You get what you pay for.
Tag: experience monopoly
ACO’s. Competition by hospital employed physicians. Commoditization. Just a few of the “problems” that physician group leaders struggle with. But are those really the problems? Perhaps they are actually symptoms of a different problem or set of problems. For example, the problem of increasing “We” think and, especially, the problem of increasing bureaucratization and centralization […]
A congressional study compared the performance of San Francisco International (SFO) Airport’s privately contracted screeners with those of LAX’s TSA staffed screeners. SFO’s staff screened 65% more passengers per screener than the government employed TSA personnel at LAX. To make the comparison even more striking, another study revealed that TSA personnel at LAX missed three […]
Physician alignment is all the rage. But of course, as I’ve written before, hospitals use the line “align” when they’re actually a lyin’ to you. That is, unless the meaning of the word align actually is “to control.” However, as is the case with much propaganda, there is a kernel of truth within the concept […]
Sometimes waxing poetic is the best way to stark realism. Consider Robert Frost’s The Road Not Taken: Two roads diverged in a yellow wood, And sorry I could not travel both And be one traveler, long I stood And looked down as far as I could To where it bent in the undergrowth; Then took the […]
When I first began practice, I worked for a law firm that represented clients in the entertainment industry. One thing that struck me from each morning’s required reading, Daily Variety, was that although it carried many announcements of auditions for minor roles, stars didn’t have to audition at all – in fact, the paper often […]
Some see the future for hospital based groups in the context of large versus small, often stating that groups need to merge to achieve significant size or simply sell out to so-called national groups. It not clear whether “sell out” means to be acquired or is simply a colloquial expression. But large groups are like walruses […]
