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2021 Stark Law and Anti-Kickback Statute: Fair Market Value …

WebThe Stark Law and Anti-Kickback Statute. On November 20, 2020, the U.S. Department of Health and Human Services (HHS) published Final Rules for the Physician Self-Referral …

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URL: https://hsgadvisors.com/articles/the-2021-stark-law-and-anti-kickback-statute-fmv-and-commercial-reasonableness/

Healthcare Provider Productivity: Why It Matters HSG Advisors

WebWhen mentioned by physicians, APPs, and other direct care providers, the phrase invokes laments about excessive workloads, unrealistic expectations, not having enough time …

Category:  Health Go Health

Evolution of Healthcare Key Performance Indicators (KPIs)

Web3. PERFORMANCE ON RISK CONTRACTS. This KPI has two core elements: 1) spending on patient care vs. target (medical loss ratio in insurance terms) and 2) performance on …

Category:  Medical Go Health

Advanced Practice Providers (APPs): Who Are We Talking About

WebHSG Advisors is a national healthcare consulting firm that partners with hospitals and health systems to transform their approach to markets, services, and providers for improved …

Category:  Health Go Health

Population Health Management: What’s Your Strategy

WebPopulation health management is the union of the structural system aspects of population management and population medicine with the clinical goals targeted by population …

Category:  Medicine Go Health

Healthcare Consulting and Data Analytics I HSG Advisors

WebExperience the Difference of Unparalleled Data Backed by Market-Leading Healthcare Analytics and Hands-On Advising. HSG Advisors partners with hospitals and health …

Category:  Health Go Health

Management of Healthcare Organizations: Employed Physician …

WebSuccessful management of healthcare organizations is no simple task. Your employed physicians are your most important asset. In the evolving healthcare environment, your …

Category:  Health Go Health

Strategic Planning in Healthcare (Primary Care Growth Case Study) …

WebPrimary Care Growth Leads to 75% Increase in Hospital Net Revenue. Thoughtful strategic planning in healthcare can produce great results. This organization experienced a 75% …

Category:  Health Go Health

Market and Service Line Growth Strategy HSG Advisors

WebTrack delivery of patient care by individual providers, practices and physician groups by specialty, allowing health systems to have insight into how individual groups and …

Category:  Health Go Health

Physician Compensation: FMV and Commercial Reasonableness Risk

WebYes, base compensation, expected total compensation, and productivity targets are essential and carry a significant amount of weight in FMV determination, but other factors …

Category:  Health Go Health

Top Three Issues Hospital CEOs Face Today – HSG

WebEach year the American College of Healthcare Executives (ACHE) sends a survey to over 1,000 hospital CEOs in hopes of learning something new about what’s on the minds of …

Category:  Health Go Health

Five Referral Leakage Metrics Your Network Should Track

WebPrioritization of information that is most relevant to support current strategic initiatives is critical to successfully using claims data and not getting lost in the details. Below are five …

Category:  Health Go Health

Best Practices: Engage Physicians in Strategic Planning, or Fail

WebIn fact, our key differentiator in strategic planning engagements is the level of physician engagement we recommend. Our observations on best practices are as follows: Engage …

Category:  Health Go Health

Service Line Strategy In 2020 HSG Advisors

WebHSG can help your health system build and implement a service line strategy or specific service line improvement plan, which can greatly impact the effectiveness of the overall …

Category:  Health Go Health

Setting Up a Physician Advisory Council – HSG

WebIdeal Physician Advisory Council membership composition varies according to the employed physician network’s size and complexity. Provider membership should be relatively …

Category:  Health Go Health

Three Tips for Measuring Provider Productivity

WebBased on our findings and recommendations, here are three tips to improve the way employed physician networks measure physician productivity. Tip #1: Understand the …

Category:  Health Go Health

Study: Transforming an IPA into a Clinically Integrated Network

WebFor example, in two-and-a-half years, a clinically-integrated, 1000-member, Independent Physician Association (IPA) now ranks among the most successful ACOs in the country. …

Category:  Health Go Health

Developing a PHO: 6 Key Considerations

WebThe result: a spike in Physician-Hospital Organization (PHO) activity, with hospitals and health systems reviving PHOs that have languished since the ‘90s or starting new PHOs …

Category:  Health Go Health