To stay compliant in an evolving regulatory environment, health care organizations must have the appropriate structures in place to help mitigate financial, resource and reputational risk for potential physician compensation violations related to the Stark Law, the Anti-Kickback Statute and IRS not-for-profit regulations.
For over 25 years, SullivanCotter has helped hospitals, health systems and medical groups effectively manage complex regulatory risk from their financial relationships with both employed and independent physicians. With our unique combination of industry expertise, regulatory insight and market-leading physician compensation data, we work with organizations to mitigate risk through an array of comprehensive fair market value and commercial reasonableness assessments as well as advisory support.
Our comprehensive fair market value and commercial reasonableness services include:
- Organization-wide and individual physician compensation fair market value (FMV) and commercial reasonableness reviews and opinions
- Value-based compensation reviews
- On-call pay and telemedicine reviews
- Co-management valuations
- Board member education
- Physician compensation leadership reviews
- FMV and related physician compensation training
- Physician compensation governance process and committee charter development
Learn how to ensure that compensation is reasonable and consistent with physician fair market value and commercial reasonableness standards.
Related Resources
Case Study | Union Health – Population Health Management
Learn more about how SullivanCotter partnered with Union Health, an integrated, not-for-profit health care system in Indiana, to a develop long-term, sustainable strategy for enhancing value-based care and population health management.
HFMA | Navigating Change: Implications of CMS’s 2021 Physician Fee Schedule
Featured in HFMA's hfm Magazine publication, SullivanCotter discusses changes to the 2021 Physician Fee Schedule and highlights challenges health care organizations and their financial leaders are facing as they look to address the impact on physician and advanced practice provider compensation and productivity.
Understanding Co-Management Arrangements
Considering a co-management arrangement? Understand key drivers, compensation structures and payouts, and performance metrics and target setting.