The common belief, and it may be quite true, is that change is the greatest cause of stress. But what if it can be used to your group’s advantage? In the mid 1980’s there was a well known West Coast billing service that told its clients that they had only follow three simple rules to…
Using the Scenario Survey Process at the Micro Level
In my podcast How Scenario Surveys Strengthen Group Strategy, or in my article by the same name, I discuss the importance of your use of the scenario tool in setting group strategy. There’s another aspect of the Scenario Survey Process that’s important for any physician group that negotiates with a hospital, the classic example being…
Yin and Yang. Contract Term and Termination. – Podcast
Your contract’s real term is how quickly it can be terminated.
Potentially Profitable Interplay Between Exclusive Contracts and ACOs
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…
In Loco Parentis, or Just Plain Loco?
Delve into the concept of security in employment and learn why many fall for the illusion offered by employers.
There’s No Profit in “Look What They Did To Us”
Many physician group leaders look at events and circumstances impacting their practice as something that is happening to their group. By definition, this orientation is external – on the something that is happening to them. Instead, in this context, group leader orientation should be internal: it should be on what they as group leaders, together…
RFP – Really Foolish Proposition?
Learn how savvy hospital and buyer tactics weaponize leverage—and how physician groups can recognize and counter fulcrum‑based strategies.
Is Your Medical Practice a Social Service or a Business? – Podcast
Consistent with the communal notions of the “We” society, physicians are being told by politicians, pundits and the press that you are in social services – do you really believe this?
I Just Want a Contract
“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.
The Cancer of Consensus
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…






