Craig M. Sasse, Anthony L. Tocco, James Dockins
Journal of Case Studies
November 01, 2014
The economics of medicine was changing and Dr. Mike Waxman was wondering if his medical specialty group, KCPC, would survive. The changes in reimbursement systems that favored third party payers and the shift towards for-profit hospitals was making it impossible for KCPC to operate as it had for the past 30 years. With the loss of three physicians over the prior two years and an inability to compete for new ones, the physicians in the group were working longer hours but making less income. He and the group were now at a crossroads with three possible and less than ideal options for moving forward.