I just came back from a meeting with our hospital group and 15 pcp's.

The hospital presented a model where we enter into a lease agreement (5 years) and my office becomes a outpatient facility of the hospital . I will be payed as an independent contractor at 1.15 the rvu of last year. I must pick up my own malpractice and cme and vacation and health care and and personal and sick time. The Hospital covers everything else (employee's salaries, rent, utilities all other overhead). The hospital would pick up all my ancillary testing and would bill out at an increased rate due to the facility fee. my practice is 85% Medicare.

Is anyone else in a model like this or knows someone in a model like this??

Thoughts anyone.

By the way, if you cut me, I will bleed New York Yankee blue and white pinstripes during baseball season.


Frank J. Paiano, DO, FACOI
Internal Medicine of Central Florida, PA
The Villages, FL