Ron Barshop 
We know this when independents sell to systems. Costs only go up. Burnout rises Medical errors increase Excerpt The number of physicians employed by hospitals and health systems grew by nearly 50% from 2012 to 2015, with a corresponding decline in the number of independently practicing physicians, https://www.modernhealthcare.com/article/20180220/NEWS/180229989
PCPs have a moral imperative to be happy. Lives depend on it including their own universe. If that’s true you can make the jump that burnout is directly linked to earnings. After all the worst compensated docs correlate directly with higher burnout rates. Because comp is 100% determined by a lousy model, every primary care … Read moreAncillaries are simply the obvious answer for that which ails primary care
Simple. Complex. A bad model is simple to fix. Primary care ( ex DPC) almost couldn’t be a worse model. Why? It’s costly to start and operate. Recurring revenues- minimal Requires lots of staff And overhead Is loaded w regulations, mandates etc. Cannot be run from a beach Serves a limited geography. Does not provide … Read morePrimary Care in 2019 – A Tough Model to Fix
The US is one of only two countries allowing Pharma television advertising. If it seems every other ad is either fast food , cars or drugs they are all top 6 advertisers. But only Pharma is rising on tv @about 5%/yr -while others are flat. AMA has been unsuccessful since 2015 pressing for a tv … Read morePharma’s Advertising on TV
We locals love our hospitals. They support good causes. They offer free care to indigents. Their boards are filled with rocks of the community beyond reproach. Then there’s this clarion call. This is a masterful piece of writing. My favorite suggestion….. do away with unfair pricing over independents. Sadly,Big Healthcare protects its own and has … Read moreBig Healthcare opposes Competition
Dear Burned out PCP, As a primary care physician, you undoubtedly know what a huge problem burnout has become in our industry. In fact, there’s better than even odds you’re one of the 54% of physicians currently suffering. This information will be your lifeline. I don’t need to tell you why burnout happens. You’re on … Read moreDear burned-out PCP’s: here’s why burnout solutions don’t work (and what does)
What changes the day after you add ancillary services? We recommend using a contracted firm before jumping in. My friends run patient outcomes focused services for PCPs on Cardio testing Nerve testing ABI tests Physical medicine tests and treatment Sleep labs Urodynamic flow Toxicology tests We offer allergy tests and treatment. There are 18 ancillaries … Read moreWhat changes after you add Ancillary Services?
I’ve seen the economics and risk factors of these below. We are in the allergy testing because this has the lowest 360 degree risk profile for nice revenues and no capex upfront. Family Practitioners and Internists will see value from these. In order of value; Hormonal screens and treatment Sleep labs Allergy skin testing / … Read moreWhat 20 ancillary income services make sense?
Ten Risks adding ancillary services to a practice. Licensure risk- is billing under your NPI? Scope of practice risk is a state board disallowing a pcp to say, perform oncology services. Insurers denying claims, same reasoning. Billing risk-when payor relationships are disrupted or Chargeback risk-you are suddenly fighting recoupment. Clinical risk involves understanding any potential … Read more10 Risks of adding Ancillary Services to your Practice
Do not acquire a dime of equipment you don’t intend to support with dedicated staff. Dedicated staff are not to have any other duties than one or two ancillaries. Laser focus works. No other duties bears repeating. Do not spend a dime marketing. Enhance your patient history with precise questions supporting medical necessity, which is … Read more11 Commandments for adding ancillary income services for maximum success
