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Learn how to navigate economical, clinical, and sociological pressures when considering the sale of your pathology practice. Explore evaluation options, aligning with healthcare systems, venture capital, and negotiating strategies.
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KEY CONSIDERATONS FOR SELLING YOUR PATHOLOGY PRACTICE Ron Sconyers Metropolitan Pathologists, PC
Learning Objectives • Implement best practices between hospital and physician interests • Demonstrate strategies to prepare for integration • Identify practical steps to improve outcomes and physician satisfaction
Economical Pressures • Decreasing Reimbursements • Moving from Volume to Value • Changing alliances
Clinical Pressures • Changing clinical guideline • Increased Medical Knowledge
Sociological Pressures • Increased Demands • Improve Population Health • Improve Outcomes
Necessary Endings • Our world is Changing • Necessary Endings – Dr Henry Cloud • “Great is the art of the beginning, but greater is the art of the ending” – Henry Wadsworth Longfellow • What are we going to do • “When Stuck is the new Normal”
EVALUATE OPTIONS • INTERNAL AND EXTERNAL ASSESSMENT • Environment Assessment • Practice Assessment • Market Assessment • EVALUATE YOUR OPTIONS • Build a Different Business Model • Align with Healthcare System • Sale
Build a Different Business Model • Promising Practice PathwaysTM • High Performance Pathology for High-Value Oncology • High Performance Diagnostic Services • Coordinated Population Care Services • Patient Diagnostic Services Center TM byCollege of American Pathologists
Align with Healthcare System • Develop a relationship with Key Players • Visible Pathologist • Know your practice – results of Practice Assessment • ACO involvement • Joint Venture
Sale Strategy • Strategic Alignment • Venture Capital
Strategic Alignment • Minimal Acquisition activity • More Joint Venture Activity
Venture Capital • Be Prepared
Information Request - Financial • Financial Statements for past 3 or more years • Revenue breakdown: testing for specialty physicians (by specialty), testing/consulting for pathology practices, contract research • Revenue breakdown by payer, indicating • Revenue breakdown by CPT code • Revenue by customer (concentration report) • Revenue by Geographical Area
Information Request - Statistical • Complete test menu • Specimen volume by CPT code • Average accession value • Average revenue per case by testing • Number of active specialty practice clients • Number of active pathology practice clients
Information Request – Additional • Compensation plan for sales team • Compensation plan for pathologists • State licenses held by pathologists • State licenses held by lab
Information Request – Strategies • Are there any proprietary LDTs or access to proprietary markers? • What is your assessment of your strengths and weaknesses (including personnel) • Please describe the growth strategies that you have developed for and the implementation status of each
Negotiating Strategies • Getting to Yes • Authors - Roger Fisher, William L. Ury, Bruce Patton • BATNA— Best Alternative to a Negotiated Agreement
Ron Sconyers Metropolitan Pathologists rsconyers@metropath.com