It is becoming apparent that for affected communities, the SARS-CoV-2 virus and the incidence of COVID-19 (COVID-19) pandemic response efforts will create a surge of demand for providers within relevant disciplines such as emergency care, critical care, hospitalists and others. Concurrently, the social distancing and stay-at-home practices likely will reduce demand for nonemergency patient services such as elective surgeries, minor procedures, check-up visits for stable conditions and other “deferrable” services. These factors will create different pressures, including a significant underlying financial pressure for physician employers. Various organizational stakeholders should be included in these discussions, as there are obvious operational, compliance, legal, HR and financial issues on the table for any sort of direct contracting action, as described below.
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