"Health & Medical News"

Large physician groups have long had a head start on solo and small practices in the medical marketplace because they can negotiate better health plan contracts. Now, a rising tide of evidence indicates that size also confers a quality advantage.

Researchers admit that the medical literature emerging on the relationship between group size and quality is far from a slam dunk. They argue, however, that bigger physician groups can pool capital to pay for electronic medical records systems and other quality initiatives that help them more reliably deliver guideline-based care.

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Physicians say a Colorado Supreme Court ruling recognizes the importance of protecting ongoing peer review from the threat of lawsuits. But they say the decision likely will make it difficult for doctors to get relief from the courts when they believe abuses are taking place during the proceedings.

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