IGWWIndependent Group Practice Without Walls (model)
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Participation: Who is in and who is out--open to all medical staff; primary care only; economic mix of primary care/specialty care; only physicians who have the "respect" of the physician founders (within the nondiscrimination laws, an IGWW can be totally selective on whom it employs and to whom it sells shares)--process for controlling participation?
If in an IGWW, they will also be asked to commit to share with other members in the costs of development.
Finally, there may be a private management services firm that would front-end the start up of an IGWW in return for sharing in future revenue enhancements.