Studies show that while the average primary care physician controls about $3.2 million in health care services, he/she only generates approximately $550,000 per year within the four walls of his/her practice. Given the ongoing erosion of provider reimbursement and increases in overhead, we have experienced an increasing desire by our health care organizations to identify prospective new and expanded service opportunities to improve their bottom lines without increasing pressures on providers to be more productive. In addition, many new service initiatives provide excellent collaboration opportunities with the providers' local hospital/health system.
 
Wipfli supports this process by taking a very practical, step-by-step approach that when concluded, provides the client with clear and achievable service options along with precise work plans for implementation.

1. We help build a "context" for the client.
• Determine their current service "yield" (i.e., mix, volume, payer mix, referral patterns)
• Identify other revenue opportunities within their service mix (e.g., facility and technical fees)
  
  
2. We educate the stakeholders.
• Provide alternative structures to house a prospective new service (e.g., joint venture)
• Identify potential legal and tax issues involved (e.g., Stark, Anti-kickback, Intermediate Sanctions)
  
  
3. We conduct patterned interviews with key stakeholders to determine their "appetite" (e.g., financial risk, market implications) for expanding their services.
   
   
4. We present a set of prospective services for the client's consideration, including financial projections.  The client decides which service(s) to implement.
   
   
5. We develop a detailed implementation plan for the client's use.

Wipfli’s senior consultants bring extensive experience and expertise in new service analysis and expansion. We also closely work with the client's tax and legal advisors to assure the new service is properly "rolled out."