Overview
Trusted Valuation Solutions for Compliance and Confidence
With rising compensation and increased regulatory scrutiny, strong compliance programs are essential.. HSG’s trusted Fair Market Value and Commercial Reasonableness solutions ensure provider compensation arrangements are compliant, defensible, and aligned with organizational goals. Our team delivers expert opinions and comprehensive assessments to mitigate risk and support strategic objectives.
How We Work
The Challenge: Complex provider compensation structures without clear compliance standards creates significant regulatory and financial risk.
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.
Strategic Benefits and Deliverables
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
Clinical and Professional Services Compensation
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.
Administrative Compensation
HSG assesses medical director, leadership, and administrative service arrangements for compliance and operational justification.
Supplemental Compensation
HSG reviews on-call coverage, APP supervision, and telehealth arrangements to ensure supplemental payments are appropriate and defensible.
Cost and Quality Management Incentives
HSG analyzes service-line co-management and quality/cost management agreements for FMV and CR compliance.
Acquisition or Lease Arrangements
HSG supports asset purchase and lease agreements involving independent providers and practices, ensuring all financial terms are compliant and defensible.
Senior-Level Expertise
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.
Related Resources
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Case Study – Measuring Primary Care Patient Behavior Across A Statewide Network
A health system with 15+ community hospitals was able to better understand their primary care providers’ patient retention with HSG’s help.
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Case Study: Measuring Outmigration of Orthopedic Patients from a Health System’s Patient Base
HSG Patient Share of Care processes specifically discovered nearly 40% incremental patient retention opportunities for a health system client.
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Increasing Patient Retention Through Patient Share of Care
HSG offers a new approach to managing patient retention with Patient Share of Care, which is HSG’s analytical approach to market evaluation.
