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Category Archives: Administration

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Physician – Hospital Integration: Strong Governance Model Key To Long-Term Success

Posted in Administration, Hospitals

During the course of an integration negotiation, both hospital executives and physicians focus much of their attention on financial matters, and perhaps rightfully so.  However, a strong governance model may be the key to the long-term success of the relationship.   Many integrated physicians will often point to governance, and not compensation, as the reason why… Continue Reading

An Attempt to Make Audits Less Burdensome for Hospitals

Posted in Administration, Hospitals, Medicaid

“House members look to ease Medicare audit burden on hospitals” is the title of a recent post by Pete Kasperowicz in his The Hill’s Floor Action Blog.  Last week, four House of Representatives members introduced bill H.R. 6575, that endeavors to ease the burden of a hospital during an investigation by a Medicare contractor, such as a… Continue Reading

Two “Pay-For-Performance” Provisions of the Affordable Care Act Go Into Effect Oct. 1, 2012

Posted in Administration, Affordable Care Act, Hospitals, Medicaid, Regulations

Two major but less discussed programs under the Affordable Care Act took effect October 1, 2012, which are part of the government’s effort to deliver better quality health care.  Both programs aim to reward hospitals for providing more efficient and higher quality care and penalize those that don’t. Under the Hospital Value-Based Purchasing Program, Medicare… Continue Reading

CMS Releases Three-Day Payment Window FAQs

Posted in Administration, Hospitals, Physicians and Group Practices, Regulations

On July 9, 2012, the Centers for Medicare and Medicaid Services (“CMS”) posted 43 frequently asked questions (“FAQs”) addressing various issues concerning the 3-day Payment Window Rule (the “Rule”).  As background, the Rule applies to outpatient services furnished (1) by a hospital or (2) by another Part B supplier (referred to herein as a “Physician… Continue Reading

10 Leadership Lessons Taken From IBM (Part 1)

Posted in Administration, Leadership, Relationships

For 20 years beginning in the 1960s, IBM was king of its universe: the mainframe computer.  Then came along such interesting start-ups as Microsoft, Intel and Dell and, as personal computers became more powerful, IBM’s mainframe business could no longer support the company.  Like healthcare providers today, IBM had the choice of transforming itself or… Continue Reading

Smart Things Hospitals Do To Build Physician Relationships

Posted in Administration, Hospitals, Physicians and Group Practices, Relationships

Regardless of the brilliant strategy or the fantastic business plan – if the people in a business deal “don’t work”, then the deal won’t work.  Savvy hospitals and physician groups understand this phenomenon as they approach negotiation.  Their conduct facilitates a good outcome and an environment in which the new relationship can create value in… Continue Reading

The Physician As Negotiator

Posted in Administration, Hospitals, Leadership, Negotiation, Physicians and Group Practices

One of the questions I am routinely asked in an early meeting with a physician group is: who should we have as our physician-negotiators? There are three keys to arriving at an answer. Key #1. Do you have shareholders with business skills? Psychologists tell us that the popular elementary-age children are often those with the… Continue Reading

The Administrator’s Role in Hospital Negotiations

Posted in Administration, Hospitals, Negotiation, Physicians and Group Practices

Having been a cardiology administrator for three years, I know the tensions that physician group administrators (by this term, I mean to refer to a group’s chief administrative officer by whatever title) handle every day. They manage physicians who in some contexts are the practice’s owners and the production units in others. They must serve… Continue Reading