Special Fraud Alert: Speaker Programs

by Karin Chernoff Kaplan, Director
and Monica Nuñez, Manager

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In November 2020, the Department of Health and Human Services Office of Inspector General (OIG) issued a Special Fraud Alert related to speaker programs sponsored by pharmaceutical and medical device companies. Specifically, the Alert centered on the OIG’s significant and longstanding concerns regarding fraud and abuse risks associated with remuneration for such programs. Speaker programs—events […]

Welcome News for Health Care Providers: It’s Not as Bad as You Thought – At Least for Now

by Karin Chernoff Kaplan, Director
and Richard Chasinoff, Principal

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In the final days of 2020, Congress passed, and the President signed into law, the latest coronavirus relief package. This additional round of COVID relief legislation contains welcome news for health care providers: a one-time, one-year increase to physician fee schedule payments for 2021. The legislation creates a 3.75 percent increase in Medicare Physician Fee […]

Proposed Changes in The Medicare Physician Fee Schedule Will Challenge Your Compensation Plans

by Karin Chernoff Kaplan, Director
and Monica Nuñez, Manager

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CMS announced proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS) and indicated that it will waive the 60-day publication requirement for the Final Rule and replace it with a 30-day notification. This means that the Final Rule will be effective January 1, 2021 even though it may not be published until December […]

4 Myths of Physician Compensation

by Karin Chernoff Kaplan, Director
and Richard Chasinoff, Principal

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There are a number of common beliefs about setting physician compensation that are pervasive. When closely examined, they turn out to be untrue. Once you know the facts, you can do a better job of establishing appropriate compensation structures and levels.   Contact the Authors: Karin Chernoff Kaplan, Director, kkaplan@veralon.com Richard Chasinoff, Principal, rchasinoff@veralon.com

A Post-COVID Alternative to Physician Employment

by Karin Chernoff Kaplan, Director
and Richard Chasinoff, Principal

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Independent physician practices took a financial beating during the first months of COVID-19—and not just due to postponement of elective procedures. Today, consumers remain fearful of returning to a physician office environment, with office visits down 20 to 30 percent compared with pre-COVID levels. Now, many of these practices are coming to hospitals to make […]

4 Reasons to Reevaluate Your Physician Compensation Plan

by Karin Chernoff Kaplan, Director

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As hospitals and health systems navigate a tumultuous economic environment following the COVID-19 outbreak, the need for standardized, value-based physician compensation plans has intensified. Even before the coronavirus pandemic, the median operating loss per health system-employed physician continues to be staggering. Many factors contribute to financial losses on employed physicians – costs related to physician […]

COVID-19 and Physician Compensation:
Part 2 – How Will You Respond?

by Karin Chernoff Kaplan, Director
Richard Chasinoff Principal

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Physician compensation plans have generally been designed to meet specific health system objectives including: Optimizing recruitment and retention Aligning physician financial incentives with organization goals around quality, productivity, citizenship Promoting consistency and equity among physicians Most compensation models reflect expectations with respect to production, quality, and time worked, and target expected levels of compensation based […]