About Len Henzke

Len has consulted for 15 years to a variety of leading hospitals, health systems, and medical groups nationwide. He directs consulting engagements pertaining to a broad range of complex healthcare issues, including system and organizational strategic planning, hospital/medical group affiliations and transactions, physician organization development and design, and clinical service line planning. Throughout his career, he has advanced numerous engagements as a facilitator between hospital executives and physicians in designing creative and effective alignment vehicles to further mutual goals. In addition, he has designed dozens of physician compensation plans, including value-based plans that incorporate quality, efficiency, and other metrics, to help organizations succeed in the era of accountable care. Len possesses a bachelor of arts degree from The College of William & Mary and master of business administration and master of health administration degrees from the University of Washington.

CMS’s Proposed OPPS Rules Generate Confusion and Anxiety

CMS’s new proposed rules related to the Bipartisan Budget Act of 2015 would severely inhibit hospitals’ ability to expand and modify outpatient service offerings around the country. Issued on July 6, the regulations have yet to be finalized and comments are being requested; however, hospital planning executives are understandably fuming about the restrictive and complicated rules, which would compromise their ability to conduct provider-based billing at outpatient sites located more than 250 yards beyond the hospital walls. Of particular interest is the direct comment by CMS that Section 603 was designed to curb hospital acquisition of physician practices and the current practice of providing the same services under a higher-cost model of OPPS. Continue reading

Five Steps for Developing Comanagement Arrangements

Hospitals and physicians are increasingly buying into the buzz around comanagement strategies.  But before you dive headfirst into comanagement, it’s important to know how to navigate these relatively uncharted waters.  Most comanagement arrangements have only recently been developed, adopted, and implemented.  Therefore, healthcare executives and physicians generally lack the experience and insight to fully understand the complexities involved in comanagement development.  The lack of a clearly articulated plan and path can quickly derail efforts or lead to difficulties down the road.  Based on our experience helping health systems and physicians successfully design and implement comanagement agreements, there are five crucial steps. Continue reading

The Case for Comanagement

Private practice economics are becoming increasingly complex and daunting as reimbursement models shift with healthcare reform.  Hospitals and healthcare providers are seeking stability and security in the form of highly integrated arrangements that formally align hospitals and physicians.  As a result, comanagement is emerging as an attractive alignment option. Continue reading