The report entitled “The US Physician Practice Management (PPM) Market: Size, Trends & Forecasts (2018-2022)”, provides analysis of the US physician practice management, with detailed analysis of market size and growth of the industry. The analysis includes the market by expenditure, by number physician practices acquisition, by addressable market and by source of funds for expenditure.
Moreover, the report also assesses the key opportunities in the market and outlines the factors that are and will be driving the growth of the industry. Growth of the overall US physician practice management market has also been forecasted for the years 2018-2022, taking into consideration the previous growth patterns, the growth drivers and the current and future trends.
Envision Healthcare, Mednax, Team Health and US Anesthesia Partners are some of the key players operating in the US physician practice management market, whose company profiling has been done in the report. In this segment of the report, business overview, financial overview and business strategies of the companies are provided.
1. Executive Summary
2.1 Physician Practice Management: An Overview
2.1.1 Physician Practice Management: Definition
2.1.2 Physician Practice Management: History
2.1.3 Difference between PPM and MSO
2.1.4 PPM Companies Revenue Generation Modes
2.1.5 Reasons for Hospitals Outsource Physicians
2.1.6 Physician Exit Strategies
3. Market Sizing
3.1 The US Healthcare Market: An Analysis
3.1.1 The US Healthcare Expenditure
3.1.2 The US Healthcare Expenditure by Types of Services (Hospital Care, Physician, Clinical Services, Prescription Drugs, Dental Services, and Others)
3.2 The US Physician Practice Management Market: An Analysis
3.2.1 The US Physician Services Expenditures
3.2.2 The US Physician Services Expenditures as Percentage of Total NHE
3.2.3 The US Physician Services Expenditures by Source of Funds (Private Health Insurance, Medicare, Medicaid, Other Health Insurance Programs, Out of Pocket and Other Payers)
3.2.4 The US Physician Practice Management Addressable Market by Value
3.2.5 The US Physician Practice Management by Addressable Market Segments
3.2.6 Number of the US Physician Practices Acquired
3.2.7 The US Physician Practices Owned By Hospitals
4. Market Dynamics
4.1 Growth Drivrs
4.1.1 Physicians Merging with Other Practices
4.1.2 Growing Demand of Outsourced Physicians by Hospitals
4.1.3 Rising Emergency Department’s (ED) Patient Number
4.1.4 Increasing Number of Physician
4.1.5 Rising Hospital Expenditure on Physician Services
4.2.1 Lower Hospital Beds Volumes
4.2.2 Physician Payments Under MACRA
4.3 Market Trends
4.3.1 Growing Government Funds
5. Competitive Landscape
5.1 The US Physician Practice Market by Players
5.1.1 The US Physician Practice Market Players by Annual Physician Services Specialty Revenue
5.1.2 The US Physician Practice Market Top Players Revenue by Payor
6. Company Profiling
6.1 Envision Healthcare
6.1.1 Business Overview
6.1.2 Financial Overview
6.1.3 Business Strategy
6.2.1 Business Overview
6.2.2 Financial Overview
6.2.3 Business Strategy
6.3 Team Health
6.3.1 Business Overview
6.3.2 Business Strategy
6.4 US Anesthesia Partners
6.4.1 Business Overview
6.4.2 Business Strategy
List of Figures:
Figure 1: Difference between PPM and MSO
Figure 2: PPM Companies Revenue Generation Modes
Figure 3: Reasons for Hospitals Outsource Physicians
Figure 4: Physician Exit Strategies
Figure 5: The US Healthcare Expenditure; 2014-2017 (US$ Trillion)
Figure 6: The US Healthcare Expenditure; 2018-2022 (US$ Trillion)
Figure 7: The US Healthcare Expenditure by Types of Services (Hospital Care, Physician, Clinical Services, Prescription Drugs, Dental Services, and Others); 2016 (Percentage, %)
Figure 8: The US Physician Services Expenditures; 2012-2017 (US$ Billion)
Figure 9: The US Physician Services Expenditures; 2018-2022 (US$ Billion)
Figure 10: The US Physician Services Expenditures as Percentage of Total NHE; 2010-2016 (Percentage, %)
Figure 11: The US Physician Services Expenditures by Source of Funds (Private Health Insurance, Medicare, Medicaid, Other Health Insurance Programs, Out of Pocket and Other Payers); 2016 (Percentage, %)
Figure 12: The US Physician Practice Management Addressable Market by Value; 2017-2022 (US$ Billion)
Figure 13: The US Physician Practice Management by Addressable Market; 2017 (US$ Billion)
Figure 14: Number of the US Physician Practices Acquired; 2010-2017
Figure 15: The US Physician Practices Owned By Hospitals; 2012-2015 (Percentage, %)
Figure 16: Number of Physician Unions; 2014-2016 (Percentage, %)
Figure 17: Physicians Employed by Hospitals (Outsourced); 2012-2015 (Percentage, %)
Figure 18: ED Visits and EDs in the US Community Hospitals; 2010-2016
Figure 19: Gap Between Nurse Anesthetists and Physician Anesthesiologists; 2014-2016
Figure 20: The US Hospital Expenditure; 2010-2016 (US$ Billion)
Figure 21: Total Hospital Beds in the US; 2010-2016
Figure 22: Total Government NHE Funding; 2010-2025 (US$ Billion)
Figure 23: MEDNAX Revenue by Payor; 2017 (Percentage, %)
Figure 24: Envision Revenue by Payor; 2017 (Percentage, %)
Figure 25: Envision Healthcare Net Revenue; 2012-2016 (US$ Billion)
Figure 26: Envision Healthcare Net Revenue by Segment; 2016 (Percentage, %)
Figure 27: Mednax Net Revenue; 2011-2017 (US$ Billion)
Figure 28: Mednax Net Revenue by Service Line; 2017 (Percentage, %)
Figure 29: Mednax Net Revenue as Payor Mix; 2017 (Percentage, %)
Table 1: The US PPM Market Players by Annual Physician Services Specialty Revenue; 2017 (US$ Million)
Physician Practice Management or PPM is the industry which is formed by collaboration of number of physicians together and specializes in providing clinical facilities and other physician services to their clients/patients.
There are two types of organization/companies who offers physician services: PPM company and Management Service Organization (MSO). A PPM company is the one which is specialized with single-specialty groups, hospital-based physicians or multispecialty groups and serves as strategic planner for participating physicians, whereas MSO is leaned towards handling practice administration management and contracting functions.
There are four modes through which PPM companies generate their revenue: billing of physician services (accountable only for participating physicians), hospital contracts (contract price for providing physician services for 2-3 years), physician compensation and other fees/subsidies (such as administrative fees if a hospital is unable to meet sufficient patient volume).
Hospitals are the biggest client for any PPM company. Hospitals outsource physicians from PPM companies instead of hiring. There are three primary factors because of which hospitals outsource physician services: improving quality and financial outcomes of the hospital, surpass the difficult phase of talent hunt & recruiting and more economic in terms of leverage/scale. In the US region, physicians are exiting running their clinics and started merging with other practices and selling to hospitals, PPM companies and other private equity firms.
The US physician practice management market is expected to increase at high growth rates during the forecasted period (2018-2022). The US physician practice management market is supported by various growth drivers, such as increasing mergers and acquisitions of physicians, growing demand of outsourced physicians by hospitals, rising emergency department’s (ED) patient number, etc. Yet, the market faces certain challenges, such as, lower hospital volumes, physician payments under MACRA, etc. few new market trends are also provided such as, growing government funds, etc.
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