Accountability, shared incentives and integration: a look at some unintended consequences

These buzzwords of health care reform worked their way into our lexicon even before passage and are gaining traction with Obamacare barely off the runway. Health care systems are scrambling to make the most of the new incentives. One result is that more and more doctors are becoming employees of hospitals and integrated delivery systems. This has led to some negative consequences which Roy Poses, blogging at Health Care Renewal, discusses here. It all boils down to loss of professional control. It's equally concerning whether at the hands of government central planners or corporate entities.