In summary, established SMB independent practices will offer fewer w2s to freshly minted MDs. Expect established doctors to require buying into a practice's equity, meaning the odd new MD with funds to buy in will do so (but will take less comp vs w2 salaried) ; while the majority of those without funds to buy in (due to a pile of student loans), will end up as W2 ...but for hospital groups.
Why ? Existing doctor-owners will be concerned with paying for the risk of training new doctors who can then take the existing practice's foot traffic with themselves across the street on a whim. Why Paying? The new w2 doctor is a loss leader a period of time, which varies across specialties. They are slower, don't know how to use new EMR, etc
So yes, i'm for competition, but expect that hospitals will benefit tremendously from this new restriction in NYS. And healthcare costs will rise accordingly.