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Cost Management

MD Ranger’s 2022 Report: New Benchmarks Suggest the Growing Scope and Complexity of Physician Transactions at Hospitals and Health Systems

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2019 Benchmarks Reveal Physician Pay Trends

Our 2019 report highlights the growing significance of physician contracts as a major component of hospital spending, with particular growth in payment for hospital-based physician services such as hospitalists, intensivists and laborists.
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Coverage Spending by Facility Size

When it comes to physician contracting expenses at hospitals and health systems, call coverage contracts often make up a significant percent of the total spending. As common sense would suggest, larger facilities pay more for call coverage than smaller facilities.
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Alternatives to Per Diem Payments for Call Coverage

Over the past decade, spending for physician expenditures as a percent of total hospital operating expenditures has grown over 40% according to OSHPD data. Costs will escalate when a hospital starts to compensate one specialty, which will create a domino effect with others.
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Easy Ways to Improve Physician Contract Compliance

Recent settlements and advisories offer a number of lessons to help shape effective contract compliance programs.
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Multi-Campus Physician Contracts: Impact on Payment Rates and Time Requirements

MD Ranger data strongly suggests the benefits of multi-facility physician contracts as an important strategy for controlling costs.
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How Much is Granting Exclusivity Worth?

Most economists, as well as the OIG, believe that an exclusivity clause has economic value that should be considered in a valuation.
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Commercial Reasonableness: Critical Considerations for Physician Contracts

To be compliant, it is first necessary to determine the need to pay, then to determine how much.
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When Specialty Doesn’t Matter, How Much Should You Pay?

Establishing a fair and compliant payment rate for a position that does not need a particular type of specialist can be a challenge!
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Easy Ways to Calculate Opportunity Costs in Physician Contracts

We’ve seen hospital administrators struggle to determine what is appropriate for their organization. The truth is that opportunity cost can be difficult to measure and document.
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Catching Hidden Overpayments in Physician Agreements: Stacking Risks

Risks for overpayments are things like paying above FMV, or paying for too many hours per administrative deal are straightforward to discover with careful review and analysis of contracts.
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Stacking – Risks and Prevention

Stacking has come to greater prominence following an OIG advisory opinion that defines problematic compensation structures.
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Operational and Financial Management of Physician Agreements

We recently spoke with Gail Peace, CEO of Ludi, about how hospitals are managing physician contracts from both an operational and finacnial perspective
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Hospital Characteristics Impact Physician Compensation Rates

Though rates at the individual service level remain relatively stable year over year, overall physician costs paid by hospitals have skyrocketed in the last decade.
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HCCA 2016: DOJ and OIG Focus on Physician Compensation

A theme throughout the Compliance Institute was that shopping for FMV valuations conflicts with FMV being based on an “independent third party opinion”.
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HCCA 2016: Physician Compensation Under the Microscope: Lessons Learned from Recent Settlements

In looking at numerous recent settlements, we can see that physician compensation is a hot topic for hospitals.
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Non-Directorship Administrative Roles Have Unique Payment Challenges

Establishing a fair and compliant payment rate for a position that does not need a particular type of specialist can be a challenge!‍
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Reports for Hospital Boards and Executives

MD Ranger’s analytic tools generate an Executive Summary which provides day-to-day compliance and physician contracting staff a report to share with executives and the board.
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Evaluating Physician Compensation Survey Quality

Most physician payment rates fall within a reasonable market range. But in some cases, a payment rate may be well beyond the norm. These unusual payment rates, which can sometimes impact benchmark calculations, are outliers.
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Calculating Opportunity Cost in Physician Contracts

We’ve seen hospital administrators struggle to determine what is appropriate for their organization. The truth is that opportunity cost can be difficult to measure and document.
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Dealing with Changing Benchmarks

Market data is an efficient and cost effective way to structure a physician contracting compliance program, and is used by hundreds of hospitals across the country.
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