Mark interviews Rick Langosch, an independent contractor with Coker Group, about his experience providing interim CFO and CEO services for hospitals. Rick shares his experience over the years and talks about how he handled a challenging situation recently. 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Perhaps your organization recently experience a sudden transition, leaving a C-suite position vacant, or your organization is adding a new position no one has traditionally held. Hiring an interim executive to fill the job while you search for a permanent placement helps stabilize the hospital during a turbulent time. Click the play button to listen to the episode.   Extras Interim Management: Allow your Organization Time to Find Expert Leadership Episode 31: Performing a Healthcare Organization Executive Search Interim Management in Healthcare

Coffee with Coker

Episode 93: What are Interim Management Services, and Do You Need Them?

Mark interviews Dr. Caesar Richburg, Chairman of Regional Medical Center, about chairing a board of trustees during turbulent times. Dr. Richburg shares how he came to be a board member and his experience navigating leadership transitions.   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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Rural hospitals continue to face challenges the pandemic brought to the forefront. As a board chairman of a rural facility, Dr. Richburg works with colleagues from different backgrounds and levels of business experience. As chairman, he ensures the Board applies sound business principles for the betterment of the community. Click the play button to listen to the episode.   Extras Interim Management: Allow your Organization Time to Find Expert Leadership Episode 31: Performing a Healthcare Organization Executive Search Interim Management in Healthcare

Episode 92: A Day in the Life of a Board Chairman with Dr. Caesar Richburg

Matt BonDurant with ProCARE Portal joins Mark to discuss how to make provider compensation scalable. Matt explains the advantages of compensation automation and how streamlining compensation models is detrimental to your strategic plan and goals.   Podcast Information Subscribe to 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Every provider compensation model is unique. While there may be certain structural areas of overlap, the details of the methodology, data process, exceptions, timing needs, and business rules are all different. ProCARE Portal is a compensation automation framework configured in a user interface (UI) to manage and adapt to ongoing complexities. Mark and Matt talk about the advantages of ProCARE Portal and how healthcare organizations are using it to make their provider compensation models scalable, regardless of how complex they are. Click the play button to listen to the episode.   Extras Learn more about ProCARE Portal Provider Compensation Management: Solving the Compensation Conundrum Compensation Best Practices for Physician Enterprises

Episode 91: How to Make Provider Compensation Scalable

Brandt Jewell joins Mark to discuss how to start building a high-performing physician enterprise. Brandt and Mark discuss a recent case study and white paper Brandt published this year. While each physician enterprise is unique, one can learn a lot from this successful project.   Podcast Information Subscribe to 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Brandt and Mark discuss today’s healthcare place, which offers significantly more strategic opportunities than existed ten years ago, and the confusion of where to focus when developing a high-performing physician enterprise. In many cases, physician enterprises will focus on one area (usually financial) and unravel the underlying operational issues affecting the bottom line. Click the play button to listen to the episode.   Extras Case Study: Developing a High-Performing Physician Enterprise White Paper: Building a High-Performing Physician Enterprise Learn more about our performance improvement services

Episode 90: Building a High-Performing Physician Enterprise

Max Reiboldt joins Mark to discuss the economic terms to consider when pursuing a private equity deal. Max and Mark provide a high-level overview of the financial terms of private equity deals, including determining up-front value and the future sale of the practice.   Podcast Information Subscribe to 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Max and Mark discuss their experience with private equity transactions and which economic terms to consider when pursuing a private equity deal. Normally, the practice retains all profits and distributes them to the partners within the practice annually. Therefore, when reviewing an income statement, there is little to no EBITDA. As part of a private equity deal, the practice needs to create upfront value through other means. Max and Mark discuss how to create upfront value and the various approaches to the valuation of a medical practice for a private equity transaction. Click the play button to listen to the episode.   Extras Episode 85: Non-Economic Considerations for Private Equity Transactions Episode 56: Private Equity Deals: Operational Components of the Transaction The Role of Management Services in Private Equity Transactions Episode 55: Private Equity Deals: Approaching a Deal Strategically Defining Private Equity Transactions in Healthcare and Understanding Deal Options for Medical Groups

Episode 89: Economic Considerations for Private Equity Transactions

Max Reiboldt and Tom Anthony (Frost Brown Todd LLC) join Mark to discuss gainsharing as an affiliation strategy. Max and Tom define gainsharing with a high-level legal overview, talk about a scenario where gainsharing works, and share their observations from Advisory Opinion 17-09.   Podcast Information Subscribe to 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: feedback@cokergroup.com -- Connect with us on LinkedIn: Coker Group Company Page -- Follow us on Twitter: @cokergroup -- Follow us on Instagram: @cokergroup -- Follow us on Facebook: @cokerconsulting   Episode Synopsis Max and Tom review the positive outcome of Advisory Opinion 17-09 and how to use gainsharing as a physician-hospital affiliation strategy. They define gainsharing and its objectives, discuss how a gainsharing arrangement is applicable for a joint replacement, and offer their insight on using gainsharing arrangements as an affiliation strategy. Click the play button to listen to the episode.   Extras OIG Advisory Opinion No. 17-09 Why is a Fair Market Value/Commercial Reasonableness Opinion Important for Value-Based Enterprises? Learn more about Fair Market Value and Commercial Reasonableness

Episode 88: What is a Gainsharing Arrangement and How Do You Use Them Strategically?

