Thought Leadership – Physician Network Optimization


Five Referral Leakage Metrics Your Network Should Track

Claims data is being utilized by many healthcare organizations to support strategic initiatives and is often leveraged to develop revenue and market share growth goals. At a more granular level, physician network growth objectives should also be leveraging this level of data. Identifying key performance metrics, developing baseline measures, and reviewing metric progress regularly should […]


Physician Manpower Planning in the Era of Employment – Are you Asking the Right Questions?

Traditionally, physician needs assessments addressed the community’s need for doctors. This approach still meets some strategic needs of health systems, and some hospitals still use that data to decide what private practice recruitment efforts can be supported with income guarantees. However, employment of providers is prompting hospital leaders to ask a different set of questions. These […]


Webinar: How to Build The Right Management Infrastructure for Your Physician Network

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 […]


Reducing Employed Physician Network Losses and Creating Financial Sustainability

Many hospitals are increasingly challenged by the financial performance of their employed physician networks. As these networks grow, the concern about financial performance moves to the forefront, with the losses becoming an increasingly visible drag on the system’s overall profitability. This, in turn, puts pressure on health system and physician network leadership to, at a […]


Does Your Employed Provider Network Need a “Check Up”

  Many of our clients are seeking to improve the operational effectiveness of their employed provider networks. Some clients have experienced aggressive growth, which has outpaced their ability to develop the appropriate infrastructure. Others are attempting to curb mounting losses. Addressing such issues requires performing a “check-up” of your network in the form of operational […]


St. Claire Medical Group (SCMG) Shared Vision Helps Lower Chronic Opioid Use

Summary More than 1,000 patients at SCMG have discontinued chronic opioid use, which represents more than 30% of identified patients using ongoing prescriptions. Challenge Located in eastern Kentucky, SCMG’s population is situated in the heart of one of the largest regions of opioid addiction and overdose – and had scarce resources available to address the […]


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 […]

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