1. Physician Employment & Alignment Strategies Presented By: Renae Thomas, FACHE

2.  Identify Key Players  Building the Employment Model  Look at Alternative Alignment Strategies Purpose and Objectives

3. Board of Directors Hospital Leadership Medical Staff Identify Key Players

4.  Healthleaders Media in collaboration with Medsynergies conducts a survey of hospital executives.  Respondents anticipate an increase in their employed physician base within the next 36 months 2012 – 70% 2013 – 87%  73% say buy-in to quality & safety initiatives are among their top 3 objectives behind physician alignment strategies (2013)  42% of respondents reported difficulty in physician engagement (2013) Where does your organization stand on employment?

5.  Hospitals  Maintain market share / stable income  Bundled Payments  Physicians  Financial Pressures Critical shift from fee for service to pay for performance  More leverage in contract negotiations on both purchase and reimbursement  Lifestyle preference What’s driving the employment trend?

6.  Base Compensation Model with Productivity Incentives  Non Compete Clause  Quality incentive  Tiered matrix  Benefit Package  Malpractice Insurance  Group Health Insurance  Retirement Plan Employment Model

7.  Joint ventures  Provider based clinics  42 CFR 413.65  RHCs Alternative Alignment Strategies

8. “You can't build a reputation on what you're going to do.” Henry Ford We need to create a common ground with our physicians by creating a unity of purpose.

9. Renae Thomas e.renae.thomas@gmail.com (903) 243-0725 Contact Information