Videocasts


Ride along with Mark as he discuses how the short-term message underlying physician alignment has destroyed hospital-physician collaboration and contributed to the impending death of hospitals.     
Hospital systems across the country suffer from bloated fixed costs, huge payrolls, layers and layers of bureaucracy, and management by mangers , not entrepreneurial thinkers.
Ride along with Mark while he solves the physician retirement crisis. 
What appears to the unknowing and unsuspecting as a normal day-to-day business transaction is really something quite different.
Ride along with Mark as he discusses the concept of breakup fees. Breaking up a healthcare deal of any kind might be tough, but breakup fees can be used to compensate for a blown deal, and even prevent a breakup in the first place. 
One thing is for certain, it will be no more walk in the park for seven defendants convicted for their roles in a bribe and kickback scheme. 
Listen in as Mark as discusses how medical group leaders can exploit the hole, that is, what's missing from, big data.
Learn to protect negotiating positions and to use "informal" communication with administration proactively.
Take a seat, lean back, and ride along with Mark as he discusses the signals that medical group leaders send, whether they use it or not, and how you can use them.
As more physicians rush to invest in ASCs, unscrupulous facility promoters/managers scheme to separate physician investors from their money.
Ride along with Mark as he talks about concurring the fear of branching out, a disease that plagues too many medical group leaders.
A little bit more than 15 minutes of fame, just cost three Boston area hospitals, Boston Medical Center, Brigham and Women's Hospital, and Massachusetts General Hospital, a collective $999,000. 
Ride along with Mark, your choice, first class or coach, while he discusses segmenting your service offerings.
What you think is permeant is only temporary. How temporary is the question.
Take a break from your busy day and ride along with Mark as he talks about the distinction between busy and actually doing business impacts your medical group.
There are tremendous opportunities in the market, opportunities that you can exploit. But in doing so, you must think twice, or even thrice, about the proper structuring of your deals.
Ride along with Mark as he discusses the difference between a relationship agreement and a simple transactional agreement. Misunderstanding the concept leads many medical groups to ruin.
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 in a few days from now?" That's B.S.!
Take a seat and relax as you ride along with Mark and discuss the problem of expecting a valuable answer to the completely wrong question. 
In the Wild West days of the 1980s 90s, it wasn't uncommon to see many medical directors receiving stipends from hospitals as there are aspirins in a Costco-size bottle.
Ride along with Mark as he discusses an often-forgotten question: Does the deal actually make sense?
They say that a journey of 1,00 miles starts with a single step. 

