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SECURING A PHYSIATRIC POSITION - THE RECRUITER‘S

PERSPECTIVELINDA FARR

FARR HEALTHCARE, INC.

NOVEMBER 12, 2014

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Disclosure

Linda Farr is President, Farr Healthcare, Inc. and

works with national rehab organizations such as

Vibra Healthcare, HealthSouth, and RehabCare

Group/Kindred and some academic rehab programs.

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INTRODUCTION

• Notable US health system transformations over the last 2 decades

• Different perspectives on the physiatrist’s role

• Impact of the passage of health care reform

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THE FUTURE

“The next 20 years are going to be a lot tougher than the past 20 years for physicians.”

From a study titled How to Prepare Your Medical Practice for the 21st Century

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SECURING A PHYSIATRIC POSITION

• Impact of the health care system

• Physiatric services in demand

• Compensation issues

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THE HEALTH CARE SYSTEM

• Impact of horizontal and vertical integration considerations:

• Ability to get referrals

• Group size

• Rural vs. urban

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Accountable Care Organizations

• Patient care=funding

• Epidemiology

• Broad focus of services

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PHYSIATRY SERVICES IN DEMAND

• To be or not to be: physiatry as primary care or not • Payment bundling

• Each doctor will need to provide value to the patient visit

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Passage of health care reform

• Increased need for doctors

• Nearly 1/3 of doctors will retire in the next decade

• New patients with no deductibles or copays

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Non-medical decisions crucial

• Planning, time management, the right team

• “It’s tough to be an expert in more than one profession when time is the currency of value.” Dr. Bernard Morrey

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The Economy

“Where physician can save time during their day makes a trememdous difference.”

From How to Prepare Your Medical Practice for the 21st Century

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COMPENSATION

• RVU’s

• Doctors staying where they are

• Reimbursement cuts affect salaries and

services

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Compensation considerations

• Opt out of Medicare/aid

• States with no income tax

• Contracts – income guarantee, restrictive covenants, partnership

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CONCLUSION

• Health care system – bigger maybe

better

• Services – broad abilities

• Compensation – time=money