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Chapter 5
Physician Employment
What Is Old Is New: Employment
Anyone involved in healthcare in the 1990s may feel like they are living in a time
warp. e 1990s brought us hope that integrated networks, anchored by employed
physicians (especially primary care providers) would usher in an age of accountabil-
ity and efficiency. ere were numerous warning signs; this was not to be the case.
First and foremost, hospitals and health systems employed physicians under
models that left the parties misaligned. In addition, on the way to Nirvana, no one
seemed to ask consumers if they were ready for benefit plans that supported tight
management of care. L