MACRA may drive alignment so that physicians can share risk, enter into advance payment models, gain access to interoperable systems, achieve greater market presence and economies of scale as well as improve negotiating position with vendors and payers. Some of the alignment opportunities include joining Merging, Hospital Employment or Joining a Clinically Integrated Network. Joining a Clinically Integrated Network is one of the only alignment vehicles that allow for physicians to remain financially and culturally autonomous.
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