title: Putting on a clinic in Va. Carilion, a not-for-profit hospital system based in Roanoke, is taking a $100 million risk to become a physician-run venture.
abstract: Carilion Health System needs to change or die, according to its leaders, so the Roanoke, Va., organization is converting from a typical not-for-profit system into a physician-run clinic. The switch is an extreme version of an industrywide push to employ doctors. James Thweatt Jr., left, of rival Lewis-Gale, says his hospital joined the trend when it hired 80 specialists from a failing local clinic.
authors.forename: Melanie
authors.initials: M
authors.lastname: Evans
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000458:organization & administration*; D004651:Employment; D006075:Governing Board; D006754:Hospital Restructuring / Q000458:organization & administration*; D006759:Hospital-Physician Joint Ventures; D006770:Hospitals, Group Practice / Q000458:organization & administration; D006788:Hospitals, Voluntary / Q000191:economics / Q000458:organization & administration*; D007857:Leadership; D014768:Virginia