Wednesday, November 14, 2012
Willaim Cors, Chief Medical Quality Officer of Pocono Health System in East Stroudsburg, PA, and Dean Nicastro, a healthcare attorney with Pierce & Mandell in Boston have both commented on ways to ensure a successful physician-hospital alignment before the physician starts employment. These experts offer you the following 4 tips for negotiating a satisfying and surprise-free physician employment contract.
The 4 tips are:
1) Begin Negotiations with your Offer Letter
2) Read and Appreciate what you are Signing
3) Know the Most Important Provisions to Address
4) Recognize the Contract's Purpose
The article goes on to elaborate on each tip. It is crucial for physicians to have a full understanding of the entire employment agreement and contract prior to starting to ensure a successful, long-term employee engagement.
Read the full article at Fierce Practice Management, or click here: http://www.fiercepracticemanagement.com/story/physician-employment-4-tips-successful-contract-negotiation/2012-11-05?utm_medium=nl&utm_source=internal
Tuesday, October 23, 2012
Chuck Peck and Deborah Walker Keegan, PhD, FACMPE are two presenters during the MGMA conference that spoke about ways private practices can continue to be profitable if healthcare reform is fully implemented.
To read more about their presentations and suggestions for private practices to remain strong through healthcare reform read an article at Physician's Practice, or click here: http://www.physicianspractice.com/mgma12/how-healthcare-reform-will-influence-private-practices?GUID=98C7CA21-2AF6-465B-A27F-FC956DFC383F&rememberme=1&ts=22102012
Monday, October 22, 2012
Read the full article at MedScape, or click here: http://www.medscape.com/viewarticle/772563_1
Friday, October 19, 2012
Physician's Practice has published an article on how physician's can pro-actively embrace these changes, including new ways of collaborating with hospitals and health systems as opposed to fighting the relationships, to plan for a positive change in an uncertain healthcare environment.
Read the full article in Physician's Practice, or click here: http://www.physicianspractice.com/mgma12/turning-hospital-physician-conflict-collaboration?GUID=98C7CA21-2AF6-465B-A27F-FC956DFC383F&rememberme=1&ts=19102012
Tuesday, August 21, 2012
The merger of practices into RC2A was a way of getting ready for the era of accountable care. As ACOs take hold as a central component of healthcare reform, providers will have to focus more on care coordination and on collaboration, no matter where patients come from or are referred to. Beyond economics, the new practice wants to improve the quality of care and advance research as well. Licitra says the practice is looking also at ways to reduce hospitalizations to ensure a better quality of life for people being treated for cancer.
Read the full article in MedScape, or click here: http://www.medscape.com/viewarticle/768815
A hospital or health system purchasing an existing practice is another way hospital employment is increasing in physician employment models.
Read the full article in American Medical News, or click here: http://www.ama-assn.org/amednews/2012/08/13/bisd0814.htm?utm_source=nwltr&utm_medium=heds-txt&utm_campaign=20120820
Thursday, August 16, 2012
It is hard to consider every factor when evaluating several different opportunities; here is a checklist from Adventures in Medicine noting a few key points in evaluating an offer.
Read the full article by clicking here: http://www.adventuresinmedicine.net/doctor-career/6-critical-questions-to-ask-when-evaluating-a-practice/?goback=%2Egde_76194_member_147576360
Thursday, August 9, 2012
Hospitals and groups that are able to anticipate future need and willing to sign physicians in excess of 1 year prior to their availability will get the best choice of top physicians out of leading training programs.
Many 2013 residency or fellowship graduates have already signed with positions to start next summer, many others are in the process of interviewing and selecting positions to start once they complete their training.
Read more in an article from Physician's Practice by clicking here: http://www.physicianspractice.com/blog/content/article/1462168/2095255
Tuesday, August 7, 2012
Market trends are making it harder to stay competitive and with all of the attention to quality of life hospital employed opportunities are becoming more appealing to many physicians, however there will always be room for those physicians who wish to operate a private and even solo practice.
