This document discusses the potential for starting a new physician practice in Florida. It notes that while Florida has a high number of physicians, there may still be a shortage of primary care physicians. The document provides statistics on physician concentrations in Florida and the United States. It also discusses factors to consider for a new practice such as location selection, developing marketing strategies, financial projections, obtaining financing, and creating business plans and operations. Overall, the document analyzes the opportunities and challenges for launching a new physician practice in Florida.
Overview of an Open-Platform Health Plan that Lowers Costs and Improves Perfo...Mark Gall
It's hard to gauge how well a health plan is performing. Do our employees understand and get the most out of their benefits? How effective is our wellness program? Are we paying too much for services? These are typical questions. An Open-Platform Health Plan is a self-funded health plan with unique features that allow an employer to establish, track and review performance benchmarks and reduce their exposure to risk.
HLU Consultants, Inc. is a privately held, independent consulting firm based out of Cincinnati, OH since 1961. The consultants at HLU successfully bring together a tremendous amount of industry expertise, valued partners and innovative technologies to design a better, cost-efficient health plan around a customer’s workforce. They help employers establish meaningful benchmarks so they can gauge the success of their plan with a focus on reducing costs, improving outcomes and helping employees successfully navigate the complex healthcare system.
Medicine the way it used to be.
Ttelemedicine subscription plans allow you to have access to a doctor 24/7 by phone or secure video conference call.
These plans are complimentary to your regular health care plan meaning having a telemedicine plan allows you to speak with a doctor when your regular doctor is not available or it is an emergency and you need to talk to a physician right away.
Think of it as concierge medicine -- access to a doctor when you want for routine health care questions.
The doctors are located in your state and are all board certified.
Telemedicine plans are available for you and your family for $19.95 per month. There is no deductible and no coinsurance.
Telemedicine subscriptions are available to companies. The fee is $10.00 per employee if paid by the company. The plan is portable and you may take the plan with you if you leave the company.
Secure web portals allow you to keep your personal medical information where you may easily find it. It is available in emergency situations or to show your personal doctor.
Prescriptions cards are part of the plan to receive discounts.
I guarantee that you will find this to be a plan of value to help you when you feel most vulnerable, you are not well and you want to speak to a doctor within minutes and not hours or days.
Overview of an Open-Platform Health Plan that Lowers Costs and Improves Perfo...Mark Gall
It's hard to gauge how well a health plan is performing. Do our employees understand and get the most out of their benefits? How effective is our wellness program? Are we paying too much for services? These are typical questions. An Open-Platform Health Plan is a self-funded health plan with unique features that allow an employer to establish, track and review performance benchmarks and reduce their exposure to risk.
HLU Consultants, Inc. is a privately held, independent consulting firm based out of Cincinnati, OH since 1961. The consultants at HLU successfully bring together a tremendous amount of industry expertise, valued partners and innovative technologies to design a better, cost-efficient health plan around a customer’s workforce. They help employers establish meaningful benchmarks so they can gauge the success of their plan with a focus on reducing costs, improving outcomes and helping employees successfully navigate the complex healthcare system.
Medicine the way it used to be.
Ttelemedicine subscription plans allow you to have access to a doctor 24/7 by phone or secure video conference call.
These plans are complimentary to your regular health care plan meaning having a telemedicine plan allows you to speak with a doctor when your regular doctor is not available or it is an emergency and you need to talk to a physician right away.
Think of it as concierge medicine -- access to a doctor when you want for routine health care questions.
The doctors are located in your state and are all board certified.
Telemedicine plans are available for you and your family for $19.95 per month. There is no deductible and no coinsurance.
Telemedicine subscriptions are available to companies. The fee is $10.00 per employee if paid by the company. The plan is portable and you may take the plan with you if you leave the company.
Secure web portals allow you to keep your personal medical information where you may easily find it. It is available in emergency situations or to show your personal doctor.
Prescriptions cards are part of the plan to receive discounts.
