operating realities of practice,” added Dr. Philip Triantos, President of Horizon Imaging located in Vestavia Hills, AL. “We wanted the latest, most advanced technology while also ensuring that we could accurately manage the cash flow of our business. With Merge PACS, we were able to do both.”

About Merge Healthcare

Merge is a leading provider of clinical systems and innovations that seek to transform healthcare. Merge’s enterprise and cloud-based solutions for image intensive specialties provide access to any image, anywhere, any time. Merge also provides health stations, clinical trials software and other health data and analytics solutions that engage consumers in their personal health. With solutions that are used by providers and consumers and include more than 20 years of innovation, Merge is helping to reduce costs and improve the quality of healthcare worldwide. For more information, visit

August 17, 2012 I Written By