Exclusive Contracts Archives - Wisdom. Applied.

AI Isn’t Going to Replace Your Radiologists. It’s Going to Reprice Them.

Mark — Mon, 30 Mar 2026 15:05:39 +0000

AI won’t replace radiologists, but it will change throughput, FTE math, and leverage in hospital contracts. Groups that ignore this will lose negotiating ground.

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The Anesthesia Workforce Shortage Is Your Group’s Negotiating Leverage (If You Know How to Use It)

Mark — Mon, 23 Mar 2026 17:20:39 +0000

Nearly 30% of anesthesiologists are projected to leave practice by 2033, creating a workforce shortage hospitals can’t ignore. Mark explores how anesthesia groups can turn that reality into real negotiating leverage — before the window closes.

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Breaking Down the Breakdown – ER Group Terminated After 35 Years

Mark — Mon, 23 Feb 2026 17:47:39 +0000

When a hospital system terminates a 35‑year relationship with its ER group, it tells you far more about leadership than about performance.

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From Kings to Contracts: No Love Lost

Mark — Mon, 08 Sep 2025 17:20:19 +0000

Even the strongest physician-hospital relationships are transactional. Survival depends on diversification, not loyalty myths.

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You Must Know the No. 1 Mistake in Exclusive Contract Negotiation

Mark — Mon, 05 May 2025 15:49:37 +0000

Here’s the number 1 mistake, the Achilles’ heel of the negotiations between a medical group, for example, an anesthesiology group or a radiology group, and a hospital in connection with the terms of an exclusive contract, including related stipend negotiations. I previously shared the 7 Key Steps to Successful Hospital-Based Group Stipend Negotiations. Let’s travel back...

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Have You Mistakenly Sold Out Your Future for Stipend Support?

Mark — Mon, 10 Mar 2025 16:03:32 +0000

Even in the face of the provider shortage, during which you think that you have substantial negotiating leverage, when a significant chunk of your revenue comes from the hospital, you’re no longer just a contractor. You’re an appendage.

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What Might Be the No. 1 Mistake in Exclusive Contract and Stipend Negotiation.

Mark — Mon, 30 Sep 2024 15:58:02 +0000

There is no such thing as static demand for services over a contract’s multi-year term, and it’s a fool’s bet, yet one many take, to believe that one can place a set value on total fair market value.

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What Can the Owner of a Plumbing Company Teach Medical Group Leaders? – Podcast

Mark — Thu, 03 Aug 2023 09:25:00 +0000

Hiring for skills alone is a shortsighted game plan.

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An Actionable Exclusive Contract Renewal Choice: No Thank You

Mark — Mon, 13 Mar 2023 12:00:00 +0000

Usually not considered, a group can choose not to renew the contract.

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What a $24.3 Million Judgment Tells You About a Potential Tool to Fight Unfair Awards of Exclusive Contracts

Mark — Mon, 15 Aug 2022 16:40:11 +0000

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...

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Hospital Closures Drive Change and Physician Led ASC Opportunity – Success in Motion

Mark — Tue, 10 May 2022 11:00:00 +0000

Over the past few years, 83 rural hospitals have closed. Mark discusses why, although each disrupted employees and the physicians on staff, hospital closures present opportunity for entrepreneurial physicians.

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Get It in Writing – Success in Motion

Mark — Tue, 03 May 2022 11:00:00 +0000

Ride along with Mark as he discusses how nothing is official unless it's in writing.

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What Can The Owner of a Plumbing Company Teach Medical Group Leaders? – Medical Group Minute

Mark — Wed, 20 Jan 2021 12:00:16 +0000

Hiring for skill is not even half the battle for your group – it's the price of admission.

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Not All Money is Green: Don’t Confuse Hospital Loans with Stipends – Podcast

Mark — Thu, 31 Oct 2019 11:00:26 +0000

What does China's foreign policy have to do with hospital financial support? More than you'd think.

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Not All Money Is Green – Don’t Confuse Hospital Loans With Stipends – Medical Group Minute

Mark — Wed, 16 Oct 2019 11:00:30 +0000

What does China's foreign policy have to do with hospital financial support? More than you'd think.

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Not all Money is Green: Don’t Confuse Hospital Loans With Stipends

Mark — Mon, 21 Jan 2019 16:08:32 +0000

What does China’s foreign policy have to do with hospital financial support? More than you’d think.

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Not All Money is Green: Don’t Confuse Hospital Loans With Stipends – Success in Motion

Mark — Tue, 11 Sep 2018 16:00:09 +0000

Take a seat and listen as Mark warns that all money from hospitals to medical groups isn’t actually “free.”

