Wisdom. Applied.

Although much of the attention has been placed, for good reason, on the operative billing-related restrictions imposed by the NSA, the technical notice requirements require immediate attention.

Negotiation doesn't take place in a vacuum, it takes place within a context.  So why not control the context?

Medical group leaders are busy focusing on day to day activities: Most are deeply involved in direct patient care. Some, yes, some, also devote some time to working on their business. But there’s a pressing need to engage in strategy.

Are you planning for your ideal future reality, or focusing on slight incremental improvements?

Like the visible horizon, the apparent line that separates the earth from the sky, your business horizon is directly tied to height.

Planning is less effective than strategy and strategy is most effective when strengthened through the Scenario Survey Process.

Another day, December 8, 2021, to be exact, another $4.2 million.

To paraphrase William Shakespeare, a rose by any other name might just be fraud.

Over the weekend, I took a road trip out to the middle of nowhere. Once in a while, you'll see a sign that says, “No Services Next 32 Miles,” and what do you know, there isn’t even an exit for 32 miles.

All medical groups have a culture, whether or not it's been purposefully created. It exists.

Politicians legislate to correct a problem (and then bask in the glory of having taken action) but never truly consider what problems they create when they enacted the legislation.

Don’t set yourself up to go to prison by thinking you are setting the government up to overpay you.

Some say that you’re the composite of the five people with whom you spend the most time.

Lab made meat. Lab made leather. Both appeared in the news this week.

It’s the middle ground between light and shadow, between medical science and stupidity, and it lies between the pit of man’s desires and the summit of his bank account.

Just like hypertension, inflation is the silent killer, the hidden tax on your business, dreams, and desires.

Several years ago, I read a review in a magazine for consultants of a new book by an “expert” who advises that since business now moves at the speed of light, the “old” strategic question of “where do you want to be X years from now?” must now be “where do you want to be a few days from now?”

Just as no vote was required for a dictator like Castro to take over Cuba, no medical staff vote, no survey by Press Ganey, no long and drawn-out process among “stakeholders,” is required to topple the status quo.

Speed kills. I read it on the message board that stretched across the lanes of the highway. (I suppose that reading message boards kills, too, bu

You’re probably familiar, if not personally, then at least conceptually, with the notion of “F.U. money” – having enough money that you can simply walk away. That concept, whether you have the money or not, applies directly to your negotiation strategy.

A joke? Or can you do the equivalent right now?

Hospitals purchased physician practices, employed and otherwise aligned physicians, and pushed into outpatient care.

Breaches of fiduciary duty and of contractual commitment within medical groups occur every day. The question is, are those duties enforced?

Unless you have developed a unicorn type practice or healthcare business, you need to adjust to the new reality.

The value of the services received by a patient can only be assessed from her point of view, not the hospital’s.