“If I’m not in that ACO, my lines of referral are going to dry up either directly or because [I] have the reputation in the community of not being value-based,” he said. “I would say that one thing to consider is assessing how your practice appears to be as far as value-based models that are coming forward. If you’re considered in the community to be someone who just is fee-for-service-driven, this may not be a very friendly environment long term.”
Wendy Stern, MD, an otolaryngologist with Northeast Ear Nose and Throat in North Dartmouth, Mass., said mid-level providers are helpful in leveraging your time as an otolaryngologist, but she issued caveats.
How the mid-level provider is hired—whether by the physician directly or by the hospital or clinic—impacts how you bill and how you’re reimbursed. “It’s something you need to think about,” she said. Most mid-level providers are salaried, and the average salary is about $95,000 a year. The providers typically start bringing return on investment after about nine months, she said.