Independent Practice vs Hospital Affiliation/Foundations. What is your Strategy for the Future?

Event Information
Product Format
Prerecorded Event
60 Minutes
Product Description

Know the Pros and Cons Before You Choose to Merge/ Affiliate


As times are changing, there are many practice opportunities for the physicians to consider for the future. Will you remain in solo practice? Merge with others to form a bigger single specialty, multispecialty group or ACO? Be employed by a Hospital?  Or join a Foundation or University Affiliation?

This informative session by Debra Phairas will present a balanced discussion of options and issues for physicians to consider before making these important practice decisions. You will be equipped with charts which contrasts independent physician culture vs. hospital culture, contains examples for compensation model utilizing WRVUs, and includes contract examples detrimental to physician/patient relationships.    

Topics Include:

  • Is solo or small group practice viable for the future?
    • How to survive and thrive by savvy management and marketing?
    • Is the “concierge” model right for me?
  • Merger mania – Should you merge with others?
    • Single specialty or MultiSpecialty – pros and cons
    • Important elements  in merging  – deal makers  and deal breakers
    • Can merging reduce expenses/increase net income, maintain independence, and increase contracting power to remain in private practice?
    • Will merging position the group for future acquisition?
  • Joining a foundation, university affiliation or hospital outpatient clinic model
    • When to consider an offer and how to assess an offer?
    • Will goodwill or intangible asset value be included or excluded and how will this be valued?
    • How will tangible assets including equipment be valued?
    • How many years should the contract be guaranteed?
    • Governance and decision making ability
    • Compensation models including base salary and $ per Work RVU – How this works
    • What will it be like being an employee?
    • What if I want to leave?

Session Snapshots:

  • Options for the future: Solo, concierge, mergers, IPA/network models, affiliations, ACO and more
  • Reasons for consolidation
  • National survey on burnout among physicians
  • State of medical malpractice
  • Reasonable panel for primary care docs
  • Dissecting solo practice statistics
  • Increasing trend in concierge practice
  • Viability of practice merger
  • Trends in hospital practice acquisitions
  • Hospital employment vs. foundation
  • Developing a successful integrated program
  • Mercer Study
  • Outpatient clinic of hospital 1206-B
  • University affiliation
  • Advantages of hospital/foundation/university integration
  • Valuation methodologies
  • Professional autonomy: asking yourself the tough questions
  • 3 centrepieces in hospital owned physìcian group compensation plans
  • All you wanted to know about WRVU calculation
  • AMA's advice; looking at the current trends
  • Prìvate practice group vs. hospital foundation model

Who should attend: Physicians, Practice Managers, Hospital Business Development Executives & Hospital Administrators.

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About Our Speaker

Debra Phairas

Debra Phairas, MBA, is President of Practice & Liability Consultants, LLC a nationally recognized firm specializing in practice management and malpractice prevention. Her background includes medical clinic administration and loss prevention management for NORCAL Mutual, a physician malpractice insurance carrier in Northern California. Her BS is from Michigan State University and her graduate work at Golden Gate University, San Francisco MBA Health Services Administration program. Her consulting experience...   More Info
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