I guarantee that you will find this to be a plan of value to help you when you feel most vulnerable, you are not well and you want to speak to a doctor within minutes and not hours or days.
Acting as a roadmap through the changes in healthcare and healthcare law that occur almost daily, this presentation uses a case study to illustrate real-world issues and concerns associated with the compensation redesign process, including types of compensation models, service-specific compensation components, legal and contractual issue identification and mitigation, fair market value challenges
PYA Principal Carol Carden's AICPA Health Care Industry Conference presentation addressed the current hospital/physician affiliation environment and its impact on physician compensation.
PYA Principal Carol Carden recently spoke on the topic “Valuation Issues in Healthcare” at the Tennessee Society of Certified Public Accountants’ Healthcare Conference.
Navigating Health Insurance in the Health Care Reform Era lkennon
A presentation for large employers, small employers and individuals without employer-based insurance. The slides present the current state of health insurance for each group and the impending changes of Health Care Reform and their potential effects.
PYA Principal Scott Clay presented “Pacing Volume-to-Value Transition” at the AlaHA Annual Meeting, June 8-11, 2016.
The presentation explored volume- to value-based reimbursement, and how the pace of change is unique to each organization. The presentation introduced a strategic framework to establish and communicate a pace of change befitting various organizations, explaining:
How government policies “set the floor” on the degree of change requested.
How to determine the pace of change in your market.
How to identify your organization’s current position and culture in relation to value-based payment models.
How to set and communicate the pace of transition consistent with your market and your organization’s culture.
This presentation defined the disconnect between productivity-based physician compensation models and the demands of value-based payment models; identified and evaluated alternative physician compensation models; addressed the challenges in transitioning from volume-based to value-based compensation; studied how current fraud and abuse laws conflict with strategies related to value-based compensation, and exploree potential solutions.
How to Engage Physicians in Best Practices to Respond to Healthcare Transform...PYA, P.C.
PYA Principal Kent Bottles, MD, spoke about physician engagement when it comes to value payment models during “How to Engage Physicians in Best Practices to Respond to Healthcare Transformation” at the Georgia Society of Certified Public Accountants’ (GSCPA) 2016 Healthcare Conference, February 11, 2016. Dr. Bottles discussed the difficulty of weaning physicians from fee-for-service payment models and the often-unappreciated reasoning behind the shift to value-based payment models. He also highlighted MACRA, MIPS, patient satisfaction surveys, Physician Compare, and the ProPublica Surgeon Scorecard.
Beware of Benchmarks: Use of Survey Data in Determining FMVPYA, P.C.
PYA Principal Tynan Olechny and Consulting Manager Zach Doolin recently presented, “Beware of Benchmarks: Use of Survey Data in Determining FMV,” as part of NACVA’s Online Winter Summit.
Catasys, Inc. harnesses proprietary big data predictive analytics, artificial intelligence and telehealth, and human intervention to deliver improved member health and cost savings to health plans through integrated technology enabled treatment solutions. It is our mission to provide access to affordable and effective care, thereby improving health and reducing cost of care for people who suffer from the medical consequences of behavioral health conditions. Catasys helps these people and their families achieve and maintain better lives.
Craig Cordola, CEO of Memorial Hermann Hospital -Texas Medical Center in Houston, joins McCombs Finance Professor Jay Hartzell, Keith W. Maxwell of Spark Energy, and Greg Peters of Zillant to take a look ahead at not just the national economy as a whole, but also at the state of Texas.
Under the Affordable Care Act, managed care patients will migrate to the insurance exchanges, and become unprofitable patients, Cordola said.
Evaluating the Brand Value of Healthcare EntitiesPYA, P.C.
PYA Principal Jim Lloyd co-presented with PYA colleague Anna Bhat at the NACVA and Consultants Training Institute’s (CTI) Advanced Healthcare Valuation and Consulting Symposium, December 12-13, 2014, on the topic, “Evaluating the Brand Value of Healthcare Entities,” providing a comprehensive overview regarding:
Healthcare affiliations in which “brand” is a key factor.
