Wisdom. Applied.

Does banning physician-owned hospitals worsen shortages? Explore how ownership limits affect hospital-based coverage and alignment models.

Time and again, physician group leaders, smart, experienced, and otherwise hard-nosed, regularly fall prey to a simple proposition when dealing with hospitals: “You can trust us.”

When distraction in patient care leads to criminal charges, medical groups face serious risk. Learn how distracted doctoring exposes physicians and groups alike.

Five ophthalmology practices agreed to pay nearly $6M over alleged kickbacks and unnecessary testing. Learn the FCA risks every physician group must understand.

USPS postmark delays can make timely contract notices look late. Learn why this matters to protect deadlines and reduce legal risk.

Hospitals can't be reformed. Committees create the illusion of influence, not authority. The real solution? Exit—and build independence.

Now that they've been sentenced to prison, I can reveal the fate of the healthcare power couple, Alexandra Gehrke and her husband, Jeffrey King, whose wound care graft graft put close to $615,000,000 in their pockets, albeit temporarily.

Mark Weiss and Jason Almiro (Quantum Health Advisors) sit down for a candid conversation on the major changes in Medicare's 2026 Physician Fee Schedule—what's new, what's gone, and what entrepreneurial physicians need to know now.

Are hospitals becoming modern company towns for physicians? Explore the parallels, risks, and emerging alternatives for independence.

When you're negotiating for any agreement, any deal, especially one that is creating an ongoing relationship, which is the hot molten center of services agreements such as exclusive contracts, you not only want to, but you need to, play to human cognitive biases in establishing that relationship.

Few doubt that things need fixing in healthcare. But many, from DIYer docs to industry leaders, suffer from being inside an echo chamber.

Some laws derive from morality and others are purely the result of politicking and protectionism.

Medical groups don't usually collapse because their revenue dropped 3% last quarter. They collapse because someone, usually someone important, disappears, and no one bothered to think about what happens next.

In healthcare deals, one bad partner—or one bad flip—can end the game.

Is your medical group's bank just holding your money—or helping you grow? Strategic banking relationships can unlock leverage, improve deal flow, and strengthen your group's financial position.

The No Surprises Act wasn't about patients. The fine print told a different tale: it was an insurer-protection law.

The law isn't physics—it's power, people, and positioning. For physicians and medical groups, the best legal outcomes start with smart planning.

Contracts in healthcare are built like block towers—each deal-point matters. Remove the wrong one, and the entire structure may collapse.

Dogs wag their tails. Humans do too—just not the same way. In negotiations, your counterpart is sending signals you might be missing. Learn how to spot the “tail tells,” control your own, and use them to your advantage.

Most healthcare negotiations fail before they begin—because leaders don't prepare. Learn how physician groups can approach contract talks like elite athletes: with strategy, rehearsal, and a winning mindset.

Non-Competes After the FTC's Pivot: A Balancing Act for Medical Group Leaders by Mark F. Weiss

FTC ditches a full non-compete ban, but healthcare employers still face targeted crackdowns. Physician groups, take note.

Even the strongest physician-hospital relationships are transactional. Survival depends on diversification, not loyalty myths.

Several years ago, it would've been difficult to write too much about the strategy of responding to an RFP, i.e., a request for proposal, for physician services. Today, however, with an extreme shortage of physicians, RFPs are not so much a thing.

$500 Million in Alleged Phony Charges and the Dangers of Medical Directorship by Mark F. Weiss

Some models were once useful, but no longer are. How's the “reliant on Medicare”, or even the “reliant on commercial payors”, model working out for you?

Your business exists and interfaces on multiple planes and, therefore, the far smarter approach is to explore and adopt protection on each.

Out of state and still billing for in-person care? A physician submitted claims while vacationing in Hawaii—and now faces criminal sentencing and a $500k civil payout.

Deals involving management services agreements, consulting contracts, or similar structures can appear completely legal at first glance. But dig deeper, and they might turn out to be elaborate covers for kickbacks or bribes.

The majority of healthcare fraud schemes center on fraud perpetrated by physicians, but what about schemes orchestrated to victimize physicians?

It's been said that people read published lists of disciplined fellow professionals out of a sense of schadenfreude, the pleasure derived from another's misfortune.

Although dollars are a lubricant, the real issue is freedom or optionality.

Bureaucratic sorts are drawn to numbers because numbers can be gathered and processed and manipulated, all with the goal of lifetime employment for those bean counters.

Certainly, Oregon is a small state in terms of medical practice, but what's happened in Oregon could, and some say will, spread across the country.

Was it a scam or an error? A settlement is just that and there's been no determination of liability. Neither you nor I can know for sure what went on, but either way, there's a lesson here about billing compliance.

Considering honey bees have been on earth for between 40 to 150 million years, it pays to consider their hive strategy for success, especially because it maps perfectly onto medical groups.

There's huge danger in any arrangement in which you put your prescribing imprimatur on any script or order for any item, especially those reimbursed by Medicare.

In real life healthcare compliance, there's no get out of jail free card.

It's imperative that you get started now and that you become willing to invest in your own future.

You Must Know the No. 1 Mistake in Exclusive Contract Negotiation by Mark F. Weiss

Hospital-based medical groups, notably anesthesiology and radiology groups, are increasingly turning to creative means to provide coverage and to improve collections.

There's a reason why Medicare Advantage is fertile ground for fraud enforcement.

In healthcare, size used to signal strength. Bigger meant more services, more specialists, more veritas. But what if all that bulk is actually a liability?

As healthcare payers, tech platforms, and pricing vendors increasingly collaborate through sophisticated analytics, this case is a clear reminder: if you're coordinating decisions that competitors used to make...

Supervisory requirements aren't just administrative niceties; they're the difference between compliant practice and a lawsuit waiting to happen.

It's not news to you that there's a huge shortage of physicians in many medical specialties, such as in anesthesiology and radiology. With the overall aging of the physician population, shortages in other medical specialties, including those that are office-based, will intensify.

There are dumb crimes, and then there are crimes so dumb they come with a built-in paper trail leading straight to prison.

Even in the face of the provider shortage, during which you think that you have substantial negotiating leverage, when a significant chunk of your revenue comes from the hospital, you're no longer just a contractor. You're an appendage.

Over the past several weeks, I've seen multiple posts and comments on LinkedIn about the horrors of practicing as a cog in the wheel of Big Medicine, employment schemes facetiously referred to as “medical groups” by their health system or insurance company owners.

From insurance commissioner to healthcare fraudster to federal prison inmate.

According to Bain & Co, nearly one-quarter of physicians employed in health-system-led organizations are considering switching employers.