PYA Thought Leadership, Sumner Insights Published in National Compliance Journal

PYA Thought Leadership, Sumner Insights Published in National Compliance Journal

The insights and experience of Shannon Sumner, Nashville Managing Principal and PYA Chief Compliance Officer, and thought leadership on clinical co-management arrangements from Principals Lyle Oelrich and Tynan Kugler are featured in the Journal of Health Care Compliance. The national bimonthly publication provides current and emerging trends and issues related to healthcare compliance.

An interview of Sumner by the journal’s editor in chief, Roy Snell, shares the PYA executive’s extensive experience in healthcare compliance and ethics. Among her many roles, Sumner serves on the editorial board of the journal.

“…I find that every number on a set of financial statements tells a story,” Sumner says. “In the healthcare industry, it tells the story of a patient’s encounter….However, behind the number is whether or not that patient had a good experience across their continuum of care. Our roles as compliance and ethics professionals must be well-versed in the entire workflow and that makes us effective at what we are called to do.

“An effective compliance program,” she continues, “will include incentivizing compliant and ethical behavior by including compliance requirements and metrics within performance evaluations and bonus/incentive compensation decisions of senior leadership.”

The journal also features an article by Oelrich and Kugler, “Clinical Co-Management Arrangements Between Physicians and Hospitals.” The article, a reprint of a PYA Insight, describes the value of clinical co-management arrangements (CCMAs) as collaborations between hospitals and physicians to help improve quality and lower costs.

Oelrich and Kugler explain the benefits of CCMAs, such as enhanced autonomy, financial incentives, and professional development for physicians and improved quality of care, cost efficiency, and stronger physician alignment for the hospital. They also share insights on how to structure payment for the physicians and ensure collaborative coordination of management activities.

“The shared responsibilities and joint accountability are memorialized in an agreement and are often governed by a management committee comprising representatives from both the hospital and physician group,” the authors state. “This committee is ultimately responsible for items such as service line strategic planning, performance monitoring, and decision-making.”

The Journal of Health Care Compliance is published by Wolters Kluwer. Sumner’s interview and Oelrich and Kugler’s article are in the May-June 2025 issue, which is available to subscribers of the journal. Also view PDFs of the articles:

Learn about PYA’s compliance services.

If you would like assistance in healthcare regulatory compliance, co-management arrangements, physician compensation design, or any other matter related to healthcare operations or strategy, our executives would be happy to help.

PYA
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.