Coffee with Coker

Jack Liu and Dr. Hamlet Benyamin join Mark Reiboldt to discuss the shift from a one size fits all approach to precision medicine which is individualized to each person. Dr. Benyamin defines precision experience as the unique experience a person needs as they enter the healthcare workforce.

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Episode Synopsis

How do we assess the barriers and processes for the healthcare workforce so we can deliver better care for everyone?

Covid-19 shed light on the healthcare delivery process, particularly within the patient and provider dynamic. Precision experience is essential to all aspects of the healthcare delivery process, from physicians and advanced practice providers to supporting staff.

Healthcare can use the insights as a jumping-off point to leap forward and improve processes that have been problematic for years. An opportunity arises from a crisis to improve the system for the people it serves.

Click to listen to the episode and learn more about the precision experience for healthcare.

Extras

• Precision Experience: What it is and Why it Matters to Healthcare Now?
• Learn more about ProCARE Portal
• Precision Experience: The Solution to Creating a Shared Vision

Alex Kirkland and Chris Marrs join Mark Reiboldt to discuss changes to the split or shared billing between advanced practice providers and physicians. Alex and Chris encourage healthcare organizations to understand these changes and update processes before the changes take effect in 2024.

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Episode Synopsis

A split/shared visit, defined as "an E/M visit in a facility setting that is performed in part by a Physician and an NPP who are in the same group," is billed based on which provider performed the "substantive portion" of the service.

For non-critical care split/shared visits in 2022, a "substantive portion" is considered "all or some portion of the history, exam or medical decision-making key components of an E/M service." However, for critical care visits in 2022 and all applicable visits beginning January 1, 2023, a "substantive portion" is more specifically defined as greater than 50% of the time spent on the encounter.

If the physician spends more than 50% of the time with the patient, CMS will reimburse the visit at 100%. However, if the advanced practice provider spends more than 50% of the time with the patient, they will reimburse the visit at 85%. The provider attached to the service will also receive the wRVU credit for those professional services.

Listen to the episode and learn how these changes could impact how your providers are reimbursed and compensated for their professional services.

Extras

• Major Changes to Split/Shared Billing Affect Advanced Practice Providers and Physicians
• American Medical Association Releases 2023 E/M Updates
• How the CY 2022 PFS Final Rule Affects Split/Shared Visits and Critical Care Services

Brandt Jewell joins Mark Reiboldt to explain the management principles for developing a data-driven culture. Brandt walks through examples of utilizing data to manage staff and engage providers as leaders, mentors, and champions with common group-level objectives.

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Episode Synopsis

Data validation is essential to gain buy-in and consensus from all stakeholders, particularly providers. Sharing data with providers and staff establishes consistent communication and dissemination of information.

When developing a data-driven culture, you should:

• Simplify the data to focus on key metrics and actionable information
• Provide clear and actionable direction regarding how daily responsibilities of all roles can impact the metrics
• Communicate performance expectations to meet operational objectives
• Build realistic near and long-term goals
• Use consistent metrics across the group to avoid making exceptions

A strategic direction coupled with a shared vision, aligned incentives, operational support, and peer accountability through data and communication will develop a high-performing culture.

Extras

• Building a High-Performing Physician Enterprise
• Developing a High-Performing Physician Enterprise
• Submit your information to request a 30-minute consultation

Jeffery Daigrepont interviews Dan Stewart, the president of Jackson Health Tech Advisors, one of our partners providing cybersecurity advisory services. Dan has been in the healthcare information technology and services industry for more than 30 years, with the last ten years focused on cybersecurity risk management and mitigation services. That includes a Cyber Liability Insurance Services program we will discuss today.

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We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

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Episode Synopsis

The last two years have seen a new era of cyber-attacks with increased hacker sophistication, a propensity to pay in ransomware cases, and a geopolitical environment that has upended the cyber insurance market in general, particularly in healthcare.

In 2020, healthcare-related cyber-attacks increased by more than 55%, of which ransomware attacks comprised 28% of the total. According to Cybersecurity Ventures, in 2021, the US healthcare system lost $21 billion caused by ransomware attacks alone.

Covid-19 further exposed the weaknesses in healthcare cybersecurity systems as the industry was forced to institute or expand telehealth services and remote working functions rapidly. These factors caused significant losses for the insurance carriers that were providing cyber insurance resulting in several major market changes that are affecting healthcare providers.

Extras

• Key Elements of a Cyber Liability Insurance Policy for Healthcare Providers
• Cybersecurity Tips
• Episode 57: HCIT: Security Risk Assessment
• Episode 103: What is a Security Risk Analysis, and Why Do I Need One?
• Contact Jeffery Daigrepont

Richard Romero joins Mark Reiboldt to explore non-compete and other restrictive covenants in the healthcare industry. Richard explains the purpose and the value of these restrictive covenants.

