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Among the physician practices, 16.5% had only one office-based physician in 2016. [3] Physician group practices with 2-4 physicians make up 22.3% of physician offices in the United States, 19.8% have 5-10 physicians, 12.1% have 11-24 physicians, 6.3% have 25–49, and the remaining 13.5% have 50 or more physicians.
In the United States, an independent practice association (IPA) is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis. [1] [2]
In the group model, the HMO does not employ the physicians directly, but contracts with a multi-specialty physician group practice. Individual physicians are employed by the group practice, rather than by the HMO. The group practice may be established by the HMO and only serve HMO members ("captive group model"). Kaiser Permanente is an example ...
The ABPS, the official certifying body of the American Association of Physician Specialists (AAPS), is the United States' third largest recognized physician multi-specialty certifying body, providing physician board certification re-certification for thousands of physicians in following 20 medical specialties: [6] Administrative medicine ...
Doctors may work independently, as part of a larger group practice, or for a hospital or healthcare organization. Independent practices are defined as one in which the physician owns a majority of his or her practice and has decision making rights. In 2000, 57% of doctors were independent, but this decreased to 33% by 2016.
As of December 2015, there are more than 2,000 retail clinics located in 41 states and Washington, DC in the United States. [2] Retail clinics are staffed by physician assistants or nurse practitioners and most are open seven days a week – twelve hours a day during the workweek and eight hours a day on the weekend. [3]