The PAI believes in promoting physicians’ ability to practice medicine in a
variety of practice settings, from small group practices to highly integrated
As government and private payers continue to adopt incentives and policies
that favor integrated health care delivery systems, physicians can expect to be
courted as prospective employees by health systems and hospitals aiming to
position themselves competitively in marketplace. However, a physician’s
decision to enter into an employment agreement involves a uniquely complex set
of contractual, financial and ethical considerations.
To help physicians navigate these waters, PAI will work to develop resources
that provide practical information about how to make decisions that align with
long-term professional goals and financial interests.
PAI has developed a resource for physicians contemplating employment entitled
“Physician Employment: Top Five Issues to Consider.”
To inform the resource, PAI surveyed physicians and physicians’ counsel across
the nation to identify the five most critical issues for physicians to consider
when negotiating an employment agreement. These top issues are: Autonomy,
Compensation, Influence, Governance and Due Process.
The PAI resource and supporting materials are available for state medical
associations to utilize in coordination with PAI as “co-branded” resources for
physicians. For more information, contact Kelly Kenney, PAI Counsel at