Detailed discussion regarding healthcare entity brands.
Methodologies commonly used to value brands.
Evaluating a healthcare entity’s brand strength.
Capitalizing on your entity’s brand.
Presentation Uncovers Trends in the Unpredictable Healthcare IndustryPYA, P.C.
With the healthcare industry in a state of flux, not much is known about what lies ahead; but trends across the industry have become apparent and are likely to stick. These trends were the subject of a presentation given by PYA Principal David McMillan at the PKF North America Healthcare Fly-In.
Hospital / Technology / Revenue / Business
This is the approach for success in terms of workflow, revenue, and technology effeciency in HIT (Healthcare Information Technology).
Acting as a roadmap through the changes in healthcare and healthcare law that occur almost daily, this presentation uses a case study to illustrate real-world issues and concerns associated with the compensation redesign process, including types of compensation models, service-specific compensation components, legal and contractual issue identification and mitigation, fair market value challenges
PYA Principal Carol Carden's AICPA Health Care Industry Conference presentation addressed the current hospital/physician affiliation environment and its impact on physician compensation.
PYA Principal Carol Carden recently spoke on the topic “Valuation Issues in Healthcare” at the Tennessee Society of Certified Public Accountants’ Healthcare Conference.
Navigating Health Insurance in the Health Care Reform Era lkennon
A presentation for large employers, small employers and individuals without employer-based insurance. The slides present the current state of health insurance for each group and the impending changes of Health Care Reform and their potential effects.
PYA Principal Scott Clay presented “Pacing Volume-to-Value Transition” at the AlaHA Annual Meeting, June 8-11, 2016.
The presentation explored volume- to value-based reimbursement, and how the pace of change is unique to each organization. The presentation introduced a strategic framework to establish and communicate a pace of change befitting various organizations, explaining:
How government policies “set the floor” on the degree of change requested.
How to determine the pace of change in your market.
How to identify your organization’s current position and culture in relation to value-based payment models.
How to set and communicate the pace of transition consistent with your market and your organization’s culture.
This presentation defined the disconnect between productivity-based physician compensation models and the demands of value-based payment models; identified and evaluated alternative physician compensation models; addressed the challenges in transitioning from volume-based to value-based compensation; studied how current fraud and abuse laws conflict with strategies related to value-based compensation, and exploree potential solutions.
How to Engage Physicians in Best Practices to Respond to Healthcare Transform...PYA, P.C.
PYA Principal Kent Bottles, MD, spoke about physician engagement when it comes to value payment models during “How to Engage Physicians in Best Practices to Respond to Healthcare Transformation” at the Georgia Society of Certified Public Accountants’ (GSCPA) 2016 Healthcare Conference, February 11, 2016. Dr. Bottles discussed the difficulty of weaning physicians from fee-for-service payment models and the often-unappreciated reasoning behind the shift to value-based payment models. He also highlighted MACRA, MIPS, patient satisfaction surveys, Physician Compare, and the ProPublica Surgeon Scorecard.
Beware of Benchmarks: Use of Survey Data in Determining FMVPYA, P.C.
PYA Principal Tynan Olechny and Consulting Manager Zach Doolin recently presented, “Beware of Benchmarks: Use of Survey Data in Determining FMV,” as part of NACVA’s Online Winter Summit.
Catasys, Inc. harnesses proprietary big data predictive analytics, artificial intelligence and telehealth, and human intervention to deliver improved member health and cost savings to health plans through integrated technology enabled treatment solutions. It is our mission to provide access to affordable and effective care, thereby improving health and reducing cost of care for people who suffer from the medical consequences of behavioral health conditions. Catasys helps these people and their families achieve and maintain better lives.
