Thought Leadership – Physician Strategy


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 […]


Clinical Practice Transformation

“Care Transformation” and “Clinical Practice Transformation” are terms that are swirling around the healthcare industry. Many individuals we encounter are not sure exactly what they mean, how to pursue them, or how they are linked to other popular phrases such as “population health management.” Some of the confusion arises because we seek short phrases – […]


The Value of a Team-Based Care Delivery

Clinical Practice Transformation is touted as the path to achieving the best care delivery model of the future– A team-based care delivery model…A care delivery model that utilizes clinical support team members at the top of their license and capabilities during the patient care delivery process…A care delivery model that shifts some of the patient […]


Many hospitals are relying on third party, Fair Market Value opinions as they review their anesthesia subsidies. This has become an issue as groups request additional financial support to meet hospitals’ staff and call requirements.


Shared Vision: Roadmap

Why develop a shared vision? Isn’t it easier for a leader to create his or her vision for the future and just tell everyone where the organization is going? Assuredly it’s easier, but creating a vision in isolation and dictating it to subordinates may result in the vision not being fully embraced by the organization […]


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 […]


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 […]


Case Study: Care Coordination – A Unique Application of the Shared Vision Process

Summary 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. The leadership believed that by developing a “virtual” multi-specialty group, the organization could deliver safer, more seamless […]


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 […]

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