Multi-Specialty Group Clinical Integration
The term “clinical integration” is often used to describe the coordination of patient care. Here, clinical integration refers to a legal arrangement called a multi-specialty group. This arrangement allows physicians and other healthcare entities to collaborate—and receive higher reimbursement rates—while remaining independent.
In a multi-specialty group, physicians collectively invest in infrastructure and management systems. They commit to improving performance, and implement programs to improve care outcomes and efficiency.
In exchange, the physicians can negotiate collectively with insurers for better payment rates or for bonuses based on quality and cost improvements.
This collective bargaining would otherwise be illegal, but properly-designed multi-specialty group arrangements create a “safe harbor” from antitrust rules.
The 99 MGMT network is led and operated by physicians.