Provider compensation
doesn't have to be this complicated.
You don't need another consulting engagement. You need someone experienced to think with before the decision gets made. That's the whole practice.
You already know what this week looks like.
None of it is unreasonable. It's just a lot of consequential calls, made quickly, with people watching. Most of the time you know what you think. You'd just like someone who's seen it before to say so too.
- You have committee next week and one plan change nobody agrees on.
- An offer is sitting in your inbox and you want a second opinion before you sign off.
- Recruiting says the market moved. You'd like to know if that's true.
- Every physician believes they're the exception, and two of them might be right.
- You have three survey sources and no agreement on what they mean.
- Leadership wants an answer by Friday, and it has to hold up in six months.
Three kinds of questions land on your desk.
One decision that has to be right. A program that stopped making sense. And the steady stream in between.
Provider Compensation Reviews
You send us the offer, the exception, the incentive plan, the medical director agreement. We read it closely and tell you what we'd do — in writing, in plain language, before you have to defend it.
Compensation Program Design
Plans grow one exception at a time until nobody can explain them. We help you build one physicians can follow, finance can model, and you can defend without a deck.
Ongoing Advisory Relationships
The hard questions rarely arrive with notice. This is having someone who already knows your specialties, your history, and your board — so the call takes ten minutes, not a month.
It depends on how often the hard ones come up.
Find the one that sounds like your job. You can move to another as your needs change.
Provider Compensation Review
$1,250 flat
Credited toward an advisory relationship started within 30 days
Something specific is on your desk and you want an independent read before it goes out. You get our answer in writing, then an hour to talk it through.
- One decision, looked at closely
- A written memo you can forward
- A Loom explainer and an hour-long overview call
Essential Advisor
$2,500 per month
For teams who handle most things themselves but would rather not guess on the ones that matter. Send the question when it comes up.
- Someone to check your thinking
- Answers in days
- A predictable monthly number
Trusted Advisor
$5,000 per month
Offers, exceptions, and committee questions are a standing part of your week. This is an advisor who stays current on your organization so you never start from scratch.
- Offers and exceptions reviewed as they land
- Prep before committee
- Same advisor, already up to speed
Strategic Advisor
$10,000 per month
You're redesigning a program, merging two of them, or rebuilding trust after a change that didn't land. Weekly, at your side, until it's done.
- Program design work alongside your team
- Help with leadership and committee conversations
- Direct access when the week goes sideways
Nobody was short on data. They were short on someone to think with.
For nearly twenty years I sat in rooms where provider compensation decisions got made. Different states, different specialties, same conversation.
It was never a data problem. The benchmarks were on the table. What was missing was someone in the room who had seen this decision go well and go badly, and would say plainly which one this looked like.
Compensation got complicated because everyone kept adding to it and nobody had permission to simplify. I started Domanico Consulting to be the person you call before you add one more thing.
What's on your desk right now?
Ask the real question — the offer, the exception, the thing going to committee. You either get something useful back or you don't. No pitch either way.