Healthcare Finance News has published a recent article on how solo practice physicians can thrive in even this market, and how there will be room for a solo model in any market condition. Solo physicians may have to shift to adjust to market trends and stay competitive, but they will never be completely phased out.
Read the full article by clicking here:
Monday, July 23, 2012
Monday, July 16, 2012
According to a recent survey by the American Medical Group Management Association and Cejka Search, 21% percent of U.S. physicians are working part time, compared with 13% in 2005.
It's important for physicians to approach the contract negotiation process of part-time employment opportunities just as a full-time employment situation. The same issues need to be determined and can also be negotiated during the signing process and before the physician commits to any agreement. Employment status, compensation, benefits, and insurance all need to be in clear, written format, as well as the work expectations of the physician and other clinical issues such as call and restrictive covenants.
American Medical News has published an article outlining other issues to ensure a part-time employment contract is mutually beneficial to both parties. Read the full article by clicking here: http://www.ama-assn.org/amednews/2012/07/16/bicb0716.htm
Wednesday, July 11, 2012
This article recently published in the New England Journal of Medicine elaborates on different types of employment models offered as well as an assessment of the risks and benefits associated with each respecitve model.
To read the full article click here: http://www.nejmcareercenter.org/article/6541/sustainable-income-understanding-the-benefits-and-risks-of-various-compensation-models/
Friday, June 22, 2012
There is so much press regarding the trend towards hospital employment, but for those physicians dedicated to a private practice model, how do you survive amongst all of the other local physicians becoming employed by the larger hospital systems? As more and more physicians take positions in hospital groups, independent practitioners face an array of challenges.
If you are a physician with a practice in an area where the hospitals have acquired many of the local physicians, you may be finding it increasingly difficult to survive. To counterbalance the power of hospitals, private practice physicians and their partners can form a larger single-specialty group, an independent practice association (IPA), or some other clinical integration vehicle.
As hospital competition grows, physicians in private models are finding other options to remain competitive and profitable. Some options private practice physicians have in order to compete with local employed physicians are IPAs, physician-hospital organizations, and group practices without walls. Smaller practices can unite to leverage themselves against larger, employed systems.
There will always be a place for the private practice physician, and private groups can remain profitable in every employment climate, although they may have to evolve with the times.
Read more in the MedScape article by clicking here: http://www.medscape.com/viewarticle/765250
Thursday, May 24, 2012
The site has also created slides to determine how physicians are currently faring with the recent government changes implemented last year. They also provide information and guidance on how to cope with shifting reimbursement while maintaining income during transitions.
Access the full report by clicking here: http://www.physicianspractice.com/physician-compensation-survey/content/article/1462168/1979110?pageNumber=2
Tuesday, May 22, 2012
As always geography is the most limited option when evaluating physician opportunities, the larger and more desirable cities will always offer positions based on supply and demand, and there continues to be significant demand from physicians for bigger metropolitan areas with significant medical and educational presence.
According to a recent article in Physician's Practice blog site, healthcare employment remains strong for physicians seeking positions, employers seeking physicians have a more tangible struggle identifying talent in such a competitive market. More physician positions are currently opening than physician candidates are available to fill them. Read the full article by clicking here: http://www.physicianspractice.com/blog/content/article/1462168/2073586
Further identifying the shortage, HEALTHeCAREERS released physician posting results from the first quarter of 2012 last week. Their data emphasizes growing evidence of a talent shortage among physicians, as well as nurses and health IT staff. According to the results of physician postings on their sites the healthcare industry continues to face a talent shortage, particularly among physicians and non-entry level nurses. Access the full report by clicking here: http://www.healthecareers.com/accp/article/healthecareers-network-releases-q1-2012-healthcare-jobs-snapshot/170269
Monday, April 30, 2012
In today's American Medical News an article highlights 2 traps in some hospital employment contracts many physican's dont realize until after they have already signed and started: All Physicians Sign the Same Contract and Employment by Hospitals is Less Risky than Private Practice.
