Contact Presscott Associates today to discuss your needs for IDS strategies and physicians’ compensation and productivity.

INTEGRATED DELIVERY SYSTEMS

We add the value of economics to the delivery of care.

Integrated delivery systems (IDS) were initially developed in response to the proliferation of managed care entities during the closing decades of the prior millennium. Throughout this initial wave, Presscott Associates was instrumental in the formation of several physician-hospital organizations, independent practice associations and management service organizations. Presscott Associates has continued to assist IDS organizations with revenue and expense management and operational improvements. The new millennium has ushered in unprecedented healthcare reform characterized by changing financial incentives (see Revenue Chain Management), evolving service delivery models, and a focus on service quality. This environment is ripe for the resurgence and continued development of value-driven IDS initiatives. Presscott Associates can assist your organization accomplish the following:

Initiate the process of optimizing hospital/physician alignment (e.g., financial incentives) as well as clinical integration and develop an IDS value proposition (see Strategic Relationship Management)
Evaluate your existing IDS to determine the reorganization needed to respond to current marketplace demands
Design a survey to assess provider interest and the feasibility in your marketplace of forming an IDS
Facilitate the development, based on evaluation and/or survey findings, of an IDS structure appropriate for your delivery system needs and goals
Draft a business plan for the development of the IDS
Work with key hospital/physician leaders to advance and realize the implementation of the IDS
Assist the IDS in designing systems for measurement, analysis and improvement of patient care

Develop bundled payment methodologies (i.e., facility and professional services) for episodes of care
Create a shared-savings model for both providers and payors

Recruitment and retention of quality primary and specialty care physicians are essential to the long-term success of the value-based IDS models (see Economic Value Analysis). Determination of appropriate physician compensation must take into consideration practitioner productivity, payor reimbursement, practice profitability and quality of care. Presscott Associates can assist your IDS in addressing physician compensation-related issues through the following:

Evaluation of physician compensation arrangements utilizing national physician compensation data to identify appropriate ranges of compensation, taking into account physician education, board-certification and experience
Comparison of specialty-specific physician compensation and productivity to regional and/or national benchmarks
Identification of key compensation issues in physician agreements
Drafting compensation models for IDS based on productivity goals and financial incentives
Conduct physician practice valuations to form the basis for an employment arrangement or purchase of the practice

Contact Presscott Associates today to discuss your needs for IDS strategies and physicians’ compensation and productivity.