MaxWorth Insights Blog

The MaxWorth Team has been working with professionals in the healthcare industry for over thirteen years. What’s the most important thing we’ve learned? That there’s always more to learn. Healthcare is constantly changing. So are the challenges we aim to address.  We hope you can benefit from the collective knowledge and experiences of our clients and strategic partners.

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Ensuring the success of physician benefit plans

Ensuring the success of physician benefit plans By: Kyle Worthy A hospital’s HR department is inundated with benefit plans to administer for many types of employees. Benefit plans for physicians are particularly complex given that they are contingent upon a constantly changing body of law. They also require clear communication with busy physicians, some of…
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Courage In Healthcare: Dr. Arun Adlakha, Part 2

Courage in Healthcare: Dr. Arun Adlakha, Part 2 By: Kyle Worthy The lasting impact of courage   In this two-part episode, we speak with Dr. Arun Adlakha, a pulmonologist based in Charlotte, NC. In part one of this episode, we learned about the challenges the Adlakhas faced when they left their home in India to…
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New physicians are seeking employment, are your benefits aligned with this trend?

New physicians are seeking employment, are your benefits aligned with this trend? By: Kyle Worthy The 2019 Medscape Young Physician Compensation Report shows that the majority of new physicians prefer employment over private practice. In fact, another Medscape report showed that only 22% of residents were considering self-employment.    This comes as no surprise given…
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Courage In Healthcare: Dr. Arun Adlakha, Part 1

Courage in Healthcare: Dr. Arun Adlakha, Part 1 By: Kyle Worthy Committing to a calling in the face of adversity In this two-part episode, we speak with Dr. Arun Adlakha, a pulmonologist based in Charlotte, NC. Arun and his wife, Kiran, met as medical students at CMC Ludhiana in India. In 1987, with a baby…
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Strategic Executive Compensation in Medical Groups

Strategic Executive Compensation in Medical Groups By: Kyle Worthy As we’ve discussed in the past, dynamic hospital compensation programs can be the key to attracting and retaining top executive talent, which ultimately impacts the continuity of care in america.    As we transition to new delivery models, there is a growing need to think strategically…
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5 Principles of Call Pay: Sustainability

5 Principles of Call Pay: Sustainability By: Kyle Worthy Sustainability: building programs that support financial stability    At MaxWorth, we believe that compensation is a powerful tool hospitals can use to achieve their highest goals of providing quality care, maintaining their financial wellness, and ensuring the continuity of care in America for generations to come.…
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5 Principles of Call Pay: Transparency

5 Principles of Call Pay: Transparency By: Kyle Worthy Transparency: the key to a positive culture    At MaxWorth, we believe that compensation is a powerful tool hospitals can use to achieve their highest goals of providing quality care, maintaining their financial wellness, and ensuring the continuity of care in America for generations to come.…
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Physician Attraction: A Matter of Life or Death

Physician Attraction: A Matter of Life or Death By: Kyle Worthy It’s no secret that physician recruitment is more competitive than ever and that rural hospitals are struggling the most. The inability to attract healthcare providers to remote areas impacts access to care in these communities and poses a threat to the survival of their…
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5 Principles of Call Pay: Participation

5 Principles of Call Pay: Participation  By: Kyle Worthy Participation: giving physicians a voice   At MaxWorth, we believe that compensation is a powerful tool hospitals can use to achieve their highest goals of providing quality care, maintaining their financial wellness, and ensuring the continuity of care in America for generations to come. That’s why…
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Community Culture: A Top Physician Concern

Community Culture: A Top Chysician concern By: Leah Worthy A recent Jackson Physician Search survey polled rural physicians and administrators on the factors that influence recruitment. While both parties agreed that compensation is a top influencer, it was their differing opinions that revealed the more interesting insights. For example, administrators underestimated the importance of culture-related…
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5 Principles of Call Pay: Inclusion

5 Principles of Call Pay: Inclusion  By: Kyle Worthy Inclusion: considering every specialty in the decision-making process   At MaxWorth, we believe that compensation is a powerful tool hospitals can use to achieve their highest goals of providing quality care, maintaining their financial wellness, and ensuring the continuity of care in America for generations to…
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Executive Turnover: It’s not all about the CEO

Executive Turnover: It’s not all about the CEO By: Leah Worthy Executive Turnover: It’s not all about the CEO   Executive turnover is a hot topic in healthcare right now, but people tend to focus on CEO turnover alone. While the CEO position is vital, it’s also vital to keep an entire leadership team intact…
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5 Principles of Call Pay: Fairness

