That's a tough call. I have worked both for a hospital employed group as well as an independent group. With the hospital backed group, we took care of the "no doc" ER call, which is largely the uninsured and underinsured patients, which created dispo nightmares and largely unappreciative patients. The hospital also had much more leverage on us regarding LOS, readmit rate etc. With the private group, we saw only patients from Primary Care Providers we contracted with. Much better payer mix and less complicated cases in general. Far less leverage in terms of the hospital hassling us but there was always that concern that the hospital was always looking for ways to run us out of business in order to fully staff with their own people. Each situation is different. The simplest mechanism is probably to be a salaried worker for the hospital. May have an easier path getting into hospital leadership etc if that is important to you. The private, eat what you kill model can be more lucrative but has its own set of headaches.
