Wayne Lipton's Blog

Key Advice for Physicians Considering Concierge Medicine

Posted by Wayne Lipton

I recently spoke with a physician who attended a conference on medical practice models designed to attract physicians interested in concierge medicine. He told me something interesting: Half of the doctors who attended were there to learn how to successfully start a concierge program, and the other half had already launched their own program without much success and were looking for ways to go back and fix their problems.

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Concierge Practice Success Requires Defining What Patients Value

Posted by Wayne Lipton

People make purchasing decisions based on the value of what they are buying.  Value is both real and perceived.  This is particularly true for patients when it comes to concierge programs.  When a patient joins a concierge program, they are doing so because they value the care and service they receive.
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Autonomy vs. Employment: Concierge Care Can Help Physicians Decide

Posted by Wayne Lipton

If you are an independent physician who either makes the decisions about how your practice is run or how, as a group, your group is run (small to mid-sized groups), then you have some degree of precious autonomy.

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Finding growth when the business of healthcare and practice management are rocky

Posted by Wayne Lipton

I've spent my career working with physicians around the country, consulting with them daily about the business side of their practices. Through the years, there is always one common theme: "I should have done this sooner!" While the predictability of the comment always makes me laugh, it remains a curiosity. Why do physicians always say this? Why do physicians, arguably some of the most intelligent and highly trained professionals, have such a difficult time pulling the trigger on business decisions?

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Health Reform Doesn't Mean the End of Independent Medical Practices

Posted by Wayne Lipton

There seems to be much public and private hysteria these days over the Affordable Care Act (ACA), or what many call "Obamacare." The rush for implementation of the health insurance exchanges has made real the intended changes to the healthcare system both locally and nationally. In the midst of all this uncertainty, I'm reminded of the British philosophy of, "Keep calm and carry on."

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Don't Just Collect Patient Payments at Your Practice; Provide Value

Posted by Wayne Lipton

Physicians who practiced in the era of classical indemnity insurance still recall the old days of billing patients directly and then providing them with the means to submit their office visit bill to the insurer for reimbursement.  It was a clear system — patients understood what they were getting for their healthcare dollar.

Managed care and HMOs changed all that by converting traditional insurance into first-dollar coverage and introducing low out-of-pocket plans.

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Specialists’ Role in Easing Primary-care Physician Shortages

Posted by Wayne Lipton

Recently there have been even more new studies reporting on the looming shortage of primary-care physicians and the growth of physician extenders to solve that problem. With those topics top of mind, I thought it was worth visiting the topic of specialists and their potential role in helping to address the challenges our healthcare system faces once again.

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Hybrid Concierge vs. Direct Pay: Considerations for Physicians

Posted by Wayne Lipton

In the last year or two, I have noticed the increase in discussion about the direct pay approach to patient care.

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The Hospital Employment Shuffle

Posted by Wayne Lipton

Students of history have always understood that nothing that happens is new.  If one looks 42-15489646back, everything has happened sometime before. This theory is particularly applicable to the business of healthcare in America, especially hospital administration. Hospitals, by virtue of their size and complexity, tend to make business decisions in reaction to threats and trends, rather than by broadly creating growth and opportunity. Nowhere is this more evident than with physician network development.

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Consider Concierge Medicine Before Becoming Just Another Employee

Posted by Wayne Lipton

You worked hard all of your life and found a degree of success ateach stage. First, it was entrance to college and then medical school. Then residency and the decision to become a primary-care physician, where you could best meet the needs of patients and your chosen community. You then opened a traditional practice where you bore all the responsibilities and were supposed to enjoy the fruits of your efforts. But someone has come along and changed the rules of the game. The autonomy you planned on is becoming harder to find and sustain.

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