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The 2025 MedAxiom presentation titled "Strategic Heartbeats: Fresh Approaches to Cardiologist Alignment," moderated by Joe Sasson of MedAxiom, features speakers Gary Herschman and Anjana Patel from Baker Donelson. The discussion centers on innovative affiliation models between hospitals and cardiologists aimed at enhancing collaboration, quality, and operational efficiency. Key affiliation models include: 1. <strong>Co-Management Models</strong>: - Model #1 involves direct co-management agreements where the medical group provides services for a specific hospital service line and receives payment, often with performance-based components linked to quality metrics. - Model #2 introduces a joint venture management company that contracts with the hospital to provide co-management services, similarly tied to quality outcomes. 2. <strong>Joint Ventures for Ambulatory Surgery Centers (ASCs)</strong>: - Hospitals and physicians invest and own a percentage of ASCs (e.g., cath labs), creating shared ownership models. - Some models expand to include experienced ASC operators or investors, adding complexity and broadening ownership among hospital, physicians, and external stakeholders. 3. <strong>Professional Service Agreements (PSA)</strong>: - Hospitals enter agreements with local cardiology groups often partnered with private equity platforms. These arrangements cover on-call duties, medical directorships, and other clinical responsibilities. - A "Mini-PSA Plus" may include additional elements like cardiology ASC involvement, joint ventures, or equity investment in the private equity platform. 4. <strong>Hospital Management Service Organizations (MSO)</strong>: - Hospitals provide comprehensive management services to medical groups through formal agreements, governed by physician owners and boards. The presentation emphasizes leveraging joint ventures, co-management, and private equity partnerships to align cardiologists with hospital goals, improve quality metrics, and foster shared financial and clinical responsibilities. It includes visual diagrams illustrating ownership and service flows within these models, framing a strategic approach to cardiology integration for 2025 and beyond.
Keywords
MedAxiom 2025
Cardiologist alignment
Co-management models
Joint ventures
Ambulatory Surgery Centers
Professional Service Agreements
Hospital Management Service Organizations
Private equity in healthcare
Cardiology collaboration
Healthcare operational efficiency
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