Craig Cordola, CEO of Memorial Hermann Hospital -Texas Medical Center in Houston, joins McCombs Finance Professor Jay Hartzell, Keith W. Maxwell of Spark Energy, and Greg Peters of Zillant to take a look ahead at not just the national economy as a whole, but also at the state of Texas.
Under the Affordable Care Act, managed care patients will migrate to the insurance exchanges, and become unprofitable patients, Cordola said.
Evaluating the Brand Value of Healthcare EntitiesPYA, P.C.
PYA Principal Jim Lloyd co-presented with PYA colleague Anna Bhat at the NACVA and Consultants Training Institute’s (CTI) Advanced Healthcare Valuation and Consulting Symposium, December 12-13, 2014, on the topic, “Evaluating the Brand Value of Healthcare Entities,” providing a comprehensive overview regarding:
Healthcare affiliations in which “brand” is a key factor.
Detailed discussion regarding healthcare entity brands.
Methodologies commonly used to value brands.
Evaluating a healthcare entity’s brand strength.
Capitalizing on your entity’s brand.
Presentation Uncovers Trends in the Unpredictable Healthcare IndustryPYA, P.C.
With the healthcare industry in a state of flux, not much is known about what lies ahead; but trends across the industry have become apparent and are likely to stick. These trends were the subject of a presentation given by PYA Principal David McMillan at the PKF North America Healthcare Fly-In.
Hospital / Technology / Revenue / Business
This is the approach for success in terms of workflow, revenue, and technology effeciency in HIT (Healthcare Information Technology).
Cypress Benefit Administrators is a full service Third Party Administration (TPA) company. We specialize in helping companies outsource Flexible Spending Accounts (Section 125), HRA, HSA, and COBRA. Additionally, we provide expertise in self-funded medical plan administration.
Will There Be a Productivity Revolution in Health Care? - David CutlerWSU
Health care is poised to undergo a revolution in productivity. With changes in organization and financing of care, we could improve productivity in medical practices, and for the system as a whole. The talk will describe how health care productivity can be increased, and the paths that might be taken with or without reform.
Will There Be a Productivity Revolution in Health Care? - David CutlerWSU
Health care is poised to undergo a revolution in productivity. With changes in organization and financing of care, we could improve productivity in medical practices, and for the system as a whole. The talk will describe how health care productivity can be increased, and the paths that might be taken with or without reform.
White Paper written on behalf of athenahealth regarding sources of revenue erosion in medical practices. I researched and wrote this paper while on contract with athenahealth in 2008, in the midst of the financial collapse on Wall Street.
Employee Engagement: Your Tool for Tackling Heath Care CostsDigital Measures
Everyone is concerned about increasing health care costs. This interactive session will review the various triggers that drive health care and insurance costs and cover the major communication and engagement strategies that companies use to reduce their trend. Case studies to be discussed include wellness, employee engagement and communication, benefit plan design and consumerism. Successful benefit incentive programs that support communication programs and have a quantifiable return on investment will also be discussed.
Presentation at national SHSMD Conference in Chicago, 2010. Jeff Segall and Marcus Gordon discuss the roles on their organizations in marketing to consumers versus physicians with examples of integrated marketing campaigns.
Workplace productivity is an estimate of how efficiently organizations utilize their resources to accomplish business objectives. Improving productivity is important because increasing it can increase revenue using the same or fewer resources.
Similar to Does the world need another start-up physician practice? (20)
Unveiling the Secrets How Does Generative AI Work.pdfSam H
At its core, generative artificial intelligence relies on the concept of generative models, which serve as engines that churn out entirely new data resembling their training data. It is like a sculptor who has studied so many forms found in nature and then uses this knowledge to create sculptures from his imagination that have never been seen before anywhere else. If taken to cyberspace, gans work almost the same way.
