AMEEVA LLC

There can be multiple financial challenges Few of those are

1. Inadequate ROI on the program

2. Inappropriate subsidy

3. Inability to meet budget continuously even with increasing subsidy requests

4. Negative impact on other service lines due to inefficiencies in hospitalist services.

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Solutions

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The solutions to all of the financial challenges lies in the ability to align the operations of the hospitalist program with the four main drivers in the balance sheet.

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Ameeva can provide a specific, stepwise, time bound plan for each stake holder to achieve this alignment after a thorough analysis of the program. The four major drivers in the balance sheet include physician comp, collections per visit, measures of physician productivity and measures for excessive spending due to locums usage or coverage for open shifts. As each program is different the changes in program will be corresponding to the identified deficiency in one or more of these measures. Most of the changes are not depending on altering the subsidy structure. Some of the solutions include

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1. Changes in staffing and scheduling structure which lead to appropriate volume ranges for each hospitalist

2. Pooling or banking of resources to assure maximal resource neutrality and resource realignment

3. Strategies to eliminate excessive spending on locums coverage and open shifts

4. Service line development and marketing to improve collections per visit

5. Strategies for assuring appropriate documentation to achieve appropriate collections per visit

6. Specific strategies to reduce the AR or Days sales Outstanding