Physicians at the Bargaining Table: Alignment, Clinical Integration, Value-based Contracting and Population Health Management
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Today’s practicing physicians tend to feel hemmed in by the pressures to align with other entities imposed upon them through the changing structures in healthcare. The dilemma is not so much of whether or not to merge in some manner with other entities; rather, it is more about how to negotiate from a position of strength in order to practice medicine under the best possible circumstances.
How do physicians hold a strong place at the bargaining table?
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What strategies can be embraced in creating alignment with other physicians, and how do you get started?
What are the benefits and challenges of physician alignment outside of a hospital relationship?
What are the alignment options and how does each option fit in with the future of healthcare, i.e. ACOs, CINs, risk-based payer contracts, etc.?
Physicians at the Bargaining Table: Alignment, Clinical Integration, Value-based Contracting and Population Health Management is written to aid in the decision-making for physicians. Through the assimilation of reliable and unbiased information, providers can assess their best alternatives. The objectives are to help the reader understand the available alignment options and how these options fit in with the future of healthcare, including accountable care organizations and risk-based payer contracts. This assessment will encompass the benefits and challenges of physician alignment outside of a hospital relationship.
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.
About the author
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.
Max Reiboldt, CPA, 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, Third Edition and author of Physician Alignment: Ensuring Success with Negotiations, Payment Systems, and Education of Stakeholders.
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: Strategies to Address Alignment Related Issues and Concerns
- Chapter 5: Onward Toward a Successful Future State
- Chapter 6: Case Studies
- Chapter 7: Summary
