Value

Unifying Your Group

As hard as it is for me to say, it’s been 40 years since I had my summer job at McDonald’s. Yet after all this time, I remember some of the standards-enforcing mechanisms the franchise used, from written instructions on how each of the food items was to be prepared, to cards bearing sayings such […]

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Value

Keeping Up Appearances: Verisimilitude

Verisimilitude:  The appearance of being true or real. Unfortunately, it’s not the fact that your medical group is actually the “best,” which, indeed, it might well be, that governs your group’s success. Rather, it’s whether the hospital, or referring physicians, or patients believe that you’re the best. Create that perception. It does not happen by itself. This also is […]

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Value

RBRVS and “Units” Are Not a True Measure of Value

The method used in determining most physician reimbursement, the resource-based relative value scale, or as it’s commonly known, “RBRVS,” is based on efforts, another way of looking at cost. But the cost to deliver is not a measure of value.  It’s Marx. If effort creates value, then the plain old rock dug from a mine […]

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