What You Need To Know About The High Cost Of 15 Minutes Of Fame, HIPAA Edition – Podcast

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.

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Mark F. Weiss

www.advisorylawgroup.com

How to Avoid The Second Biggest Mistake Medical Group Leaders Make – Medical Group Minute

Someone at a conference 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.

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Mark F. Weiss

www.advisorylawgroup.com

Making Your Business Antifragile – Success In Motion Rebroadcast

Take a seat as Mark discusses the concept of antifagility as applied to your medical group and then shares a tool to achieve it.

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Mark F. Weiss

www.advisorylawgroup.com

Hospitals Beg To Be Aligned By Physicians!

Over the past decade or so, hospitals have spent countless hundreds of millions of dollars “aligning” physicians.

This so-called alignment has included acquiring physician practices, employing physicians in states without corporate practice of medicine restrictions, and, in states where hospitals can’t directly employ, employment through captive medical groups or foundations.

Hospitals claim that the idea is to “coordinate care.” But the actual goal is to control cash.

More recently, though, there’s been an increasing tide of procedures flowing out of the hospital to outpatient facilities, chiefly to ambulatory surgery centers (ASCs). [If you haven’t already read my book The Impending Death of Hospitals, you should pick up a copy. You can get in on Amazon or you can download a PDF version for free on my website at advisorylawgroup.com.]

The notion is that as technology advances and as the safety of procedures in the ASC setting increases, more and more procedures are being added to Medicare’s list of approved outpatient surgery center procedures.

Because many if not all private payers follow Medicare’s lead on this, private payers, too, are pushing procedures out to ASCs because reimbursement is much lower and because outcomes are much greater: less chance of infection, more efficiency, happier patients paying lower copays and having much better patient care experiences.

And now we’re seeing something very interesting. In connection with my ASC work – my physician clients forming physician-owned ASCs – we’re seeing hospitals chasing those physician deals, asking, and sometimes begging, to be included as investors in the deal: They want physicians to “align” the hospital!

Hospitals understand that soon they will no longer be able to compete for many procedures that had been done on an inpatient basis and now and forevermore will be done on outpatient basis. They can no longer compete on the basis of having those cases performed in hospital outpatient departments (HOPDs) because reimbursement for the same procedure is up to 80% higher in HOPDs than in ASCs.

As a result, hospitals want to burrow their way into your ASC deal. But why would you want them to align with you? They’re simply after the control, and the profit, that they’re losing on the “hospital” side.

Many would answer that with, “Well, I want money from the hospital to help seed the ASC.”

But the bottom line is that if you vet the decision and the numbers in connection with whether it makes sense to form an ASC – and it does – why do you need even a million dollars from a hospital when in a year or two you could potentially be pumping out two million a year in facility fee profits without them?

Yes, it might be a short-term gain. But “hospital as co-owner” is usually long-term pain.

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Mark F. Weiss

www.advisorylawgroup.com

Why You Must Understand the Intersection Of Incentives And Negotiation Strategy – Podcast

When most medical group leaders think about incentives, it’s usually in the context of structuring performance incentives for the group’s physicians, or in the context of incentives that flow to the group; itself pursuant to contracts with payors or facilities.

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Mark F. Weiss

www.advisorylawgroup.com

News Flash: Physician Dissatisfaction Highest Among Those Employed by Hospitals and Investor-Owned Entities – Medical Group Minute

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.

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Mark F. Weiss

www.advisorylawgroup.com

What Is Your Medical Group’s Purpose? – Success In Motion

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.

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Mark F. Weiss

www.advisorylawgroup.com

Augmented Unreality And Medical Group Success

What’s real?

Last year, while having dinner at a conference, I sat across from two women – I’ll give a quick shout-out to Judy and Devona without identifying them by their last names, in case they don’t want the shout-out.

We were talking about the people that we had separately observed at concerts who, instead of actually watching the concert, were filming the concert on their phones. In essence, they weren’t watching the concert live, they were watching a video screen of the concert.

Is that even watching a concert live? I’m not sure. It doesn’t seem to be. You’re focusing your experience on a screen instead of everything that’s going on around you.

Which makes me wonder if that same phenomenon of focusing on a very narrow object or viewpoint doesn’t also impact many others in healthcare.

Someone else, not at that dinner, was commenting on the difference between the old Siegfried and Roy act in Las Vegas, which required Siegfried and Roy. Even though they had around 400 employees, they needed to have Siegfried and Roy there for every single performance.

Compare that with the Blue Man Group, in which there are the original “Blue Men” who came up with the concept but no longer need to perform: They have multiple touring groups of performing “Blue Men.”

Many people in healthcare, certainly many physicians, are hands-on like Siegfried and Roy. They’re not the equivalent of Blue Men, working only on the high-value concepts and then supervising those those who carry out the work,

The problem with being so personally caught up in the delivery of the performance is that you lose sight of many of the elements around yourself, elements that impact your business. The classic example of this is the medical group leaders who are shocked when their hospital contract goes out to bid via RFP; after all, they exclaim, “we deliver first class medical care.”

Avoid the problem of the concert-goers who focus so intently on their cell phone screens, focusing on what they think is reality. Take time to sit back, open your eyes, and look at the bigger picture.

Sam Walton’s Failure Is A Lesson For Medical Groups – Podcast

Has your medical group put themselves in a position where they can be easily taken over legally and cheaply?

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Mark F. Weiss

www.advisorylawgroup.com

How Many Felonies Have You Committed Today? – Medical Group Minute


How many compliance related crimes have you or your colleagues or employees committed today, whether purposefully or, completely inadvertently?

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Mark F. Weiss

www.advisorylawgroup.com