Read the full article in American Medical News, or click here: http://www.ama-assn.org/amednews/2012/04/30/bicb0430.htm
Tuesday, April 10, 2012
Our feature article is an analysis of hospital employment positions for Neurosurgeons. We have a new private practice featured in our practice profile, while health lawyer Roderick Holloman addresses contract and employment challenges in our Legal Corner column. And don’t forget to check out our standing sections, Where the Neurosurgery Jobs Are and the Featured Opportunity.
Click here to read the full issue: http://harlequinna.com/neurosurgery-market-watch/
Tuesday, March 27, 2012
There are many factors to consider in evaluating a physician job opportunity: community need, support, compensation, the core values of the group, mission, location, etc., however culture is one of the most important considerations.
This article in the New England Journal of Medicine elaborates on exploring the culture of a group during the interview process.
Read the full article by clicking here:
Thursday, March 22, 2012
While part-time has been a documented increasing trend amongst women physicians, a new study also determines there is an increase in part-time employment from male physicians as well. Some of the largest medical groups are increasing part-time employment for all experience levels of physicians, for both men and women.
The part-time employment situation can be mutually beneficial to both parties; at any stage of their career physicians have more flexibility and quality of life, while hospitals and medical groups have adequate coverage and patient care.
In 2011, part-time physicians represented 25% of the workforce in large groups, up from 13% in 2005, according to the latest physician retention survey conducted by the American Medical Group Association (AMGA) and Cejka Search.
Male physicians account for 62% of physicians in the groups responding to the survey. The percentage of male physicians who are part-time more than tripled from 2005 to 2011, increasing from 7% to 22%. The part-time rate for women physicians increased at a slower clip, from 29% to 44%. The survey shows that 3 in 4 groups offer a 4-day full-time work week.
Large medical groups and hospitals are currently transitioning employment options to attract new physicians and provide more flexible options for existing physicians, thus helping with retention. In 2011, the turnover rate was 6%, which was slightly down from 6.4% in 2005.
In this healthcare environment it is crucial for hospitals and medical groups to remain flexible and offer alternate employment options. Part-time employment is one way to appeal to many practicing physicians at any stage of their career.
Read more at MedScape, or click here:
Wednesday, March 14, 2012
Our physician recruiting firm has absolutely seen an increase in hospital employment positions, however there are still some very strong and successful private practices that are stable, profitable, and offer many of the same appeals as hospital employment: specifically, quality of life. Private practices have a stereotype as physicians working long hours, however there are many private groups that offer shared call and very similar lifestyles compared with hospital employed groups.
Motivators for physicians seeking more private-based models are maintaining their independence, having more control of their income and day-to-day operations, and sometimes frustrations with hospital employed contracts and the feeling that the hospital isn't following through with some of the promises made during negotiations.
Hospital employment remains strong and a mutual choice amongst both physicians and hospitals; however there will always be other employment options in any cycle and economic environment, and there will always be physicians who thrive under a private model.
For more information, check out the article in MedScape Today, or click here:
Monday, March 5, 2012
Traditionally many physicians have earned extra income with locums or moon-lighting opportunities. Some physicians have even occasionally or regularly been expert witnesses in trials, or particularly in more saturated and populated areas taken call at multiple hospitals. Many academic and even private based physicians also speak regularly at events.
In the current trend of hospital employment, are these avenues for earning extra income not permitted in the employment contracts? Sometimes in contracts physicians aren't permitted to earn extra income outside what is listed in their employment contracts, or even in more unique situations, sometimes any extra income earned may be the right or need to be shared with the entity that owns the employment contract, such as the hospital that employs the physician. Steven Harris, a partner at McDonald Hopkins in Chicago has recently written an article in American Medical News deciphering the language of outside work in physician employment contracts. According to the article, some employers prohibit engagement in outside activities and services altogether, while others permit certain activities that do not interfere with the physician's day-to-day responsibilities.
