In the final episode of Piecemeal, Dr. Lalita Abhyankar discusses the delicate balance between physician burnout, autonomy, employment, quality of care, negotiating power, and the continuity of the physician-patient relationship.

Guests include Dr. Jonathan Zhang from McMaster University; Dr. Farzad Mostashari, CEO of Aledade; Dr. Umar Bowers from Dawson Med; and Dr. Kyle Leggot from the University of Colorado School of Medicine.

Piecemeal was produced by Dr. Lalita Abhyankar for Health Affairs.

Works Cited:

• Consolidation of Primary Care Physicians and Its Impact on Health Care Utilization (Health Economics)
• Making Health Care Markets Work: Competition Policy for Health Care (JAMA)
• Information Blocking (HealthIT.gov)
• Potential Contracting Issues of “All-Or-Nothing” Clauses: New HHS Secretary, Policy Priorities (Norton Rose Fulbright)
• Payer Trend: 'Tiering' Physicians and 'Steering' Patients (American Academy of Family Physicians)
• Medicare Shared Savings Program (Centers for Medicare & Medicaid Services)

Music produced by So Brown and Jack Mason.