Ways to work with Domanico Consulting. Healthcare is complex enough already. Provider compensation shouldn't be.
Provider compensation isn't a project. It's an ongoing series of important decisions.
Domanico Consulting helps provider compensation leaders make better decisions through thoughtful, ongoing advisory relationships instead of one-time consulting engagements.
A relationship knows things a project never will.
We already know your organization.
Every conversation starts where the last one ended. No re-onboarding, no discovery phase, no explaining your medical group again.
We become more valuable over time.
A project ends the moment it's delivered. A relationship compounds — context, history, and judgment accumulate.
Clarity is the deliverable.
Better provider compensation decisions come from better conversations, not longer reports.
Not four tiers. Four kinds of relationship.
The difference isn't how much you get. It's how often the questions come, and how close we stay to your organization.
Provider Compensation Review
$1,250 flat fee
One important decision deserves another experienced perspective.
For the leader with one decision on the desk right now — an offer, an exception, a plan that has to hold up. You don't need a firm. You need someone experienced to look at it closely and tell you what they think.
“We have one important question.”
Explore Provider Compensation Reviews- A one-page decision brief
- A Loom walkthrough of the memo
- An hour-long conversation
- $1,250 credited toward an advisory relationship started within 30 days
Essential Advisor
$2,500 per month
For organizations where provider compensation matters, but doesn't justify a full-time specialist.
Smaller physician groups, community hospitals, and growing organizations where provider compensation sits on someone's desk alongside four other jobs. You don't need a department. You need someone in your corner when the questions come.
“I have someone in my corner.”
- A monthly strategy conversation
- Offers, exceptions, and plan questions as they arise
- Direct access between conversations
Trusted Advisor
$5,000 per month
For provider compensation leaders who want a thinking partner already familiar with their organization.
You have a dedicated provider compensation function and you're good at it. What you're missing is someone outside the building who already knows your plans, your history, and your committee — and can be honest with you before the meeting, not after.
“Anthony feels like part of our team.”
- Everything in Essential Advisor
- Bi-weekly advisory sessions
- Committee preparation and an executive sounding board
Strategic Advisor
$10,000 per month
For organizations using provider compensation as a long-term strategic advantage.
Large physician enterprises in growth, integration, or transformation, where compensation decisions shape recruitment, alignment, and the shape of the enterprise itself. The relationship grows alongside your provider compensation function.
“I have a strategic partner helping shape provider compensation.”
- Everything in Trusted Advisor
- Weekly strategy sessions and annual planning
- Governance reviews and major redesign support
Start with one decision. Go further only if you need to.
One decision, looked at closely.
A few decisions each month.
Part of the team.
Shaping the whole thing.
A relationship can begin with a single Provider Compensation Review and deepen as provider compensation becomes more strategic for your organization. There is never pressure to move up — the right relationship is the one that helps you make better decisions.
Healthcare is complex enough already.
Provider compensation shouldn't be.
Relationships outperform projects.
Good decisions come from better conversations.
Transparency builds trust.
Simple is usually better.
“I've spent nearly twenty years helping organizations navigate provider compensation. Along the way I realized most leaders weren't looking for another consultant. They were looking for someone to think with.”
Anthony Domanico — Founder, Domanico Consulting
- We don't provide FMV opinions.
- We don't write commercial reasonableness opinions.
- We don't replace your provider compensation department.
- We don't recommend projects you don't need.
- We don't pretend every problem requires a consulting engagement.
If another firm is better suited for your project, we'll tell you.
If your organization needs:
- Large analytical consulting teams
- Enterprise-wide transformation requiring dozens of consultants
- Formal FMV opinions
- Commercial reasonableness opinions
- Extensive implementation support
A larger consulting firm may genuinely be the better fit. We're happy to tell you that.
If you've asked one of these this month, you already know why we exist.
“Should we make this physician offer?”
“Will compensation committee support this?”
“Should this exception become precedent?”
“How should we pay this specialty?”
“Is our productivity model still fair?”
“Can we defend this decision?”
Better provider compensation starts with better conversations.
Whether you need another perspective on an important decision or an ongoing advisory relationship, our goal is simple: help you make better provider compensation decisions with greater confidence.