In one fell swoop, CMS pulled the rug out from under hospital control of physician practice, rendering many, if not almost all, hospital outpatient clinics unprofitable. But this isn’t a story about hospitals. It’s a story about the positive impact the change will make on opportunities for physicians, both in connection with independent medical practices…
Tag: Medicare
One Giant Leap Toward Success: Avoid One Simple Misstep for “Fraud-kind”
If you’re a physician, it’s all too likely that you’re uncertain about the future, feel the pressure of an all too real governmentally imposed ceiling on your income, and have even less control than ever over your time. It’s also likely that you seek a bigger and better future in which you have increased opportunities…
Taxis vs. Uber . . . Hospitals vs. Physicians – Success in Motion
Ride along as Mark discusses the fact that when businesses can’t compete, they become big believers in regulation, just as in the ban on new physician-owned Medicare participating hospitals.
Payor Agreements and Hidden False Claims Act and Criminal Traps
It was a neighborhood like many others. Neat, but not too neat front yards. Newspapers brought in by 8:00 a.m. and maybe by 10:00 a.m. on weekends. And, all was within the bounds of normal, giving, of course, wide birth to the meaning of the word, for this is nonfiction, not fiction. But with one…
A Good Reason and the Real Reason for Restricting Physician Owned Hospitals – Medical Group Minute
To paraphrase J.P. Morgan, we always have two reasons for doing anything: a good reason and the real reason.
The Devaluation of Value-Based Billing
“Value based billing” remains dominant in the medical industry news, chiefly from the MACRA angle. Mostly, though, it’s a lie because value is determined by the customer, not by some bean counter at CMS. Sure, CMS may be paying the bill for Medicare patients, but the patients are the actual customers and only they can assess whether value was truly delivered.
A Good Reason and the Real Reason for Restricting Physician Owned Hospitals
To paraphrase J.P. Morgan, we always have two reasons for doing anything: a good reason and the real reason. The claimed good reason to restrict further physician owned Medicare certified hospitals, and the expansion of existing certified physician owned hospitals, is to prevent over utilization due to profit making motives. But traditional hospitals are induced…





