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Physician Services Model Comparison
Physician Services Model Comparison
November 14, 2024
The complexity of the No Surprises Act (NSA), payor responses, and regulatory changes has made it very difficult for previously successful models to be financially viable, leaving health system executives with no choice but to evaluate their options. Delivering high-quality care in a cost-effective way is the highest priority when identifying the most effective care delivery models with the needed flexibility and expertise in staffing, coding, documentation, and managing revenue cycle.
Below is a chart to help compare the different types of physician service models.
Hospital
Pros
Cons
Hospital Employed Programs
Physicians, NPs, and PAs: directly employed by the hospital or hospital’s medical group.
Recruiting, credentialing revenue cycle, documentation, and coding done within the health system or through health system partners.
National Outsourced Clinical Services
Physicians, NPs, and PAs: work locally, employed by vendor.
Professional recruiting, credentialing, revenue cycle, documentation, and coding are done by vendor through either direct services or third-party arrangements.
Co-resourced
Physicians, NPs, and PAs are directly employed by the hospital or hospital’s medical group, with the possibility to leaseback the group for headcount and managed care contracting reasons.
Recruiting, credentialing, rev cycle, documentation and coding all done at scale by vendor as part of management solution.
Local or regional physician group providing services
Physicians, NPs, and PAs are employed by a local or regional physician group.
Physician group provides recruiting, credentialing, revenue cycle, and documentation either directly or via third party arrangement.
Learn more about SCP’s programs and solutions. Talk with one of our experts today.
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