Physicians are worried that the evolution to bundled payment and other payment reforms will further erode their earning capacity and diminish their independence. In the most recent Deloitte survey of physicians, 9 out of 10 said that their greatest concern with episode-based care is receiving "inadequate payment" and being penalized for factors that are out of their control.

The vast majority of physicians — 8 out of 10 — believe that team-based care is the wave of the future, and much of that being in a hospital-employment model.

Other findings include:

  • 31 percent of physicians give the overall health care system an "A" for performance.
  • 48 percent of primary care physicians are familiar with the concept of the patient-centered medical home, compared with just 15 percent of surgical specialists.
  • 66 percent of those surveyed believe that physicians and hospitals will become more integrated in the next 1 to 3 years.
  • 57 percent of physicians said that the practice of medicine is in jeopardy.