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.
Exclusive Contracts
The Anesthesia Workforce Shortage Is Your Group’s Negotiating Leverage (If You Know How to Use It)
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.
Breaking Down the Breakdown – ER Group Terminated After 35 Years
When a hospital system terminates a 35‑year relationship with its ER group, it tells you far more about leadership than about performance.
From Kings to Contracts: No Love Lost
Even the strongest physician-hospital relationships are transactional. Survival depends on diversification, not loyalty myths.
You Must Know the No. 1 Mistake in Exclusive Contract Negotiation
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…
Have You Mistakenly Sold Out Your Future for Stipend Support?
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.
What Might Be the No. 1 Mistake in Exclusive Contract and Stipend Negotiation.
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.
What Can the Owner of a Plumbing Company Teach Medical Group Leaders? – Podcast
Hiring for skills alone is a shortsighted game plan.
An Actionable Exclusive Contract Renewal Choice: No Thank You
Usually not considered, a group can choose not to renew the contract.
What a $24.3 Million Judgment Tells You About a Potential Tool to Fight Unfair Awards of Exclusive Contracts
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…









