What has happened in this area over the years is that the primary care docs tend to stay in the groups and hospital based practices
Having been in my area of Florida over 25 years, I saw the consolidation of the late 80's-early 90's, when some hospitals were buying up other hospitals and private MD practices. Then it all fell apart and hospitals dumped the docs & practices. Now the hospitals seem to be acquiring practices again, I guess hoping to come out ahead as the reform bills cut down inpatient payments, and to form ACOs.
