Becker's ASC Review

12 ASC MANAGEMENT What Will Happen to Value-Based Care Under the Donald Trump Presidency? By Laura Dyrda P resident-elect Donald Trump's healthcare plan re- peals the Affordable Care Act and would target the value-based initiatives along with it. According to a HealthData Management report, there has been biparti- san support for change in healthcare reimbursement and adding a value-based component as an alternative to fee-for-service. The value-based payment models, such as ACOs and bundled payments, have had mixed results so far. CMS heads multiple initiatives, including the Pioneer ACOs and the Comprehensive Care for Joint Replacements program, implemented to reduce healthcare expenditures. The Republican Party also holds both houses of Congress, which could slow any progress toward value-based care, Premier's Blair Childs said in the HealthData Management report. GOP lawmakers have been concerned about the "pace of change" and whether government agencies should require participation in CMS' demonstration projects. The Center for Medicare and Medicaid Innovation is tasked with moving value-based care initiatives forward, but Con- gress could reduce its role and requirements for participa- tion could change. However, Mr. Childs argued hospitals and healthcare providers will still move toward value-based care due to the increased aging population and need to curtail rising healthcare spending. Both Mr. Childs and Advisory Board's Eric Cragun, who also contributed to the article, believe the ACA won't be repealed despite Mr. Trump and the GOP's insistence otherwise. n 10 Key Trends in Physician Executive Pay — C-suite Reaches $499k By Laura Dyrda C ejka Executive Search partnered with the American Association for Physi- cian Leadership to produce the Physi- cian Leadership Compensation Survey. "Given healthcare reform and the continued attention on costs, including executive com- pensation, we don't expect physician leader compensation to return to pre-recession growth rates anytime soon," said Paul Essel- man, Cejka's senior executive vice president and managing director. "However, there are emerging roles in response to the shi toward value-based care that provide physician lead- ers with significantly greater opportunities for earnings, as well as strategic input and or- ganizational influence." Here are 10 key statistics from the survey: 1. e median compensation for physician leaders in 2016 was $350,000, up 8 percent over the last survey in 2013. However, the growth is behind the two-year growth rates of 12 percent reported in 2007. 2. e highest-paid physician executives earn around $499,000 on average for their roles as physician in chief, chief strategy officer, chief transformational officer, chief innovation of- ficer and chief integration officer. e com- pensation jumped 6 percent over 2013. 3. e average compensation for physician CEOs or presidents rose 7 percent from 2013 to 2016, hitting $437,500. 4. Chief medical officer average compen- sation was up 6 percent in 2016, reaching $388,000. e chief quality or patient safety officer reported flat compensation from 2013 to 2016 at $375,000. 5. Chief information officers or chief medi- cal information officers reported the highest jump, 18 percent, to $372,500 in 2016. e increase in compensation can be attributed to the shi from EMR implementation to ensur- ing the data can be used to support preventa- tive care at the individual provider level and risk-based accountable care at the enterprise level. 6. Physicians who work at the health system's corporate or parent-level saw an average 67 percent spike in median income from 2013 to 2017. 7. Physician leaders without a post graduate degree reported 13 percent more in compen- sation while certified physician executives saw a 4 percent compensation increase. e physicians who allocated more time to ad- ministration and reported that performance- based pay was a higher percentage of total compensation, earned more. 8. Physician leaders serving as president of the medical staff or medical director, assis- tant or associate reported a 26 percent gain in compensation. Additionally, the number of survey respondents in these positions jumped from 5 percent in 2013 to 8 percent in 2016. 9. ere were 61 percent of physician leaders who reported having strategic input over the previous year, and 54 percent who reported having multiple or shared administrative re- porting relationships. 10. Among the physician leaders who have administrative reporting relationships, 49 percent are administratively accountable for multiple people and 29 percent have shared direct reports. e skills most likely to en- hance the physician leader's job performance are financial analysis, change management, strategic planning, population health man- agement, physician engagement and conflict resolution. n

• Cover