What are the biggest challenges pediatric organizations face today?

Workforce shortages, reimbursement limitations, and rising operational costs are reshaping pediatric care. PYA helps pediatric providers optimize staffing, financial planning, and compliance readiness.

How can pediatric practices strengthen managed care performance?

By analyzing payer contracts, benchmarking rates, and adjusting care models for efficiency. PYA guides practices in building payer relationships and aligning reimbursement with patient complexity.

What factors should inform pediatric provider compensation plans?

Plans should account for RVUs, call burden, subspecialty intensity, and payer mix. PYA develops balanced, transparent models that promote retention and fair market alignment.

How do children’s hospitals evaluate provider needs and coverage gaps?

By combining population growth data, referral patterns, and workload metrics. PYA conducts provider needs assessments to pinpoint supply shortages and guide recruitment strategy.

Pediatrics Services

PYA knows pediatrics. Your patients might be small, but your challenges are not. With decades of experience, PYA advises over 35 pediatric groups and children’s hospitals annually, delivering impactful results. PYA’s deep knowledge of the pediatric landscape makes them an invaluable partner for pediatric providers nationwide.

Pediatrics faces serious challenges, including a shortage of up to 27,000 pediatricians by 2030 (AAP) and declining fellowship positions in subspecialties. There’s a misalignment of subspecialists in rural or high-growth child areas, along with a lack of reimbursement parity for Medicaid populations and concern about cuts. Pediatric providers also face compensation disparity, a greater need to address mental health care and social determinants of health, and increased demand for expertise in rare, chronic, and uncommon conditions. Download the “PYA Knows Pediatrics” flyer.

Services & Helpful Resources for Pediatrics

Performance Transformation

Practice establishment
Operational assessments
Outsourced practice management assistance
Physician-hospital alignment assessment
Management services organization establishment
Policy and procedure development

Managed Care

Contract negotiations and rate analysis
Revenue cycle assessments and improvement
Pay-for-performance programs
Alternative payment models participation

Audit & Accounting

Financial statement audits, reviews, and compilations
Forensic accounting and dispute resolution
Accounting policies and procedures establishment
Internal audit support
Accounting support and advisory services

Strategy

Strategic and succession planning
Provider needs assessments
Business valuation
Quality of Earnings
Shareholder buy-ins

Provider Compensation

Valuation, planning, and design
Income distribution modeling and assessment
Compensation plan document preparation
Financial impact assessment of work relative value unit and reimbursement changes
Provider compensation calculations and risk assessment

Tax Services

Federal, state, and local income tax returns
Representation during IRS, state, and local examinations

Compliance

Coding, documentation, and medical necessity reviews
Compliance risk assessments
Compliance program development
Regulatory updates and education
Open payments review and dashboarding

PYA Healthcare Pediatrics Data, Cybersecurity, Technology Experts

Data & Technology

Cybersecurity oversight
Risk management and compliance
Electronic medical record selection and transition oversight

Litigation Support

Contract Disputes
Valuation
Fraud Investigations
Personal Goodwill Calculations
Damages Calculations & Lost Profits Analysis
Business Intelligence
Civil Investigative Demand
Forensic Accounting & Investigations
Government Investigations

Focused Expertise for Pediatric Success

The Pediatric Landscape Demands Specialization

From workforce shortages to complex reimbursement structures, pediatric providers face unique challenges. PYA helps children’s hospitals and pediatric groups address supply gaps, payment pressures, and operational inefficiencies with precision and experience.

Comprehensive Advisory Services

Our pediatric consulting services span strategic planning, operational assessments, managed care contracting, compliance reviews, and compensation design. Each engagement is tailored to strengthen long-term sustainability and patient access.

Trusted Partners for Long-Term Impact

Clients count on PYA’s independence, responsiveness, and deep industry understanding. We help pediatric organizations make strategic decisions with confidence and measurable results.

The PYA Difference

Over our 40-year history, PYA has consistently delivered high-value advisory services to our national client base. Our team is deployed to develop custom plans using proven approaches and work plans.

Independence

Private ownership means we answer only to our clients, not to third-party investors, giving us the freedom to be thorough and thoughtful in our work. We judge our success by our clients’ success.

Relationships

We value long-term relationships and work hard to maintain them. Our commitment to client relationships and the communities we serve remains constant.