Hungry for sweet junk food? I just checked, and a box of 50 Hostess Twinkies is selling on Amazon for over $95. I haven’t had a Twinkie or a Hostess cupcake for over 20 years, but I’m obviously in the minority as hundreds of thousands of people, or perhaps more, are going crazy over the…
How unlikely is it that in twenty years, the only physician actually in the O.R. will be the anesthesiologist?
How unlikely is it that in twenty years, the only physician actually in the O.R. will be the anesthesiologist? As surgery becomes more robotic, what difference will it make if the surgeon is actually present? In fact, as surgery becomes more robotic, will surgeons continue to be physicians or will they be specially trained technicians?…
You have been coming into work every day for years. Now there’s no need to come in tomorrow because your group no longer exists. You see, although your group collected over $20 million over the past year, and you and your fellow partners earned a tidy sum, it turns out that your group was simply…
The first time that I saw a computer there were two in the room. One of them took up most of the south side of a floor of the Computer Science Building and the other took up most of the north side. To the best of my memory, the first time I saw a hospital…
The paradigm for physician hospital relations is completely at odds with society’s other trends.
There is a complex interplay between hospital-based group exclusive contracts and ACO-entity payment mechanisms. In addition to making certain that money flows into the group, as opposed to around it, obviously a protective move, there are significant planning opportunities in the play off between the managed care contracting provisions of exclusive contracts and the terms…
Learn how savvy hospital and buyer tactics weaponize leverage—and how physician groups can recognize and counter fulcrum‑based strategies.
The expression lead, follow, or get out of the way has more than a kernel of truth to it. Leaders must lead. They cannot bog themselves down in the morass of consensus building. As the etymology of the word consensus indicates (with + thinking) it waters down decisions as a result of compromise and giving…
Hospitals often rely on fear to control negotiations with physician groups. Learn how fear tactics work—and how you can politely refuse to play the game.