Healthcare Issues & Trends

Advice & Insights for healthcare's Leaders & HR Professionals

Got 45 Minutes to Start Improving Your Hospital-Owned Physician Practice?

Posted on April 27, 2012 by Gallagher Integrated

Integrated Healthcare Strategies recently presented the webinar topic, "Tools for Performance Improvement in Hospital-Owned Practices." We recorded the webinar, and share it here for our hospital and healthcare system executive readers. Learning objectives in this presentation include:

  • Learn how to use comparative benchmarking to improve clinical performance
  • Understand how your program compares with carrier conversion factors, FTE provider performance standards, and necessary staffing per FTE provider
  • Get an overview on trends that will help improve the bottom line
  • Learn how to develop a position on health care reform, and understand your market potential
  • Understand the correct provider mix to meet the service needs of the community, and the method and scope needed to attract new patients

Click here to view recording

Coming to Dallas...Seminar on Physician & Executive Compensation Strategies & Best Practices

Posted on April 27, 2012 by Gallagher Integrated

Integrated Healthcare Strategies is pleased to again offer our seminar on,Spotlight on Compensation in Healthcare: Strategies and Best Practices for Physician & Executive Compensation,” a seminar on key need-to-know trends and issues in physician and executive compensation.  The event date is May 17, 2012. The seminar, also held in Houston in February 2012, was such a success and received a wave of positive feedback, leading our firm to offer the event again in the Dallas area. In only three hours, Texas-based healthcare leaders and human resource executives will learn insights and strategies to help them develop total compensation plans for their leaders and employed/affiliated physicians that will help their organization adapt to healthcare reform initiatives, and operate effectively in a changing and unchartered environment. Here's a look at the agenda:  12:00 pm – lunch served 12:30 p.m. - Trends in Executive CompensationGovernmental agencies and taskforces, patients, physicians, and the communities served all have a significant stake in the healthcare system and are taking action to address the cost of healthcare, focusing on executive compensation.  Pay for healthcare executives is regularly scrutinized in the local and national media.  Key points to be discussed include:

  • Federal and state governmental audits of executive compensation of healthcare not-for-profit organizations,
  • Board and officer responsibilities and liability for executive compensation of healthcare not-for-profit organizations.
  • Best practices of not-for-profit healthcare organizations for executive compensation, including:
    • Transparency and disclosure
    • New developments in executive compensation strategies, such as incentive programs and deferred compensation
    • Recruiting and retaining talent
    • Special executive compensation issues for healthcare for-profit organizations 

1:30 p.m. - Trends in Physician Compensation Physician affiliation and compensation programs today are changing rapidly as physician integration, alignment and performance have become critical components of all health systems success.  Key points to be discussed include:

  • Discussion of the latest affiliation and compensation models
  • Identification of critical success factors for implementing the latest compensation programs
  • Best practices for ensuring regulatory compliance around fair market value and commercial reasonableness

2:30 p.m. – 3:00 p.m. - Conclusion and Q&A For more details and how to register, click on the seminar link below.  IMPORTANT NOTICE: Early bird deadline ends Monday 4/30.  But don't worry, if you miss it, you can still register for the event at the standard fee.  Registration will remain open until the event date, 5/17. Information Page:  Spotlight on Compensation in Healthcare: Strategies and Best Practices for Physician & Executive Compensation Questions may be directed to Event Contact, Vicky Radcliff at 800.327.9335 or