5 Principles of Call Pay: Fairness By: Kyle Worthy Fairness: The cornerstone principle of our Call Pay Solution.   At MaxWorth, we believe that compensation is a powerful tool hospitals can use to achieve their highest goals of providing quality care, maintaining their financial wellness, and ensuring the continuity of care in America for generations…
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The Future Medical Staff: How benefits can impact a hospital’s legacy

The Future Medical Staff: How benefits can impact a hospital’s legacy By: Kyle Worthy Hospitals are searching for ways to ease the financial pressures they’re facing, and most have found that cost-cutting efforts alone cannot adequately improve operating margins. A recent Modern Healthcare article reported that identifying new sources of revenue was an urgent priority…
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Podcast: Interview with Trisha Morrison

Podcast: Interview with Trisha Morrison Of The Pangburn Group  By: Kyle Worthy A benefit plan administrator can be your secret weapon in engaging with physician employees. Due to the rise in physician employment, recruitment has never been more competitive. There’s a growing need for unique and impactful benefit programs that will attract and retain employed physicians. In…
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Building The Ideal Call Committee

Building The Ideal Call Committee By: Kyle Worthy A Physicians’ Call Committee can be a hospital’s inside track to success. The benefits of a committee extend beyond compensation. A committee can encourage physician alignment, enhance culture, and provide a platform for deeper engagement. But when a committee has not been structured properly, it tends to…
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Starting With Why: How your mission can clarify your compensation goals

Starting With Why: How your mission can clarify your compensation goals By: Kyle Worthy In 2009, Simon Sinek gave a TED talk on the power of starting with the question, “Why?” The talk went viral. Sinek went on to become a bestselling author and continues to speak on the topic all over the world. Today,…
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Rural Hospitals Can Survive in Today’s Competitive Environment

Rural Hospitals Can Survive in Today’s Competitive Environment By: Leah Worthy A recent article from Community Hospital Corporation shared five ways rural hospitals can beat the odds and survive in today’s competitive environment. The article highlights the importance of fostering a positive hospital culture, identifying areas needing improvement, comparing data to that of competitors, finding…
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Courage In Healthcare: Episode 1

Courage in Healthcare Episode 1: Dr. Tom Sonderman By: Kyle Worthy We are proud to announce the launch of our new podcast, Courage in Healthcare. In this series, we will speak with leaders in the healthcare community who have seen their organizations through trying times.  In our first episode, we speak with Dr. Tom Sonderman of…
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Case Study: Hospital CEO finds solution to call budget unpredictability

Case Study: Hospital CEO finds solution to call budget unpredictability By: Kyle Worthy Summary: Predictability in budgeting is everything. But for many hospital administrators, the rising cost of call pay and the constant possibility that yet more specialty groups will come forward asking for call pay makes setting a budget extremely difficult. But Bill Caldwell,…
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Overcoming alignment issues at large urban medical centers

Overcoming alignment issues at large urban medical centers By: Kyle Worthy A few years ago, I was at a major urban medical center, preparing to start a meeting, when the system CMO arrived and introduced himself to every physician in attendance before taking his seat. It struck me how different the working relationships are at…
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Student loan forgiveness is a trending benefit. Can it apply to physician employees?

Student loan forgiveness is a trending benefit. Can it apply to physician employees? By: Leah Worthy A recent Willis Towers Watson survey showed that more employers are adding student loan forgiveness to their benefit packages. Given that the average medical school debt exceeds the average undergraduate debt by over $160,000, it would be a significant…
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Introducing: Courage in Healthcare Podcast

Introducing: Courage in Healthcare Podcast By: Kyle Wrothy A new podcast series inspired by the courageous stories we have encountered while working with healthcare leaders.    We are proud to announce the launch of our new podcast, Courage in Healthcare. In this series, we will speak with leaders in the healthcare community who have seen their…
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Compensation programs in the age of uncertainty

Compensation programs in the age of uncertainty By: Kyle Worthy As we met with physicians over the past few weeks, we noticed that many of them had a common concern: what will happen to their call pay plan if… There is a multitude of uncertainties in healthcare today as more and more hospitals consolidate to…
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Legacy Makers