Justin Chamblee and Alex Kirkland join Mark to review the status of value-based models, evaluate the potential impacts of recent events on value-based models, and reflect on real-world implementation challenges and practical strategies.   Podcast Information Subscribe to 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Justin and Alex discuss new developments in value-based reimbursement and how the different administrations have viewed the shift to value-based reimbursement. Much change has occurred in the healthcare industry with the pandemic and healthcare regulation changes. Justin and Alex discuss how these changes will affect value-based compensation. Click the play button to listen to the episode.   Extras Request a call with Justin or Alex to discuss your value-based compensation approach Will Innovation Capture Value-Based Market Share? Incorporating Value-Based Metrics into a Physician Compensation Plan

Episode 87: Pandemics, Policy Changes, and Value-Based Care, Oh My

Max Reiboldt and Andy Sobczyk join Mark to discuss the next generation of management service organizations (MSOs) and business service organizations (BSOs). The presence of MSOs, entities that provide an array of administrative support services to physician practices, has grown significantly in recent years. This trend is linked to private equity (PE) entry in the physician practice space because many PE transactions include an MSO.   Podcast Information Subscribe to 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Max and Andy discuss the differences between MSOs and BSOs, and their goals and services. MSOs are not unique to private equity deals, and they are growing in popularity. Max and Andy discuss how to use an MSO or BSO as a growth strategy for your healthcare organization. Click the play button to listen to the episode.   Extras Request a copy of the detailed presentation with organizational structure examples! Next Generation MSOs: Strategies to Grow beyond Traditional Practice Management Services Affiliation Options for Physicians: Current and Future Strategies

Episode 86: How to Use an MSO as a Strategy to Grow

Max Reiboldt joins Mark to discuss the non-economic terms to consider when pursuing a private equity deal. The non-economic components are often more important than the economic terms because they dictate the day-to-day after closing the deal.   Podcast Information Subscribe to 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Max and Mark discuss their experience with private equity transactions and which non-economic terms to consider when pursuing a private equity deal. One of the lessons we impart to medical practice and hospital clients contemplating a private equity (PE) transaction is that both the economic and non-economic terms carry weight. They should receive equal consideration before signing on the dotted line. Click the play button to listen to the episode.   Extras Episode 56: Private Equity Deals: Operational Components of the Transaction The Role of Management Services in Private Equity Transactions Episode 55: Private Equity Deals: Approaching a Deal Strategically Defining Private Equity Transactions in Healthcare and Understanding Deal Options for Medical Groups

Episode 85: Non-Economic Considerations for Private Equity Transactions

Michele Madison, a partner in the healthcare practice at Morris, Manning & Martin, LLP, joins Mark to discuss hospital pain points and challenges in the wake of 2020. They touch on compliance, transactions, E/M coding changes, financial challenges, telehealth, and handling the various hardships that have grown over the last year of COVID.   Podcast Information Subscribe to 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Michele and Mark discuss maintaining physician relationships and focusing on value-based care and cost-reducing strategies. Hospitals are also exploring how to develop and expand outpatient healthcare delivery to patients. They also discuss the implications of the weighting changes to the work RVU values and how these changes affect commercial reasonableness and fair market value. How will these changes affect the upcoming survey data that many physician enterprises rely on? Click the play button to listen to the episode.   Extras Learn more about Michele 2021 Offers New Opportunities Amid Healthcare Regulation Changes Episode 82: How the MPFS Final Rule Impacts Medical Practices (and What to Do about It) Webinar Replay: 2021 E/M Coding Changes: What Healthcare Professionals Need to Know

