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 […]

Is Now the Right Time for a Cardiology Lease Agreement? 4 Things to Consider

by Jessica E. Stack, Senior Manager
Karin Chernoff Kaplan, Director

Fifteen years ago, the move toward adding stress testing, nuclear testing, and more to cardiology practices’ in-office offerings began to pick up speed as physicians realized they could increase practice revenue by as much as 15 percent by adding ancillary services. While reimbursement for many cardiac diagnostic services was significantly reduced in 2010, income from […]

Recruiting Specialty Physicians Through Practice Leasing

by Richard Chasinoff and Karin Chernoff Kaplan

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Physicians who generate significant income from procedural or technical/ancillary components of their practice have understandable concerns that an employment relationship with a health system or hospital will not be financially attractive. They realize that employment could mean losing the income from their usually profitable procedures and technical components, and so are uninterested in having their […]

5 Strategies for Aligning Physician Compensation with Value-Based Performance

by Amanda Brown, MHA

The move toward value-based contracts is happening “in small doses,” a 2018 MGMA survey found. While nearly three out of five hospitals participate in value-based contracts, just 34 percent of healthcare reimbursement is tied to value. This presents healthcare leaders with a dilemma: How can we engage physicians in value-based payment models when so little […]

Adjusting wRVUs for Modifiers when Compensating Physicians: The How and the Why

by Karin Chernoff Kaplan, Director

The use of CPT code modifiers to adjust work relative value units (wRVUs) under physician compensation models has become a universal practice among hospitals and health systems that employ physicians—and with good reason. The risks of not applying CPT code modifiers—such as an inability to objectively measure performance—are significant. Why should healthcare organizations that employ […]

Tips for Successfully Handling Physician Compensation During Practice Acquisition

by Stuart J. Schaff, Senior Manager

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Compensation is often a make-or-break deal point in a hospital’s acquisition of a physician practice. Prospective physician employees will naturally compare what they will earn post-acquisition to what they currently earn as practice owners, partners, or employees. From the hospital employer’s perspective, discussions around physician compensation provide important opportunities to win physicians over and to […]