Operating Model
Created for the clinician owner. Find insights by the decision you face and the depth you need.
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A Second Location Needs a System, Not a Copy
Here’s one of the most logical mistakes I see in healthcare. A physician builds a great practice. It’s…
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Look Again: Is Independence Still a Choice?
One of the most widely accepted beliefs in healthcare goes something like this: "To survive, you have to…
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Revenue Cycle Is an Operating System, Not Just a Billing Function
Reliable collections depend on the work before and after billing. A closer look at the handoffs, authority, and…
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When an Employer Contract Overwhelms the Urgent Care Waiting Room
Imagine you’ve had a sore throat for two days. You finally make it to the urgent care down…
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Busy Is Not the Same as Productive
A physician group can be extremely busy without making meaningful progress. Schedules are full. Meetings are frequent. Leaders…
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The Work Did Not Disappear. It Shifted to the Physician
A physician group removes an administrative position, introduces a self-service tool, or centralizes a support function. The expense…
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When Consensus Becomes a Substitute for Decision-Making
Agreement can strengthen a decision. Requiring it can prevent one. Consensus sounds like good governance. It suggests that…
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What Decisions Truly Require a Physician?
Independent physician groups often talk about physician time as if the primary constraint is clinical capacity. It is…
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The Hidden Cost of Making Physicians the Default Administrators
In many independent practices, the physician owner becomes the default destination for every unresolved issue. A staffing question…
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The Physician Workforce Problem Is Also an Operating Model Problem
Independent physician groups often describe workforce challenges in familiar terms: not enough physicians, difficulty recruiting, rising compensation, burnout,…
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