Medical Group and Healthcare
Zone Or Continued Existence,
Most of us
seek comfort. We want
hang on too long. Like
to that sweater or college T shirt. You know,
with the frayed
beyond the harmless
totems of the past, the problem is that we
huge efforts to protect
what’s become usual in our greater
comfortable, what’s become “the way
an example. Home to infections, unions, and to the
that is the unspoken of driver of though the roof costs,
the center of the healthcare universe. On the hospital
promote what is essentially the bundling of
facility fees. On the physician side, billions of dollars have
invested in preserving
this status quo through the acquisition of groups
all of this is akin to
making a train locomotive more efficient
tracks themselves are
falling apart and headed off a cliff.
technology is fast
enabling diagnosis and care outside of the
The ultimate customers,
the patients, no matter who is paying the
increasingly demand to
receive care and treatment in a manner they
they can diagnose at
home, they will. If they can receive care at
can be delivered, and is wanted to be obtained,
the hospital, and even
outside of the physician office setting, will
delivered there, with
or without you.
we’re not talking
about next Tuesday or even December 7,
that’s the clear
direction that we’re headed in and to
makes you increasingly
When I wrote
years back that there is no such thing as a healthcare
just a healthcare
market, I was supposedly proven wrong. But the
that those who argued
that healthcare was a system were simply
reactionaries, tying to
hold on to the equivalent of their 20 year old sweater.
grasping at preserving
a way of business life that never was and is
even more so. Healthcare is a market and what the buyers
sold in the “system’s” store.
you have a choice. You
can jump cold turkey into the future of
severing all ties to
the hospital-centric model and perhaps even to
you can hedge your bet
and begin to put a foot into both
will you remain
relevant in a world in which patients monitor and
via apps? How will you
fit into a situation in which every procedure
that can be
delivered outside of a
hospital will be delivered outside of it if
can complain about the
future. Physicians can lobby to have apps
for practicing medicine without a license. Hospitals can
buy up all
of the urgent care
centers in their “catchment area” and
down. But people
won’t be denied their future.
can read this and head
for the comfort of that sweater. Or you
can see the
huge upside for those
who are proactive in taking advantage of the
opportunities that now
and will soon exist. We’re working with clients on
Wisdom. Applied. 106 - What's A Medical
A compensation plan is the largest part
group's system for driving behavior.
I was headed down the escalator at
Immediately ahead of me, six or
steps below, was a woman in a red top and blue jeans, holding a small
When they got to the bottom of the
escalator, instead of turning left or right or even moving straight
I was getting closer. And closer.
closer. Until, finally, I yelled, "excuse me!," and they moved on.
turned and glared at me. I muttered something under my breath.
We've all seen people like this,
completely situationally unaware. You, too, have seen them on
You've seen them on elevators, blocking others from exiting. You've
chatting and chatting and chatting with the cashier at the market as
customers behind them gets longer and longer and longer.
Laugh at them as we will. Cry
we will. Elevate our blood pressure over them as we will. But are we
just a bit of the same in the context of being blind to the
threats facing us on a regular basis in our business?
We devote our focus to the task at
even toward implementing a true, well thought out strategy. In doing
become blind to changes in the environment around us?
Yes, we're headed in the right
direction. Yes we're on track. But we might also be on a metaphorical
about to crash into a woman in a red top and blue jeans, holding a
Focus is required, but so, too, is
Recently Published Blog
Feel free to
forward this newsletter to
your friends. They can sign up for their own
you're ready, here are 4 ways I can help you
1. Download a
copy of The
book The Success
Prescription provides you with a
framework for thinking about your
success. You can buy it on Amazon or, for free, download a copy of the
Be a guest on “Wisdom.
most of my podcasts involve
me addressing an important point for your
success, I’m always looking for
guests who’d like to be interviewed about
their personal and professional
achievements and the lessons learned. Email me if you’re interested in participating.
3. Book me to speak to
your group or organization.
I’ve spoken at dozens of medical
group events, healthcare
organization events, large corporate
events, university-sponsored events,
and private, invitation-only events on topics
such as The Impending Death of
Hospitals, the strategic use of OIG Advisory
Opinions, medical group
governance, and succeeding at
negotiations. For more information about a
custom presentation for you, email my
Santa Barbara office staff.
