COVID-19 Spotlight: COVID-19s Impact on Physician Arrangements
Our 2020 report underscores the significance of physician payments for non-clinical services as a major component of hospital spending.
The two facilities are set to close in a few months, putting nearly 1,200 employees out of work.
Evergreen clauses can protect healthcare organizations with contracts in exception to Stark Law.
As part of our 10th anniversary series, we’re taking a closer look at the key factors that influence physician payment rates based on our analysis of our 2019 benchmarks.
While having an effective compliance program has always been best practice, it's more important than ever given the updated guidance.
We are frequently asked by our subscribers and clients on how to best engage physicians in the compliance process.
Our 2019 report highlights the growing significance of physician contracts as a major component of hospital spending, with particular growth in payment for hospital-based physician services such as hospitalists, intensivists and laborists.
If you walk into a negotiation without knowing what the market rates look like for your specialty, you’re missing a huge opportunity.
Organizations that lack policies about when to pay for ED coverage run the risk of making decisions that aren’t always strategic.
The Department of Health and Human Services announced a “regulatory sprint to coordinated care” in June 2018, a new initiative to remove regulatory barriers that impede the transition to a coordinated, value-based health delivery system.
Conversations about compensation take time and effort to plan and do not always go as anticipated. By preparing carefully for these discussions, you can take strides to achieve the best possible outcome for all parties.
While these arrangements benefit patients, physicians and healthcare organizations, they are usually complex and require careful attention to payment and service requirements.
Choosing the best physician for the job is important for both the hospital and the program.
Recent settlements and advisories offer a number of lessons to help shape effective contract compliance programs.
Preparing for a physician contract negotiation? As you've likely discovered, these conversations take time and effort, and often go differently than anticipated.
To be compliant, it is first necessary to determine the need to pay, then to determine how much.
MD Ranger subscribers are constructing order out of the complex processes of contract organization, negotiation, and approvals by creating a more structured, efficient, and informed system. Physician contracting and documenting FMV doesn’t have to be an expensive headache.
Negotiating a new physician contract payment rate or even renewing an existing contract can be challenging. While there are benchmarks available to help you determine FMV, it can be difficult to decide what market range is most appropriate for a particular service and facility
How should your organization prepare for negotiations and contract conversations with physicians and groups? Here are some best practices to integrate into your preparation strategy.
Maintaining best practices and having clear strategies for every negotiation can help smooth out organizational processes and ensure the eventual contract remains compliant.
Physician contract negotiations can be tricky, no matter how positive the relationship between the hospital and physician is. Start the process by doing your research.
When your organization determines it must compensate a physician above your standard for fair market value, create a standardized process for reviewing such exceptional contracts.
Organizations must document all contractual arrangements with physicians, with payment terms set in advance that are unrelated to volume of services.
MD Ranger produces reports that compare each physician contract that a subscriber has to the benchmarks.
Most physician payment rates fall within a reasonable market range. But in some cases, a payment rate may be well beyond the norm.
We’ve seen hospital administrators struggle to determine what is appropriate for their organization. The truth is that opportunity cost can be difficult to measure and document.
While it is straightforward to identify whether your facility is a trauma center or how many beds it has, there are other factors that influence physician rates that will need to be considered on a contract-by-contract basis.
Market data is an efficient and cost effective way to structure a physician contracting compliance program, and is used by hundreds of hospitals across the country.
The Affordable Care Act, though still new, has already amassed both foreseeable and unforeseeable consequences to the health care industry.
It may be more difficult to recruit physicians to live and work in rural areas and it may seem like your only bargaining chip is to pay the physician whatever they ask for.
Discussing compensation, no matter how positive the business relationship may be, can present challenges.
Preparing for a physician contract negotiation? As you've likely discovered, these conversations take time and effort, and often go differently than anticipated. Discussing compensation, no matter how positive the business relationship may be, can present challenges.
Whether you are a hospital administrator negotiating with a key multi-specialty group, or an independent physician asking for increased call coverage pay, care preparation can help you achieve your desired outcomes.
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