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Your Exclusive Contract is About to Be Non-Exclusive – Medical Group Minute

Mark — Wed, 02 Aug 2017 16:00:19 +0000

Thought you had settled on "being exclusive?" Think again. Have you boxed yourself in by not having any other business?

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An Exclusive Contract Renewal Choice: No Thank You – Medical Group Minute

Mark — Wed, 11 Jan 2017 17:00:47 +0000

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.

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Preparing for Single Payor – Success in Motion

Mark — Tue, 25 Oct 2016 16:00:08 +0000

Hillary Clinton has promised to support Obamacare with a goal of moving to “universal coverage” or single payor.

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Your Exclusive Contract Is About to Be Non-Exclusive – Podcast

Mark — Thu, 14 Jan 2016 17:00:56 +0000

What good is an exclusive contract if the facility demands that it become non-exclusive?

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An Exclusive Contract Renewal Choice: No Thank You – Podcast

Mark — Thu, 19 Nov 2015 17:00:10 +0000

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Tenet Announces Major Joint Venture Expansion Outside of Acute Care Hospitals – Podcast

Mark — Thu, 01 Oct 2015 16:00:40 +0000

The prognosis for hospitals, at least as we know them today, is guarded.

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Pass the Bread and Get the Contract – Medical Group Minute

Mark — Wed, 09 Sep 2015 13:00:20 +0000

There’s a significant amount of timing involved in respect of the negotiation of agreements between physician groups and hospitals, especially in connection with exclusive contracts.

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Tenet Announces Major Joint Venture Expansion Outside of Acute Care Hospitals

Mark — Wed, 17 Jun 2015 18:45:26 +0000

Tenet’s expansion beyond acute care signals a strategic shift in healthcare delivery. Learn what this move means for physician groups.

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Pass the Bread and Get the Contract – Podcast

Mark — Thu, 21 May 2015 14:00:56 +0000

There's a significant amount of timing involved in respect of the negotiation of agreements between physician groups and hospitals, especially in connection with exclusive contracts.

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Why You Need a Different View of Business Strategy – Podcast

Mark — Thu, 20 Nov 2014 14:00:45 +0000

The physicist Niels Bohr is reputed to have quipped that prediction is very difficult, especially if it's about the future.

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Why You Need a Different View of Business Strategy – Medical Group Minute

Mark — Wed, 17 Sep 2014 13:00:14 +0000

The physicist Niels Bohr is reputed to have quipped that prediction is very difficult, especially if it's about the future.

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Why You Need a Different View of Business Strategy

Mark — Mon, 23 Jun 2014 19:00:15 +0000

Many medical group leaders are afraid of what the future may bring. They see growing hospital-centricity. They see national groups. They see commoditization.

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Your Exclusive Contract Is About to Be Non-Exclusive

Mark — Fri, 17 Jan 2014 17:27:01 +0000

What good is an exclusive contract if the facility demands that it become non-exclusive?

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An Exclusive Contract Renewal Choice: No Thank You

Mark — Wed, 29 May 2013 16:23:41 +0000

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 protect...

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Tearing up Your Hospital Contract for Profit – Medical Group Minute

Mark — Thu, 11 Apr 2013 16:00:03 +0000

There's nothing glorious in financial failure.

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Einstein and Exclusive Contracts

Mark — Mon, 02 Jul 2012 16:00:21 +0000

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.

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Yin and Yang. Contract Term and Termination. – Podcast

Mark — Fri, 04 May 2012 16:00:54 +0000

Your contract's real term is how quickly it can be terminated.

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Yin and Yang. Contract Term and Termination.

Mark — Mon, 02 Apr 2012 16:00:51 +0000

Yin and Yang. Positive and negative. Heads or tails.
Two sides, inseparably linked.
Just like the far less obvious provisions of any agreement: term and termination.

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Pass the Bread and Get the Contract

Mark — Mon, 26 Mar 2012 16:00:21 +0000

Success in exclusive physician contracts hinges on early strategy, not last-minute bargaining. Start negotiating long before renewal.

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What Can the Owner of a Plumbing Company Teach Medical Group Leaders?

Mark — Wed, 19 Oct 2011 17:21:03 +0000

Hiring for skill is not even half the battle for your group – the price of admission.

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Exclusive Anesthesia Contracts Under Attack

Mark — Wed, 27 Jan 2010 21:45:29 +0000

Exclusive anesthesia deals facing antitrust scrutiny—hospitals challenging non‑competes as PE‑led groups consolidate power and control.

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Tearing Up Your Exclusive Contract for Profit

Mark — Tue, 19 Jan 2010 23:15:49 +0000

Hospitals are voiding exclusive anesthesia contracts for short-term profit. Are you prepared for what happens next?

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