Schaeffer Smith

Schaeffer is a senior manager in healthcare services at HORNE LLP. He is a member of the healthcare services valuation department and specializes in compensation valuation for employment, medical director, call coverage, clinical co-management, pay-for-performance, stipends, and other physician contracting arrangements.
Find me on:

Recent Posts

July 27, 2017

Is It Time to Transition From CCMAs to APMs?

A Bridge for Healthcare Reform

Over the past decade, clinical co-management arrangements (CCMAs) have risen in popularity as a means to achieve a more integrated care delivery model. CCMAs have often been touted as an interim strategy to bridge hospitals to newer emerging models, but many hospitals have yet to cross that bridge.

Continue reading >

Topics: Healthcare Reform, Payment Models, APMs

January 26, 2017

The Road to MACRA Success Does Not End With MIPS

It is important to recognize that the road to long-term success does not end with the implementation of the Merit-based Incentive Payment System (MIPS). In CMS’ own words, MACRA’s final rule was established, in part, to incentivize and promote participation in Advanced Alternative Payment Models (APMs). These incentives include a 5% participation bonus from 2019 to 2024 and a 0.5% annual increase above the MIPS track beginning in 2026.

Continue reading >

Topics: Payment Models, MIPS Healthcare, MACRA Summary

April 12, 2016

3 Pitfalls to Avoid With Compensation-per-WRVU Contracts

Today, WRVUs are one of the most prevalent measures by which employers determine physician compensation.  WRVUs have the benefit of rewarding physicians for personally performed services based on relative values utilized by CMS without penalizing the physician for charity care provided on behalf of the hospital or for revenue cycle issues outside of the physician’s control. However, misconceptions still exist surrounding the selection of appropriate conversion rates for physician arrangements. Here are three common pitfalls to avoid when establishing a compensation-per-WRVU contract.

Continue reading >

Topics: Physician Compensation

October 15, 2015

5 Steps to Realizing Value in a Clinical Co-Management Agreement

Healthcare reform has undoubtedly created more integrated delivery and payment models based on a culture of quality-focused and cost-efficient clinical management. In one example, many healthcare systems have begun implementing clinical co-management arrangements (“CCMAs”) to accomplish the physician alignment and integration required to achieve these goals. 

Continue reading >

Topics: Clinical Integration, Hospital Management