An increasing number of U.S. doctors are expected to leave private practice for hospital employment over the next 18 months, due to rising costs and technology mandates, according to a new report from Accenture.

By the end of 2013, the consulting firm estimates, one in three doctors remaining independent will offer patients with subscription-based services, such as telemedicine or online consultations, for sustaining profit—a trend that is expected to increase three-fold over the next three years.

Over the past decade, the number of independent U.S. physicians has dropped dramatically, from 57 percent in 2000 to 39 percent in 2012. By the end of 2013, Accenture predicts this number likely will drop further, to 36 percent.

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