Vital Signs September 2013
President’s Message
We recently convened our first major MMS program designed to help physician practices navigate issues of clinical integration and alignment.
The two-hour program generated excellent dialogue on the issues and challenges unique to practicing medicine in Massachusetts.
What we call “the big shift” is already happening. The old fee-for-service system and fragmented delivery services are fast transitioning to physician integration and a patient-centered health management paradigm.
The need for new infrastructure has resulted in alignment and consolidation before alternative payment models are fully developed and implemented.
I have long believed that physician-led systems provide the best opportunities for physicians to control their environment and their practice of medicine.
As we look at successful models of clinical integration, we see that physician-led teams are also crucial to that effort.
If we are at the bottom of the governance tree, we will have to live with the results of decisions made by others. We cannot be passive in that regard.
Physicians must have the necessary internal leverage to implement principles needed to make ACOs and other integrated care models a success.
MMS can offer a unique service in the coming year by providing the resources and forums for physicians to share experiences and analyze system problems.
In the coming months we will host more forums in the western and southeast regions of the state to engage members in this crucial conversation about our future. I hope you will make time to join us.
— Ronald W. Dunlap, M.D.
