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.
When you think about fraud at an ASC, you tend to think about fraud on payers, from Medicare to well, Blue Cross. You know, cases that never happened, patients who didn’t suffer from any medical issue, and the like. But what about fraud on physicians at an ASC? Because physicians hardly think about it, it…
Few doubt that things need fixing in healthcare. But many, from DIYer docs to industry leaders, suffer from being inside an echo chamber.
There’s a reason why Medicare Advantage is fertile ground for fraud enforcement.
Are you sure those consultants are helping to improve your business? Or are they potentially sending you to jail?
Although no one is going to do time as a result of thinking that wet sidewalks cause rain, in the case of the federal Anti-Kickback Statute, confusion over correlation can put you in jail.
Cars go in reverse. So do ceiling fans and electric drills. But did you know that kickbacks go in reverse, too, and that there’s no safe harbor for that?
I’m going to share a secret with you today. There’s no such thing as value. At least not in the fixed sense. In fact, value is as malleable as clay.
Ride along with Mark on a tour of bankrupt facilities and broken physician dreams.
In your search to understand risk, don’t fall for the simple heuristic that bigger is better.