Hayes' Healthcare Blog

Managing a Successful Physician Integration: 7 Lessons Learned

Posted by Craig J. Nesta, JD, MBA, MS, FHFMA, FACHE, FACMPE on June 28, 2017 at 9:00 AM

By Craig J. Nesta, JD, MBA, MS, FHFMA, FACHE, FACMPE

From 2008 to 2013, the number of hospitals with salaried physicians increased from 44 to 55 percent and continues to increase. In that five-year period, there were 599 situations where a hospital transitioned from zero to some form of physician integration.[1] The shift from fee-for-service to new payment models and methodologies, increased overhead, revenue pressures for physician practices, massive industry consolidation and an effort to connect traditional care silos indicates this trend is likely to continue.   

Although there has clearly been growth in physician acquisition and hospital employment, this article aims to be neutral and does not take an advocacy position for nor against physician acquisition.  There are many physician groups that maintain a goal of and feel strongly about independence and are doing quite well while others are actively seeking a system/hospital suiter.  For physician groups and hospitals seeking alignment via employment, there has been much discussion on the most effective ways to integrate new physicians into the organization.

Below are seven lessons learned that may be mutually beneficial for hospitals and physician groups to contemplate for a successful integration.

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Topics: Hayes Thought Leadership Blog Series, physician integration, physician compensation, healthcare project management

Implementing A New Compensation Plan: 5 Ways to Get Physician Buy-In

Posted by Don Michaels, Ph.D. on April 26, 2017 at 9:00 AM

By Dr. T. Christopher Windham, MD, FACS, Chief of Oncology, Cone Health Cancer Care and Don Michaels, Ph. D, Hayes Management Consulting

The move from fee-for-service to value-based care in the healthcare industry has been gaining momentum and its ultimate adoption is now a foregone conclusion. The question is no longer if the switch will be made, but when it will finally be a reality. The implementation of MACRA is a huge step down the value-based road and organizations are scrambling to meet the requirements of the new law.

Hospitals and physician practices are making major strategic and tactical changes to ensure they can survive in the new environment and increasingly that means determining physician compensation by means other than strict productivity. Healthcare IT vendors are trying to adapt their systems to meet the data collection and reporting needs of the new compensation plans. For both vendors and organizations, meeting these needs remains a challenge.

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Topics: value-based care, physician compensation

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