Another One, Kids

[Consigliere]

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My predictions are coming true....

http://www.businesswire.com/news/home/20160121005083/en/MEDNAX-Announces-Acquisition-Anesthesiology-Practice-Virginia

Circa 2020 - employment options = AMC vs Hospital Employment. Not saying that's bad; it just is what it is. Only an issue for those fiercely independent types so as yours truly.

Peace out my brethren!

 

[Consigliere]

Look what's happening in Ashville, NC as well.

 

[Psai]

Napa got kicked out of nymc and I'm hearing rumblings that northwell is unhappy with them as well

 

[deleted87051]

Napa got kicked out of nymc and I'm hearing rumblings that northwell is unhappy with them as well

Who's replacing them?

 

[Scotty_G]

Nappa has been out of NYMC for a bit now. My friend currently works there and seems like no plans for AMC.

 

[Psai]

Who's replacing them?

I believe they hired a bunch of faculty

 

[GA8314]

Nappa has been out of NYMC for a bit now. My friend currently works there and seems like no plans for AMC.

There seems to be so much musical chairs going on that I really think that hospitals are catching on to the weak value proposition as pertains to AMC's. Coming in with great ideas, pitching the suits, then hiring a bunch of Locums folks for the first year as they strive to make their contract work, then asking for more money/subsidies from the hospital because they can't deliver as promised. Seems almost to be predictable, aside from very very lucrative (high volume and good payer mix) contracts where they have more margin for error.

But, locally, I've seen what amounts to an absurd level of contract volatility (not exactly in my back yard but in my region) and I think hospitals are quickly learning that AMCs aren't necessarily all that great. Learning the hard way first, granted, but learning, IMHO.

 

[Consigliere]

There seems to be so much musical chairs going on that I really think that hospitals are catching on to the weak value proposition as pertains to AMC's. Coming in with great ideas, pitching the suits, then hiring a bunch of Locums folks for the first year as they strive to make their contract work, then asking for more money/subsidies from the hospital because they can't deliver as promised. Seems almost to be predictable, aside from very very lucrative (high volume and good payer mix) contracts where they have more margin for error.

But, locally, I've seen what amounts to an absurd level of contract volatility (not exactly in my back yard but in my region) and I think hospitals are quickly learning that AMCs aren't necessarily all that great. Learning the hard way first, granted, but learning, IMHO.

Then why is there an exponential increase in the rate of AMC acquisitions?

 

[Stank811]

simple....money is close to free for some and obamacare has created a period of uncertainty which leads to buying anesthesia groups for what appears to be easy money in the long term for the investors. The kicker is that not many are going to work for half price of what they know they are billing. As soon as money is not free AMC will taper....but in the mean time more groups will attempt to sell.