在不断变化的医疗经济中, management services organizations (MSOs) can be an attractive alignment option for both physicians and hospitals. MSOs have long been seen as a mechanism for a hospital or health system to acquire the operating assets of a physician practice when regulations prohibit direct ownership. 但在他们的核心, MSOs provide administrative and management services to physician practices and can be beneficial to hospitals and physicians alike.
以下是它们越来越受欢迎的原因.
Practice Perspective: A Question of Independence
In the US today, more physicians are choosing employment over independence. It’s easy to understand why; being employed by a hospital or a hospital-owned practice often gives providers a sense of income security, 可预测的工作时间, 减轻行政负担. Market conditions brought on by the pandemic also prompted some physicians to consider selling their practices to hospital systems or larger corporations.
But health system employment isn’t for everyone. Being small and independent has its advantages, 比如自主权的增加, 更快的决策, and smoother change implementation—all of which can be valuable in evolving markets. 仍然, running an independent practices incurs overhead costs related to revenue cycle management, 法规遵从性, 人力资源管理, 技术升级, 和更多的.
For practices that want to remain independent but need practice management and administrative support services, MSO是一个很有吸引力的选择. Providers rely on MSOs to handle certain nonmedical functions, allowing physicians to focus on the clinical components of care—all while gaining efficiencies, 削减成本, 保持练习控制. Some practice operators will create MSOs to benefit from economies of scale by offering the same services to other independent practices in the marketplace.
Health System Perspective: If You Can’t Buy Them, Join Them
Health systems make good partners for existing MSOs given their deep experience in managing the business aspects of healthcare, 包括付款人合同谈判, 合规管理, 人力资源和招聘支持, 财务报告, 获得团购折扣, 计费, 信息技术, 护理管理. 云顶集团40011官网, buying an ownership interest in a physician-owned MSO can be an attractive alternative to a practice acquisition, especially when a practice wants to remain independent. Partnering with MSOs that have relationships with other independent practices or creating an MSO for the purpose of forming a relationship with the practice can be an avenue for health systems to improve care coordination, build brand presence within the community, and earn revenue for providing administrative services. 进一步, because the physicians still own their clinical practice, they are incentivized to maintain and improve its financial performance, thus alleviating some financial risk for the health system. 除了, there is less risk of the physician competing after an MSO partnership is formed since the physicians have an ownership interest.
云顶集团40011官网和医院的灵活性
MSOs allow for more flexible and unique transaction terms when compared to purchasing a direct interest in a practice.
- Some transactions are structured such that part of the purchase price is contingent on a certain amount of growth. As growth is based on obtaining new contracts with the MSO and not provider volume, 监管风险更小.
- 在某些情况下, the management fee will have an incentive piece and the full amount is not paid unless certain financial metrics are achieved. The metrics for MSOs are often tied to profitability, but are sometimes linked to quality. This further reduces the financial risk on the health system, as it puts more responsibility on the MSO operators to run an efficient operation, and the health system is a partial owner in that operation.
纪念协议
因为复杂的法规, it is imperative that agreements with a physician-owned MSO are tightly structured with solid contract language that memorializes the goals and objectives of the parties. Key factors in the formation process include the following:
- Fair Market Value (FMV) and Commercial Reasonableness (CR) of MSO 云顶集团: Both parties should ensure there will be no violations of the federal Anti-Kickback Statute if they enter into a partnership.
- FMV of Purchase Price and MSO Arrangement: It is critical that health systems and MSOs seek the opinion of a qualified third-party valuation expert to determine an FMV purchase price for the subject interest and that the management services fee is FMV.
- 交易条款审核:It is important that the terms of the transaction are thoroughly vetted and that the valuation firm takes these into account, given terms can impact the value of an MSO interest to a minority or controlling partner.
当完全收购或 formation of a joint venture with a practice isn’t a viable option, entering a relationship through an MSO can be a good solution.
For hospitals and physician practices alike, mso将成为一个更有利的选择, less risky strategic option for the foreseeable future.
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出版于2022年6月8日