Articles

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 […]

MACRA Impressions – Fact or Fiction

Now that everyone has sufficiently recovered from submitting 2016 PQRS and Meaningful Use data and thoughts have turned to earnest MACRA preparation and participation, we thought this would be a good time to address some of the many MACRA “impressions” we have heard and been asked to clarify. As our webinars encourage, the time for […]

Best Practices: Engage Physicians in Strategic Planning, or Fail

    Strategic success has never been more dependent upon physicians. In a market with increased accountability, your system’s future will depend on the ability of your physicians to deliver better, more efficient care and manage to metrics. Engaging doctors to gain their understanding of the market’s trajectory, insights into how to respond, and support […]

6 Reasons for Upgrading Your Employed Physician Network Leadership

Employed physician networks have become an integral part of the overall strategy for hospitals and health systems. Whether your network consists of 40 or 240 providers, having the right executive leadership at the helm is critical. And the operational and financial expertise required to effectively manage these multimillion dollar entities has grown with the network’s […]

Telltale Signs Your Network Has Exceeded its Management Capabilities

Having the right management in place is critical to network success and sustainability.  The skill set and experience required to manage and grow multi-site, multi-specialty networks are much more sophisticated than that of the traditional “practice manager” and the pool of qualified candidates is limited. ASHHRA’s HR Pulse magazine, summer 2017 issue, featured the article, […]

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