![Josh Halverson Web](/Areas/CMS/assets/img/blank.gif)
Tell us about your history working as a healthcare consultant.
我去了明尼苏达大学读研究生,以为自己想成为一名医院的首席执行官. But after working with one all through graduate school, I discovered it was not the job that I was interested in. 所以我被一个咨询项目吸引了这个项目是在我工作的医院里进行的, “Hey, they’re doing the stuff that is really interesting to me.” I was pretty naive and didn’t really understand what consulting meant, but that’s what initially introduced me to it.
从研究生院毕业后,我进入了西雅图的Arthur Anderson公司的医疗战略实践部门, and worked there for a couple of years. That was where I was really introduced to consulting, and the glamorous and not-so-glamorous parts of it.
大约两年后,我想跳槽到一家专门从事医疗保健的公司. I interviewed with about three different firms and decided to go with ECG, and I’ve been here for almost 20 years. 我说“几乎”是因为我离开了大约18个月,再次在这个行业工作. I knew within six weeks that I had made a mistake. 我认为我天生就是一个解决问题的人,我发现我真的很喜欢咨询的多样性. So I came back to ECG and have since helped establish our St. Louis and Dallas offices, and now lead our provider compensation services.
您能否描述一下2019冠状病毒病对生产或供应商补偿的影响,组织已经或计划在2021年做出的改变?
与我合作过的组织大多已经从春末夏初的业务量下降中恢复过来. 我们目前正在经历的COVID病例的增加给需要再次关闭的可能性带来了很多不确定性. 在过去的这个夏天,各组织所做的是制定稳定云顶集团40011官网薪酬的措施, by providing base compensation when compensation was tied to production. I suspect that organizations would do that again for round two. During this period, 组织已经发现,他们在稳定供应商薪酬方面投入了大量资金,并且对保证水平相当慷慨. Due to the financial strain organizations are currently under, I suspect that this time the guarantee levels will not be as generous.
Besides COVID, 一些组织遇到的直接问题是围绕医疗保险费用表的变化. With all these balls in the air creating instability, 我们鼓励我们的客户确保他们的计划是灵活的,并适应我们面前的不确定性.
You mentioned the Medicare rule changes. 您对医疗保险2021年MPFS规则的变化将如何影响组织有什么见解吗?
The Medicare Fee Schedule is basically moving toward E&M codes. Those specialties that are concentrated on E&M codes are going to be positively impacted. The procedure-based specialties, all things being equal, are going to be negatively impacted in terms of productivity.
所有这一切的挑战在于,联邦医疗保险已经表示,他们需要保持成本中立. Essentially, 他们提议降低医疗保险为云顶集团40011官网云顶集团支付的整体转换系数. 这就造成了全面报销的相当大的减少. So even though productivity or RVU values will be up, the reimbursement that follows that RVU will be down; significantly down in those specialties that are procedurally oriented.
考虑到这些重要的市场和监管力量,2021年及以后的薪酬计划或PSA资金将如何变化?
Anything that’s connected to an RVU is going to be different, meaning that we expect, on average, RVU measures to go up; and if the pay rate per RVU is not changed, 总体资金和薪酬将在生产率不变的情况下增加. That increase will be based on changes to the fee schedule.
Now, 我们正在与客户讨论的是调整PSA或补偿计划的每RVU支付的正确方法. 一种方法是改变费率或降低每单位的支付率,以与新的医疗保险费用表保持一致. The other approach that we’re seeing is to say, “我们将等待实施2021年的收费表以及其中的所有变化,直到我们更清楚地了解对报销的影响.”
The secondary effect of these changes is their impact on the survey data. It will be challenging to normalize self-reported RVUs, because everyone’s going to be using a different fee schedule. We do expect some volatility in the benchmark data, 但我们正在与客户合作,以确保我们正在捕获或开发方法,以减少调查的杠杆作用. And while surveys are still very important, looking at historical levels of compensation, at the organization’s financial perspective or position, 利用无数的市场因素来调整薪酬,而不是依赖单一的基准,永远是做出判断的最佳方式.
ECG有什么独特的资格来帮助组织进行薪酬规划和PSA融资,以解释这些市场动态?
我的简短回答是,ECG是一家从事补偿工作的医疗保健公司,而不是一家试图从事医疗保健的补偿公司. We are experts in all aspects of physician and provider reimbursement, and we have teams focused on operations as well as compensation design. 这种专业知识使我们能够深入了解对专业经济有重大影响的报销变化. 实践范围规则变化的操作方面是参数变化的一个例子,在进行激励设计时必须考虑这些参数.
Lastly, our proprietary tools and surveys capture CPT code–level data. As a result, 实际上,我们可以根据收费时间表来模拟和模拟生产力的变化. 我们的自定义报告和基准将能够显示两种费用表之间的生产力差异. 我们也有一个非常重要的成本调查,这使我们能够在一个综合云顶集团40011官网中捕捉到专业的实践经济学, understand the revenues and expenses by specialty service line, 根据公司的经济表现,计算出合适的薪酬水平.
对于薪酬云顶集团部正在帮助客户解决的挑战,您还有什么想说的吗?
我们已经经历并将继续经历一个动荡和混乱的时期. 最重要的是,这种不确定性导致许多医疗云顶集团提供者感到过度劳累和精疲力竭, there’s the changing economics; and on top of that, changes to compensation. 因此,当供应商考虑赔偿时,我们感觉到他们精疲力竭, and that’s contributing to the challenges they’re facing. But from our perspective, when an organization takes on a change in compensation, especially in a time like this, 过程本身和过程的结果一样重要. Change management establishes the reasons why change is critical. And so from our perspective, 这些都是组织成功迁移到新的薪酬计划所必需的成分.
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Contact UsPublished December 8, 2020