LESSONS LEARNED FROM LEASING:
A DEEPER DIVE

Thursday, October 26, 2017
1PM Eastern, Noon Central, 11AM Mountain, 10AM Pacific

Five years ago, we presented a teleconference on the pros, cons and practicalities of a group practice leasing itself to a hospital or health system, in lieu of employment. The group remains intact. Having done many more of these transactions since, and having had the earliest ones roll over, be renegotiated or terminated, we have learned a lot about how to prevent problems. This new, deeper, somewhat opinionated, presentation will draw on real experiences across the country. From the physician group perspective, Alice will address avoiding trouble by careful planning in the document, getting out and moving on, as well as issues that arise when a longer term arrangement has to be altered with respect to changes in the context over time. This presentation with an 11 page substantive handout is more timely than ever as consolidation in the industry abounds everywhere.

Live Registration Closed

If you are interested in an MP3 recording to download, including the presentation with Q & A and the handout for the same $300, please click here.

This detailed, one hour teleconference (this is not a webinar, you only need a telephone line) will offer 45 minutes of presentation and 15 minutes of Q & A addressing:

  • Better than employment, why?
  • Basic principles
  • Pros and Cons in Variable Structuring
  • Scope of Services and Clinical Personnel
  • Exclusivity During the Term and Post-termination Restrictions: Really?
  • Duties: medical services, clinical integration, medical directorships, centers of excellence
  • Compensation and Valuation: base, bonuses, new payment models, adding and losing personnel, the critical role of the valuator
  • Billing and Management: where are the dangers in who does what
  • Realities of Medical Records Ownership, Space Leasing, Confidentiality
  • Dispute Resolution: where do tensions arise, processes of managing
  • …And More

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Previous Teleconferences


Social Media and "BYOD": What Are Your Risks?

Recorded June 22, 2017

Social media usage is a fact of modern life. Facebook has over 1 billion active users, which undoubtedly includes physician practice employees. Physician practices also may want to establish there own social media presence, to connect with current and potential patients. 

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How Secure Do You Feel About Your HIPAA Compliance Plan?

Recorded December 6, 2016

The HIPAA Security Rule compliance stakes have risen. The Office of Civil Rights is currently enforcing against physician practices, and conducting audits of small practices and business associates alike.

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For Whom The Sixty Day Bell Tolls: Risk and Reward in Physicians Returning Overpayments

Recorded April 19, 2016

With less than a page of actual regulations, but 25 pages of discussion, the regulations addressing when and how to repay overpayments have some surprising elements. What triggers the obligation to report is now much broader than most people realize. 

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Beyond Face Time

Recorded February 2, 2016

Reports of the demise of fee for service are entirely premature. In fact, Medicare has introduced new codes to pay physicians for services that do not require that they have a face to face encounter with the patient.

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Is Your Group A Group?

Recorded May 5, 2015

The August, 2014 Stark settlement with the OIG and DOJ for $1.33 million dollars by a New York private practice cardiology group for its internal compensation practices should be seen as a call to arms.

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Unraveling The Knots: Stark and Medicare Reimbursement Principles and Intertwinings

Recorded July 15, 2014

Given the draconian impact of enforcement, it is clearly time to revisit some of the lurking pitfalls in the connection between the Stark law and Medicare reimbursement principles.

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Using Patient Safety Organizations to Bolster Clinical Integration

Recorded January 28, 2014

The demand for providers to change the way they deliver care to demonstrate more value is rampant. To make those changes requires clinical integration which centers, in essence, on analysis of data -- data that by definition demonstrates sub-optimal performance.

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Quality Fraud: What Is That?

Recorded February 14, 2013

This highly focused half hour of lecture with 15 minutes for questions will offer to hospitals and their compliance officers and physician practice groups a much better understanding of looming pitfalls which can be avoided with attention.

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Physician-Hospital Alignment Strategies

With health reform now moving inexorably forward, the implications of value-based payments, bundled payments, and reorganized care delivery - particularly for physicians - must be confronted.

  1. Leasing The Practice To The Hospital: Pros, Cons and Practicalities - (Sept. 11, 2012)
  2. A Physician's Perspective on Co-Management: Opportunities and Pitfalls - (Sept. 18, 2012)
  3. Governance and Contractual Issues Within Bundled Payment: The Physician Perspective - (Sept. 25, 2012)

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The Physician Compensation Challenge: Stark and Responding to The New Value Demands

Recorded June 19, 2012

This teleconference will explain the rules, debunk the myths and offer new information about how leading edge groups are increasingly moving to make their internal compensation models consistent with external demands for improved quality and value.

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