I’ve described exclusive contract relationships between hospital-based groups and facilities as being Relationship Contracts™, not Transactional Contracts™. To recap what I mean by those terms, Transactional Contracts™ are ones in which the parties negotiate for a deal which, essentially, terminates as of the closing. For example, think about the purchase of a car or the purchase…
Tag: hospital
Carve Outs as Kickbacks in the Hospital Setting – Podcast
Is that carve out from your exclusive contract really a kickback to referring physicians?
Carve Outs as Kickbacks in the Hospital Setting
Entrepreneurial medical practices are constantly seeking ways to expand their business and their profit. I’m all in favor of that and I’m sure you are, too – of course, as long as it’s done legally. Demands for kickbacks are quite another thing. You probably think of kickback demands from referring physicians in one or both of the…
TSA Screeners and the Myth of Medical Group Institutionalization of Business Relationships
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…
This Isn’t Medical Practice It’s Employment
When “practice” becomes employment, physicians lose autonomy and leverage. Learn the structural differences and how you can reclaim control.
Develop a True Medical Group Business Structure
If it loses one contact, its only contract, your group has lost its business life.
Why Stake Your Future on Only One Hospital?
Pretend you’re about to invest years of effort and place your economic future on one of the following: (a) A business totally dependent upon the fact that Gmail will always exist, or (b) A business dependent upon email on any platform. Why is it that “b” is an obvious choice in this pretend exercise, but…
Beware the Government-Hospital Complex
The first time that I saw a computer there were two in the room. One of them took up most of the south side of a floor of the Computer Science Building and the other took up most of the north side. To the best of my memory, the first time I saw a hospital…
Breaking the Physician Hospital Paradigm – Podcast
The paradigm for physician hospital relations is completely at odds with society’s other trends.
Why Trying to Protect Your Group’s Position Is Destroying Your Future
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…