Love the smug when you don’t really know what you’re talking about.
Yes, if they are truly an an employee of an HS covered system, then they go to HS and you lose the volume. The issue is WHO is going over. HS affiliates and HS employees ARE NOT the same. “Affiliates” as defined by NNI is different from how health systems use the term. Basically, affiliates have hospital privileges, or can tap into a system based PHO network for enterprise economies of scale (for reimbursement, rate negotiation, etc). It’s the system employees who should be moved to HS, NOT affiliates, in the true sense of the word. We had our former HS AE try and tell us HS Affiliates should go to HS team bc their metrics fall under the umbrella of the hospital and are thus reported under the HS system. If you hear this- IT IS NOT TRUE— affiliates all report metrics/outcomes under the tax ID of the practice or whichever group they’re aligned with, which again is likely not the hospital. The HS RBD up here doesn’t even understand what is going on, so meanwhile the HS team keeps cherry picking our best customers, and we keep fighting to get them back using the basis of health care structure. Knowing what I wrote above can help you make your case for keeping HCPs who are merely affiliates (non-system employees) in your database. Make a spreadsheet of these people. Keep it. Send it to everyone when MTL comes along. You will prob have to send it again the the future. Look at your local Hospital System website to see if you can spot how they differentiate between employees and afffiliates, bc they usually list both types of HCPs, but show how the two are somehow diffferent. Screenshot it and use it as part of your case to show who is yours vs theirs. I hope this helps you keep the people you deserve. Hope this helps.