Insights from Ludi

Gail Peace

Recent Posts

Are you looking at your total physician investment? Should you be?

Posted by Gail Peace on Feb 6, 2018 10:04:00 AM

Over the past two decades the number of physicians employed by hospitals has increased exponentially. Employment is one form of physician alignment but there is a whole other bucket that is surprisingly large, let’s call it everything else. Everything else includes medical directorships, teaching agreements, committee work, co-management agreements, on-call and hospital based services. So here is our calculation:

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Topics: physician investment

3 Major Problems with Measuring your Physician Spend

Posted by Gail Peace on Jan 18, 2018 10:20:00 AM

What is physician spend? This is a term used to describe all the dollars that flow from hospitals to physicians. It can be in the form of employment, a contract to provide a particular type of coverage, ie Emergency Room physician staffing, or it can be for a service, ie medical directorship. Now that it is defined, what are the reasons it is super hard to measure?

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Topics: physician spending

How you can Generate Revenue From Your Physician Contracts

Posted by Gail Peace on Oct 25, 2017 10:20:00 AM

A wise person once told me there are only 2 levers in business. You can do one of two things to succeed profitably. You can increase your revenue or decrease your expenses.  It’s really that simple.  To improve profitability you must either increase your revenue or decrease your expenses. I’ve personally been part of organizations that were growing as well as those that were not growing, even shrinking in revenue. Let’s start with growth though.

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Topics: physician contracts

How to Streamline Operational Compliance Through Physician Contracts

Posted by Gail Peace on Aug 21, 2017 10:00:00 AM

Health care organizations pay physicians for a variety of duties that are not patient care based, but are more administrative or perhaps task based activities that are for the benefit of the company, not necessarily the physician. These activities are not defined as productive time, meaning the physician cannot bill insurance companies or a patient for this time. It is work being performed on behalf of another organization, not a patient. Over time, health care organizations such as hospitals, device companies, large physician groups, pharmaceutical companies have had to pay physicians a fair hourly rate for all the hours asked of physicians.

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Topics: physician contracts

Returns Hospitals Expect from Physician Contract Logging Software

Posted by Gail Peace on Aug 15, 2017 10:00:00 AM

So your organization has a contract management system, meaning your physician contracts are covered right? WRONG.

Contract management systems do a great job of managing the development of new physician contracts, executive approval, and any redline changes that are made on the various versions. Once signed, the contract management system is not the best place to manage the activity on these contracts. The day-to-day management falls to the operational and financial side of the house.

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Topics: Physician Time Logging

3 Physician Contracting Errors Hospitals Cannot Afford to Make

Posted by Gail Peace on Jun 28, 2017 9:22:12 AM

The regulatory environment dictates that hospitals who contract with physicians meet specific conditions in order for the contract to be legal. The conditions are meant to ensure the physician payment is not based on volume or value of business because it can lead to overusing services and increasing overall costs of care. Technically violating your own contracts can lead to multi-million dollar settlements.

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Topics: physician errors, physician contracts, physician payment, physician contracting errors

3 Strategies to Cut Physician Expenditures

Posted by Gail Peace on May 17, 2017 12:15:00 PM

Hospitals pay a plethora of physicians in a variety of ways. Some are employed. Some manage the clinical components of service lines in tandem with hospital leadership in co-management arrangements. Some are service line leaders. Some provide on-call coverage for the hospital. Some teach residents or interns at the hospital.

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Topics: physician management, physician spending, hospital spending

Does your Hospital Manage Physician Agreements Correctly?

Posted by Gail Peace on May 8, 2017 9:55:00 AM

Physician agreements are complex with tremendous detail around how the relationship will be governed, what duties are included and how compensation will work. While most organizations are quite proficient in the setup of these agreements, few are very good at managing the complexities of the agreement after they are executed.

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Topics: physician agreements, physician duties, hospital management

How to Construct the Optimal Physician Contract

Posted by Gail Peace on Mar 14, 2017 1:48:31 PM

Physician contracts should, in theory, be created using templates as a best practice. The reality is that physician contracts are like snowflakes: it’s difficult to find two that are alike. In practice, having too much variation in your physician contracts can be detrimental to the organization. High level of variation can lead to operational problems while trying to execute agreements.

Ludi has had the pleasure of reading close to 7,500 physician contracts in the last three years. From this experience comes a tip sheet on how to construct the optimal physician contract.

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Topics: physician agreements, physician contracts, physician management

3 Financial Benefits of Using the Right Physician Software

Posted by Gail Peace on Mar 10, 2017 9:16:38 AM

Over the last five years, the industry has been largely focused on ensuring physicians have an Electronic Medical Record (EMR) in their private practices to capture clinical practice time. There has been a focus on capturing the work flow to collect the clinical documentation and to ensure the appropriate variables are accurate for billing. These systems are expensive and time consuming to implement.

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Topics: revenue cycle management, physician software