Physician-Hospital Alignment and Compensation Models: The Second Generation

by Max Reiboldt

Overview

Physician-Hospital Alignment and Compensation Models: The Second Generation

By: Max Reiboldt, CPA, Justin Chamblee, MAcc, CPA, and

Ellis M. "Mac" Knight, MD, MBA

New book helps hospital and health system leaders and physicians enter into better contracts in a value-based world.

The current era of healthcare alignment among physicians, hospitals, and outside independent investors has been underway for 10-15 years. Given this, many of the original contracts that formed the basis of these arrangements have (or will soon) expire. Thus, we refer to these new deals as "second generation" transactions.

As the system moves toward a more value-based, fee-for-value reimbursement environment, newer alignment vehicles, such as accountable care organizations (ACOs), clinically integrated networks

(CINs), and patient-centered medical homes (PCMH) are beginning to take shape. More physician compensation models now include at least partial incentives for performance, as measured by such matters as specialty-specific quality metrics, cost efficiency metrics, meaningful use of electronic health records, and other parameters.

Starting with a review of "First Generation" physician compensation models, the authors then detail components of "Second Generation" models including:

How Value-Based Reimbursements of the future call for adjustments to the Volume-Based incentives of the past.

How to engage physicians in alignment initiatives that are favorable to both parties.

How to approach the imperative today of improved quality of care coupled with decreased costs of care.

How to be profitable in a demanding, competitive, and highly-regulated environment.

BONUS INCLUDED! Actual templates for your use:

Letters of Intent Comparative Review

Summary of Key Terms in Physician Employment Agreements

Professional Services Agreement for Specialty Services

Management Agreement

Product Details

ISBN-13:	9780998498546
Publisher:	Greenbranch Publishing
Publication date:	04/01/2017
Pages:	214
Product dimensions:	5.90(w) x 8.90(h) x 0.50(d)

About the Author

Max Reiboldt is CEO of Coker Group, a national healthcare advisory firm, works with hospitals and physician groups to develop customized solutions in four main service areas: Strategy and Operations, Finance, Technology, and Executive Search. Coker Group's mission is to customize an approach for each client that ensures strategic differentiation in the marketplace and the achievement of every goal across all performance areas. Through principled professional consulting, Coker Group assists healthcare providers in their pursuit of a sound business model and an enhanced patient experience. Coker Group's advisors have the experience and creativity to find the right solution for any market and healthcare entity.

Table of Contents

Introduction

Section 1

Chapter 1: Overview of Compensation Plans

Chapter 2: Current First Generation Plans

Chapter 3: Market and Industry Dynamics Promoting New Compensation Paradigms

Chapter 4 “Second” Generation Compensation Models

Chapter 5: Negotiating “Second Generation” Contracts

Chapter 6: Where Does Physician Compensation Go From Here?

Section 2

Chapter 1: Overview of Stage I Alignment

Chapter 2: Market and Industry Dynamics Promoting Stage II Alignment

Chapter 3: Stage II Alignment Models and Entities

Chapter 4: Structuring Stage II Alignment Models

Chapter 5: Implementation of Stage II Alignment Models

Chapter 6: Where Do We Go from Here with Value-Based Structures and Strategies: Will there be a Stage III?

Appendix A: Letters of Intent Comparative Review

Appendix B: Summary of Key Terms of the Proposed Physician Employment Agreements

Appendix C: Professional Services Agreement for Specialty Services

Appendix D: Management Agreement