System Logic - S1E9 - Kevin Birnbaum, Coker - Hot Comp Challenge

Executive Summary: In this live episode from the AAPCP conference in Nashville, host Jason Lee and co-host Dan Iliff talk with Kevin Birnbaum, Vice President at Coker. The panel discusses how healthcare groups can cultivate systematic trust through data transparency, manage the steep organizational hurdles of shifting advanced practice providers to productivity-based contracts, and strategically combat the market constraints driven by private equity subspecialty rollups.

Key Takeaways

• Transparency Cultivates Institutional Trust: Deploying real-time pay transparency engines directly via mobile apps builds critical provider trust and systematically discourages custom, one-off clinical contract deviations.

• Transitioning the APP Workforce: Mitigating localized doctor deficits requires shifting Advanced Practice Providers (APPs) away from traditional hourly nursing compensation into risk-aligned, contract-based production structures.

• Defending Call Metrics Against Private Equity: The expansion of single-specialty private equity rollups allows procedural lines to abandon hospital call duties, forcing networks to establish innovative GI and urology hospitalist models.

• The Constraints of Condensed Scheduling: Implementing condensed four-day clinical work weeks for surgeons faces immense logistical strain due to mandatory call backfills and prohibitive cost overheads.
  

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