Just as conversations help frame contract discussions, conversations help frame the shape of entire industries. Right now the frame in healthcare is greater cooperation between hospitals and physicians: alignment, ACOs, direct employment, collaboration. The result of that frame? Greater control by hospitals over physicians. But there’s no reason why that frame can’t be hijacked to […]
Tag: collaboration
What the term really means is let the hospital hold all the money, let the hospital decide who gets to render the care, and let the hospital decide what those providers should be paid.
30 years ago, in order to practice law on a sophisticated level, you needed to be part of a firm with its relatively large support staff. You dictated and your secretary either took shorthand or transcribed the tape, typing away at a typewriter. Flash forward to today — I’m dictating this post into Evernote on […]
When I read the practice management presentation topics of many organized medical societies, I’m stunned by the degree of victimhood and of loss of choice assumed. Topics such as how to deal with engulfment by the ACO, negotiating with the management company selected by the hospital, and selling out to the hospital. Why do the […]
What an odd color Mercedes; pink, like cotton candy. But what color is that pink? The pink in your mind’s eye is different from that in mine, and from that of each other reader. That’s because colors are perceptions made by each of us. *** The three students filed into the room and took seats […]
The tides come in and out, ties get wider then narrower then wider again, and society cycles round and round from “me” to “we.” Today’s society is heavily affected by “we” think, from notions of shared sacrifice, to paying your fair share, to “giving back.” Not every individual or entity in a society buys into […]
In my practice, I see a tremendous amount of tension, especially when it comes to the relationship between administration and hospital based groups.