Coordinated Medical Staff Development Planning for Large Health Systems

by Robert Hill, MBA, MS, FACHE and Craig E. Holm, MBA, FACHE

Medical staff development planning requires analytic rigor and detailed work. There is no way around it; a multi-hospital health system needs to determine the needs of each of its individual hospitals, as well as the system in the aggregate, in a consistent manner. Health systems can realize resource efficiencies and strategic benefits by addressing medical […]

Determining Physician Compensation for Administrative Services: The Role of Market Data

by Karin Chernoff Kaplan, Director and Rich Chasinoff, Principal

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Although a determination of fair market value (FMV) depends on the relevant facts and circumstances related to a particular arrangement, reasonable compensation is generally defined as the level of compensation that is consistent with the amount that would be paid by like organizations for comparable services under similar circumstances. Physicians who provide administrative services must […]

Evaluating the Financial Performance of Your Employed Physician Enterprise: Going Beyond Physician Losses

by Rudd Kierstead, Principal and Craig E. Holm, Director

If your employed physician enterprise is like most, you are experiencing calculated losses of $100,000 to $200,000 per physician, and the losses are likely increasingly intolerable. The figures for physician losses, as currently determined, certainly grab attention, and as a financial indicator are very important. However, those figures do not provide much in the way […]

BPCI Advanced: Apply Now,
Decide Later

by Amanda Brown, Manager, and Amanda Kueh, Analyst

CMS has opened applications for a second cohort of BPCI Advanced (Bundled Payment for Care Improvement-Advanced) participants in April. This initial application step gets you valuable data, and time to decide whether to pursue participation. Advantages of applying include: No obligation to participate. You have time (likely until fall 2019) to decide whether to sign […]

Top 5 Ways to Supercharge Your Claims Analysis Capabilities

by Amanda Brown, MHA

Supercharging claims analysis capabilities empowers healthcare organizations to zero in on opportunities to improve care and reduce costs. The most successful organizations typically elevate their performance under value-based contracts by using claims analysis to drive engagement and improvement. Achieving next-level claims analysis status requires a multifaceted approach. To gain the most value from claims analysis, […]

Advanced Practice Clinicians in Medical Staff Planning: Four Factors to Consider

by Molly Johnson, MHSA and Craig Holm, MBA, FACHE

The growth and aging of the U.S. population will significantly increase the demand for medical care over the coming decade. At the same time, the supply of physician services is decreasing as physicians work fewer hours per week, and retirements are likely as more than a third of currently active physicians reach age 65 within […]

5 Strategies for Strengthening Physician Alignment

by Rudd Kierstead, Principal

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There are signs that hospitals’ interest in employing physicians or owning physician practices may be waning—yet the need to align physicians with hospital strategy is perhaps greater than ever. American Medical Association (AMA) research shows that 33 percent of physicians were employed by hospitals or part of hospital-owned practices in 2016. That’s an increase of […]

Evaluating a Partner Pre-LOI: 4 Things to Consider

by Dan Grauman, Managing Director & CEO and Scott Stuecher, Manager

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Seventy-one percent of healthcare leaders expect merger and acquisition (M&A), and other partnership activity to increase over the next three years, according to a HealthLeaders survey. But as hospitals explore consolidation as a strategy for navigating reimbursement, regulatory and market challenges, there is concern that some organizations are rushing the letter-of-intent (LOI) process. An LOI is […]

Checklist: Discussing Onboarding Issues Before Closing a Physician Practice Acquisition

by Rudd Kierstead, Principal

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Many of the reasons why physician practice acquisitions come apart after the deals are finalized fall under the category of “operational incompatibility.” Too often, the team that negotiates the deal is not the same team that is charged with operationalizing the deal. As a result, potential administrative and management problems — from physician appointment schedules […]

A Successful Practice Acquisition Begins with Due Diligence

by Jessica E. Stack, Senior Manager

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It’s tempting to short-change the due diligence process when acquiring a physician practice. In the heat of a deal, hospital leaders are understandably most interested in determining fair market value (FMV) so they can make the buy decision and set the purchase price. The due diligence process can turn up insights about a physician practice […]