Sponsored by Value Project: Physician Engagement & Alignment
Both health systems and medical groups should assess and understand the local physician market to determine their best options. Ten questions for assessing a local physician market are:
- What is the physician supply/demand balance in the market by specialty?
- What types of care are delivered within the market, and what is referred out of the market?
- Where do cases that leave the market go, and why?
- What are the referral patterns within the market? For example, do referrals go freely across system lines, or is “leakage” being reduced?
- Are referrals influenced by narrow networks, clinically integrated networks, or some groups (for contractual reasons or other factors) not accepting some payer categories?
- Are some groups deemed to be of higher quality than others?
- What is the growth or decline in the patient population? How are patient demographics changing? How are physician groups likely to respond to the changes?
- Are physicians in some groups doing significantly better or worse financially than the market as a whole?
- How easy is it to recruit physicians to this market?
- Where does the market stand now in terms of these indicators:
- Medicare cost per member per month?
- Commercial costs per member per month?
- Physician group revenues per RVU, per specialty compared to national benchmarks?