I actually think that is a move in the right direction. Doctors operating their offices as independent businesses is wasteful in my opinion. The Cleveland Clinic has been written of a good deal as being on the forefront of evolving the modern American healthcare infrastructure. Here's a bit from a publication they put out about their "model" of healthcare:

■ Tier 2: The next tier in our
system is comprised of our 16
suburban Family Health and
Surgery Centers, where we offer
primary care, family health, and
specialty services ranging from
cardiology to colorectal surgery to
plastic surgery. These are primary
access point for our main campus
services. Many of our main campus
physicians rotate in and out
of the Family Health and Surgery
Centers during the week

From: http://my.clevelandclinic.org/ccf/me...a-mar-2011.pdf

When they talk about physicians "rotating" in and out of these family health venues, I wonder if that implies that they may even be getting away from the concept of even having PCPs who are physicians. Maybe they're talking about specialty docs.

Much is going to evolve over the next few decades, and much will change away from what we are used to. A lot of that will be good, but we must be advocates for ourselves. Sometimes you have to push to see who you need to see.

We need to get healthcare disentangled from the profit motive, I think. What I like about Cleveland Clinic is that it is non-profit and excels. My understanding is that the doctors on the premises of Cleveland Clinic facilities are there as "employees," rather than as independent practitioners with "visiting privileges," as in the old traditional model of healthcare. Personally, I like that set up that CC operates.