The collaboration between physicians and hospitals to work together for achieving a shared goal of quality health care services to patients is known as physician alignment. The concept of physician hospital alignment has been experimented in United States in 1990, at that time hospitals acquired primary care practices to meet managed care or gate keeper models and to increase their revenues, payments to physicians are given in the form of salaries which are equal to physician salaries before acquisition with a minimum of three to five guarantee. In most of the cases, lack of integration, financial challenges, complexities with payment methods and physician involvement, this physician alignment models are not able meet the expectation, after huge losses encountered to hospitals, most of these models are stopped and physicians and hospitals restored previous practices. [1]
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Furthermore, several provisions in the act which provides incentives to hospitals in the form of value based purchasing, meaningful incentives and other incentives for improving quality, reducing costs and engaging