Clinical Co-Management Arrangements: What Are You Paying For?

by Karin Chernoff Kaplan, Director & Richard Chasinoff, Principal
hfm Blog
May 1, 2017

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Karin Chernoff Kaplan and Rich Chasinoff underscore the importance for a hospital entering a co-management agreement with physicians of clearly defining the services the physicians will provide under the agreement.

Beyond Benchmarks: Five Considerations in Structuring Physician Compensation Arrangements

by Denise Palencik, Manager

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Healthcare system executives are well aware that physician employment agreements must be consistent with Stark and Anti-Kickback legislation requiring that they not pay more than fair market value (FMV) for any services provided or received. However, quantitative benchmarking is only part of the story. As regulatory scrutiny continues to increase, it is imperative that certain […]

The Advantages and Limitations of Practice Leases

by Rich Chasinoff, Principal & Karin Chernoff Kaplan, Director
hfm Blog
May 12, 2016

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Veralon’s Rich Chasinoff and Karin Chernoff Kaplan explain how practice lease arrangements between hospitals and physicians are a way to achieve alignment without a change in ownership.

Fair Market Value Versus Strategic Value

by Karin Chernoff Kaplan, Director & Denise Palencik, Senior Associate
HFM Blog
February 2015

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  In evaluating the fair market value (FMV) of healthcare entities, we often are asked why we do not adjust the revenue stream of the business being evaluated to reflect the payment rates of the potential buyer. The answer is based on the Stark and Anti-Kickback statutes, and in the difference between FMV and strategic […]

Physician Compensation Fair Market Value: The Perils of “Compensation per Work RVU” Benchmarks

by Karin Chernoff Kaplan, Director
HFM Blog
May 2014

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Many hospitals, physician groups, and consultants use published physician compensation surveys as one way to set compensation levels and limits and ensure that compensation is within fair market value. Although the data in these published surveys can be valuable, these data also, unfortunately, are easy to misapply, resulting in compensation that does not meet fair […]

Raising the Bar on Quality Incentives In Physician Compensation

by Karin Chernoff Kaplan, Director
HFM Blog
May 2015

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The transformation to a value-based healthcare system is underway, as is the spread of programs that pay physicians for improving the quality of care. Whether called value-based payment, paying for quality, or pay-for-performance, such programs are becoming a more significant aspect of compensation for employed physicians and in co-management agreements—but they are not always used […]

Determining Appropriate Physician Compensation Levels

by Karin Chernoff Kaplan, Director & Rich Chasinoff, Principal
HFM Blog
June 2015

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  Providers and valuators often are tasked with determining the fair market value (FMV) of employee compensation arrangements. Although each arrangement has unique issues, most valuation processes start by looking at quantitative measures. Creating a buttoned-up analysis supported by published benchmarks is relatively simple. However, qualitative factors also influence compensation FMV. The Quantitative Standard Using […]

Recent Settlements Suggest Need for Greater Caution Around Physician Deals

by Stuart J. Schaff, Manager & Sean Looby, Senior Associate

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A parade of headlines announcing record-breaking settlements (chart below) has left healthcare executives, lawyers, consultants, and even physicians wondering if they could be exposed to regulatory or legal action as a result of any of their employment or other physician-hospital alignment arrangements. The government’s incredible return on investment on enforcement actions, as well as a […]