When things begin to go awry between hospitals and contracted medical groups, these are the sort of complaints that hospitals levy:
1. Your group has no leadership.
2. Your group is dysfunctional.
3. We pay you too high of a stipend – “You’re too expensive.”
4. There’s no/poor alignment between your group and the hospital’s interests.
5. Your group is not responsive to our valid complaints.
6. Your group never creates new value for the hospital (you’re not proactive).
7. Your group refuses to change with the times.
And, it’s even worse than that, in that these same issues are the “selling points” that aggressive groups of all sorts – not just the true groups, but also contract management companies and staffing services – use to try to disrupt the relationship between the hospital and the incumbent group.