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How We Work

Rapid growth, complex compensation models, and evolving market dynamics often outpace internal compliance processes, leaving organizations exposed to risks like:

  • Inconsistent documentation of provider duties and productivity
  • Limited internal expertise to assess compensation risk
  • Increased complexity in aligning compensation with organizational goals
  • Heightened risk of financial penalties and reputational damage

HSG Advisors empowers health systems with trusted Fair Market Value and Commercial Reasonableness solutions, leveraging senior-level expertise and a full suite of services to ensure every provider compensation arrangement is compliant, defensible, and tailored to organizational goals.

With HSG’s services, clients can except to gain:

  • Defensible valuations that withstand regulatory review
  • Clear, actionable guidance for compliant compensation models
  • Reduced legal and financial risk
  • Confidence in provider alignment and organizational integrity

Supporting Services and Expertise

HSG evaluates FMV and CR for physician, APP, and clinician compensation, including base and incentive structures tied to production, quality, efficiency, patient access, satisfaction, citizenry, and program development.

HSG assesses medical director, leadership, and administrative service arrangements for compliance and operational justification.

HSG reviews on-call coverage, APP supervision, and telehealth arrangements to ensure supplemental payments are appropriate and defensible.

HSG analyzes service-line co-management and quality/cost management agreements for FMV and CR compliance.

HSG supports asset purchase and lease agreements involving independent providers and practices, ensuring all financial terms are compliant and defensible.

HSG Advisors’ team includes nationally recognized experts in FMV and CR, offering deep experience, thought leadership, and formal documentation to support compliance with Stark Law, Anti-Kickback Statute, and other regulations.

Terrence R. McWilliams, MD, MSJ, FAAFP

Chief Clinical Officer and Managing Director, Employed Provider Networks

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