The dominant view among academic economists is that the financial markets v
alue financial securities "efficiently," in the sense that the prevailing p
rices of widely traded securities fully and properly reflect, at any time,
all publicly available information that bears on these securities. Although
that theory has great intuitive appeal, it requires intellectual effort to
reconcile it with the rise and fall of the physician practice management i
ndustry. This paper explores how acquisition-driven firms are valued in the
financial markets and what structural factors may sta nd in the way of tru
ly efficient security valuation.