1. 1 SECURING A PHYSIATRIC POSITION - THE RECRUITER‘S PERSPECTIVE LINDA FARR FARR HEALTHCARE, INC. NOVEMBER 12, 2014

2. 2 Disclosure Linda Farr is President, Farr Healthcare, Inc. and works with national rehab organizations such as Vibra Healthcare, HealthSouth, and RehabCare Group/Kindred and some academic rehab programs.

3. 3 INTRODUCTION Notable US health system transformations over the last 2 decades Different perspectives on the physiatrist’s role Impact of the passage of health care reform

4. 4 THE FUTURE “The next 20 years are going to be a lot tougher than the past 20 years for physicians.” From a study titled How to Prepare Your Medical Practice for the 21 st Century

5. 5 SECURING A PHYSIATRIC POSITION Impact of the health care system Physiatric services in demand Compensation issues

6. 6 THE HEALTH CARE SYSTEM Impact of horizontal and vertical integration considerations: Ability to get referrals Group size Rural vs. urban

7. 7 Accountable Care Organizations Patient care=funding Epidemiology Broad focus of services

8. 8 PHYSIATRY SERVICES IN DEMAND To be or not to be: physiatry as primary care or not Payment bundling Each doctor will need to provide value to the patient visit

9. 9 Passage of health care reform Increased need for doctors Nearly 1/3 of doctors will retire in the next decade New patients with no deductibles or copays

10. 10 Non-medical decisions crucial Planning, time management, the right team “It’s tough to be an expert in more than one profession when time is the currency of value.” Dr. Bernard Morrey

11. 11 The Economy “Where physician can save time during their day makes a trememdous difference.” From How to Prepare Your Medical Practice for the 21 st Century

12. 12 COMPENSATION RVU’s Doctors staying where they are Reimbursement cuts affect salaries and services

13. 13 Compensation considerations Opt out of Medicare/aid States with no income tax Contracts – income guarantee, restrictive covenants, partnership

14. 14 CONCLUSION Health care system – bigger maybe better Services – broad abilities Compensation – time=money