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FACILITATING INTERNAL
PHYSICIAN CONTRACTING
CONVERSATIONS
NOVEMBER 2016
250+ Physician Benchmarks
• Call coverage rates
• Medical direction payments
• Administrative and leadership
services rates
• Hospital-based service stipends
• Diagnostic testing, etc.
• Clinic & hourly rates
Online Platform
• Benchmark lookups
• Contract proposal tools
• Contract reports by facility and service
• Total facility costs + benchmarks
Compliance Documentation
• Contract-specific FMV documentation
reports
• Reports to assist with real-time
monitoring and annual reviews
Research and Support
• Resources for education and training
• On-call experts to help subscribers
use benchmarks and tools
2
The foundation of your compliance process
Standardize
processes
and rates
Document
FMV
Access 250+
payment
benchmarks
Review
contracts and
monitor with
ease
Have smarter,
data-driven
physician
negotiations
Mitigate
compliance
risks
3
Meeting the unique challenges of
healthcare organizations
Make data-driven decisions for
your organization
Stop relying on poor data
sources
Streamline documentation and
ensure you are protected
against costly settlements
4
Today’s topics
• Why internal physician
contracting discussions are
important
• Tools to facilitate internal
communications
• Best practices for
structuringinternal
guidelines
5
WHY PHYSICIAN CONTRACTING
DISCUSSIONS ARE IMPORTANT
6
Physician contracting requires strategic
decision-making
• What are your organization’s goals?
• Clinical
• Financial
• Operational
• Do we have the right arrangements in place to
achieve our goals?
• What does your physicianalignment strategylook
like?
7
Many players involved
• Physicians
• Medical group administrators
• Hospitals executives
• Strategic planningteam or business development
team
• Contractingstaff
• Internal or external consultants
8
High volume of contracts
• Contracts do fall through the cracks
• Physicians can pop up in multiple arrangements
• For larger hospitals, several contract administrators
work together
• For health systems, facility-level staff must work
with system-level staff
9
Total spending must be monitored
• How much do you
spend on physician
contracting annually?
• How much on:
• Call arrangements
• Medical directorships
• Other administrative
or leadership positions
10
Total spending for MD Ranger
subscribers
11
• MD Ranger subscribers have access to “Total Facility
Benchmark Reports”
• Benchmarks include total hospital spendingfor:
• Medical directorships
• Call coverage
• Hospital-based payments
• These benchmarks can be further slicedby hospital
demographic
12
TOOLS TO FACILITATE INTERNAL
DISCUSSIONS
Use a contract management system
• Many vendors and options
exist
• Determine must-have and
nice-to-have features
• What level of customization
do you need?
• Do you need your contracts
scanned and imported?
• What other add-ons or
features might you need (e.g.
physician time-tracking)
13
Share benchmarking information freely
• Use an online platform to distribute benchmarkingto
all those at your organization who need it
• Make guidelines clear by summarizingin a document
also available in an electronic repository
14
Create streamlined contract proposal
reports
• When proposing rates, use
identical reports
• Consistency will promote
efficiency
• Outline approval/denial
process in advance and
make guidelines clear
15
Consider office communication tools
• MD Ranger staff uses Slack
• Other options are:
• Google Hangouts
• HipChat
• Hall
• Pie
• Bitrix24
• Yammer
• Microsoft Lync
• Skype
16
Consider project management tools
• MD Ranger staff uses Trello
• Other options are:
• Asana
• Taiga
• Kanboard
• Taskboard
• Evernote
17
18
BEST PRACTICES FOR STRUCTURING
INTERNAL GUIDELINES
Create processes and policies that
facilitate and require communication
• Require that certain parties be notifiedof changes,
hiccups, pushback, etc.
• Use technologyto facilitate communicationand
require strict adherence to usingwhatever platforms
you choose.
19
Your contract management system is
only as good as you make it
• Make sure system is central part of workflow
• No logins=badsign
• Always open on desktop
20
Keep record of everything
• Contract management
system
• Office communication
tools record
conversations, next
steps, follow up, and can
remind team members of
to dos
21
Consider quarterly contract check in’s
• Send agenda in advance,
keep consistent
• Revisit minutes from last
meeting to ensure follow
through
• Recap the meeting with
key points and next steps
22
Make sure responsibilities are clearly
delegated
• Contract negotiations always take multiple steps
• Everyone on your team shouldknow who is
responsible for what
23
MD Ranger, Inc. | 1601 Old Bayshore Hwy, Ste. 107 | Burlingame, CA 94010
www.mdranger.com
24
Thanks for joining!

