Professional services agreements (PSAs) provide health systems a convenient and highly flexible mechanism to obtain services from physicians and achieve care coordination, access, and alignment goals. An advantage of the PSA model is the ability to tailor an arrangement to meet specific objectives and enable hospitals and physicians to achieve clinical and financial integration without employment. However, in many ways, the flexibility of PSAs also creates additional challenges in designing and negotiating a preferred structure and managing them on an ongoing basis to optimize their effectiveness. Frequently, PSAs are fragmented, one-off deals with no clear alignment with the broader strategies or priorities of the organization. PSAs are often loosely managed or ignored until it is time to renegotiate and renew/extend the arrangement, and management frequently lacks the necessary coordination for effective PSA development and negotiation.
During this webinar, we will discuss approaches to optimize PSAs for clinic-based specialties with a focus on establishing and maintaining arrangements that bind organizations more closely, promote a shared vision for ongoing collaboration, and align economic incentives.
- Establish an understanding the wide variety of services frequently procured through PSAs and the flexibility the PSA model affords
- Identify six characteristics of PSAs that facilitate interdependency among otherwise independent providers through common goals, priorities, and infrastructure
- Develop an appreciation the value of PSA contracting across facilities within a health system to enhance coordination, achieve efficiencies, and pursue regional quality improvement initiatives