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The Contribution of Physician-System Integrating Structure to Select Health System Outcomes

Date of Publication
April 23, 2020
Publication Type
Journal Article
Paid Access
DOI Entry
Wolters Kluwer Health, Inc.
Citation (AMA)
Physician groups are increasingly being vertically integrated with hospitals and health systems; yet, the evidence on the impact of physician-system integration on health system outcomes is mixed. The objective of this study was to examine the impact of increased physician-system integration on select health system outcomes. We used a mixed-methods approach: (1) a fixed-effects multivariate mediation analysis; and (2) a qualitative analysis of interviews with health executives (n = 25). Our findings showed that hospitals spent $633 375.22 to $827 110.24 for each "level" increase in integration. This relationship was attenuated, however, by the presence of care coordination mechanisms.