Note that the saying does not discriminate between heading in the right direction or the wrong direction. 
Hop in the passenger seat and take a ride with Mark as he discusses medical group governance and why it might be time to tune yours up.
Many people tend to think within professional silos. Barbers cut hair. Farmers Farm. And, doctors practice medicine. Why?
Lean back while you ride along with Mark and learn about obtaining certainty in your contractual agreements.
Speed Kills. That may be true on the highway, but it's patently untrue in terms of your group's business. In business you need to be able to make decisions quickly and then act on them.
Sit back, relax, and ride along with Mark as he discusses the importance of making a hospital-based medical group's wins "real" to those who hold  your faith in their hands: hospital administration.
It's difficult to control human nature: The impulse, when dealing with a potential deal partner, to have the mindset of a seller.
Ride along with Mark as he explains how lessons from the Demilitarized Zone can help you avoid an RFP for your services.
We still love you but, hey, we're in love with someone else who spends less on cloths stipends. 
Take a seat and listen as Mark discusses how your facility or large medical group can benefit from riding along with Walmart's newest healthcare strategy. 
Conflicts of Interest. Everyone's talking about them. Do you have one? They're apparently bad. Or are they?
Mark Weiss lets you know how to think about arbitration provisions in your contract. Why would you want one? How can they be used? 
We kids joked that "new math" was going to make 1 plus 1 equal3. Despite our teacher's inability to conceive that it ever could, in the domain of medical group mergers 1 plus 1 can equal 3.
Ride along with Mark as he discusses the strategic advantages of getting inside your contracting opposite's OODA Loop.
If collaboration really is the real thing, let the hospital design the deal, but the physicians control it.
Ride along with Mark as he discusses a mindset tuneup medical group performance.
No matter how good it looks, no matter how profitable it is, you can't be dependent upon any customer for a significant part of your business.
Ride along with Mark as he discusses taking a play from Elon Musk's playbook and from his own Situation Transform strategy. From Teslas to brain hookups. From medical group errors to success.
I see too many deals that are hatched from the evil twins of self-inflicted human nature: fear and hope.
Ride along with Mark as he discusses the concept of platform analysis and how it impacts business of healthcare.
Some hospital attorneys and, therefore, some hospital administrators, believe that every contract for professional services should be subjects to a request for proposal (RFP) process. That's ridicules.
Ride along with Mark as he discusses the best way to deal with disruptive employees. 
Hospitals are employing more physicians. So why don't they want them to become really successful? 
Take a seat and ride a long as Mark discusses using the concept of "Future You" when Structuring medical group and physician contracts and business relationships. 
Alchemists struggled without success for centuries attempting to turn lead into gold
Ride along with Mark as he discusses why medical groups shoot themselves in the compliance foot by shooting the messenger - the bearer of "compliance" bad news.
Hospitals purchased physician practices, employed and otherwise aligned physicians, and pushed into outpatient care.
Ride along with Mark as he discusses a little-known reason to have a strongly worded confidentiality provision in any contract between a hospital and a medical group. This is important for hospital-based physician groups with exclusive contracts, as well as for the office-based practices with the hospital contracts.
Creative destruction is taking aim directly at community hospitals. You can fight to save them, But if they've failed, you can, á la Shumpeter (and Weiss), take part in creating, phoenix-like, far more appropriate healthcare solutions for your community and for your profit.
Ride along with Mark as he discuses the parallels between the Industrial Revolution, the bespoke customization of bike farms, and modern medical practice: more patients and a transformational experience.
As more physicians rush to invest in ASCs, unscrupulous facility promoters/managers scheme to separate physician investors from their money.
We're aware of the push for greater efficiency in healthcare. Unfortunately, doing the absolute wrong thing the right way is incredibly efficient.  
Like a dry cleaner, healthcare providers have to screw up to lose a customer's loyalty.
Ride along, if you dare, while Mark waxes political on what a permanent government shut down as to "nonessential" regulation writers might mean for healthcare.
How many times and for how long do you think a Broadway actor prepares for his first performance, or even for subsequent performances?
Ride along with Mark as he discusses two examples of false bilateral choices for physicians and medical groups prevalent in healthcare thinking today.
In a quote qualitatively to "my dog ate my homework," a hospital CEO blamed an "aggressive, direct competitor" for the downturn in his facility's patient volume.
LIFO and FIFO are inventory concepts. But they apply to the quandary of which physicians would be let go if case volume drops precipitously. This is a pressing issue for hospital-based groups as hospitals shrink and close. The time to plan is well ahead of the time, if ever, to implement. 
Someone at a conference once asked me what's the biggest mistake medical group leaders make. That's easy, I told him, it's not engaging me to represent them.

He told me to get serious. I told him that I was. So, he asked me what's the second biggest mistake.
Take a seat as Mark discusses the concept of antifragility as applied to your medical group and then shares a tool to achieve it.
The survey, conducted annually by the data technology firm Geneia, found that 87% of surveyed physicians say that it's increasingly harder to spend time in an honest, engaged patient encounter, and that they're personally at risk of burnout.
Ride along with Mark as he discusses why your medical group needs an underlying purpose. Like life without an underlying philosophy, business without a purpose is simply giving in to the default position. 
How many compliance related crimes have you or your colleagues or employees committed today, whether purposefully or, completely inadvertently?
How To Expand Your Years Of Active Practice And Profit

How To Expand Your Years Of Active Practice And Prof

On the one hand, it's said that many physicians don't want other physicians to "profit" off to their work. Yet, at the same time, the great majority of physicians leaving training see a career in which they will never become practice owners. Ride along with Mark as he discusses how you, as a physician group owner, can add years to your career and significant profit to your bottom line.

What’s your medical license worth? Charles R. Leach, M.D., who practiced for close to four decades, surrendered his. I assume that he’ll soon be surrendering his freedom, too.

Take a seat while Mark discusses a hospital's announcement that it's closing down its physician joint venture ASC. Was it really their decision? Or have the physician partners realized that they no longer need the hospital?
John Holland and William Moore, both former Tenet Healthcare hospital CEOs, are facing trial in a criminal case that alleges that they personally violated the federal Anti-Kickback Statute.

Ride along with Mark as he discusses the darkly humorous story of a forgotten patient locked in a physician’s office . . . and what it means for your business planning.

Suppose people who want to sell us driverless cars, or to force us into driverless cars, are right and that we'll all be driving in them. What's the impact on healthcare? What's the impact on your practice?
We hear about people being de-platformed by social media sites. But are you ready for when your medical practice or medical group is de-platformed in a far more destructive way? Ride along with Mark to hear the rest of the story.