If You’re Not Yet a
Client, Engage Me to Represent You.
you’re not yet a client, and
you’re interested in increasing your
profit and managing your risk of
loss, email me
directly. I’ll contact you to set up a
call or meeting.
The Mark F. Weiss Law Firm, a
SANTA BARBARA OFFICE:
1227 De La Vina Street
Santa Barbara, CA 93101
Tel: 805 695 8107
LOS ANGELES OFFICE:
10940 Wilshire Boulevard
Los Angeles, CA 90024
Tel: 310 843 2800
8150 N. Central Expressway
© 2017 The Mark F. Weiss Law Firm, A
If you no longer wish to receive our emails, click the link below: Unsubscribe
The Mark F. Weiss Law Firm 1227 De La Vina St. Santa Barbara, California 93101 United States (310) 843-2800
NEW BOOK OFFER
Even more success. It’s
what you want.
Welcome to the
club, which appears
to be getting more exclusive
every day, not due
evolution but to
self-selection. Of course, sometimes we
get stuck, or at
delayed, by the
problems that pop up, blocking the way.
But for many, the
don’t know what the problem is.
leaders with the aim of increasing
and managing their
risk of loss for over 30 years.
Does that mean that
all of the answers?
No. But what I do have is a
point of view, a
thinking about your
success. So go ahead and start
reading now. No one
to do it for you.
Which, by the way, is thinking
Having fallen for the fallacy that
in market share, hospitals have gorged on acquisitions and
alignment of physicians. Many physicians have been willing
practice sales and in the belief that there’s safety
employment. But it’s becoming evident that physician
employment leads to
and that integrated care delivers neither better
And now, technology is about to moot many of the reasons
hospital’s existence. How can your practice survive and even thrive
Some days, it seems as if
groups to vascular surgery practices, is talking
a larger group, to private equity investors, or
The reality is that some practices can
sold, and some have nothing to sell. The reality also is that there are a number of
alternatives to a practice sale.
A perfect storm of factors is
market for hospital-based medical group mergers and
The healthcare market is
bringing new sets of problems. How
can you find a solution, how can you engage in the right
strategy, and how can you to plan your, or your group’s,
tools to help clarify your thinking?
Directions is a collection of
tools, each intended to instruct, inform, and even more so, cause
you to give
pause to instruct and inform yourself.
If you're an
independent learner or need a refresher on a current
topic, click here to find out about our growing list of
Recent Interviews and Published
Mark's article, How to
Medical Group From Getting Robbed of its Staff, was
published in the
Summer 2017 issue of the Pennsylvania Society of
Anesthesiologists' magazine, Sentinel. Read or
Read some strategies for the inevitable
turnover in Mark's article Hospital CEO Turnover:
What You Must
Know and Do to Protect Your Anesthesia
Group featured in the summer edition of Communique. Read or download here.
Mark covers the trend of hospital based
care an article
entitled The Impeding Death of Hospitals: How to
Clients Survive featured in Today's CPA. Read or download here.
Mark's article Why Your Compliance Efforts May Be
was published in the Spring 2017 volume of Communique. Read or download here.
was quoted in
the article ASC Regulatory Areas That Developers Need To
To published on Nov. 9, 2016 in The Ambulatory M&A
or download here.
Mark's article OIG Advisory Opinion
Strategies was published in the Summer 2016 volume
of Communique. Read or download here.
losers weepers. Except in connection with overpayments from
it’s a violation of the federal False Claims Act leading
liability—that is, unless you repay the overpaid sum
within 60 days.
Read CMS Resets the Clock for Return Of Medicare
Overpayments published on AnesthesiologyNews.com in May 2016. Read or download here.
Mark's article A New
From Interventional Radiology, co-authored with Cecilia
was published on AuntMinne.com on May 23, 2016. Read or download here.
Three of Mark’s blog posts
as a column entitled Practice Challenges in the
issue of the Pennsylvania Society of Anesthesiologists Newsletter,
the Sentinel. Read or download here.
Mark's article Is There
Interventional Radiology ASC (irASC) In Your Future? was
the April/May 2016 volume of Radiology
Journal. Read or download here.