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Value-based Management for Health Care Providers

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Covid-19 PHE Expiration’s

Physician Trends
COVID-19 PHE Expiration's

March 2023 - NEWSLETTER

What do the latest physician trends tells us about both the present and the future of care?

It has been a long-standing trend that doctors are choosing employment over private practice. The most notable reasons being avoidance of the complexity of running a practice, the financial challenges, the administrative burden, and the headaches of dealing with insurers and billing regulations. Physicians look to overcome these barriers when entering an employment arrangement with a larger hospital or health system.  Yet, both physicians and hospitals often find these relationships unsatisfying.  Hospitals struggle to keep physicians engaged and physicians feel a loss of autonomy and freedom when they enter an employed relationship.

The AMA biennial analysis results from 2020 showed the “The majority of patient care physicians worked outside of physician-owned medical practices in 2020,” which was the 1st time the ratio of physicians practicing in privately owned practices dropped below 50% since the analysis began.1 The trends post pandemic are even more concerning impacting not only physicians’ choices but also the general access to care.

In addition to the aging physician base the newer impacts from burnout, desires for better quality of life, desires for new career paths with greater flexibility all place us on the precipice of a crisis in care access. We are entering the era of the Gig Economy in Healthcare where physicians and APPs will work for fewer hours, less burnout, and new career opportunities outside of the medical practice. The newest data indicates physicians are transitioning away from medical practice at much earlier ages.3

 

 

All this adding to the already growing challenge of patients looking for access to care. The big question remains, are there options available to physicians and APP’s that give them back some of the joy that has been absent from the practice of medicine in the last decade? Something that addresses all the reasons discussed that our physicians and APP's are leaving the traditional practice models.

 


YES! The Solution - iPX Physicians…

For physicians, iPX physicians provides an end-to-end wrap-around, total medical practice office, operations, technology, financial, staffing and management solution. The iPX Physicians team gives the physician the freedom to focus on the patient and the confidence that the business is in good hands. iPX Physicians manages everything so physicians can have a balanced life and a successful medical practice. No surprises, no headaches, confidence that comes from total end-to-end reliability. Physicians like the certainty that comes from having a partner that takes care of the details, giving them the freedom to focus on the patient.

For Hospitals & Health Systems, iPX physicians brings high reliability and confidence to the hospital affiliated medical practice environment. We provide the most professional, seamlessly integrated care experience to your hospital system. Our hospital system partners boast benchmark performance for their medical practice groups, high levels of physician and staff satisfaction and banner brand superiority in the community. iPX Physicians gives health systems piece of mind and physicians the autonomy they appreciate.

We would like to introduce you to a team that can help you succeed in business and life, iPX Physicians www.ipxphysicians.com . iPX is bringing a fresh perspective to the physician office, harnessing advancements in technology and innovative practice design so our physician partners can work on their business and experience the joy of practicing medicine again. Find out more about iPX Physicians today and feel more confident in your capacity to be productive than you have ever been in the history of your practice.


"Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom."
- Viktor E. Frankl

[1] AMA Policy Research Perspectives; Recent Changes in Physician Practice Arrangements, Carol K Kane, PhD, 2020, AMA-assn.org
[2] 2018 Survey of America’s Physicians, The Physicians Foundation, physicainsfoundation.org, September 18, 2018
[3] The Future Of Work: Redefining The Role Of Physicians In The Gig Economy, Chris Franklin President, LocumTenens.com 2023.


Expiration of the COVID-19 PHE
 

On January 31st, 2020, a public health emergency (PHE) was implemented due to the COVID-19 pandemic. The COVID-19 PHE offered many flexibilities and waivers from supporting agencies to aid critical healthcare service through COVID-19. On January 30th, 2023, the Biden Administration announced its plans to end the COVID-19 PHE on May 11th, 2023. Below is a list of a few things that will expire under the discontinuance of the PHE.

  • Medicare Telehealth- Waived HIPAA penalties for technology used to furnish telehealth
  • Covid-19 Testing- Medicare beneficiary waived cost-sharing for at home COVID-19 tests, testing related services, and certain treatments
  • Covid-19 Testing- Group health plans and individual health plans required to cover COVID-19 testing and related services without cost-sharing
  • FQHCs and RHCs- Certain staffing requirements related to nurse practitioners, physician assistants, or certified nurse-midwife availability at an RHC
  • FQHCs and RHCs- Temporary expansion waiver
  • Stark Laws-Temporarily exempt from sanctions or certain arrangements that are “solely related” to COVID-19 purposes

For more information on how this may impact your practice, contact us to assist with implications to your practice.

Disclaimer: V2V Management Solutions is a healthcare consulting firm. We are not licensed attorney’s or certified public accountants. This guide is not intended to replace legal or financial advice from your trusted resources. Before acting on any information provided check with the appropriate legal or financial team. This situation is a constantly evolving landscape be sure to research for most current information.The following content consists of key takeaways on information published in the above referenced articles, facts sheets, and our personal/professional experiences in financial management throughout a crisis.


At V2V Management Solutions we design and implement custom solutions that work. When you are ready to take your practice to the next level, we bring our A-Game with innovative practice design, technology, and workflow optimization.

V2V is here to help

For Rapid Response Contact us at:
Irv Barnett, Founder: [email protected]   208-717-3941
Michelle Wier, Founder: [email protected]  208-717-3943

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“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“Michelle Wier, CMPE, worked with our EMS program for a year, providing interim financial management at a crucial time for our hospital district based agency. Her exemplary work included budget and tool development, redesign of our financial statements, and a compensation analysis for all EMS positions. She helped provide crucial accountability for our internal accounting systems, contract negotiation support and a streamlining of our in house processes and reporting structures. I highly recommend her work product and greatly appreciate her astuteness and work ethic.”

J. Michael Edwards, DDS, MD, FACS – Commissioner, San Juan County Public Hospital District #1 San Juan Island EMS and MedEvac

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“With excitement and enthusiasm I announce the transition of Wier Management Solutions to V2V Management Solutions. I’m honored to partner with some of the industry’s best “Transformationists,” who will assist our clients in realizing and enhancing the value within their organizations.”

Michelle Wier – President, Wier Management Solutions, Inc.

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital