Despite problems in the medical arena, a vast number of companies still maintain doctors as they are considered valuable commodities. Purchasing doctors especially those who specialize in general, internal medicine and pediatrics is the goal of many physician management companies. The investors and members of these companies perceive primary care doctors as the cream of the crop thus flocking to them at this age of medical and wellness reform, according to an investment banker.

As the country experience a lack of health care specialists, this reform in the medical system will give way to a more accelerated demand for these practitioners. Some of the advantages that managed care groups bring can be seen by how they make primary care doctors the gatekeepers of the medical trend that dictate how certain costs such as medicine, consultation fees and tests can be minimized. Private sectors and both the state and federal government rely on companies specializing in managed care to minimize health care bills.

The clients of doctor management groups that buy teams of doctors, consist of hospitals and health maintenance organizations that market their services directly to consumers or through the companies they work for. The 1980s saw the rise of various health specialist management firms which has maintained its growth even in the last few years. The business requires capital that could come from doctors, high-risk business capitalists as well as medical insurance providers. Albeit the slow progression of publicly traded medical businesses, the publicly traded care management firms continue to see a steady climb of their stocks.

Physicians are aware of the many advantages that can be derived from joining these companies. One is a signing bonus that is not less than several hundreds of dollars. They are also entitled to a contract that guarantees them at least $100,000 as an annual income often for up to thirty years and an assurance that the erratic health care reform programs would not give them financial setbacks. The income of managed doctors are as good as the income of those who are not, and sometimes even better.

These management firms have to cover even the most taxing corporate duties like marketing patients, hiring new employees, check writing, leasing copiers, leasing office space, billing and even applying for malpractice insurance. Care managing firms also manage physician schedules to ensure that they work closer to the typical eight hours per day and lessen their tedious on call schedules. Patients might get short changed in order to fatten the bottom line and this business oversight is something a lot of people fear.

These doctors have to keep on with their craft even with their commercial overlord keeping a strong grasp in ensuring minimal cost and maintaining above average service. It requires great effort from the doctors to bear a boss that will be tasked to ensure that they won't go beyond the budget allocation. But according to experts, only in time can the efficacy of the system be proved and hopefully doctors would not be sparing with the quality of service or see their patients in assembly line fashion.

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