What area's of the country are largely AMC dominated?

[Pharmado]

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I've got less than a year left in residency and have turned my attention to finding a job. I was interested in knowing which areas of the country are largely controlled by AMC's? Aside from looking at the websites of each of the individual large groups or assessing each area independently, is there a better way to get a quick overview?

 

[deleted50478]

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[Consigliere]

That's easy, Pharmado....

Get a map of the USA....throw a dart at it....that area is AMC dominated. Rinse and repeat.

 

[Scotty_G]

The East coast more than West. Midwest probably has the least amount. NE = BAD as well as SE=bad.

 

[deleted50478]

The East coast more than West. Midwest probably has the least amount. NE = BAD as well as SE=bad.

The west may have more hospital employment which is somewhat better than amc in my opinion, but basically the party's over.

 

[IlDestriero]

Any area of the country that is not currently a high AMC presence zone is likely the current target expansion zone of the AMCs. Maybe you'd be better off looking for a job in an area already overrun with them. Though you'd have to be competitive for these coveted positions. Or the places so jacked up that the AMCs don't even want them. One of my friends works for one of them and they actually do pretty well, though hospital bankruptcy is an actual concern of hers.


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Il Destriero

 

[aneftp]

Any area of the country that is not currently a high AMC presence zone is likely the current target expansion zone of the AMCs. Maybe you'd be better off looking for a job in an area already overrun with them. Though you'd have to be competitive for these coveted positions. Or the places so jacked up that the AMCs don't even want them. One of my friends works for one of them and they actually do pretty well, though hospital bankruptcy is an actual concern of hers.


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Il Destriero

Yes. True. But for some reason the west coast really have been immune to the AMC expansion. You had that Bay Area MAC group sell out but not much else.

Same with the Big Arizona MD only group sell out.

Maybe Kaiser is so strong in in California.

 

[Ezekiel2517]

Yes. True. But for some reason the west coast really have been immune to the AMC expansion. You had that Bay Area MAC group sell out but not much else.

Same with the Big Arizona MD only group sell out.

Maybe Kaiser is so strong in in California.

Kaiser is essentially an AMC

 

[aneftp]

Kaiser is essentially an AMC

No. Kaiser is an HMO in itself. It has primarily its own hospitals (especially out west). It has its own generalists and specialists.

An AMC primarily acts as a 3rd party contractor.

It's not an all in one shop like Kaiser.

 

[Ezekiel2517]

No. Kaiser is an HMO in itself. It has primarily its own hospitals (especially out west). It has its own generalists and specialists.

An AMC primarily acts as a 3rd party contractor.

It's not an all in one shop like Kaiser.

Thank you professor. Do you understand the word essentially? In the practical sense, for an anesthesiologist working for Kaiser, you are functioning basically as if you were in an AMC. In fact, I can think of reasons it's worse working for Kaiser than an AMC, especially Kaiser SoCal.

 

[aneftp]

Thank you professor. Do you understand the word essentially? In the practical sense, for an anesthesiologist working for Kaiser, you are functioning basically as if you were in an AMC. In fact, I can think of reasons it's worse working for Kaiser than an AMC, especially Kaiser SoCal.

It depends which Kaiser SoCal. Cause not all of them are the same.

Kaiser is a lot like the VA. There are some nice Kaiser locations to work at. And some not so nice locations.

 

[Turtlez]

It depends which Kaiser SoCal. Cause not all of them are the same.

Kaiser is a lot like the VA. There are some nice Kaiser locations to work at. And some not so nice locations.

Where are the nice ones at?

 

[deleted162650]

Yes. True. But for some reason the west coast really have been immune to the AMC expansion. You had that Bay Area MAC group sell out but not much else.

Same with the Big Arizona MD only group sell out.

Maybe Kaiser is so strong in in California.

The reason the West Coast is relatively AMC resistant is that it's still predominantly MD only out here, and the groups tend to be structured fairly - not the pyramid schemes you see back East. When there's not just a few "super-partners" making money off an army of CRNA's and partner-track/non-super partner guys, then the incentive to sell out just isn't there. The sell-out pie has to get cut into so many pieces that the math favors staying an independent PP group. Plus, it's hard to get a majority vote to sell-out when most of the group is >5 years from retirement and everyone has an equal vote.

Add to that that in CA, it is illegal for docs to be employed by the hospital, and you have a more PP friendly environment. In the PNW, you do have hospital systems like Providence starting to employ their anesthesiologist directly (i.e. Spokane).

You see some AMC's in BFE locations around CA where none wants to live, but that's about it (aside from the 2 buy-outs mentioned above).