Physicians at the Bargaining Table: Alignment, Clinical Integration, Value-based Contracting and Population Health Management

Readers will also be able to:

• Identify the critical success factors in a successful alignment model;
• Develop strategies related to creating a new alignment relationship with other physicians or investors, and,
• Determine, as a key stakeholder, how to be involved in the process from concept to implementation and beyond.

The evidence delivered in this book through the study of alignment options and strategies, resolutions for a successful future state, and reliable case studies will enable the reader to take the next step toward alignment, based on an informed perspective.

Table of Contents

Chapter 1: Current Industry Changes and Challenges
Chapter 2: Specific Alignment Options for Medical Practices
Chapter 3: Components of a Successful Alignment Model
Chapter 4: Stratagies to Address Alignment Related issues and Concerns
Chapter 5: Onward Toward a Successful Future State
Chapter 6: Case Studies
Chapter 7: Summary

Ellis M. “Mac” Knight, MD, is senior vice president and chief medical officer of Coker Group, where he oversees Coker’s hospital operations and strategic services division. In addition, he has led the development of GlidePath Health, a comprehensive suite of services designed to operationalize clinically integrated organizations such as ACOs. He continues to practice as an internist and hospitalist on a part-time basis.

Prior to joining Coker, Dr. Knight served in various roles at Palmetto Health in Columbia, South Carolina. After 12 years in private medical practice, he started the first hospital medicine group in South Carolina. He helped to grow and manage Palmetto Health’s more than 200 employed physicians. He served as the senior vice president of ambulatory services with responsibility for all outpatient activities at this three-hospital system. In 2009, he led the development of and served as the executive medical director for the Palmetto Health Quality Collaborative, Palmetto Health’s unique and very successful clinical integration program.

He holds a clinical faculty appointment, as an associate professor of medicine, with the University of South Carolina School of Medicine and is a fellow of the American College of Physicians, American College of Healthcare Executives and the Society of Hospital Medicine. Dr. Knight is a major contributor to Physician Alignment: Ensuring Success with Negotiations, Payment Systems, and Education of Stakeholders (©2014, Greenbranch Publishing).

Max Reiboldt, President and CEO of Coker Group, has led Coker’s growth since 1996 to its position today as one of the leading healthcare consulting firms in the United States and abroad. Mr. Reiboldt provides sound tactical and strategic solutions to hospitals, medical practices, health systems, and other healthcare entities through keen analysis and problem solving. He is an accomplished public speaker on healthcare management topics and has authored or contributed to many of Coker Group’s 60-plus books including Relative Value Units in the Medical Practice, Second Edition (©2014 Greenbranch Publishing) and author of Physician Alignment: Ensuring Success with Negotiations, Payment Systems, and Education of Stakeholders (©2014, Greenbranch Publishing).