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Facilitating Internal Physician Contracting Conversations

  • 2. 250+ Physician Benchmarks • Call coverage rates • Medical direction payments • Administrative and leadership services rates • Hospital-based service stipends • Diagnostic testing, etc. • Clinic & hourly rates Online Platform • Benchmark lookups • Contract proposal tools • Contract reports by facility and service • Total facility costs + benchmarks Compliance Documentation • Contract-specific FMV documentation reports • Reports to assist with real-time monitoring and annual reviews Research and Support • Resources for education and training • On-call experts to help subscribers use benchmarks and tools 2
  • 3. The foundation of your compliance process Standardize processes and rates Document FMV Access 250+ payment benchmarks Review contracts and monitor with ease Have smarter, data-driven physician negotiations Mitigate compliance risks 3
  • 4. Meeting the unique challenges of healthcare organizations Make data-driven decisions for your organization Stop relying on poor data sources Streamline documentation and ensure you are protected against costly settlements 4
  • 5. Today’s topics • Why internal physician contracting discussions are important • Tools to facilitate internal communications • Best practices for structuringinternal guidelines 5
  • 7. Physician contracting requires strategic decision-making • What are your organization’s goals? • Clinical • Financial • Operational • Do we have the right arrangements in place to achieve our goals? • What does your physicianalignment strategylook like? 7
  • 8. Many players involved • Physicians • Medical group administrators • Hospitals executives • Strategic planningteam or business development team • Contractingstaff • Internal or external consultants 8
  • 9. High volume of contracts • Contracts do fall through the cracks • Physicians can pop up in multiple arrangements • For larger hospitals, several contract administrators work together • For health systems, facility-level staff must work with system-level staff 9
  • 10. Total spending must be monitored • How much do you spend on physician contracting annually? • How much on: • Call arrangements • Medical directorships • Other administrative or leadership positions 10
  • 11. Total spending for MD Ranger subscribers 11 • MD Ranger subscribers have access to “Total Facility Benchmark Reports” • Benchmarks include total hospital spendingfor: • Medical directorships • Call coverage • Hospital-based payments • These benchmarks can be further slicedby hospital demographic
  • 12. 12 TOOLS TO FACILITATE INTERNAL DISCUSSIONS
  • 13. Use a contract management system • Many vendors and options exist • Determine must-have and nice-to-have features • What level of customization do you need? • Do you need your contracts scanned and imported? • What other add-ons or features might you need (e.g. physician time-tracking) 13
  • 14. Share benchmarking information freely • Use an online platform to distribute benchmarkingto all those at your organization who need it • Make guidelines clear by summarizingin a document also available in an electronic repository 14
  • 15. Create streamlined contract proposal reports • When proposing rates, use identical reports • Consistency will promote efficiency • Outline approval/denial process in advance and make guidelines clear 15
  • 16. Consider office communication tools • MD Ranger staff uses Slack • Other options are: • Google Hangouts • HipChat • Hall • Pie • Bitrix24 • Yammer • Microsoft Lync • Skype 16
  • 17. Consider project management tools • MD Ranger staff uses Trello • Other options are: • Asana • Taiga • Kanboard • Taskboard • Evernote 17
  • 18. 18 BEST PRACTICES FOR STRUCTURING INTERNAL GUIDELINES
  • 19. Create processes and policies that facilitate and require communication • Require that certain parties be notifiedof changes, hiccups, pushback, etc. • Use technologyto facilitate communicationand require strict adherence to usingwhatever platforms you choose. 19
  • 20. Your contract management system is only as good as you make it • Make sure system is central part of workflow • No logins=badsign • Always open on desktop 20
  • 21. Keep record of everything • Contract management system • Office communication tools record conversations, next steps, follow up, and can remind team members of to dos 21
  • 22. Consider quarterly contract check in’s • Send agenda in advance, keep consistent • Revisit minutes from last meeting to ensure follow through • Recap the meeting with key points and next steps 22
  • 23. Make sure responsibilities are clearly delegated • Contract negotiations always take multiple steps • Everyone on your team shouldknow who is responsible for what 23
  • 24. MD Ranger, Inc. | 1601 Old Bayshore Hwy, Ste. 107 | Burlingame, CA 94010 www.mdranger.com 24 Thanks for joining!