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COVID-19大流行造成的业务量中断使私人云顶集团40011官网的做法面临重大的财务风险, up to and including bankruptcy. The strain on revenue, 哪一种对依赖选择性手术的专科的影响更大, will continue for an unknown period of time. Accordingly, 一种做法目前的资金实力将决定在大流行期间保持可行性的最佳战略.
Short-Term Options
一些临时解决方案可以为适应危机紧迫性的更强有力的做法提供稳定性.
Blanket Waivers
At the outset of the federal response to the pandemic, 卫生与公众云顶集团部部长发布了一揽子豁免,旨在确保患者能够获得医疗保健提供者的云顶集团. 这些豁免条款使惯例能够通过不需要满足公平市场价值标准的临时安排寻求救济.
Request the following from health systems:
- Rent reduction or forgiveness
- Short-term loans
- Adjustments to other lease arrangements
- Personal protective equipment
- Technology infrastructure to offer telemedicine
While these are viable options, 任何对全面豁免的依赖都要求云顶集团40011官网公平对待, as a few, select physicians cannot benefit from extraordinary terms.
Traditional Financing
If a health system cannot offer more favorable financing terms, 考虑向银行申请信贷额度或其他外部融资.
Returning Patient Volume
分析短期方案的做法必须考虑在COVID-19激增减少后患者数量会反弹多少. There is likely pent-up demand from the practice being closed for several months; however, 如果不雇用额外的员工和云顶集团人员或延长营业时间,企业就无法利用业务量激增带来的好处. 因此,不要依赖被压抑的需求来稳定2020年的现金流.
Long-Term Options
现金水平低且没有可接受的信贷额度的做法将需要考虑扩大规模, 更长期的解决方案——比如向云顶集团40011官网和私人实体求助. 医师团体的正确决策将取决于其股东的文化和职业轨迹. During and immediately following the COVID-19 surge, 预计云顶集团40011官网和其他市场参与者都将积极寻求与特定市场中具有战略重要性的实践相一致的机会.
Health System Strategies
Aligning with a health system, which will have larger capital reserves, 对于那些努力应付应付账款的云顶集团40011官网团体来说,这可能是最好的举措. 这将为云顶集团40011官网带来更大的财务确定性, though they will sacrifice some autonomy.
就业和专业云顶集团协议(psa)是云顶集团40011官网团体/云顶集团40011官网协调的两个可行选择.
- Employment: 选择工作的云顶集团40011官网将继续获得薪水, 尽管这种稳定意味着放弃他们实践的经营责任.
- Professional Services Agreements: psa提供比雇佣更灵活的临床保险协议. psa锁定了通常由云顶集团40011官网所属诊所提供的临床云顶集团的补偿, 这使得云顶集团40011官网在某种程度上独立于系统. 云顶集团40011官网能够确定PSA补偿如何在他们的实践中分配, 通常包括云顶集团40011官网和/或高级执业医师. PSA的期限可以从一年到更常见的三到五年不等.
Non–Health System Alignment Alternatives
一个实践可以选择与私募股权(PE)公司合作, another independent physician practice, or a company with a practice management division. 虽然每个选择都能独立于医疗系统, 云顶集团40011官网们仍然会对他们的实践失去一些控制. 由于这些类型实体的补偿模型是可变的,并且通常与实践的盈利能力相关联, there is greater at-risk compensation.
- PE Firm: 一个独立的云顶集团40011官网可以从体育伙伴那里寻求解脱. 被视为“平台”收购的规模更大的业务,估值更高, 而对私募股权公司来说,规模较小的业务也可能主要作为对现有平台的补充“接盘”收购.
- Larger Private Practice: 小型医师团体可以寻求与大型私人执业团体合作或收购. The larger group would benefit from acquiring a new specialty, enhancing its service offerings, and further allocating fixed costs. The seller, however, 很可能从他们的实践中获得很少甚至没有前期价值,如果他们想要保持所有权,就需要购买更大的实践价值.
- Practice Management Entity: Organizations such as OptumHealth, Humana, 和信诺都有收购大型云顶集团40011官网业务的历史,而且往往拥有强劲的资产负债表. 这些组织已经表示愿意雇用云顶集团40011官网作为管理患者护理和与特定人群相关的财务风险的策略.
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Evaluate Your Strategy
你的诊所的财务稳定性是最有可能决定你度过这场危机的策略的因素. 如果你的云顶集团40011官网诊所有现金储备或获得信贷额度, 你更适合支持当前的行动,等待增兵及其后果结束. But if your practice is unable to pay rent or cover payroll, 你需要寻求医疗系统或其他实体的替代方案. 即使你在过去的几个月里收入很少, another surge of COVID-19 cases could occur. 因此,请仔细评估您的选择,并向专家寻求合格的建议.
Published May 15, 2020