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 This means that the Final Rule will be effective January 1, 2021 even though it may not be published until December […]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 […]

COVID-19: Physician Practices Disrupted

by Karin Chernoff Kaplan, Director
Robert Hill, Principal
Richard Chasinoff, Principal

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Many physicians, and other clinicians, are working harder than perhaps they ever have under extraordinary conditions, as COVID-19 surges through our communities. While those conditions will improve as the initial surge subsides, physician practices, both independent and employed, will need to change to respond to the consequences of that surge, and the potential for secondary […]

COVID-19 and Physician Compensation:
Part 1 – Physicians on the Front Line

by Karin Chernoff Kaplan, Director

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The Blanket Waivers that CMS issued on sanctions under the physician self-referral law (Stark) do not halt application of the law during this emergency time period. Instead, they waive sanctions for certain circumstances that would otherwise violate the self-referral law. The 18 individual waivers address a variety of financial arrangements between physicians and designated health […]