Evan R. Goldfischer, MD, MBA, FACS, presented “Negotiating Pay for Call Contracts with Hospitals” during the 31st International Prostate Cancer Update in July 2021 in Snowbird, Utah.
How to cite: Goldfischer, Evan R. “Negotiating Pay for Call Contracts with Hospitals.” July 2021. Accessed Oct 2024. https://grandroundsinurology.com/negotiating-pay-for-call-contracts-with-hospitals/
Negotiating Pay for Call Contracts with Hospitals – Summary
Evan R. Goldfischer, MD, MBA, FACS, urologist and Director of the Research Department at Premier Medical Group in Poughkeepsie, New York, discusses hospital service line agreements and the process of negotiating beneficial pay for call contracts. He begins by explaining physician health system alignment and how alignment can look different depending on how much autonomy a physician desires. Dr. Goldfischer explains that hospitals want to partner with urologists because they need urologic specialization for a wide variety of patients and do not know how to effectively manage service lines, and that urologists should desire partnership because it reduces the incentive for internal urology departments and gives urologists the opportunity to improve the condition of their practice. He also states that there is a great deal of benefit to patients due to access to well-trained and educated specialists. Dr. Goldfischer also describes how call coverage and quality improvement service arrangements function to benefit a hospital, and outlines the call coverage responsibilities, including 24/7 coverage 365 days a year, unassigned inpatients, daily rounds, and more. He then details call coverage compensation in terms of flat fee coverage. Dr. Goldfischer explains the variables involved in deciding flat fees such as extent of burden, extent of treatment, fair market value, and probability of providing uncompensated care. He details quality based payment strategies and how to collect evidence on the positive changes a physician has made as part of a hospital as a way to prove value. Dr. Goldfischer concludes by stating that physicians understand their specialty and should be compensated for achieving higher quality work and lower costs.
About The 31st Annual International Prostate Cancer Update:
The International Prostate Cancer Update (IPCU), founded in 1990, is a multi-day CME conference focused on prostate cancer treatment updates with expert, international faculty. It is led by expert physicians and is designed for urologists, medical oncologists, radiation oncologists, and other healthcare professionals involved in the diagnosis and treatment of prostate cancer. Dr. Goldfischer delivered this educational activity during the 31st iteration of the meeting in July 2021 in Snowbird, Utah.
ABOUT THE AUTHOR
Dr. Goldfischer is a urologist and Director of the Research Department at Premier Medical Group in Poughkeepsie, New York. He received his BA from Tufts University and his MD from Cornell University Medical College. He completed his Internship in General Surgery and his Residency in Urology at the University of Chicago. He then completed a Fellowship in Endourology under the direction of Arthur Smith at Long Island Jewish Medical Center. Dr. Goldfischer received his MBA from the University of Massachusetts and is a Certified Physician Executive. He is the Founder and Chair of the Board of Premier Cares Foundation, which aims to support and educate individuals who are unable to address significant issues like prostate and colon cancer. He has authored more than 100 peer-reviewed abstracts and publications and has lectured on six continents. Dr. Goldfischer has served as the Chair of the Advanced Prostate Cancer Expert Panel for the Public Education Council of the Urology Care Foundation, which is the official foundation of the AUA. He was elected to the LUGPA Board of Directors in 2014 and was elected Secretary of LUGPA in November 2018. Dr. Goldfischer was elected President of LUGPA in 2022 and still serves in that role.
