Large independent specialty physician groups could undertake private equity-financed development of new short-stay surgical facilities, taking advantage of the rapid migration of joint replacement and spine surgery out of the hospital. There will be attractive long-term lease opportunities in vacant shopping malls recently abandoned by K-Mart, Macy's and Sears.
These new surgical facilities could feature Four Seasons-quality amenities and offer hip, knee and shoulder replacement and spine surgery packages, including home-based rehabilitation and wound care for under $10,000. Physician-sponsored imaging centers could offer $150 CT scans and $400 MR scans. Hospital imaging departments would quickly empty of their elective scans, a major source of operating profits.
Local oncology groups could offer patients fixed-price chemotherapy bundles including generic chemotherapy drugs, paired with aggressive nutritional assistance and alternative medicine therapy for pain control for men with prostate cancer and women with breast cancer. Patients could be incentivized by Medicare Advantage plans with cash rebates for groups that agreed to adhere to NCCI treatment protocols.