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. We are offering three highly focused, shorter teleconferences to address high level issues in three types of increasingly important transactions. (More details below)

  • Leasing The Practice to The Hospital (Sept. 11, 2012)
  • Co-management From The Physician's Perspective (Sept. 18, 2012)
  • Governance and Contractual Issues in Bundled Payment (Sept. 25, 2012)

Hospitals and health systems seeking to engage in these transactions with physicians will want to understand the positions we would take on the physicians' behalves. Each program will be one half hour of practical, real world guidance based on real transactions, with a brief five to ten minutes of Q & A. There is a substantive handout for each program which can act as a checklist for each transaction. To make these programs even more focused, we will solicit questions from attendees in advance. Each program will be $300 for either the live teleconference or the MP3 recording. All attendees get the handout. We are offering a significantly discounted price of $750 for those who purchase three, regardless of format -- live or MP3, with handout.
All programs are at 12 PM ET, 11 AM CT, 10 AM MT, 9 AM PT.

Purchase and Download Recorded Teleconference

Credit Card only. No exceptions. All three Teleconferences: $750

1. Leasing The Practice To The Hospital: Pros, Cons and Practicalities

Recorded Sept. 11, 2012

Models other than employment can achieve significant alignment between hospitals and physicians. A professional services agreement which, in effect, leases the practice to the hospital is close to full integration without employment, and far easier to terminate. It can and should include more than wRVU payments. Learn what these transactions actually look like.

  • Pros and cons
  • Payment models
  • Going provider-based: pros and cons
  • Preserving productivity and improving quality
  • Exclusivity: when and when not
  • Restrictive Covenants
  • Non-CPT Payments for What
  • Approaches to paying overhead
  • Accommodating changes in the practice during the term

Purchase and Download Recorded Teleconference

Credit Card Only $300

2. A Physician's Perspective on Co-Management: Opportunities and Pitfalls

Recorded Sept. 18, 2012

Co-management gets physicians far more intimately involved in the operation of a hospital service line, with the goal of increasing quality and value. It engages the physicians in improving the hospital's position and realizing financial reward for doing so.

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› MP3 Only

  • What's different from medical directorships
  • One group or more: is an entity necessary?
  • Who can participate?
  • Payment for time or results?
  • Payment issues from the hospital
  • Measurement issues
  • The importance of valuation
  • Fixing accountability at the locus of control
  • Are restrictive covenants necessary?

Purchase and Download Recorded Teleconference

Credit Card Only $300

3. Governance and Contractual Issues Within Bundled Payment: The Physician Perspective

Recorded Sept. 25, 2012

Medicare has launched its Bundled Care for Payment Improvement Initiative and many commercial payors are initiating bundled payment options. There are a range of issues that arise in the governance of these programs as well as in the contracts among providers that make them real. By definition they involve more than one type of provider in the 'bundle'. That is the point. Controversies will arise. This session is not about the contract with the payor, which actually is a simpler proposition in many ways.

  • Governance: One man one vote or by group
  • Which stakeholders on the board?
  • What types of issues need supermajorities
  • Defining the bundle, breaking the bundle
  • Bundled budget versus bundled payment
  • Where will the money land and who will distribute?
  • Bases for payment allocation: avoiding foodfights
  • Adding and terminating participants
  • Dispute resolution issues
  • Clinical integration: the sine qua non

Credit Card Only $300