Legacy Makers By: Kyle Worthy On a recent visit to a hospital client, I was having coffee in the atrium between meetings, watching as new banners went up on the walls. These banners celebrated a milestone: the hospital’s 75th year of service to its community. This made me think about how the decisions being made…
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Rural hospitals pay the most for physicians. It’s time for smarter rewards

Rural hospitals pay the most for physicians. It’s time for smarter rewards By: Leah Worthy Becker’s Hospital Review recently published a list of states with the highest average compensation rates for physicians and surgeons. Six of the top ten states on this list have populations under two million. This tells us that, under the pressure…
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Phantom Stock: A unique tool for compensating hospital executives

Phantom Stock: A unique tool for compensating hospital executives By: Steve Worthy A Phantom Stock Plan is a unique nonqualified deferred compensation plan designed to provide a mid to long-term incentive for key executives. The term “phantom stock” means that although potential value (similar to equity) may be transferred to employees, there is no actual…
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Securing Call Coverage: Is employment the answer?

Securing Call Coverage: Is employment the answer?  By: Kyle Worthy When determining the fair market value of on-call compensation rates, the latest Sullivan Cotter survey is the most frequently used resource. At MaxWorth, we don’t believe survey results should be the sole factor in the decision-making process. Surveys are often flawed, and their rates are…
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Creating a call committee built to last

Creating a call committee built to last By: Kyle Worthy As call pay continues to be a top concern in healthcare, hospitals are discovering the importance of having a process in place for determining and documenting on call compensation rates. At a recent seminar, the health law experts at Horty Springer discussed the benefits of…
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Hospital Executive Compensation: Remain Competitive While Controlling Cost

Hospital Executive Compensation: remain competitive while containing cost By: Kyle Worthy Healthcare organizations have been searching for ways to contain cost, so it was only a matter of time before their efforts began to affect executive compensation. A 2018 Sullivan Cotter survey illustrated this budding trend in healthcare. According to the survey, the average salary…
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5 Keys to Call Pay

5 Keys To Building A Better Call Pay Program By: Kyle Worthy During his time as Medical Staff President at Winchester Medical Center, Dr. Tom Oliver helped his organization successfully navigate a variety of challenges, but none would test his leadership skills more than an on-call compensation crisis. The hospital was on the brink of…
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Retaining Hospital Executives with Better Rewards

Retaining Hospital Executives with Better Rewards By: Steve Worthy Motivated by the success of our Physicians’ Advantage Plans, our clients recently began asking us to design a similar plan for executives. In today’s environment, it’s only natural for hospitals to seek better ways to reward their leadership. Hospitals are competing with one another for top…
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Transparency in call pay: Can it cure medical staff division?

Transparency in call pay: Can it cure medical staff division? By: Kyle Worthy When call pay is creating division in a medical staff, it’s often because of the way contracts are negotiated. The most common approach is to negotiate with one specialty at a time behind closed doors. The lack of transparency in this approach…
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The happiness advantage in hospital culture

The happiness advantage in hospital culture By: Leah Worthy Researcher and bestselling author Shawn Achor has traveled to 48 countries and has worked with over a third of the Fortune 100, spreading a message that may be surprising to some, both in its simplicity and its impact: Positivity leads to success. In a Harvard Business…
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Sustainability of Call Pay: Transforming a liability into a sustainable reward

Sustainable Call Pay: Transforming a liability into a sustainable reward By: Kyle Worthy In an environment where physician spend is escalating at an unsustainable rate as the physician shortage continues to grow, it has never been more important to find ways to contain cost without compromising physician benefits. This is exactly what our Call Pay…
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Making the Most of Medical Directorships

Making the Most of Medical Directorships Medical directorships serve an important role in the operation of healthcare organizations. Therefore, it’s likely that directorship pay will continue to be a part of many physicians’ compensation package. Lately, there has been an increase in scrutiny placed on directorship arrangements and ensuring their compliance with the Anti-Kickback Statute…
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Case Study: Maury Regional Call Pay Plan

Case Study: Maury Regional Call Pay Plan By: Kyle Worthy Summary: When a group of surgeons from several specialties approached Maury Regional Health about adding call pay to their compensation package, hospital administrators knew they were in for a challenge. This was nearly a decade ago, and at the time, the rural Tennessee hospital wasn’t…
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Repurposing Physician Compensation into a Retirement Benefit

Repurposing Physician Compensation into a Retirement Benefit By: Steve Worthy A physician’s compensation package rarely accounts for the fact that doctors have different retirement needs than other professionals. Traditional retirement plans are effective for creating substantial retirement income for employees in most industries, but even if a physician maximizes their qualified plan contributions during their…
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Podcast: Interview with Jim Dowdell