The article mentions further that physicians need to be aware of requirements that give the employer the right to approve or reject outside activities, prior to signing any agreement. The physician's desired activities should be specifically identified in the employment agreement as permitted activities, even if the physician does not necessarily plan on outside employment but may wish to in the future.
If an employer does permit the physician to earn income in outside work situations, it's also important to determine if income generated from such activities belongs to the physician or the employer.
The last question is whether outside activities are covered by the physician's liability insurance policy.
The article goes on to explain how important negotiations are before the physician signs; contract clauses describing what the physician can and cannot do outside of the employment relationship are of key importance. It is best to address these issues at the onset of the employer-employee relationship so that all parties are on the same page from the beginning.
Read the full article in American Medical News, or click here:
Thursday, February 2, 2012
Hospitals in more rural areas having even more difficulty attracting new physicians have started offering potential candidates up to 8 weeks off to do missionary work overseas. The appeal of mission-based work has been effective with certain candidates, physicians can elect to do missionary work in under-served countries such as Haiti or Mexico.
Under healthcare reform, an estimated 32 million more Americans with health insurance is expected to strain the existing healthcare workforce.
We work with many physician candidates seeking missionary work or short-term locums assignments overseas in countries like Saudi Arabia, UAE, Kuwait, and Qatar. However hospitals highlighting these opportunities and providing significant time off for physicians to participate in missionary projects is a forward-thinking, innovative way to attract potential candidates.
Read the full article in NPR, or click here:
Wednesday, January 25, 2012
We consider this an encouraging sign, and Healthcare IT has recently reported an increase of confidence in private and small group physician practices, attributed to implementing new technology. According to a recent article, 60% of physicians in small or medium-sized practices say technology has made things easier for them, and nearly half say business is better this year compared to last, according to a new survey released today by EMR vendor Practice Fusion.
Among findings from the poll:
-45% of physicians report that their practice is doing better this year compared to last year, while 14% report that their practice is doing worse and 33% report no change. (In the 2011 State of the Small Practice Survey, only 26% reported that their practice was doing better than the year before, while 41% reported doing worse.)
-60% of small practices report that new technology has made things easier.
-89% of doctors report being satisfied or extremely satisfied with their career despite challenges, a 20% increase from the year before.
Most practices ranked insurance and reimbursement as the top negative pressure (69%), followed by patient compliance issues (64%) and practice administration concerns (48 %).
Advancements in medicine (68%), patient compliance (53%) and improvement in the healthcare workforce (51%) were among the positive trends cited by physicians in this survey.
Read the full article at Healthcare IT News, or click here:
Monday, January 16, 2012
Over 67,000 jobs were added in physician offices in 2011 according to the BLS. Just over 89,000 jobs were added in hospitals; these figures are double and triple respectively the same figures from 2010.
General unemployment decreased nearly a percentage to 8.5% overall, however the healthcare sector remains strong and even continues to increase.
The BLS does not break down the individual positions in healthcare, but there continues to be a shortage both for physicians of all specialties as well as allied health and nursing positions. Another indicator of the increase of jobs in physician offices is the shift from inpatient to outpatient settings.
Read the full article in American Medical News, or click here:
Monday, January 9, 2012
According to AHA Hospital Statistics, approximately 212,000 physicians were employed in 2010, which is nearly a one-third increase from the number of physicians employed by hospital systems in 2000. Nearly 20% of all physicians are employed by hospitals.
Although just over 55% of physicians are not employed or under contract with hospitals, the report reveals that in excess of 20% are covered by a group contract, just over 17% are directly employed, and just over 7% have individual contracts.
The trend of hospitals employing physicians continues to increase, however there is still a market for all types of employment models. Hospital employed models may appeal to physicians who desire to have more flexibility and security, however for the more independent and entrepreneurial-minded physician private models offer more control over running your practice.
There are also many compromises and alternatives benefitting both parties of partial- employment or shared call and expenses, even leasing your practice to a hospital as an alternative of full employment.
Read the full article at H & HN Daily, or click here: http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=1970001363
Wednesday, January 4, 2012
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