In order to stay abreast of the latest news and trends in this fast changing environment, we decided to start a blog. The Coker Group Report allows our consultants the opportunity to share postings on their thoughts and insights on topics relevant to everyone who is interested in healthcare.

Bundled Payments on the Horizon: New Medicare Payment Program

On January 20, 2018, the Trump administration announced it was starting a new Medicare payment program. The New York Times reported that under the new initiative, “…Medicare will make a single ’bundled payment’ for nearly all the services provided in a 90-day period to certain Medicare patients who are admitted to a hospital or […]

By |January 11th, 2018|

Advanced Practice Provider Compensation Alignment as a Strategy Multiplier: Implementing Value-Based Reimbursements

By Stephen Ross, MHA, FHFMA, CMPE, Manager | Coker Group

It is easy to recognize that the healthcare industry is moving from a predominantly fee-for-service model to a value-based reimbursement system that rewards both hospitals and physicians based on quality outcomes, cost efficiency, and patient experience. Broad-scale payment reform initiatives, such as MACRA and MIPS, […]

By |November 15th, 2017|

Healthcare Cybersecurity: Is Your Data Protected?

Healthcare cybercrime, a form of online terrorism that has been impacting other industries over the past 20 years, is now threatening the very safety and well-being of our nation’s healthcare system. Daily, we read about security breaches in small, medium, and large healthcare organizations that often affect hundreds, thousands, or even millions of people […]

By |July 5th, 2017|

Implement Healthcare Leadership Development to Maximize Profitability

Depth of  healthcare leadership development is vital to an organization’s strategic success. Further developing the members of your organization’s leadership team  pertinent to decision making style and effective communication amongst the team is an important step in culture building and in ultimately implementing strategy. Coker Group has the experience not only to assist you […]

By |July 5th, 2017|

Looking For a High-Quality Healthcare Business Valuation?

The healthcare reform, reimbursement pressures, increasing operating costs, and capital needs are stimulating merger and acquisition activities involving hospitals, medical groups, physicians, and other healthcare businesses to occur at a rapid pace. From initial strategic planning to the finalization of the transaction, and to post-transaction financial reporting, subject business valuation plays an integral role […]

By |June 12th, 2017|

Physician Compensation Advice: Are Your Compensation Arrangements Fair Market Value and Commercially Reasonable?

A look at healthcare news articles should highlight the government’s focus on compliance with respect to physician compensation arrangements. Tuomey, Adventist, Halifax, Citizen’s Medical Center, Broward Health… the number of recent settlements are becoming too numerous to track. In response to this, health systems should increase their focus on compliance in this arena, looking […]

By |June 12th, 2017|

Aligning Hospitals and Physicians – Clinical Co-Management Agreements

Many are aware that the healthcare industry is moving from a pure fee-for-service model to one that rewards both hospitals and physicians based on quality. Primarily, however, reimbursement is still based on fee-for-service, with significant uncertainty about how the specifics of future reimbursement paradigms will look.However, such reimbursement clearly will be based on factors […]

By |April 21st, 2017|

Revenue Cycle Management-How Well is Your Practice?

Revenue cycle management and operations are dynamic with many different components impacted by variables within practice operations. Given the diminishing margins in healthcare, proper attendance to RC processes is essential. And, with the slow crawl toward value based reimbursements and the nuances and technicalities of bundled payments, it is more crucial than ever to […]

By |April 21st, 2017|

Physician Community Need Assessments in the Age of Employment

Many hospital administrators, recruiters, and planning professionals who recruit physicians know the value of a Community Need Assessment (CNA). Documentation of need is more relevant today than ever, even when employing physicians. The original purpose of a medical staff assessment was to provide hospitals with an “objective party” analysis and the documentation to justify […]

By |April 21st, 2017|

What Are Your Margins? Owing to MACRA/MIPS, They Soon May Change

Historically, privately held medical practices have “dropped” excess cash through to the bottom line to pay the physician owners/shareholders (Figure 1).
Figure 1

Generally, hospitals compensate employed physicians exclusive of the system’s cost structure to run the practice (Figure 2).
Figure 2

Of late the mantra rippling across the country is “value vs. volume” or, put more linearly, […]

By |March 6th, 2017|