Showing posts with label organizations. Show all posts
Showing posts with label organizations. Show all posts
Seven Reasons Why Small Physician Owned Practices Will Continue to Do Well Despite Accountable Care Organizations ACOs
Sunday, February 23, 2014
Since the Disease Management Care Blog not only wants to be informative but also helpful to its readers, it has developed a seven point generic physician employment inquiry response and recruitment letter. It is available below. The DMCB is confident that those smaller physician-owned private practices that remain independent will find this form letter very helpful in the coming years. The DMCB releases this to the public domain and its colleagues are welcome to copy, paste, distribute, share, alter, modify or adapt all or some of the document as it becomes necessary.
Dear [insert name of physician here]:
Thank you for your recent [select: tweet, email, Facebook posting or VM] inquiry about leaving your current salaried position and joining our practice. Thanks to widespread patient dissatisfaction with the institutions that were spawned by "health orm," our small business has experienced tremendous growth. We are constantly on the lookout for new talent that complements our projected demand. Maybe you can join our team!
As you are undoubtedly aware, many of our colleagues nationwide have been lured into full time employed positions involving large complicated corporate practice arrangements, many of which were set up to be ACOs. Savings havent materialized and many of these organizations have responded by demanding more patient "throughput" from their employed physicians and imposing cutbacks in vital support services.
In contrast to those organizations, our practice offers you:
1) a completely transparent compensation arrangement that equitably divides our net revenue income among the owner-physicians. No more having to deal with an unwieldy administration that allocates salary amounts based on some opaque budget of anticipated revenues and upside savings minus overhead and capital allocations that you have no say in.
2) a team-based environment that not only relies on your expertise but knows whos boss. Unlike those other complicated practice settings with layers of middle management, our office personnel report directly to you, period.
3) a patient population that is not only grateful for our high "same day" service standards and efficient and compassionate practice style, but who also recognize that unnecessarily calling at the end of the business day or repeatedly while were on night call is reason to be assisted in finding another physician. We have caully cultivated a very loyal following of patients who genuinely partner with us.
4) a highly trained and motivated administrative support and care management staff that not only uses state-of-the-art approaches to deal with private managed care commercial insurers, but uses a "3A" approach of Anticipating, Automating and Appealing any service that requires prior authorization from you. Youll only get involved in these matters when its necessary.
5) a stable practice environment. Speaking of managed care insurers, they comprise the bulk of our business. While they are far from perfect, Medicare and Medicaid they are not. They dont threaten us with arbitrary fee schedule cuts, audits, and payment delays. We firmly believe patients and taxpayers should get what they pay for. Its not our fault if they havent paid for our level of clinical and consumer excellence.
6) an EHR system is not only low cost and user-friendly, its modular and cloud-based. Our vendor has agreed to performance guarantees, there are no one-sided "hold-harmless" clauses and its seamlessly compatible with any hand held device of your choice any time and any where.
7) a unique market niche that sits in that "sweet spot" between a local employer community that likes us, insurers that respect us, specialist physicians work with us and a multispecialty ACO close by that welcomes our errals.
Once again, thank you for contacting us. Please send your CV to [insert P.O Box address here] where we will store it in strictest confidence along with dozens of your colleaques CVs. We promise you that when we get to it in the coming months, we will contact you.
Best regards,
Managed Care Insurer Medical Directors A Recruiting Opportunity for Provider Organizations That Are Taking Insurance Risk
Wednesday, January 22, 2014
The investigative Disease Management Care Blog went dumpster diving outside the headquarters of a large health care organization and found this document:
MEMO
To: The Health System CEO
From: The Front Line Docs
Re: Physician "Accountability" Leadership
Thank you for taking the time out of your busy schedule to meet with the medical staff last night. Since you arrived here a year ago, we physicians have been looking forward to our quarterly meetings and appreciate that you were able to make it this time. Thank you also for arranging the hospital cafeteria to supply the sandwiches. They and the boxed raisins were delicious!
"The white coats," as you er to us, are very interested in your vision of the insurer-contracting opportunities around efficiency, cost reductions, "accountability" and "shared savings." Like you, we are also concerned about unnecessary health care "waste" and "variation," and endorse your call to action, or rather inaction. The health insurers statististics that were reproduced in your presentation on the frequency of surgical procedures at our institution was very eye-opening. As a result, weve already started to let our patients know that, when a trip to the operating room cannot be justified, well do everything we can to achieve maximum cost-effectiveness with alternative evidence-based care pathways.