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Episode Synopsis

There are three types of restrictive covenants: non-compete agreements, non-solicitation agreements, and non-disclosure agreements. Depending on who you ask, these covenants can be a tool to protect the business or perceived as a way to limit a physician's ability to choose their employer.

No matter how they are perceived, if a restrictive covenant does not protect a legitimate business interest, it may be unenforceable. The law does not prohibit ordinary competition.

Extras

• Physician Employment Non-Compete Agreements: The Value Behind the Valuation
• Where's the Value in Physician Practice Valuations?

DeAnn Tucker and Roz Cordini join Mark Reiboldt to explain the need for a security risk analysis within healthcare organizations. Many organizations are missing one critical component when performing a security risk analysis. Learn what elements organizations usually miss and how to conduct a security risk analysis properly.

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We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

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Episode Synopsis

Did you know Health and Human Services requires an annual security risk analysis? If a breach of information occurs, OCR will request the last 2-3 years of security risk analyses to verify your organization has performed the analysis and taken steps to implement the remediation plan.

Aside from the requirement, performing a security risk analysis also safeguards electronic protected health information (ePHI) by identifying potential vulnerabilities before a criminal exploits them.

Click to listen to the episode.

Extras

• Security Rule 45 CFR 164.308
• Guidance on Risk Analysis Requirements under the HIPAA Security Rule
• 5 Mistakes Covered Entities and Business Associates Made During a Security Risk Analysis

Alex Kirkland and Andy Sobczyk join Mark Reiboldt to explore a prevalent provider compensation trend. As health systems continue to acquire private practices, they also inherit differing compensation structures with each acquisition. Alex and Andy unpack the concept of provider compensation misalignment.

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We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

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Episode Synopsis

Many healthcare provider practices lack an overarching provider compensation philosophy that aligns the health system's goals with the incentives for the providers. While there are many reasons this occurs, the solution is the same: develop a compensation philosophy for your organization to govern the compensation plans.

Alex and Andy use a physician compensation scatterplot (see page 5 of the case study) to illustrate how a decentralized compensation approach contributes to misalignment and variability.

Click to listen to the episode.

Extras

• Case Study: Provider Compensation Misalignment
• Access the E/M Calculator
• Learn more about provider compensation best practices

Mark Massey, a vice president with the Southern Medical Association Services, Inc., joins Mark Reiboldt to explore the concept of cash balance plans for medical practices. Mark explains cash balance plans, who is a prospect for cash balance plans, and how they work.

Podcast Information

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We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

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Episode Synopsis

A Cash Balance plan is a type of retirement plan that allows business owners to contribute over $200,000 per year in many cases. Contribution limits are based on the age of the owner. The plan is entirely employer-funded, and the plan clearly defines the contribution/benefit formula for participants.

A Cash Balance Plan takes advantage of a business expense that an owner can keep, deduct from profits, and let grow tax-deferred. Owners can fund a sizable portion of retirement savings using money they would have paid in taxes.

Click to listen to the episode.

Extras

• Southern Medical Association Insurance
• About the Southern Medical Association

Jeffery Daigrepont interviews Dr. Neil Baum, an early pioneer in the healthcare IT industry. They discuss patient care ethics and how artificial intelligence impacts the provider-patient dynamic. Podcast Information

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We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

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Episode Synopsis

As healthcare technology has evolved, healthcare providers are spending less time focusing on the patient, and more time focusing on their computer or tablet screens. The rise of telemedicine has furthered that barrier, putting a screen between the provider and the patient and removing empathy from the patient visit.

For this reason, Dr. Baum and Jeffery believe artificial intelligence will never replace the provider-patient interaction. A patient entrusts a healthcare provider with sensitive, personal information, and in turn, the provider connects with the patient, providing personalized care.

In which instances do you think artificial intelligence could take over and improve the patient experience?

Extras

• Artificial Intelligence: Perhaps More Intelligent Than You Think!
• Is Information Technology a Competitive Necessity or a Competitive Advantage?
• Connect with Dr. Baum

Lee Perrett and Richard Ballard join Mark to talk about the latest hiring and HR trends the pandemic inspired. They contemplate hybrid and remote workforces, workforce health, DEI initiatives, and the benefits of interim leadership.

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

• Please email us: [email protected]
• Connect with us on LinkedIn: Coker Group Company Page
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Episode Synopsis

Did you know 95% of HR leaders expect that at least some of their employees will work remotely after the pandemic? The shift to hybrid work will be a massive driver of transformation, and leaders must prepare to support it.

Workforce health is a growing concern, especially in the healthcare field. Employees are leaving companies at an alarming rate for new opportunities that address their needs in the wake of the pandemic.

How do you bridge the gap and attract suitable candidates?

Click to listen to the episode.

Extras

• Invest in Developing Your Physician Practice Leaders While Helping Them Achieve Organizational Objectives
• 12 Mistakes Executives Make on Resumes (and How to Avoid Them)
• Episode 93: What are Interim Management Services, and Do You Need Them?
• Episode 31: Performing a Healthcare Organization Executive Search