Hospitals & health systems are increasingly considering employment of their anesthesia and radiology physicians and APPs.  Having performed and operated more than 35 transitions over the past 5 years, challenges in tailoring what these hospital-based service lines need for their success falls in how well these support departments are aligned:

1. Managed Care – should you start a unique TIN, negotiation of commercially-reasonable rates; 

1. Human Resources – adopting 8+ weeks of PTO without upsetting other employed physicians and APPs; 

1. Legal – navigating FMV support for sign-on’s, relocation support, medical directorships, and whether to employ restrictive covenants;

1. Revenue Cycle – can you billing application bill for how the hospital-based practices bill (e.g., anesthesia base/time units) or should you outsource with a 3rd party billing vendor; 

1. Recruiting – ensuring the sourcer/recruiter is able to effectively “sell” the employment model opportunity to provider candidates who have multiple offers for their services.  

Trinity Health Advisors’ operation leaders have successfully transitioned and operated more than 35 hospital-based insourcing launches in the last 5 years.