Outsourced physician agreements include areas such as outsourced emergency services, outsourced anesthesia, and radiology services.
These critical agreements support healthcare organizations in vital areas.
Stark I and Stark II mean outsourced physician services agreements require another level of scrutiny and demand market competitive reviews.
Cost savings opportunities in these agreements are available in four areas:
1. Subsidy payments
Physicians may require additional payments outside of contract terms due to losses or providing extra services.
At VIE Healthcare®, we recommend close analysis of all subsidy payments.
Hospitals must ensure reasons for subsidy payments are substantiated before agreeing to them.
Subsidy payments can be requested if reimbursements are lower, or physicians invest more time than anticipated in providing an agreed service.
All subsidy payments should be reviewed annually.
2. Risk agreements
Is the agreement a shared risk with the physician or a no risk agreement?
The performance of the physician group must be aligned with the hospital.
At VIE Healthcare®, we recommend a shared risk or a shared performance risk for all outsourced physician services agreements.
3. Market competitiveness
Hospitals must closely scrutinize all rates, terms and salaries within every agreement.
When benchmarking services, we look at cross pollination of rates in all areas, especially salaries.
Benchmarking to ensure market competitiveness is a core requirement of federal regulations.
4. Analyze the line item details
Like every outsourced service, the invoice line item details for outsourced physician services must be analyzed every month.
Outsourced physician services agreements must also be reviewed annually, even for a five-year agreement.
Due diligence in managing these agreements is essential, whether your hospital is renewing a contract, starting a new one, or reassessing its terms.
VIE Healthcare® Consulting works with hospitals to simplify and standardize outsourced physician services agreements and support them in achieving their cost savings goals.
Reach out at [email protected] to discuss your cost savings goals and how we can support and accelerate cost savings opportunities in your organization.