AHLA Podcast: Physician Practice Employment and Acquisition: What Is Driving the Changing Landscape?

by Danielle Bangs, Director

When it comes to physician practices, the rate of employment, acquisition, and alignment activity among health care corporate entities like payers, payer-backed groups, private equity, and major vertically integrated retailers has outpaced similar activity among hospitals and health systems. Danielle Bangs, Director, Veralon, speaks with Mike Flammini, Chief Development Officer, Privia Health, and Eric Tower, […]

3 Threats to Hospitals—and What America’s Frontier State is Doing to Overcome Them

by Jeffery Adler, Managing Director

Open PDF file >

Wyoming may be part of the nation’s frontier healthcare market, but the state is a reminder to hospital leaders everywhere of the challenges all hospitals face, no matter the level of sophistication or setting. It’s unmistakable: we’re all grappling with post-COVID’s three-headed monster of workforce shortages, externalities, and financial pressures. I was pleased to host […]

Determining Compensation for Super-Specialized Physicians: What to Consider

by Karin Chernoff Kaplan, Managing Director

Open PDF file >

Before the early 20th century, there were virtually no physician specialists in the United States. Today, the list of physician specialties continues to expand as medical knowledge grows with new discoveries and advancements in technology. Now, healthcare leaders must consider: How does this super-specialization affect physician compensation? Specialization and Sub-Specialization Historically, physicians were generalists, but […]

Don’t Forget the Second Wave of WRVU Changes

by Karin Chernoff Kaplan, Managing Director

Open PDF file >

The First Wave 2021 was the big year for WRVU changes associated with CMS’s extensive and far-reaching updates to the Medicare Physician Fee Schedule (MPFS). The changes, designed to ultimately be budget neutral, restructured reimbursement to increase payments to cognitive specialists (such as primary care and other medical specialties) and reduce reimbursement to procedure-based specialists. […]

Should You Revisit Your Funds Flow Model?

by Karin Chernoff Kaplan, Managing Director
Margot Berg, Manager

Open PDF file >

Given the financial realities, it is imperative that Academic Medical Centers (AMCs) have a funds flow model that is equitable, rules-based, and aligned with the goals of the institution at large. Review this checklist of criteria to determine whether your institution should consider revisiting its funds flow model. Review this checklist of criteria to determine […]

Building a Community Physician Network for Your AMC: 5 Things to Consider

by Rudd Kierstead, Principal

Open PDF file >

Academic medical centers’ survival increasingly depends on strong relations with community physicians. More AMCs are developing their own community physician enterprises with the goal of supporting the tripartite mission of academic medicine. Even as AMC-led health systems consider new relationships with large independent physician practices and emerging practice aggregators, they must have a sound model […]

Assigning Proxy wRVUs for Physician Activity: Pros and Cons

by Richard Chasinoff, Director
and Monica Nuñez, Manager

Open PDF file >

As hospitals and health systems continue to evaluate how they compensate physicians, some have expanded upon their work relative value unit (wRVU) based compensation models to include activities for which wRVUs may not currently be assigned. We are seeing this trend applied to administrative activities—such as attendance and participation in committee meetings—and clinical activities that […]

Designing a Laborist Compensation Model: Key Considerations

by Richard Chasinoff, Director
and Monica Nuñez,, Manager

Open PDF file >

Laborist models continue to gain traction as hospitals seek ways to improve patient safety and professional satisfaction and respond to the national OBGYN shortage. But there are two aspects of the laborist model that hospital leaders often grapple with: reimbursement and compensation. Many hospitals are shifting from “traditional” management of labor and delivery where each […]

2023 High-Impact Initiatives: Emerging from the Crisis

by Mark Dubow, Director
and Meredith Inniger, Principal

Open PDF file >

Leaders of hospitals and health systems face an array of difficult challenges as they move into 2023. In light of the challenges providers face, the Veralon team has identified high-impact initiatives that may help systems turn the corner for a brighter 2023. Briefly, the challenges include: Weakened balance sheets that limit capital available for new […]