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 We work with clients like you to increase your profit and to manage your risk of loss. We work on a strategic level and on the negotiation, and transformational improvement of, their business relationships.

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How to Deploy the Secret Sauce of Opportunistic Strategy


They say that COVID-19 has changed the world, creating the "new normal." Many of your colleagues are running scared. Here you are provided strategic tools and insights needed to seize opportunities, whether they’re in the context of current business relationships, the expansion of  business activities, or the creation of new ventures.

Update On Deadline to Refund Overpayments to Avoid Draconian Penalties


Success. Even more success. It’s what you want. Welcome to the club, which appears to be getting more exclusive every day, not due to evolution but to self-selection. Of course, sometimes we get stuck, or at least delayed by problems that pop up, blocking the way. But for many, the problem is that they don’t know what the problem is.

Hospital-Based Medical Group Mergers, Acquisitions & Alternatives


Some days, it seems as if everyone, from anesthesia groups to vascular surgery practices, is talking about selling their practice to a larger group, private equity investors, or to a hospital.

Disruptive Strategies in Healthcare: Designing Them and Dealing with Them


Believing that the future of the business of healthcare will be a projection of, or incremental improvement over, today's reality is a fool's game.

There are only two sides to the healthcare coin: figure out a way to disrupt the current practice model or figure out how to deal with someone else's disruption.

Why Your Medical Group Needs A New Contracting Strategy


Just as the tides come in and out and as ties get wider, narrower, then wider again, society cycles round and round from an emphasis on, and worship of, rugged individualism, to an emphasis on, and lauding of, community and cooperation.

How to Stay Out of Jail: The Latest on Management Fees and The Company Model of Anesthesia and Other Specialty Services


Long ago, physicians ceded control of the healthcare market only to have a healthcare “system” rise, a system controlled by bean counters and policy wonks. Obamacare. Accountable Care Organizations. ASC owners seeking to capture anesthesia billings. 

How to Profit From Telemedicine And Related Technology In Texas


Telemedicine. It’s the future and it’s arrived no matter what the Medical Board rules or the courts do in any particular case.

The Impending Death of Hospitals: How to Plan Your Practice's Survival


Having fallen for the fallacy that there’s profit in market share, hospitals have gorged on acquisitions and on employment and alignment of physicians.

Double Indemnity: Putting Yourself at Risk for Millions - 
The Interplay Between Insurance and Indemnification Provisions in Your Hospital and Physician Contracts


They may look like boilerplate, but your feet might be in the boiler’s fire if you haven't properly thought through the impact and interplay of the indemnification and insurance provisions in your contracts with hospitals and with providers.

The Fast Group: Medical Group Governance For Today's Market


In an increasingly competitive, increasingly hospital-centric world, the saying "money likes speed" is truer than ever. Yet many medical groups have doomed themselves to stasis, or worse, as a result of their defective governance structure.

Reverse Engineering A National Group Takeover of Your Facility Contract


Your practice is arriving at what I call the Great Junction, the fork in the road, one route leading to further commoditization of radiology services with fungible providers, and the other route leading to high quality, high touch medical care: to a unique experience delivered by a Strategic Group. How will you navigate this perilous reality?

How to Deal with RFPs For Physician Services


More and more hospitals are disrupting their relationships with physicians. As to hospital-based groups, they seek to cut stipends and get more for nothing. The favored tool? The request for proposal, commonly known as an "RFP."

How can an RFP be avoided? Do you respond? How do you respond? How can the rules be bent?

If Surgeons Can Legally Profit from Anesthesia at an ASC, Will Hospital Anesthesia & Radiology Be Next?


If surgeons can use so-called “company model” entities to capture the profits of anesthesia providers at their ASCs, they’ll soon be demanding their “cut” of anesthesia at the hospital.

How to Block Referring Physicians from Profiting from Your Hospital-Based Anesthesia or Radiology Services


With increasing financial pressure from flat or decreasing reimbursement and rising costs, surgeons and other referring physicians are beginning to look for ways to generate additional income. A prime example: the use of so-called "company model" entities to capture the profits of anesthesia providers at ASCs. But that is just the beginning. 

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