Enterprise Excellence is Inclusive Excellence.pdfKaiNexus
Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...BBPMedia1
Grote partijen zijn al een tijdje onderweg met retail media. Ondertussen worden in dit domein ook de kansen zichtbaar voor andere spelers in de markt. Maar met die kansen ontstaan ook vragen: Zelf retail media worden of erop adverteren? In welke fase van de funnel past het en hoe integreer je het in een mediaplan? Wat is nu precies het verschil met marketplaces en Programmatic ads? In dit half uur beslechten we de dilemma's en krijg je antwoorden op wanneer het voor jou tijd is om de volgende stap te zetten.
Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
Premium MEAN Stack Development Solutions for Modern BusinessesSynapseIndia
Stay ahead of the curve with our premium MEAN Stack Development Solutions. Our expert developers utilize MongoDB, Express.js, AngularJS, and Node.js to create modern and responsive web applications. Trust us for cutting-edge solutions that drive your business growth and success.
Know more: https://www.synapseindia.com/technology/mean-stack-development-company.html
Digital Transformation and IT Strategy Toolkit and TemplatesAurelien Domont, MBA
This Digital Transformation and IT Strategy Toolkit was created by ex-McKinsey, Deloitte and BCG Management Consultants, after more than 5,000 hours of work. It is considered the world's best & most comprehensive Digital Transformation and IT Strategy Toolkit. It includes all the Frameworks, Best Practices & Templates required to successfully undertake the Digital Transformation of your organization and define a robust IT Strategy.
Editable Toolkit to help you reuse our content: 700 Powerpoint slides | 35 Excel sheets | 84 minutes of Video training
This PowerPoint presentation is only a small preview of our Toolkits. For more details, visit www.domontconsulting.com
What are the main advantages of using HR recruiter services.pdfHumanResourceDimensi1
HR recruiter services offer top talents to companies according to their specific needs. They handle all recruitment tasks from job posting to onboarding and help companies concentrate on their business growth. With their expertise and years of experience, they streamline the hiring process and save time and resources for the company.
What is the TDS Return Filing Due Date for FY 2024-25.pdfseoforlegalpillers
It is crucial for the taxpayers to understand about the TDS Return Filing Due Date, so that they can fulfill your TDS obligations efficiently. Taxpayers can avoid penalties by sticking to the deadlines and by accurate filing of TDS. Timely filing of TDS will make sure about the availability of tax credits. You can also seek the professional guidance of experts like Legal Pillers for timely filing of the TDS Return.
Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujarat’s DholeraAvirahi City Dholera
The Tata Group, a titan of Indian industry, is making waves with its advanced talks with Taiwanese chipmakers Powerchip Semiconductor Manufacturing Corporation (PSMC) and UMC Group. The goal? Establishing a cutting-edge semiconductor fabrication unit (fab) in Dholera, Gujarat. This isn’t just any project; it’s a potential game changer for India’s chipmaking aspirations and a boon for investors seeking promising residential projects in dholera sir.
Visit : https://www.avirahi.com/blog/tata-group-dials-taiwan-for-its-chipmaking-ambition-in-gujarats-dholera/
Cracking the Workplace Discipline Code Main.pptxWorkforce Group
Cultivating and maintaining discipline within teams is a critical differentiator for successful organisations.
Forward-thinking leaders and business managers understand the impact that discipline has on organisational success. A disciplined workforce operates with clarity, focus, and a shared understanding of expectations, ultimately driving better results, optimising productivity, and facilitating seamless collaboration.
Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
• Four (4) workplace discipline methods you should consider
• The best and most practical approach to implementing workplace discipline.
• Three (3) key tips to maintain a disciplined workplace.
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
CONTENTS
1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
Sustainability: Balancing the Environment, Equity & Economy
Does the world need another start-up physician practice?
1. Does the world need another start-up physician practice? Daniel James Scott, MS, MBA CTBC, CBA, CRC, CGBP, CMQ/OE, CQPA
2.
3. Sandy Lutz, Woodrin Grossman & John Bigalke From Med Inc. “America has twice as many physicians as it needs.”
4. Dr. Elliott Fisher Center of Evaluative Clinical Sciences Dartmouth Medical School “If we sent 30 percent of the doctors in this country to Africa, we might raise the level of health on both continents.”
