Physician/Hospital Integration

Why is physician-hospital alignment so important to building a well-conceived integration strategy?

In the past, integration has been pursued with an array of organizationally-driven goals:

  • Protecting/expanding market share
  • Securing a more stable provider platform
  • Preventing duplication of services
  • Consolidating the delivery system

And while those goals remain relevant today, in this new era of Health Care Reform, other goals have emerged as essential to success:

  • Providing an exceptional patient experience each and every time
  • Measuring the quality and value of care delivered
  • Delivering the highest quality of care with the least amount of variation and greatest efficiency
  • Population health management

Wipfli health care professionals believe that physician-hospital integration must start with an appreciation for the differences between traditional hospital and physician business models and operations. With that shared understanding the journey to develop a more effective and efficient community delivery system can begin with three key concepts:

  • Physician influence over and participation in the success
  • Development of a robust clinical integration program (CIP)
    • Focus on quality management programs and protocols and the requisite infrastructure (i.e., IT, facility/ equipment, etc.) and physician compensation models to manage them
  • Effective leadership and governance

In addition, Wipfli is able to assist in a variety of other areas that typically need to be addressed as clients move towards full integration:

  • Strategic Business and Financial Planning
  • Facility Development and Planning
  • Revenue Management
  • Hospital/ Medical Practice Operations

Featured Expertise

Jeff Bramschreiber, CPA

Jeff Bramschreiber has 25 years of experience in all aspects of operating a medical practice. He has worked with all types of medical practices—from sole practitioners to 200+ physician medical groups, in both urban and rural locations. Jeff has developed strategies to improve revenue, reduce costs, and enhance the profitability of numerous medical practices. Drawing on his extensive experience, he offers unique strategies designed specifically for each individual client, from issue identification through effective problem resolution.



Wipfli managing partner Rick Dreher named one of Inside Public Accounting’s Most Admired Peers
General Business - 10/05/15

Wipfli LLP admits nine associates to the partnership
General Business - 07/24/14

Boyer & Associates, LLC joins Wipfli LLP
General Business - 02/17/14

Wipfli’s Community Day helps 67 organizations
General Business - 10/17/13

Wipfli Managing Partner Rick Dreher named one of Inside Public Accounting’s Most Admired Peers
General Business - 09/18/13

Wipfli LLP ranks among top 23 on Inside Public Accounting’s 100 Largest Accounting Firms list
General Business - 08/28/13

Wipfli LLP named a Best Place to Work for third time by the Minneapolis/St. Paul Business Journal
General Business - 08/15/13

Daryl Duenkel of Wipfli LLP appointed president elect of Health Information Management Systems Society’s Wisconsin Chapter
General Business - 05/29/13

Wipfli LLP names Steve Thompson partner in charge of national health care practice
General Business - 04/25/13

Wipfli LLP announces 2013 Wipfli-RWHC Cost Champion Award winner
General Business - 04/08/13

2012 Information Reporting Guide for Tax-Exempt Organizations
General Business - 01/03/13

Wipfli Alerts & Updates: Congress Reaches “Fiscal Cliff” Deal! Yet Most Taxpayers Will Still Likely Pay Higher Taxes.
General Business - 01/02/13

Minnesota-based Eikill & Schilling joins Wipfli LLP
General Business - 12/01/12

Health care industry expert with Wipfli LLP transfers to the firm’s Chicago market
General Business - 10/03/12

John Bartell joins Wipfli as partner and co-leader of revenue cycle consulting practice
General Business - 09/12/12

Wipfli appoints Jeff Johnson as managing partner of its Spokane office
General Business - 09/09/12

Wipfli LLP admits six associates to the partnership
General Business - 08/01/12

Kelly Arduino appointed co-chair of National Rural Health Association committee
General Business - 03/06/12

Health Care Provisions in the Extension of Payroll Tax Legislation
General Business - 02/22/12

Wipfli and Eide Bailly announce plans to merge
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Wipfli named one of the Top Five Fastest-Growing Firms in the nation
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Featured Success Story

Creighton Medical Associates

Creighton Medical Associates and the Creighton School of Medicine determined that restructuring the physician compensation plan was needed to better account for and reward its clinical and teaching missions by its physician faculty. After setting the strategy and context, Wipfli made benchmark comparisons of physicians’ productivity and compensation to national academic medical center data, as well as interviewed key stakeholders. Then, clearer expectations and goals were established for each activity, and the financial impact of greater clinical productivity was measured. As a result, clinical productivity has increased, and clinical variation has also been reduced. Incentives are now being considered both for various quality metrics (e.g., PQRI and clinical productivity rewards) and for development of a greater sense of “group” and divisional unity within CMA. Equally importantly, each physician now has greater clarity about how to allot and measure his or her time to ensure accountability is increasingly embraced throughout CMA.

Creighton Medical Associates
Todd Carlon, Chief Executive Officer
“Wipfli gave confidence to our faculty leaders during the interview stage and with inclusion of compensation science and benchmarking analyses, provided us a compensation methodology and strategy, a communications plan, and tools to self-monitor forward, all in five months.”