Articles

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 […]

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 […]

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 […]

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 […]

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 […]

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