5.
6. PCP Concentration FL = #4 in US for Population FL = #4 in US for Physicians PCP's = 36% of doctors in US PCP's = 37% of doctors in FL
7. PCP Concentration 6.1% of US population located in FL 5.6% of US PCP's are located in FL FL Population = 17,922,260 FL PCP's = 21,269 Assumed PCP Shortage = 1,708
8. PCP Concentration Excess specialist physicians in FL? 215 Real Current PCP Shortage < 1,500 What are Florida’s population forecasts based primarily on?
9. PCP Concentration 1:780 US 1:1,176 5 miles from USF Health South Tampa 1:843 FL 1:749 5 miles from USF Main Campus
10. Market Focus Find potential locations Analyze competitive practices (within a three-to-five-mile radius) Survey demographic (especially income) information on the area to be served Note population projections for the area Include any other factors pertinent to the location
12. Warren G. Bennis Founding Chairman, The Leadership Institute at USC “Leadership is the capacity to translate vision into reality.”
13.
14. Russell Robertson, M.D., Chair Council on Graduate Medical Education Lori Heim, M.D., President American Academy of Family Physicians “When you look at other nations with comprehensive policies with regard to universal access to health, the ratio of generalists to (sub)specialists is about 50/50. But the U.S. physician profile is only 31% primary care and 69% (sub)specialty care.”
15. Don Berwick Harvard Medical School “We’re in the Internet age, and the average patient can’t email their doctor.”
16.
17. How Will I… Compete to harness specific word of mouth or internal marketing strategies Maximize the benefit of my location Build referral sources (schools, local merchants, other health care providers) Reach potential new patients (including leveraging PR, joining and speaking to community organizations, etc.) Plan for advertising and direct mail
18.
19. Specialist? Concierge? Corporate Services? Preventative? Immediate Care? Technology? Breadth of Practice or Payer Base? Quality Assurance? Alternative Medicine? Customer Service? Green/Carbon-Neutral Policies?
23. George Van Horn Senior Analyst, IBISWorld “Healthcare practices who thrive and prosper will be noteworthy for their heightened focus on competitive marketplace positioning and for superior cost containment.”
24.
25. Quick Analysis Target Sales = Overhead + Target Income Specialty? Third-party payer mix? Collections via each payer? Average Collections per source?
26. Quick Analysis (cont’d) Divide Target Sales by average collections to determine rough # of patient volume Divide Target Sales by $162,000 to determine rough # of employees Divide Target Sales by 2.3 to determine rough $ of payroll
27. Trending Some Upside Higher spending levels! Larger profits! Bigger cash reserves! Still a fragmented industry! Demographic shifts! Some Issues Greater competition! Larger offices! Increased effectiveness! Concentrated payers! Internal concerns!
28. Financial Benchmarks 100% sales 45.23% payroll 23.8% owner compensation 4.54% rent 0.93% advertising 12.1% operating profit 9.5% net profit Simple Valuation Techniques 0.45 x Net Sales (0.45 x $1.6MM = $720,000) 5.04 x Operating Profit (5.04 x $193,600 = $975,744) 5.28 x Net Profit (5.28 x $152,000 = $802,560)
29. Cash Flow Collection rate – current collections divided by current charges (60-120 days) Realization rate – current collections divided by the sum of current collections plus current write-offs Presence of “outside income” – any income not from direct patient care, such as stipends from hospitals, nursing homes, etc. Staff salaries as a percent of collections Occupancy costs as a percent of collections Collection of patient co-pays (should be in the vicinity of 95% or better)
30.
31. Peter Drucker Author & Management Guru “Plans are only good intentions unless they immediately degenerate into hard work.”
32.
