Bøger af Justin Chamblee

The current era of healthcare alignment among physicians, hospitals, and outside independent investors has been underway for 10-15 years. Given this, many of the original contracts that formed the basis of these arrangements have (or will soon) expire. Thus, we refer to these new deals as "e;second generation"e; transactions. As the system moves toward a more value-based, fee-for-value reimbursement environment, newer alignment vehicles, such as accountable care organizations (ACOs), clinically integrated networks (CINs), and patient-centered medical homes (PCMH) are beginning to take shape. More physician compensation models now include at least partial incentives for performance, as measured by such matters as specialty-specific quality metrics, cost efficiency metrics, meaningful use of electronic health records, and other parameters.Starting with a review of "e;First Generation"e; physician compensation models, the authors then detail components of "e;Second Generation"e; models including:How Value-Based Reimbursements of the future call for adjustments to the Volume-Based incentives of the past.How to engage physicians in alignment initiatives that are favorable to both parties.How to approach the imperative today of improved quality of care coupled with decreased costs of care.How to be profitable in a demanding, competitive, and highly-regulated environment.BONUS INCLUDED! Actual templates for your use:Letters of Intent Comparative ReviewSummary of Key Terms in Physician Employment AgreementsProfessional Services Agreement for Specialty ServicesManagement Agreement

RVUs at Work: Relative Value Units in a Changing Reimbursement World, 3rd Edition is a practical print (and eBook) by Coker Group's Max Reiboldt and Justin Chamblee that gives medical practices roadmap for the transition from fee-for-service to fee-for-value-based payment systems.The reimbursement models are in transition causing confusion and uncertainty in the healthcare community. (MACRA and MIPS) By using RVUs in the correct manner, there is confidence that the provider gets paid for all the services he or she is rendering.This book provides the latest information on RVUs and applies working knowledge to executives who are tasked with measuring various areas of productivity in the medical practice within the current healthcare landscape. Specific recommendations around physician productivity in the context of RVUs and the accountable care era are covered, including quality outcomes and allowable reimbursement.Noteworthy Features for the 3rd Edition:Although RVUs (Relative Value Units) were created as a payment methodology for Medicare, they have evolved into a valuable practice management tool used to track provider productivity, measure and define costs, negotiate managed care contracts, compensate physicians and benchmark key indicators. If you aren't tracking them and using them to their full value in medical practice management, you're missing a key piece of your practice's successThe transition from fee-for-service to fee-for-value-based payment system is extremely concerning to healthcare providers. This book unwraps the critical issues and presents solutions for handling these challenges. Read this book and you'll have a feeling of competency in this confusing reimbursement system.This book is directed to the following: Physicians, Practice Administrators and Office Managers, Hospital Network Administrators, Consultants, Revenue Cycle Managers, Healthcare Attorneys.