Improving Physician Enterprise Performance

Conducting an objective review of physician enterprise operational characteristics and opportunities for service, clinical and operational improvement.  This includes a critical review of all essential aspects of the operation, including: strategic alignment with parent organization; all administrative and office functions; billing and collection policies, procedures and practices; managed care contracting; and the identification of critical impediments to physician performance.

 

Developing Physician Compensation Plans in Complex Managed Care Environments

Designing and implementing compensation incentives suitable for a managed care environment and transitioning them into existing physician compensation systems.  Includes development of distribution methodologies for capitation revenues, development of incentives for group-oriented behaviors, identification of critical nonfinancial performance indicators, coordination of the compensation plan with the group's strategic plan, and support for transforming the compensation approach.

 

Performing Competitive Review of Physician Compensation Practices

Conducting external market assessments of physician compensation and benefit practices by specialty and organizational role, including factors of productivity, location, and type of practice structure.

 

Designing and Implementing Physician Compensation Plans for Single,
Multi-Specialty or Primary Care Groups

Designing compensation arrangements for existing and newly-formed or merged primary care and single or multi-specialty groups. The focus is on building a consensus within the group for a consistent approach to compensating physicians for their patient care and other practice contributions.  Specific emphasis is placed on addressing the defining  elements of compensation and benefits, reinforcing desired changes in organizational culture, adopting productivity and quality measurement processes, establishing methods for measuring and collecting data and developing potential non-cash rewards.

 

Designing Acquisition-Oriented Physician Compensation Plans

Developing pre-acquisition compensation policies and designing incentive plans, integrating legal, financial and quality of care issues with physician compensation.

 

Reviewing Hospital/Physician Contract Arrangements

Conducting independent reviews of existing contract arrangements and the design of more effective contract terms, including competitive market assessment of compensation levels and economic testing of the financial relationship and presentation of alternative models for contract restructuring.

 

Integrating Productivity with Non-Productivity Measures

Designing models for rewarding physicians for their utilization management efforts and quality of patient service and patient care; developing productivity measures for fee-for-service and capitation; establishing productivity measures for specialties; and developing quantitative and qualitative performance criteria that support the mission and strategic direction of the organization.

 

Developing  Long-Range and Operational Practice Acquisition and  Divestiture Strategies

Facilitating the development of organizational strategies to assist organizations in the “right sizing” of their physician enterprises; including the development of strategic physician plans and practice recruitment or divestiture policies and procedures.

 

Designing Relative Value Unit-Based Compensation Programs

Creating and implementing RVU-based compensation systems that further the strategic and business goals of the organization by building integrity in the system and integrating broader indicators of physician contribution to the group.

 

Assessing Fair Market Value of Physician Compensation Plans

Providing independent third party assistance to hospitals, healthcare systems, law firms, and accounting firms in determining if physician compensation represents fair market value or is "reasonable" under CMS and Internal Revenue Service regulations.

 

Assessing Fair Market Value of Trustee and Board Member Compensation Plans

Providing independent third party assistance to hospitals, healthcare systems, law firms, and accounting firms in determining if Trustee, or advisory board member compensation represents fair market value or is "reasonable" under Internal Revenue Service regulations.