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Physician
Practice Management and
Malpractice Prevention Specialists |
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| SERVICE
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MERGERS
/ NETWORK FORMATION
 Defining
Goals
Terms and Agreements
Distribution Formulas
In consulting with over 700 practices
of all sizes and specialties, we are familiar with the elements
that lead to successful group or partnership practices and
the conflicts that can lead to disharmony and practice dissolution.
Utilizing this knowledge, we can facilitate the decisions
physicians must make on the necessary tasks prior to group
formation.
Steps to take:
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Anti-trust
review for IPAs or specialty IPAs
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Confidential
Interview or Questionnaire to uncover "stumbling
blocks" to successful formation
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Identification
of "Sacred Cows" as an impediment to merger
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Pension Issues
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Buy-In, Buy-Out
and Formulas
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Equalization
of assets
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Income Distribution/Overhead
Share Formulas
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Pro Forma
Revenue and Expense Projections
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Governance,
Structure, Voting, Death, Disability, Retirement, Dropping
Call
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Space Planning,
Renovation or Lease Issues
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Practice
assessments to combine office systems
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Staffing
analysis to combine staff
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Team building
to successfully merge staff
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Promotion
to the community and physicians
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MANAGED
CARE CONTRACTING
 Capitation
Rate Analysis
Cost Accounting
Marketing And Negotiating
Managed care and in particular,
capitation contracting, requires knowledge of utilization
and costs of providing medical services. Our financial expertise
can assist the physician prior to contracting to determine
expected profitability. Frequently, we are hired after contracts
have been obtained to determine whether contracts are profitable
or should be eliminated.
Services include:
With capitation where revenue
is fixed, delivery of medical services involves knowing
how much it costs to deliver each CPT service physicians
provide under the contract. This is essential to know the
profitability of the contract. Determining costs of delivering
services also benefits the practice with PPO contracts to
avoid discounting fees below cost.
Activity Based Cost accounting techniques are utilized.
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Time flow
studies to determine labor costs
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Analysis
of materials costs
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Contribution
to overhead costs
Marketing and Negotiation
: Capitation contracting is a zero sum game. Being
excluded from contracts, IPAs or networks can decimate a
practice when managed care comes into an area. Being proactive
to obtain favorable contracts benefits the physician practice.
Services include:
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Development
of marketing materials for the practice or group
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Marketing
presentations to Managed Care Organizations
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Negotiation
of contract terms
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