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: physician
Carve Outs as Kickbacks in the Hospital Setting – Podcast
Is that carve out from your exclusive contract really a kickback to referring physicians?
The “Problem” with Healthcare May Not Be the Problem
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…
Options Trading for Physician Group Leaders – Don’t Trade Your Options Away
Options trading. I don’t mean puts and calls. And this post has nothing to do with the stock market. I’m talking about hedges. Hedging the bet you’ve made on your group’s future, “bet” being used in the manner of the strategy you’ve adopted to achieve your group’s focused future. You’ve made that bet, haven’t you?…
Are You Protecting the Right Turf? – Podcast
For physicians, protecting your turf requires a balanced approach.
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…
Entrepreneurial Practice vs. Bureaucratic Existence – Podcast
A recent trip to a restaurant and the post office illustrate the difference between entrepreneurial medicine and the brave new bureaucratic world of healthcare.
Happier = More Profitable
According to a British study, dairy cows given names by their farmers produced close to 4% more milk that those that were simply herded. It’s likely, of course, that naming itself was not the operative factor. Instead, it’s probably the extra attention that the dairy farm workers give to cows treated almost as pets. The…
Ready. Fire! Aim.
Jumping into action without a clear strategy leads to misfires. Learn why aligning your medical group’s efforts with a focused vision is crucial.





