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Your Most Profitable Payers
Many hospitals we work with do not have a strategy to deal with their most profitable payers: employers. These employers purchase insurance or TPA services from major insurers and the […]
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Integrating with Physicians in a “Fee-for-Value” Environment
If we accept the premise that “fee-for-value” will be the new reimbursement model for public and private payers, then we must also accept the fact that, in order to be […]
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Four Critical Actions When Employing A Large Physician Practice
Employing a physician group is a very complex task and can be daunting even for the most robust healthcare system. Stakes are high, and if the employment process breaks down […]
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Final ACO Rules: Better But Not Good Enough?
Now that the final regulations regarding Medicare Value-Based Care organizations have been published, will interest levels return to pre-March levels? Before addressing that question, let’s review the ACO regulations and […]
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Anesthesia Subsidy FMV
Across the country, many hospitals are relying on a third party to review their anesthesia subsidies. We are seeing this trend because groups are requesting, and even demanding, additional financial […]
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Clinical Integration as an Alternative to Employment
Hospitals lose $150,000 to $250,000 per year over the first 3 years of employing a physician according the May 12, 2011 NEJM article “Hospitals’ Race to Employ Physicians – The […]
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Interim Management: When Does It Make Sense?
Some managers equate interim management with the temporary agency they use to fill the empty seat in the billing office until a permanent replacement can be found. This opinion fails […]
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Strategic Implications of Embedding a Physician
Many organizations need to add physicians to their medical staff, but most find that the more they explore, the more confused they become. Our clients most frequently cite that existing […]