Episode 84: Recovering from the Pandemic: Hospital Pain Points and Challenges

Alex Kirkland joins Mark to discuss changes to the Medicare Physician Fee Schedule (MPFS) final rule. On December 27, 2020, Congress passed and the President signed into law the Consolidated Appropriations Act. The stimulus bill provided temporary relief by partially mitigating cuts to the conversion factor in 2021.   Podcast Information Subscribe to 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting   Episode Synopsis Many payers use the Physician Fee Schedule (PFS) as the foundation for their rates and how they set their conversion factor. Although the stimulus bill only affects Medicare reimbursement for physician professional services, the impact will extend beyond Medicare. The stimulus package provides support only during 2021, so the full 10% cut to the conversion factor is still expected in 2022. Medical groups need to analyze their financial impact through a CPT level revenue and wRVU compensation analysis. The important concept is compensation increases should not outpace reimbursement, meaning you can’t afford to pay more than your revenue allows. There are also fair market value (FMV) and commercially reasonable (CR) implications and issues to consider. The new regulations state that a hospital may not value a physician’s services at a higher rate than a private equity investor or another physician practice. Click the play button to listen to the episode.   Extras Estimate the Financial Impact of 2021 E/M Coding Changes Episode 82: How the MPFS Final Rule Impacts Medical Practices (and What to Do about It) Webinar Replay: 2021 E/M Coding Changes: What Healthcare Professionals Need to Know

Episode 83: Updates to the Final Medicare Physician Fee Schedule Rule

Aimee Greeter and Taylor Cowart join Mark to unpack how the Medicare Physician Fee Schedule (MPFS) final rule impacts medical practices (both employed and private), and offer suggestions to handle the 2021 changes to wRVUs and Medicare reimbursement for professional services.   Podcast Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis COVID-19 drew everyone’s focus in 2020, and the surges around the holidays have moved the battlefront and center. In the fray, the Centers for Medicare and Medicaid Services announced big changes to evaluation and management codes that few are prepared for. Budget neutrality dictates there will be “winners” and “losers” throughout 2021. Aimee and Taylor provide an overview of how the final rule will affect certain specialties, and what hospitals and private medical practices need to do. Click the play button to listen to the episode.   Extras E/M and ME: How Will the 2021 E/M Coding Changes Impact Medical Practices? Estimate the Financial Impact of 2021 E/M Coding Changes PSA Progression: What’s Next in the Evolution of Professional Services Agreements?

Episode 82: How the MPFS Final Rule Impacts Medical Practices (and What to Do about It)

Richard Romero and Jeremy Johnson join Mark to discuss the Polsinelli|TrBK Distress Indices, which track bankruptcy statistics. The Distress Index is designed to capture distress in the market place and quantitatively present market place stress for healthcare valuators.   Podcast Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis Jeremy provides an overview of the Distress Index and how one could use the index to understand distress in the healthcare market. The Distress Index tracks all Chapter 11 bankruptcies, and there are two sub-indices for real estate and healthcare. Throughout this episode, Mark, Richard, and Jeremy explain how consultants and valuators use this data to understand the healthcare market and apply it to healthcare valuation. Risk is a significant factor in healthcare valuation and transaction advisory services. The Distress Index helps quantify the level of industry risk. Click the play button to listen to Richard and Jeremy discuss the Distress Index.   Extras The Distress Index Blog: Recognizing and Mitigating Key Areas of Risk Blog: The Impact of COVID-19 on Business Valuation

Episode 81: How to Quantify Risk with the Distress Index

Taylor Cowart and Max Reiboldt join Mark to discuss the top five trends they expect to see during 2021. COVID-19 changed the entire world in just a matter of weeks, completely upending the status quo. Max and Taylor discuss how these changes will affect the healthcare industry in 2021 and beyond.   Podcast Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis Top Five Healthcare Trends for 2021 Post-COVID Transactions Political Transition Value-Based Arrangements Operations and Efficiencies Telehealth Click the play button to listen to Max and Taylor discuss these five trends.   Extras Blog Post: Top Five Healthcare Trends for 2021 2020 Telehealth Survey – Summary of Results 2020 Telehealth Survey – Summary of Results, Part 2

Episode 80: Top Five Healthcare Trends in 2021

Coffee with Coker host, Mark Reiboldt, reviews the lessons we learned from the pandemic in 2020 and considers how to apply these lessons to a crisis moving forward.   Contact Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis Mark discusses the weaknesses and vulnerabilities the pandemic exposed in healthcare organizations. Ideally, if we can identify and address these vulnerable areas pre-crisis, we can mitigate the severity once a crisis arises. Mark reviews three categories: financial planning and performance, technology and compliance, and operations.   Extras COVID-19 Pandemic Exposes Vulnerabilities in Healthcare Organizations (Part 1) COVID-19 Pandemic Exposes Vulnerabilities in Healthcare Organizations (Part 2) COVID-19 Pandemic Exposes Vulnerabilities in Healthcare Organizations (Part 3)

Episode 79: Pandemic Exposes Vulnerabilities in Healthcare Organizations

As healthcare business consultants, we are committed to helping healthcare organizations and professionals navigate the healthcare industry. Our discussion will focus on current events in the healthcare industry and how leaders in healthcare organizations can effectively overcome challenges.

hubhopper

Coffee with Coker

hubhopper