Medical Group Suite of Services
Health Care Futures’ health system employed medical group suite of services reflects our firm’s deep understanding of the critical importance of a high performing aligned medical group to overall health system success. This is a core focus of our firm, and inclusive of the following skills and related expertise:
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- Group strategy/formation: Definition/confirmation of the “why” behind an employed provider model, and the “what” in terms of needed points of alignment with health system strategy. Specific areas of focus include:
- Quantification of strategic value proposition for employed medical group
- Assessment of medical group contribution sufficiency to health system performance
- Access/sizing and specialty composition appropriateness and opportunities
- Identification of growth opportunities and timing
- Geographic ambulatory distribution
- Medical staff interface
- Community provider strategy and connectivity
- Board education on medical group integration and value performance
- Group strategy/formation: Definition/confirmation of the “why” behind an employed provider model, and the “what” in terms of needed points of alignment with health system strategy. Specific areas of focus include:
- Governance/leadership: Definition/assessment of medical group leadership sufficiency and effectiveness. Specific areas of focus include:
- Medical group governance role and structure (e.g., committees, ties to health system)
- Multispecialty interdependencies
- Provider compensation philosophy and model development/oversight
- Physician leadership structure
- Physician leadership development
- Policies and procedures development
- Compensation model assessment/development: Assessment/development of provider compensation approach that provides equity across practices/subspecialties, is market competitive to attract and retain high value providers, is supportive of enterprise strategy, and is aligned with physicians’ unique goals/directives such as service line development, academic mission, leadership, etc. Specific areas of focus include:
- Definition of the “Why” for needed compensation design change
- Planning collaborative facilitation
- Compensation policies definition
- Change management process definition and facilitation
- Implementation support
- Management support
- Team based care delivery compensation considerations (use of APPs, APP compensation, etc.)
- Group practice strategic payer positioning (CIN/ACO): Assessment of medical group positioning strategy relative to local and state payer trends and dynamics. Specific areas of focus include:
- Payer market assessments including ACO, Medicare Advantage, Managed Medicaid, and commercial product enrollments and trends
- Market area/regional direct to employer activities
- CIN/ACO performance and/or opportunity assessments including feasibility, growth, provider compensation, governance
- Risk performance at enterprise and medical group level
- Performance assessment/turnaround: Diagnostic assessment of medical group performance across key operational, enterprise and strategic domains. Specific areas of focus include:
- User forum facilitation
- Scorecard/standard tool development to gather consistent data
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- Administrative support: Provision of tools and objective third-party services including but not necessarily limited to:
- Compensation calculator and processor
- Compliance automation– tools under development to automate annual review
- Data management: Work with independent third-party data vendors in timely, comprehensive and accurate capture, analysis and reporting of provider specific clinical and compensation related performance data