Your prices are set by way of contracts with payors, are subject to the limits of government reimbursement, or are tied to provisions of exclusive contacts requiring plan participation.
Category: Governance
Overly democratic or consensus style systems of medical group governance make it impossible for the group to adopt a strategic, as opposed to a tactical, outlook. For example, consider a consensus style group that is unable to come to agreement on how to respond to an important referral source’s request that they expand their office […]
Is there a disconnect between the physician and the hospital?
From down the street I could see the fortune teller’s shop. Did she know that I was coming? Go ahead, laugh. But if you’re a member of a 15 or more person medical group, do you have any clue, any clue at all, about your group’s future? I’m a fortune teller of sorts. I can […]
What is the formula for determining value? Does that formula trigger or destroy other rights and privileges that the group wants to assert in its organizational documents?
Prohibitions as to new physician owned Medicare certified hospitals stifling you? Start another type of facility or one that’s not aimed at Medicare patients.
If you are a hospital-based physician, you can be certain that there are one or more so-called national groups targeting your facility. That is, they want to put you out of business. Probably better said, first they want to take some or all of your current physician staff, and maybe some of your non-physician staff, […]
“I’m just planning my practice’s new business.” “I can’t devote any resources to its structure.” “I just want a contract.” Is it any wonder why physicians are such easy prey for “alignment?” Please do a deal with one of my clients . . . please.
I recently read an article about a physician who had sold his practice to a hospital. He was quoted as having stated that he had grown disenchanted with running the business end of his own practice, thus he had agreed to “have my practice managed by” the hospital. From the article author’s viewpoint, this signals […]
I recently heard it said that while it takes both a chicken and a pig to make a ham and egg breakfast, the chicken is merely involved while the pig is fully committed. How different is this from the relationship between hospital administrators on the one hand, and physicians on the other, in connection with […]