What if a physician isn't actually disruptive, but simply nonconformist or challenging?
"Value based billing" remains dominant in the medical industry news, chiefly from the MACRA angle. Mostly, though, it’s a lie because value is determined by the customer, not by some bean counter at CMS. Sure, CMS may be paying the bill for Medicare patients, but the patients are the actual customers and only they can assess whether value was truly delivered.
His first store was wildly successful. That is, until he realized that he had signed a short term lease with no renewal option. At the end of the few year term, the landlord not only took back the space, he took over the operation of the store.
Both Washington and Lincoln were exceptional. Thrust into lives that they wanted but didn’t want, from pasts of trial and error, and failure upon failure. Self-promoters whose careers didn’t follow a smooth arithmetic progression.
Have you heard the one about the man who doesn’t walk into a bar?
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.