33. A (non-exhaustive) To Do List Conduct a feasibility analysis Retain advisors Prepare a business plan Obtain financing Identify a location Negotiate the lease Choose and order furniture, equipment, billing system Hire employees Develop employment policies Develop a filing system Develop marketing materials Advertise for patients Prepare patient charts Develop coding and compliance policies Develop an encounter form Develop a general ledger system Develop a compensation system in a group practice Establish professional relationships Recruit patients Register patients in the billing system (database)
34. Recap Opportunities are defined by geographic ‘pockets’ – not US or state averages Know what you want, and build structure around those goals Growth potential exists for well-run, flexible and innovative physician practices Working capital is always a concern in healthcare, but no bigger or worse than most other industries – focus on success
35. Resources FSBDC Healthcare Center of Excellence @ USF Mario Iezzoni, CPA, MBA (Director) (813) 905-5800, miezzoni@coba.usf.edu USF Center for Entrepreneurship Michael Fountain (Director) (813) 974-7900, fountain@coba.usf.edu USF Library System JardHoppenfeld (Business Librarian) (813) 974-6266, jhoppenf@lib.usf.edu Medical Group Management Association (877) ASK-MGMA, http://www.mgma.com Primary Research (done by you!)
Editor's Notes
Much of our discussion will revolve around whether there is, in fact, a physician shortage.
The feasibility analysis framework we will discuss.
Let’s discuss the “doctor shortage” fallacy/misconception
Adapted from “Start-up Medical Practices” by RMA, 2003Your local SBDC can help you find and analyze this sort of data
Adapted from “Start-up Medical Practices” by RMA, 2003 and the Industry Reports atMadduxResearch.com
Taken from “Aging Boomers Likely to Boost Health Care Sector” by George Van Horn, The RMA Journal, March 2010 and the Industry Reports atMadduxResearch.comLet people know you practice medicine, then move on.
Financial data taken from the 2002 Census and 2002 IRS data
…not quality of diagnostics or the actual practice of medicine.
Trending defines boundaries of success– not opportunities.Spending:Receipts per capita increased 80.2% (97-07 Census), Share of GDP from 7.2% to 16% (70-08 IBISWorld)Profits: Net profits up 6.7%, Net cash after operations to sales up 18% (06-09 RMA)Cash: Cash reserves up 4.7%, Receivables down 12.6%, Debt down 3.3% (06-09 RMA); collection and coding issues aside, the common level of receivables & bad debt is low when compared against all US firms, moderate seasonality leading to possible short-term cash flow shortages, most commonly borrow long-term debt to fund fixed assets (MadduxResearch.com)Fragmented: Top 50 firms generate approximately 9.4% of the industry’s sales (07 Census)Demographics:22.8% of General Practitioner Family Doctors and 25% of Specialist revenues are from clients 65+ (2010 IBISWorld);population will double, % of population from 12% to 20% (03-30 IBISWorld)Competition: Offices per million residents increased 1.7% (97-07 Census), GPs are consolidating (IBISWorld)Offices: Physician office revenue doubled 1997-2007, # of offices only increased 12.3%, Employees per establishment increased 20%, Receipts per office increased 77.4% (97-07 Census)Effectiveness: Receipts per employee increased 47.8%, Receipts per $ of payroll increased 14.2%, Annual payroll per employee increased 29.1% (97-07 Census), billing/collection systemsPayers: State and federal government spending accounts for 45% of total national health care expenditure (2010 IBISWorld)Internal: Aging physician population, divorce, addiction, owner disagreements, unintentional billing fraud, long-term disability of physician (MadduxResearch.com)
Financial data taken from the 2010 RMA Statement Studies (all size categories), 2002 Census and 2002 IRS dataValuation data adopted from Inc Magazine’s Valuation Guide
Taken from “Key Indicators for Medical Practice Valuations” by Mark O. Dietrich, The Journal of Lending & Credit Risk Management, June 2000
Taken from “Start-up Medical Practices” by RMA, 2003
Taken from “Key Indicators for Medical Practice Valuations” by Mark O. Dietrich, The Journal of Lending & Credit Risk Management, June 2000