Provider Compensation Review. Sometimes you don't need another consulting engagement.
You just need another experienced perspective.
One decision. Read closely by someone who has seen it before.
A Provider Compensation Review is an independent look at one decision that's already on your desk. You send what you have. We read it the way the people who will question it are going to read it.
Then you get a written answer — what we'd do, what we'd change, what we'd watch — and an hour to talk it through. Not a project. Not a phase one. One decision, handled.
It exists because the moment you need an experienced opinion is rarely the moment you can start a consulting engagement. This is the version that fits inside your week.
You send what you have
The offer letter, plan document, agreement, market data you're using, and a sentence about what makes the decision hard. Messy is fine.
We read it closely
If anything essential is missing, we ask for it before we start rather than guessing.
You get the Decision Memo
Delivered within two to three business days of receiving everything we need, along with a Loom walkthrough.
We talk it through
An hour with Anthony, plus a follow-up answer by email if something changes in the next two weeks.
What people send us.
If it's a provider compensation decision and it has to hold up, it belongs here.
Physician offers
Is this offer defensible, and will it still look right in a year?
APP compensation
Where APP pay sits next to physician pay without creating a new problem.
Compensation exceptions
Whether this one is truly an exception, or the start of a pattern.
Medical director agreements
Hours, rates, and whether the role matches what's being paid.
Call pay
What the burden actually is, and what it's reasonable to pay for it.
Compensation committee
The recommendation you're about to bring, read by someone outside the room.
Program design
A plan change you're considering, before it becomes a plan change you've made.
Governance
Who decides what, and where the current process quietly breaks down.
Strategic questions
The bigger one behind the decision that nobody has written down yet.
Before. Not after.
Almost every difficult compensation conversation would have been easier if someone independent had looked at it a week earlier. That week is the whole product.
- Before you make a physician offer.
- Before compensation committee.
- Before approving another exception.
- Before launching a new incentive.
- Before telling a physician yes.
- Before telling a physician no.
Everything that matters. Nothing that doesn't.
- A close read of what you send — the offer, the plan, the agreement, the market data, the history.
- An independent view of the decision, including what we'd do and why.
- A one-page Decision Memo, written in plain language, that you can forward without editing.
- The reasoning behind the answer, so you can defend it after we're gone.
- A Loom walkthrough of the memo, and an hour with Anthony to press on anything you disagree with.
- A follow-up answer by email if something changes in the next two weeks.
- A survey, a data purchase, or a benchmarking subscription.
- A sixty-page deck nobody reads past page four.
- A discovery phase before the work starts.
- A recommendation shaped by what we'd like to sell you next.
- A team of analysts you've never met.
- Implementation, ongoing support, or formal FMV and commercial reasonableness opinions.
One page. The Decision Memo.
Every review ends the same way: a single page you can forward to your CFO, your committee, or your file. Plain language, a clear recommendation, and the reasoning behind it — so the decision still makes sense to someone reading it next year.
- The questionStated the way you'd state it out loud.
- Our recommendationOne paragraph. No hedging.
- WhyThe two or three things that actually decided it.
- What we'd watchThe part that becomes a problem later, if it does.
- What we'd say to the physicianLanguage you can use, if you need it.
Match the first-year guarantee, but shorten it to eighteen months and move the difference into the productivity component. The total is defensible. The shape is what would have caused problems.
- Total cash sits below the level you've defended before.
- A three-year guarantee sets a precedent in a group of nine.
- Productivity gets you to the same place by year two.
- Two partners are already asking about their own guarantees.
- Revisit the wRVU rate before the next recruitment cycle.
Flat fee, per review. You know the number before you start, and it doesn't change.
Start an advisory relationship within 30 days and the full review fee is credited toward it.
- No proposal.
- No statement of work.
- No discovery phase billed as work.
- No hourly clock running while you think.
The usual ones.
Ready for another experienced perspective?
Send us the decision that's sitting on your desk. We'll tell you what we'd do.