Supergroups and economies of scale.

With the changing environment for medical practice, physician practice models will continue to evolve. These "supergoups'' create economies of scale, but their advantage is not only in the traditional economic sense. Practices with enough size are able to better meet the challenges of medical practice with increasing regulatory demands, explosion of clinical knowledge, quality and information technology initiatives, and an increasingly tight labor market. Smaller practices can adapt some of these strategies selectively. Depending on the topic, smaller practices should think differently about how to approach the challenges of practice.