In light of the above, may I recommend that you strongly consider hiring a physician-leader with the skill-set necessary to spearhead these program initiatives. While the current Vice-President for Medical Affairs has many of the fine qualities weve come to expect of your hand-picked appointees, lets face it: he wouldnt know a PMPM if he personally passed one into a bedpan.
In my opinion, attributes of a such a physician leader should include:
1. A strong grasp of clinical and health economic outcomes, trending and statistical analysis.
2. A fundamental understanding of health insurance contracting.
3. A track record of interacting constructively with physicians, hospital administrators and community organizations. In particular, he or should she be adept at handling many of the hostile questions you faced last night. That way, you can "outsource" the anger management.
4. An ongoing commitment to patient care, including taking "call" with the rest of us.
I would like to point out that such physicians can be found among the Medical Directors that work in many of the nations commercial health insurers. While every commercial insurance plan has a senior-level ("Vice President") medical director, each if these executives usually has several medical directors reporting to him or her. Since these individuals work in very hierarchical organizations with little chance of advancement, many would jump at the chance to deploy their skills in a risk-bearing provider organization like ours. An enterprising head-hunter recruiter should have little trouble poaching some of these highly skilled docs who possess precisely the kind of talent we need.
Once again, thank you for your time and I look forward to working with you in the future.
Sincerely yours,
(illegible)
There was a also hand written note appended at the bottom:
By the way, Ive booked the MRI you requested and set up the appointment with the specialist. As we discussed, better safe than sorry!
readmore
MEMO
To: The Health System CEO
From: The Front Line Docs
Re: Physician "Accountability" Leadership
Thank you for taking the time out of your busy schedule to meet with the medical staff last night. Since you arrived here a year ago, we physicians have been looking forward to our quarterly meetings and appreciate that you were able to make it this time. Thank you also for arranging the hospital cafeteria to supply the sandwiches. They and the boxed raisins were delicious!
"The white coats," as you er to us, are very interested in your vision of the insurer-contracting opportunities around efficiency, cost reductions, "accountability" and "shared savings." Like you, we are also concerned about unnecessary health care "waste" and "variation," and endorse your call to action, or rather inaction. The health insurers statististics that were reproduced in your presentation on the frequency of surgical procedures at our institution was very eye-opening. As a result, weve already started to let our patients know that, when a trip to the operating room cannot be justified, well do everything we can to achieve maximum cost-effectiveness with alternative evidence-based care pathways.
In light of the above, may I recommend that you strongly consider hiring a physician-leader with the skill-set necessary to spearhead these program initiatives. While the current Vice-President for Medical Affairs has many of the fine qualities weve come to expect of your hand-picked appointees, lets face it: he wouldnt know a PMPM if he personally passed one into a bedpan.
In my opinion, attributes of a such a physician leader should include:
1. A strong grasp of clinical and health economic outcomes, trending and statistical analysis.
2. A fundamental understanding of health insurance contracting.
3. A track record of interacting constructively with physicians, hospital administrators and community organizations. In particular, he or should she be adept at handling many of the hostile questions you faced last night. That way, you can "outsource" the anger management.
4. An ongoing commitment to patient care, including taking "call" with the rest of us.
I would like to point out that such physicians can be found among the Medical Directors that work in many of the nations commercial health insurers. While every commercial insurance plan has a senior-level ("Vice President") medical director, each if these executives usually has several medical directors reporting to him or her. Since these individuals work in very hierarchical organizations with little chance of advancement, many would jump at the chance to deploy their skills in a risk-bearing provider organization like ours. An enterprising head-hunter recruiter should have little trouble poaching some of these highly skilled docs who possess precisely the kind of talent we need.
Once again, thank you for your time and I look forward to working with you in the future.
Sincerely yours,
(illegible)
There was a also hand written note appended at the bottom:
By the way, Ive booked the MRI you requested and set up the appointment with the specialist. As we discussed, better safe than sorry!
Subscribe to:
Posts (Atom)