Podcast: Interview with Jim Dowdell of Engage Practice Solutions By: Kyle Worthy As the founder of Engage Practice Solutions, Jim Dowdell is transforming the way hospitals use data to maximize revenue.     As physician employment becomes more widespread, healthcare organizations are searching for ways to ensure the sustainability of these arrangements. Engage Practice Solutions is…
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Achieving Medical Staff Alignment

Achieving Medical Staff Alignment By: Kyle Worthy Getting a hospital’s entire medical staff on the same page is no easy task. With so many competing interests, sometimes it seems like providing great patient care is the only thing everyone can agree on. Financial matters can make achieving alignment even more difficult, particularly when it comes…
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Process Makes Perfect: A Look Back at Horty Springer’s Physician-Hospital Contracts Clinic

Process Makes Perfect: A look back on Horty Springer’s Physician-Hospital Contracts Clinic By: Kyle Worthy Horty Springer seminars are always held at top travel destinations across the country, and they often coordinate with local events. Last week in New Orleans, seminar attendees had the opportunity to experience French Quarter Fest, which was packed with great…
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What’s So Fair About Fair Market Value?

What’s So Fair About Fair Market Value? By: Steve Worthy, Managing Partner When negotiating on-call compensation rates, it’s necessary to have access to reliable compensation benchmark data. Fair Market Value surveys are the most universally used benchmark resources in the industry. These surveys, however, are flawed. Oftentimes, they do not have enough records to amount…
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The Call Pay Crisis: An ounce of prevention is worth a pound of cure

The Call Pay Crisis: An Ounce of Prevention is Worth a Pound of Cure By: Steve Worthy, Managing Partner  In 2005, Dr. Tom Oliver was serving as president of medical staff at Winchester Medical Center in Virginia. On the most memorable day of his tenure, a surgical specialty made an announcement. After a certain date, they…
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Hospital call pay: Turning a burden into a benefit

Hospital call pay: Turning a burden into a benefit By: Kyle Worthy, Senior Consultant Hospitals are struggling to survive. Financial challenges from shrinking reimbursements and skyrocketing expenses have pushed many facilities to the brink. The problem is especially dire in rural communities, where 5 percent of hospitals have closed since 2010, and another 21 percent…
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Call Pay Calculator®: A More Reliable Resource for Call Pay Data

Call Pay Calculator®: A More Reliable Resource for Call Pay Data By: Kyle Worthy, Senior Consultant When creating on-call compensation agreements, having reliable compensation benchmarks is essential, especially given the regulatory requirement that hospital-physician financial relationships must reflect the fair market value of the physician’s services.   Commercially available survey data is helpful as a…
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Introducing: Physician Employment Strategies Series

Introducing: Physician Employment Strategies Series By: Kyle Worthy For the first time in history, there are more physicians employed by hospitals than by private practices. This cultural shift, combined with a growing physician shortage, has made hospitals’ recruiting and retention more challenging than ever. Attempts to attract and retain top physician talent can be expensive…
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Excise Tax and Non-Profit Healthcare Organizations

Excise Tax: Impact On Tax-Exempt Heathcare Organizations By: Kyle Worthy A 2018 change in tax law will have a major impact on compensation for non-profit hospitals and healthcare systems. To learn more about the tax reform, we turned to Dan Mulholland and Henry Casale, partners at HortySpringer. HortySpringer is a healthcare law firm based in…
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Physician Employment LIVE: Tools to Attract, Retain, and Reward

Physician Employment LIVE: Strategic Tools to Attract, Retain, and Reward By: Kyle Worthy, Senior Consultant During the American Association of Physician Leadership’s Winter Institute in Orlando, MaxWorth presented a bonus session on how organizations can use compensation as a strategic tool to enhance their employment strategies. Register to hear the presentation, recorded live in January…
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Podcast: Interview with Dr. Peter Angood

Podcast: Interview with Dr. Peter Angood By: Kyle Worthy As the CEO of The Association for Physician Leadership, Dr. Peter Angood is trying to start a social movement.   Every physician is viewed as a leader in his or her community. But not every physician has had the opportunity to acquire the skill set needed…
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Impact of Call on a Physician’s Family: Rewriting the Narrative

