The Relationship Between Physician Practice Size and the Quality and Cost of Care

Large physician practices spend more per person and their patients are readmitted to the hospital at a higher rate than the smallest practices, find Commonwealth Fund–supported researchers led by Lawrence P. Casalino, M.D., of Weill Cornell Medical College. The study, published in Health Services Research, focused on Medicare patients with high health care needs. Despite spending more, however, large medical practices don’t necessarily deliver higher-quality care than small ones.

       

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