AMCs can bill 30 percent more per unit for insurance cases vs the hospital. AMCs can fire at will and pay less than fair wage. Hospitals must pay fair wages and have HR departments. Hence, the vast majority of hospitals (over 80 percent) are better off with an AMC vs hiring their own providers.
Until we get a radical change in billing/reimbursement the AMC is here to stay.
Seems like changes in billing/reimbursement happen every year. Just in a generally unfavorable direction for physicians