The Impact of Call on a Physician’s Family: Rewriting the Narrative By: Steve Worthy, Managing Partner Taking two cars to the soccer game. Not being able to have a glass of wine at dinner. A holiday interrupted. There’s no doubt that the burden of call is shared by the families of physicians. But what about…
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Podcast: Interview with Dr. Paul Reiman

Podcast: Interview with Dr. Paul Reiman By: Kyle Worthy With fairness and transparency as his top priorities, one orthopedist is leading the way to higher ground.   This week, we speak with Dr. Paul Reiman, an orthopedic surgeon from Southern California. When Dr. Reiman isn’t riding motocross, he’s working to solve some of healthcare’s most challenging…
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Webinar: 5 Leadership Principles of Call Compensation

Webinar Registration: 5 Leadership Principles of On-Call Compensation By: Kyle Worthy, Senior Consultant On-Demand Webinar Summary: When properly structured, call-pay arrangements can be a useful way to meet EMTALA obligations and further a hospital’s integration strategy. But when call-pay arrangements evolve from single-specialty negotiations they can turn into divisive, legal, financial and operational nightmares.   In…
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Podcast: Interview with Dr. Tom Oliver

Podcast: Interview with Dr. Tom Oliver By: Kyle Worthy Episode Description During his time as president of the medical staff at Winchester Medical Center, Dr. Tom Oliver helped his organization successfully navigate a variety of challenges. But none would test his leadership skills more than an on-call compensation crisis. In this episode we talk with…
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Webinar: Physician Leaders and The Dynamics of Cultural Change

Webinar Registration: Physician Leaders and The Dynamics of Culture Change By: Kyle Worthy, Senior Consultant On-Demand Webinar Summary: As physician leaders, you have an opportunity to influence change that can revolutionize the culture of your organization. Most organizational cultures unintentionally evolve over time.  When change is necessary, it is viewed with skepticism.  Those potentially impacted are…
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MaxWorth TV: An Interview with Dr. Tom Oliver

MaxWorth TV: An Interview With Dr. Tom Oliver of Winchester Medical Center By: Kyle Worthy, Senior Consultant Winchester Medical Center is a 445 bed hospital located in Winchester, VA. In 2006 it became the first hospital to adopt MaxWorth’s Call Pay Solution®. As Chief of Staff at the time, Dr. Tom Oliver played an important role…
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Maxworth TV: An Interview with Dan Mulholland and Henry Casale

MaxWorth TV: An Interview with Dan Mulholland and Henry Casale of Horty Springer By: Kyle Worthy While attending the Hospital-Physician Contracts: Survival Strategies seminar in Las Vegas, we had the opportunity to talk with attorneys Dan Mulholland and Henry Casale of Horty, Springer & Mattern to discuss the changes they have seen in call pay…
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MaxWorth TV: An Interview with Dr. Paul Reiman

MaxWorth TV: An Interview with Dr. Paul Reiman of LLUMC-Murrieta By: Kyle Worthy, Senior Consultant Dr. Paul Reiman is the call committee chairman at Loma Linda University Medical Center – Murrieta in Murrieta, CA. During our last visit, we sat down with Dr. Reiman to discuss his experiences with MaxWorth’s Call Pay Solution®  The opinions expressed…
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MaxWorth TV: An Interview with With Dr. Tom Sonderman

MaxWorth TV: Interview with Dr. Tom Sonderman By: Kyle Worthy, Senior Consultant Columbus Regional Hospital is a 225-bed facility providing emergency and surgical services in Columbus, IN. Columbus Regional is nationally recognized for quality patient care, winning the American Hospital Association’s Quest for Quality Prize, the highest quality honor awarded by the hospital industry. Other recognitions…
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Collaborating For A Brighter Future

Collaborating For A Brighter Future By: Steve Worthy, Managing Partner Atul Gawande is an authority on the complex issues facing today’s physicians. Dr. Gawande is a MacArthur Fellow, a general and endocrine surgeon at the Brigham and Women’s Hospital in Boston, a staff writer for The New Yorker, and an associate professor at Harvard Medical…
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Maxworth TV: An Interview with Randy Arnett

MaxWorth TV: An Interview with Randy Arnett By: Kyle Worthy Southern Ohio Medical Center (SOMC) is a 222-bed 501(C)(3) not-for-profit hospital in Portsmouth, Ohio, providing emergency and surgical care, as well as a wide range of other health-care services; SOMC has been in the community since 1954. It is the mission of SOMC to truly…
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