Like a bear emerging from its long winter nap, the Federal Trade Commission is hungry to enforce antitrust law in the healthcare sector.
Ride along with Mark as he discusses the branding lessons taught by a $12 million stuffed shark. 

What does partnership mean in a medical group? What does it mean to you? What does it mean for your group? What does it mean if you are setting up a medical group?

Ride along with Mark as he fills you in on how a simple 2-cent card created loyalty that will drive many thousands of dollars in future business. Learn how the same psychology of small, personal touches can drive thousands to millions of dollars in business to you.

Ride along with Mark as he discusses the death of another small hospital system and how it can result in the birth of many physician-led ventures.
Many physicians bemoan the fact that we have retail, corporate run walk in clinics, such as the Minute Clinics run by CVS, staffed with nurse practitioners and PAs.
Ride along with Mark as he discusses how to think differently about healthcare venture formation. Stop thinking first about outside capital. This is healthcare collaboration in its true form.
On Thursday, June 28th, the DOJ and HHS announced the largest ever health care fraud enforcement action. It resulted in charges against 601 defendants across 58 federal districts, including 165 doctors, nurses and other licensed medical professionals, for their alleged participation in health care fraud schemes involving more than $2 billion in false billings.
Take a seat and listen in as Mark discusses Walmart’s latest foray into healthcare via it’s Walmart Town Center concept.

The flashpoint is the defendants’ development of a competing ASC, Riverview Surgical Center. That’s the straightforward news. But, what’s really going on? And why should you, probably not a surgeon in Sioux City, care? Keep listening. It will become clear, really clear.

Ride along with Mark has he discusses the factory-like history of public education and its overlay with the factory-like hospital system model.
In your negotiations, are you letting the other side think that they won?
Ride along with Mark as he talks the true cause of physician dissatisfaction: Hospital-centric healthcare.
Yes, 4.89 billion reasons for you, if you are a physician who owns or is thinking about owning a surgery center (“ASC”). And, yes, each of them is green. Green as in a dollar bill.
Ride along with Mark as he talks about re-purposing closed hospitals into other healthcare facilities.
Cyber criminals pay far more for health data than for credit card or banking information. Don't inadvertently help them out while exposing yourself to, potentially, tens of thousands of HIPAA violations.
For years, hospitals have pushed to “align” physicians. Take a ride with Mark as he talks about a reversal in the trend: As what were hospital cases now flow out to independent ASCs, hospitals are begging to be aligned with physicians. But why allow a hospital to be a partner in your ASC deal?
Ride along with Mark as he discusses the recent indictment of a slew of doctors and pharmacists for pushing millions of oxycodone pills. But what’s great law enforcement has a chilling impact on the legitimate practice of pain medicine.
If you say that you're going to do something, do it! We can all apply this lesson in our businesses.
What are you incentivizing your employees or independent contractors to do? And what if those incentives are driving them to not do other things that are far more essential for your business? What if those incentives are driving them to do things that are clearly detrimental to your business? 
Ride along with Mark while he shares his thoughts on why huge hospital mergers, like the one just announced by Baylor Scott & White and the Memorial Hermann Health System, aren't good for anyone other than the executives who run them.
Lead, follow or get out of the way. I'm a strong proponent of the "strong leader" form of governance. True democracy doesn't work in business any more than it works in running a city, state or nation.
Ride along with Mark as he discusses the seeming acceleration of the speed at which hospitals and other healthcare facilities terminate physician and physician group contracts.
"Direct" is more of a mindset - it's the dematerialization of the payment intermediaries in connection with your design of a payment/delivery structure. Direct contracting can be used as a strategy to deflect the negotiating pressure of payors, especially down-stream middlemen such as IPAs and risk bearing medical groups.
Ride along while Mark discusses bloated hospital administrative bureaucracy and warns against adopting similar structures at physician-owned surgery centers, imaging facilities and other outpatient ventures.
When physicians think about allegations of kickbacks in the context of large insurers, it's generally related to how a carrier's internal "claims cops" have alleged that some physician or other provider engaged in a kickback scheme, obviating the payor's need to pay claims, or, even worse, supporting their demand for repayment. 
Ride along with Mark as he counsels you on telling yourself the truth about your current practice situation and finances, and suggests ways to break out of being a sacrificial animal for someone else's benefit.
Ride along with Mark as he counsels you on telling yourself the truth about your current practice situation and finances, and suggest ways to break out of being a sacrificial animal for someone else's benefit.