Whether it’s the 83% reported in the press or even half of that, many physicians are questioning their career strategies in light of the Supreme Court’s upholding of the individual mandate within Obamacare. It appears certain that an increasing number of physicians will be disappointed with Obamacare and the burdensome requirements of its bureaucracy. From […]
The paradigm for physician hospital relations is completely at odds with society’s other trends.
In the book, Jurassic Park, and in the movie of the same name, it quickly becomes obvious that despite absolute belief and assurance that the system is closed, there is always the chance of a leak. Shift from dinosaurs on an island to your patients’ protected health information, or “PHI,” which you probably believe to […]
As I’ve noticed on other flights, the flight attendants are wearing their name tags flipped around so that the back of the tag, not their name, is visible.
There is no question that the healthcare market is changing rapidly. This means that groups must have the ability to make business decisions rapidly.
Over the past five, ten or twenty years, your group has worked long and hard to develop its business. You’ve become successful. But now, you see threats everywhere: threats from the hospital that wants to employ you, threats of forced ACO participation, threats of replacement by paraprofessionals, threats of competition from national groups and the […]
Almost all physician groups are mired in mediocrity. Only 3 to 4 percent are in the category of top performers, of those who have seized their own futures. Those few are the groups that I call the strategic groups. There’s a choice, an intersection – the great intersection – and you’ve come to it today. […]
Many medical practices operate as if no one is driving the bus.
Let’s assume for a moment that physician compensation surveys are statistically significant. What’s the problem with them? Well, I suppose they’re fine, that is, if you’re content with being average. OK, I can hear it now, some reader yelling that physician compensation surveys indicate more than just what’s average; they show the 70th, 80th and even […]
Many contracted medical groups, both those in the traditional hospital based specialties as well as those in office based specialties, quite improperly view themselves as providing a commodity service. They themselves do not believe that there is a qualitative difference between their group’s “Dr. A” and another group’s “Dr. B,” such that there is no strategic value from obtaining services from their group as […]