The Impact of Obamacare on Physician Recruitment March 4, 2014

1. The Impact of Obamacare on Physician RecruitmentMarch 4, 2014

2. Healthcare Reform 101

3. What is Healthcare Reform?

4. Why was Reform Considered Necessary?

5. What About the Dollars?

6. Impact on Physician Recruitment

7. Impact on Physician Recruitment #1 • Healthcare reform will result in newly insured patients, spiking demand for physician services.

8. 23 Million Americans are Projected to Gain Coverage • A 43% reduction in 10 years. But 10% of the population will still not have healthcare.

9. Expansion of Insured Relies Heavily on Medicaid

10. Yet, Many States Do Not Plan to Expand Medicaid

11. Exchanges Are Gaining Some Traction

12. The Newly Insured Will Have Different Needs

13. Impact on Physician Recruitment #2 • Healthcare reform will not remedy the existing shortage of physicians, and does not address how the newly insured access physicians.

14. Projected Physician Shortage of 130,600 by 2025

15. The Primary Care Shortage is Particularly Acute

16. Attracting Physicians to Rural Areas is a Challenge

17. Despite Income Opportunities

18. Impact on Physician Recruitment #3 • The models of care within the physician practice setting will need to change.

19. The Market vs. Physician Desires

20. Patient-Centered Medical Home

21. Concierge Medicine

22. Direct Primary Care

23. The Micropractice / The Ideal Medical Practice

24. Impact on Physician Recruitment #4 • Advanced care providers will become a meaningful part of the solution in many markets.

25. Over 180,000 NPs in the U.S.

26. More than 90,000 Certified PAs

27. Scope of Practice Varies by State

28. Patients Want Access to Providers

29. Impact on Physician Recruitment #5 • Evidence-based medicine will become the backbone to patient care within the physician practice.

30. Evidence-Based Medicine

31. Requires a Belief in Improvement

32. Patient-Centered Medical Home Growth

33. Impact on Physician Recruitment #6 • The pace of physician alignment will increase in order to fully adopt evidence-based medicine.

34. The Most Common Integration Vehicles

35. What Did We Learn from the 1990s?

36. Impact on Physician Recruitment #7 • Attracting the “right” physicians is a must, period.

37. Not All Physicians Are Created Equal

38. Historic Physician Recruitment Criteria

39. Future Physician Recruitment Criteria

40. Impact on Physician Recruitment #8 • Physician recruiters must have a clear-cut Recruitment Strategy.

41. Recruitment Recommendations • Should incorporate a number of findings. Local Market Reality Hospital Strategy • Inputs • Population growth and/or aging • Local market reality • Hospital’s strategic priorities & growth plans • Current gaps • Market & Hospital Surplus/(Deficit) • Potential physician retirements Recruitment Recommendations Succession Planning Quantitative Results

42. Developing the Recruitment Strategy

43. Potential Population Health Scenarios • Project demand for physicians in a post-reform era

44. Impact on Physician Recruitment #9 • Physician recruiters will increasingly need to demonstrate expertise and value.

45. The CEO’s Perspective

46. Impact on Physician Recruitment #10 • Physician recruiters have a real opportunity to grow and thrive as the complexity of the landscape increases.

47. The Winners Will Have Super Star Physicians

48. Challenge Yourself to Grow