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  • Adopting an 18 Year-Old? Why?

    For many reasons, we are continuing to see mergers being planned or occurring between various hospitals and health systems, and even including physicians practices and medical groups. Although the benefits of such acquisitions are real, often the challenges of such are not fully appreciated and the magnitude of work that is required to make them successful going forward is not totally ...
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  • Can Surgical Volumes Save the Day?

    For many healthcare delivery systems, surgical volumes have historically driven the majority of their revenues. Financial security depended upon and often paralleled growth in inpatient surgeries, and the simultaneous revenue growth from related ancillaries such as anesthesia, radiology, laboratory, and pathology. As a result, large investments have been made in the expansion of operating room ...
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  • "The Times They Are a changin'"--Bob Dylan

    The insurance exchanges opened for business this week. Politicians are using the Affordable Care Act (ACA) as the bargaining chip in the shut down of the government. Health systems are undergoing major economic challenges. The 1964 Bob Dylan classic seems like the appropriate anthem for these times. Recently, The Tennessean reported Vanderbilt University Medical Center “has a plan to cut up ...
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  • Strategies to Put Physicians on the Offensive - Part II

    In Part I of this series posted on our Blog last week, we reviewed the “present state” of many physicians, gaining a clear understanding of the reasons for much of their present negativity. We also enumerated the strategies the partners in Royer-Maddox-Herron Advisors are using when in the field with physician audiences, and which have proved successful in moving doctors from a ...
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  • Strategies to Put Physicians on the Offensive - Part I

    After reviewing our series of four blogs on physician integration that were posted last April and May, numerous readers have emailed, inquiring whether Royer-Maddox-Herron Advisors has specific strategies to recommend regarding putting physicians on the offensive in support of positive transformations changes in the healthcare delivery processes and procedures. Fortunately, our answer is yes. ...
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