Healthcare financial management : journal of the Healthcare Financial Management Association
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The number of anesthesia providers has not kept pace with increasing demand for their services. The supply of certified registered nurse anesthetists is decreasing. ⋯ Hospitals should prepare for negotiations with anesthesia providers by establishing process guidelines before discussions, defining minimally acceptable terms, and exploring a full range of compensation options. Hospitals that anticipate market changes and avoid hard-line responses position themselves for greatest long-term success.
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A reduction in the conversion factor applied to Medicare's payment equation has many providers concerned about financial loss. Some of this concern is justified, as most practices will see a decline in revenue that could result in a similar decline in physician compensation. However, the impact of these payment changes may be offset somewhat by increases in the relative value units assigned to many commonly performed procedures. Providers also can take several operational steps to minimize effects on their bottom lines.