As corporate medicine expands, physician autonomy declines, but opportunity grows. Why “rent seekers” are creating a powerful edge.
Tag: facility
You’re Not Negotiating What You Think You Are
Physician groups often believe they’re negotiating price when, in reality, they’re negotiating value, positioning, and long-term relationships. The groups that succeed understand that contracts aren’t commodity transaction, and that the outcome is shaped long before negotiations begin.
How to Escape the Factory-ification of Healthcare
Many physicians leave hospital or private‑equity owned practices only to recreate the same factory model they wanted to escape. Real differentiation comes from rejecting throughput medicine in favor of human‑centered care.
AI Isn’t Going to Replace Your Radiologists. It’s Going to Reprice Them.
AI won’t replace radiologists, but it will change throughput, FTE math, and leverage in hospital contracts. Groups that ignore this will lose negotiating ground.
The Problem With Hospital–Physician “Alignment”
Hospitals talk about “alignment,” but when leadership changes or incentives shift, the relationship often looks very different.
A Novel Approach to ASC Structure: Distributions In Proportion to Production.
Four surgeons practicing together, ophthalmologists, for example, plan to build their own ASC. It goes without saying that they would think that distributions from their ASC must be in proportion to ownership interests. But that’s not necessarily true.
Is the Prohibition on Physician-Owned Hospitals Worsening the Hospital-Based Specialist Shortage?
Does banning physician-owned hospitals worsen shortages?
“You Can Trust Us” Is Not a Contract Term
Time and again, physician group leaders, smart, experienced, and otherwise hard-nosed, regularly fall prey to a simple proposition when dealing with hospitals: “You can trust us.”
Hospitals and the Return of the Company Town
Are hospitals becoming modern company towns for physicians? Explore the parallels, risks, and emerging alternatives for independence.
Cognitive Biases and Contracting
When you’re negotiating for any agreement, any deal, especially one that is creating an ongoing relationship, which is the hot molten center of services agreements such as exclusive contracts, you not only want to, but you need to, play to human cognitive biases in establishing that relationship.