Five Physician Comp Tips for Achieving Success Under Value-Based Purchasing

As reimbursement shifts to value, is your physician compensation plan keeping up with the changes? Programs like Value-Based Purchasing, Readmission Penalties, and Hospital Acquired Conditions Penalties are holding hospitals accountable for quality, satisfaction, and outcome measures. To be successful under programs today, hospitals must engage physicians to manage and improve the processes that influence these […]

8 Keys to Building a High-Performing Employed Physician Network

Effectively building a high-performing employed physician network takes time and focus.  Most networks are fraught with problems at every level and lack sufficient resources to ensure the production of value needed.  The most common problems we see with employed networks are: Lack of overall strategy and strategic action plans; Weak group culture; Limited focus on […]

Population Health Management: What’s Your Strategy?

While the definition of Population Health Management (PHM) may not always be perfectly clear, what IS clear is that pursuing a PHM strategy requires a total redesign of traditional healthcare delivery and payment systems. What is Population Health Management? PHM is one of the core tenets underlying the current healthcare reform movement. The term, or […]

The MACRA Final Rule – What’s New

CMS released the MACRA Final Rule on October 14th and proved they listened to many of the 4000 official comments submitted in response to the proposed regulations published in April. The result is a very different program than originally proposed – at least for the first two years. So what’s new in the Final Rule? […]

The MACRA Final Rule – Strategic Challenges and Opportunities

Many organizations started preparing for the implications of MACRA implementation when the proposed Final Rule was released at the end of April. However, the numerous changes contained in the October 14th Final Rule will necessitate a critical re-evaluation of MACRA strategies for quite a few organizations. Beyond the measure-specific preparation questions, such as which measures […]

Enhancing Your Employed Physician Network

HSG’s Chief Clinical Officer Dr. Terry McWilliams and Senior Manager Davis Creech attended the American Society for Healthcare Human Resources Administration’s (ASHHRA) 2016 annual meeting. Below is a link to HSG’s presentation poster titled “Enhance Your Employed Physician Network”. The poster focuses on four of the eight key elements in building a high-performing, employed physician network, the […]

Building Management Expertise for Your Employed Physician Network

Hospitals and health systems have been aggressively investing in their employed physician networks for the last 10 years or more. Most, however have not developed the leadership infrastructure or acquired the management expertise to effectively manage these networks. HSG has developed a multi-faceted approach to support you in your efforts to build a high-performing network.  We […]

Sharpening Your Clinically Integrated Network

Health system clients are asking HSG a different set of network planning questions in the face of today’s market challenges.  Focus has shifted to building a network that can effectively address the world of Value-Based Care.  Four core questions have emerged: What mix of providers are needed to deliver care to populations and how do […]

The MSO Renaissance

Interest in MSO is surging as the complexity of the market grows and as health systems work to define how to help independent physicians cope with that market. Traditionally, HSG has advised clients that MSOs created more risk than reward, but that balance may have shifted. Client hospitals are expressing renewed interest because: MACRA/MIPS create […]

Advanced APMs and MACRA

You’re right, it is alphabet soup – government style. MACRA is the Medicare Access and CHIP Reauthorization Act of 2015 – legislation that replaced the Sustainable Growth Rate (SGR) as Medicare’s basis for determining physician reimbursement and is often referred to as the “SGR Fix.” MIPS and APMs are the two reimbursement pathways created by […]