Medical Group and Healthcare Facility: Comfort Zone Or Continued Existence, Your Choice 

Most of us seek comfort. We want the usual.

We tend to hang on too long. Like to that sweater or college T shirt. You know, the one with the frayed edges.

But beyond the harmless totems of the past, the problem is that we often make huge efforts to protect what’s become usual in our greater lives, what’s become comfortable, what’s become “the way things work.”

Hospitals are an example. Home to infections, unions, and to the administrative bloat that is the unspoken of driver of though the roof costs, they’ve become the center of the healthcare universe. On the hospital side, payment mechanisms promote what is essentially the bundling of professional and facility fees. On the physician side, billions of dollars have been invested in preserving this status quo through the acquisition of groups dependent upon hospital contracts.

But all of this is akin to making a train locomotive more efficient while the tracks themselves are falling apart and headed off a cliff.

New technology is fast enabling diagnosis and care outside of the hospital. The ultimate customers, the patients, no matter who is paying the bill, will increasingly demand to receive care and treatment in a manner they prefer. If they can diagnose at home, they will. If they can receive care at home, they will.

Everything that can be delivered, and is wanted to be obtained, outside of the hospital, and even outside of the physician office setting, will be delivered there, with or without you.

No, we’re not talking about next Tuesday or even December 7, 2018. But that’s the clear direction that we’re headed in and to ignore it makes you increasingly irrelevant.

When I wrote years back that there is no such thing as a healthcare system, just a healthcare market, I was supposedly proven wrong. But the reality is 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. They were grasping at preserving a way of business life that never was and is increasingly becoming even more so. Healthcare is a market and what the buyers want isn’t usually sold in the “system’s” store.

So, you have a choice. You can jump cold turkey into the future of healthcare, severing all ties to the hospital-centric model and perhaps even to the physician-centric one. 
Or, you can hedge your bet and begin to put a foot into both camps.

How will you remain relevant in a world in which patients monitor and diagnose 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 the patient demands it?

You can complain about the future. Physicians can lobby to have apps “arrested” for practicing medicine without a license. Hospitals can buy up all of the urgent care centers in their “catchment area” and shut them down. But people won’t be denied their future.

You 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 those opportunities now.


Wisdom. Applied. 106 - What's A Medical Group Compensation Plan For?

A compensation plan is the largest part of a medical group's system for driving behavior.



All Things Personal 

I was headed down the escalator at Nordstrom.

Immediately ahead of me, six or seven steps below, was a woman in a red top and blue jeans, holding a small child by his hand.

When they got to the bottom of the escalator, instead of turning left or right or even moving straight ahead, they simply stopped.

I was getting closer. And closer. And closer. Until, finally, I yelled, "excuse me!," and they moved on. She 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 escalators. You've seen them on elevators, blocking others from exiting. You've seen them chatting and chatting and chatting with the cashier at the market as the line of customers behind them gets longer and longer and longer.

Laugh at them as we will. Cry about them as we will. Elevate our blood pressure over them as we will. But are we all just a bit of the same in the context of being blind to the opportunities and the threats facing us on a regular basis in our business?

We devote our focus to the task at hand, even toward implementing a true, well thought out strategy. In doing so, do we 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 escalator about to crash into a woman in a red top and blue jeans, holding a small child by his hand.

Focus is required, but so, too, is situational awareness.

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Whenever you're ready, here are 4 ways I can help you and your business:

1. Download a copy of The Success Prescription Book.  

My 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 e-book here

2. Be a guest on “Wisdom. Applied. Podcast.”  

Although 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. 

4. If You’re Not Yet a Client, Engage Me to Represent You.  

If 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.

Mark F. Weiss 

The Mark F. Weiss Law Firm, a Professional Corporation
1227 De La Vina Street
Santa Barbara, CA  93101
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© 2017 The Mark F. Weiss Law Firm, A Professional Corporation


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 the problems that pop up, blocking the way. But for many, the problem is that they don’t know what the problem is. I’ve been working with medical group leaders with the aim of increasing their group’s profits and managing their risk of loss for over 30 years. Does that mean that I have all of the answers? No. But what I do have is a point of view, a way of thinking about your success. So go ahead and start reading now. No one is going to do it for you. Which, by the way, is thinking tool number one.
The Success Prescription is available for purchase in hard copy or in Kindle format on Amazon or you can download a complimentary PDF version here.

Having fallen for the fallacy that there’s profit in market share, hospitals have gorged on acquisitions and on employment and alignment of physicians. Many physicians have been willing participants through practice sales and in the belief that there’s safety in hospital employment. But it’s becoming evident that physician employment leads to losses and that integrated care delivers neither better care nor lower costs. And now, technology is about to moot many of the reasons for a hospital’s existence. How can your practice survive and even thrive in the post-hospital world?
The Impending Death of Hospitals is available for purchase in hard copy or in Kindle format on Amazon or you can download a complimentary PDF version here.
Some days, it seems as if everyone, from anesthesia groups to vascular surgery practices, is talking about selling their practice to a larger group, to private equity investors, or to a hospital.

The reality is that some practices can be sold, some can never be sold, and some have nothing to sell. The reality also is that there are a number of strategic alternatives to a practice sale.


A perfect storm of factors is accelerating the market for hospital-based medical group mergers and acquisitions.  


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Directions 2014 Cover
The healthcare market is changing rapidly, bringing new sets of problems. How can you find a solution, how can you engage in the right development of strategy, and how can you to plan your, or your group’s, future without tools to help clarify your thinking?
Directions is a collection of thoughts as thinking tools, each intended to instruct, inform, and even more so, cause you to give pause to instruct and inform yourself.
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Recent Interviews and Published Articles

Mark's article, How to Prevent Your 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 download here.
Read some strategies for the inevitable Hospital CEO 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 Help Your Clients Survive featured in Today's CPA. Read or download here.
Mark's article Why Your Compliance Efforts May Be Worthless was published in the Spring 2017 volume of Communique. Read or download here.
Mark was quoted in the article ASC Regulatory Areas That Developers Need To Pay Attention To published on Nov. 9, 2016 in The Ambulatory M&A Advisor. Read or download here

Mark's article OIG Advisory Opinion Secrets and Strategies was published in the Summer 2016 volume of Communique. Read or download here.

Finders keepers, losers weepers. Except in connection with overpayments from Medicare, then it’s a violation of the federal False Claims Act leading to significant liability—that is, unless you repay the overpaid sum within 60 days. Read CMS Resets the Clock for Return Of Medicare Overpayments published on in May 2016. Read or download here.

Mark's article A New Strategy To Profit From Interventional Radiology, co-authored with Cecilia Kronawitter, was published on on May 23, 2016. Read or download here.

Three of Mark’s blog posts were republished as a column entitled Practice Challenges in the Spring 2016 issue of the Pennsylvania Society of Anesthesiologists Newsletter, the Sentinel. Read or download here.

Mark's article Is There An Interventional Radiology ASC (irASC) In Your Future? was published in the April/May 2016 volume of Radiology Business Journal. Read or download here.

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The Mark F. Weiss Law Firm · 1227 De La Vina St · Santa Barbara, California 93101 · USA

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