120 Statistics on Medical Director Compensation

Posted on April 19, 2012 by Gallagher Integrated

As appeared on the Becker's Hospital Review website on April 18, 2012;  Written by Bob Herman. The role of medical director has drastically changed for hospitals over the past several years. Traditionally, some physicians volunteered to fulfill medical directorship duties, but now that the positions require more time and effort, physicians expect to be appropriately compensated. Chad Stutelberg, executive vice president and practice leader at Integrated Healthcare Strategies, says the medical director position serves many important roles within hospitals: They provide services ranging from the more traditional roles of medical directors (liaisons between the medical staff and hospital management, credentialing and peer review, etc.) to the more evolving roles as heads of departments and physician leaders in service line management. Integrated Healthcare Strategies recently released its 2011 Medical Director Survey, one of the most comprehensive surveys on medical director trends and compensation. The healthcare industry's transition toward accountable care organizations, patient-centered medical homes and more physician leadership structures became one of the most obvious developments within the survey's results. "The biggest change we see in the survey is the interest in it," Mr. Stutelberg says. "It's an indirect way of saying that the growth of physicians working in these positions is clearly something that is happening all over the country." Because medical directorships have blossomed within the hospital sector, compensation practices have also changed. Mr. Stutelberg says historically, many medical directors did not have a contract with the hospital, as a majority of the medical director positions were part-time. However, given the current regulatory environment, contracts are much more prevalent, and contracts now outline how the physician's compensation is structured (hourly rate versus stipend, incentive-based pay, etc.) and how the medical directorship duties are structured (submitting time sheets, requiring a certain amount of work, etc.). Compensation also depends on the specialty and range of departments. For example, Mr. Stutelberg says there are common medical director positions that are filled by certain specialties such as anesthesia, oncology, cardiology, neurosurgery and others. However, there are new medical directorships that open up the applicant base to almost any physician. "Now what you're finding are broad-based positions," Mr. Stutelberg says. "Medical director of informatics — that could be a surgeon, ER physician, primary care physician. It's not tied to a specialty, and we're seeing more of that." There are 10 main areas, among several dozen, where physicians and medical directorships have grown and drawn interest, Mr. Stutelberg says. Stroke and vascular lab medical directorships are two areas where he has seen a lot of interest from hospitals and health systems. Their compensation levels are among the lowest of the 10 listed ($36,727 average stipend for stroke medical directors and $66,651 average stipend for vascular lab medical directors), but their average hours worked per year are also among the lowest (299 for stroke and 477 for vascular lab). Neurosurgery remains as one of the highest compensated medical director positions at an average of $215,377 per year and an average hourly rate of $278.67, but neurosurgery is already one of the highest-compensated specialties in healthcare. Orthopedic surgery medical directors also recorded lofty compensation figures with an average stipend of $89,476 per year. The hourly rate for orthopedic surgery medical directors ($209.36) is close behind neurosurgery, but like neurosurgery, orthopedics command high compensation in the market due to large case volume and efficiency measures. Of the 10 positions listed, hospitalist medical directors had the lowest hourly rate at an average of $118.89, reinforcing the trend that primary care and frontline physician compensation is still far behind specialist physician pay. Medical directors of informatics earned roughly $146.45 per hour on average, but Mr. Stutelberg says because this position is so new, the compensation levels could vary widely across different areas of the country and will most likely fluctuate over the years. Here are 120 statistics on those 10 major medical director positions, based on IHS' 2011 Medical Director Survey. Keep reading full article...

Medical Director Compensation, Contract, and Performance Bonus Trends

Posted on April 17, 2012 by Gallagher Integrated

Medical Directors have played an increasingly critical role in hospitals and health systems.  Likewise it is critical that organizations develop compensation plans for these physicians that are within fair market value. Integrated Healthcare Strategies conducts an annual Medical Director Survey that provides information on relevant medical director compensation trends in the marketplace.  Following are highlights from the 2011 Survey data.  The 2012 Survey is now open and participants will get a FREE electronic copy of the results.  Read to the bottom for how to get more information and participate.

  • 82.3% of organizations reported that all of their medical directors have contracts
  • 72.9% of contracts are for a term of only 1 year, a percentage that has increased for the fourth consecutive year
  • 78.0% of contracts require a physician to log their time, the highest percentage since the first Medical Director Survey published in 2003
  • Independently contracted medical directors are paid 3.9% higher on average than employed medical directors, most likely accounting for foregone taxes, benefits, and insurance payments
  • 26.9% of organizations offer their medical directors performance bonuses, an increase from 22.6% in 2010
  • On average, median hourly rates increased by 3.0% from 2010 to 2011

Read full 2011 report. For 2012 Survey participation deadlines, to see a sample position page and position list, or to download your questionnaire for participation, please visit our Medical Director Survey web page.

West Coast Hospitals - Help Just Got a Lot Closer!

Posted on April 17, 2012 by Gallagher Integrated

Healthcare organizations should have a strong, trusting relationship with the consultants they work with.  At its core, a healthcare consultant's role is to be an extension of the organization's intellectual capital that guides and advises the hospital or health system to improved operations. At Integrated Healthcare Strategies, we work with healthcare leaders nation-wide.  But we also know that the more accessible we are to our clients, the better the outcomes will be for them.  To that end, we're pleased to announce that we have expanded our consulting service operations to the West Coast with a new office opening in Palm Springs, California. We are excited to be even more accessible to our clients located in the western region! Read the full press release.

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