An interesting case illustrates a potential new tool in the arsenal to fight against fixed hospital exclusive contracts and, potentially, against the consultants who helped put lipstick on the pig. Many hospital-based groups have been there: the situation in which a longstanding relationship with a hospital, whether or not via exclusive contract, is disrupted, in […]
What does China’s foreign policy have to do with hospital financial support? More than you’d think.
If you attended my recent webinar, The Impending Death of Hospitals, you know that I firmly believe that healthcare delivery is shifting away from hospitals and their aligned physicians. In fact, the prognosis for hospitals, at least as we know them today, is guarded. As another guidepost in this transformation, Tenet Healthcare Corporation just announced […]
Many medical group leaders are afraid of what the future may bring. They see growing hospital-centricity. They see national groups. They see commoditization.
What good is an exclusive contract if the facility demands that it become non-exclusive?
Hospital based medical groups are often faced with a choice upon exclusive contract renewal: The expectation or demand on the part of the hospital that the group must provide its services, perhaps even at a higher level of intensity, for lower or no stipend support. A group enters into an exclusive contract in order to […]
Only slightly tongue in cheek, Einstein’s theory of relativity, E=MC², is also the formula that describes the power of any medical specialty exclusive contract. E = Exclusive (to the exclusion of all other physicians as to the services covered) m = management (of the business function of delivering that service) c² = control and cash.
Hiring for skill is not even half the battle for your group – the price of admission.
Fear of rising healthcare costs is being used to attack exclusive anesthesia agreements. Similar arguments can be used to attack other service department agreements: exclusive radiology agreements, exclusive pathology agreements and exclusive emergency medicine agreements. The argument goes as follows: Hospital exclusive contracts are anticompetitive and therefore allow one group to control pricing. Hospital coverage stipends […]