Thought Leadership – Physician Network Optimization


Aultman Medical Group (AMG) Revenue Cycle Redesign Case Study

Summary Aultman Medical Group is a not-for-profit healthcare system that employs 140 providers across 19 specialties with locations that span six counties in Canton, Ohio.  Challenge Aultman Medical Group sought to optimize its revenue cycle operations to help address internal structural factors impacting the organization financially. The leadership also was determined to standardize its processes […]


Physician Employment and the Board

    Numerous clients have asked HSG for assistance in providing board education regarding physician employment. Driving this request are the frequent questions they receive from board members about why the hospital must support physicians who were previously independent. And, skittish about legal concerns, such as buying referrals, clients find it a difficult question to […]


Physician Network Management: Insights from an Interim Executive

Background Senior leadership of a hospital system was growing increasingly concerned over mounting losses and a general lack of operational efficiency in the employed physician network. It was apparent to them that the management infrastructure and talent had not kept pace with the needs of the rapidly growing network. The hospital requested assistance from HSG […]


Why Are We Reluctant to Embrace NPP’s?

Reports projecting growing physician shortages point to greater utilization of non-physician providers (NPPs)a to meet future healthcare demands.1 In addition, the 2017 MGMA DataDive Cost and Revenue Survey indicates that practices with higher NPP-to-physician ratios realize greater net revenues and higher provider productivity.2 Utilizing NPPs to meet healthcare demand while realizing increased profitability and provider […]


Case Study: Shared Vision Positions Employed Medical Group for Success

Challenge The employed medical group of a highly successful hospital system in northeast Ohio requested assistance with catalyzing enhancement of its physician leadership and charting its future course to ensure success in the evolving healthcare environment. Specifically, the administration desired to promote collaborative group function, appropriately enhance the network infrastructure, improve practice operations, cultivate physician […]


From Operational Chaos to High-Performing: The Right Path for Your Physician Network

Over the past few years, most hospital and health system physician networks have been in an accelerated growth mode – some in an all-out buying spree, taking all comers.  These networks are finding themselves mired in operational chaos and experiencing huge financial losses —  their growth in size and scope outstripping the capabilities of the network’s management […]


A Comprehensive Strategy for Physician Network Referral Management

For hospitals with large employed physician networks, we commonly see referral management/patient referral capture as an issue. Out-of-network referrals lead to decreased productivity, declining market share and lost practice and hospital downstream revenue. Drivers of Referral Leakage Poor performance in referral capture is driven by one of two issues: 1) Providers Directly-Referring Out. This most […]


Two Paths to Greater Practice Revenue and Productivity

Searching for ways to increase practice revenues and productivity? The 2017 MGMA DataDive Cost and Revenue Survey provides some helpful insight. The Survey indicated that practices with higher staffing-to-physician ratios and non-physician provider (NPP)-to-physician ratios realized greater net revenues and higher provider productivity. An article1 about the 2017 MGMA DataDive Cost and Revenue Survey highlights […]


Shared Vision: Unique Application of the Process

Care coordination among PCPs, hospitalists and ED physicians is a challenge for most hospitals. Recently, the medical leadership of two health system hospitals decided to tackle this problem by using HSG’s approach to building a shared vision. This approach had been used by HSG to develop a shared vision within established groups and advocated in […]


Webinar: Assimilating Non-Physician Providers in Your Practice

The 2017 MGMA DataDive Cost and Revenue Report indicates an economic advantage for effectively incorporating non-physician providers (NPPs) into the care delivery model.  The evolving physician shortage points to the inevitable need to progressively incorporate NPPs into the care delivery model.  Patients are progressively receptive to NPP care.  Why then do many of us have […]

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