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Latest episodes from Wisdom. Applied.

The Clinical AI Liability Gap

Play Episode Listen Later Apr 15, 2026 3:06


AI may assist clinicians, but replacing them creates a liability gap. Malpractice caps protect physicians, not algorithms, and the risk exposure is unlimited.

The FTC Just Told You Exactly What It's Looking For. Is Your Noncompete on the List?

Play Episode Listen Later Apr 7, 2026 9:23


The FTC has abandoned a blanket ban on noncompetes, but is aggressively enforcing them in healthcare. What physician groups and physicians need to know now.

AI Isn't Going to Replace Your Radiologists. It's Going to Reprice Them.

Play Episode Listen Later Apr 1, 2026 8:01


AI won't replace radiologists, but it will change throughput, FTE math, and leverage in hospital contracts. Groups that ignore this will lose negotiating ground.

The Anesthesia Workforce Shortage Is Your Group's Negotiating Leverage (If You Know How to Use It)

Play Episode Listen Later Mar 25, 2026 5:10


Nearly 30% of anesthesiologists are projected to leave practice by 2033, creating a workforce shortage hospitals can't ignore. How can hospital-based groups can turn the reality into real negotiating leverage — before the window closes.

The Problem With Hospital–Physician “Alignment”

Play Episode Listen Later Mar 18, 2026 10:10


Hospitals talk about “alignment,” but when leadership changes or incentives shift, the relationship often looks very different.

The Essential Money Discussion - A Conversation with Financial Planner Justin Harvey

Play Episode Listen Later Mar 12, 2026 38:53


Mark F. Weiss sat down to chat with Justin Harvey, ChFC, CFP, a well-known financial planner whose practice focuses heavily on working with anesthesiologists and pain management physicians, about preserving wealth, not just accumulating it. The talk centered on the importance of having hard money conversations to keep your family together. Get in touch with Justin Harvey: https://www.linkedin.com/in/justin-harvey-46625516/ https://apm-wealth.com/ Sign up to receive complimentary educational materials at: http://www.weisspc.com/subscribe http://www.weisspc.com

A Novel Approach to ASC Structure: Distributions In Proportion to Production.

Play Episode Listen Later Mar 3, 2026 7:14


Four surgeons practicing together, ophthalmologists, for example, plan to build their own ASC. It goes without saying that they would think that distributions from their ASC must be in proportion to ownership interests. But that's not necessarily true.

Breaking Down the Breakdown – ER Group Terminated After 35 Years

Play Episode Listen Later Feb 25, 2026 7:45


When a hospital system terminates a 35‑year relationship with its ER group, it tells you far more about leadership than about performance.

Is the Prohibition on Physician-Owned Hospitals Worsening the Hospital-Based Specialist Shortage?

Play Episode Listen Later Feb 17, 2026 5:00


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

“You Can Trust Us” Is Not a Contract Term

Play Episode Listen Later Feb 10, 2026 9:12


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.”

Protecting the Group from Distracted Doctoring

Play Episode Listen Later Feb 10, 2026 9:12


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 See Eye to Eye in False Claims Act Settlement

Play Episode Listen Later Feb 10, 2026 4:15


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

When Is a Letter “Mailed”? Postmarks, Contracts, and a Quiet USPS Change with Real Consequences

Play Episode Listen Later Jan 21, 2026 4:06


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

Physicians Fooled into the Ruse of Health System Reform (or, Cows Can't Reform a Farm Because Farmers Will Never Eat Grass)

Play Episode Listen Later Jan 21, 2026 6:02


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

Off to Prison. An Update on How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud

Play Episode Listen Later Jan 21, 2026 6:45


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.

Inside the 2026 Medicare Physician Fee Schedule

Play Episode Listen Later Jan 14, 2026 42:02


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.

Hospitals and the Return of the Company Town

Play Episode Listen Later Dec 16, 2025 3:53


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

Cognitive Biases and Contracting

Play Episode Listen Later Dec 16, 2025 4:14


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.

Supermodel Your Way to Healthcare Industry Success

Play Episode Listen Later Dec 16, 2025 4:36


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

How to Use the Law Before it Uses You.

Play Episode Listen Later Dec 16, 2025 3:48


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

Leadership Succession: The Hole You Never Notice Until You Fall Into It

Play Episode Listen Later Nov 20, 2025 4:17


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.

The Healthcare Deal Partner Who Can End Your Career

Play Episode Listen Later Nov 20, 2025 4:20


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

THE TIME TO ESTABLISH A BANKING RELATIONSHIP (NOT WHAT YOU LIKELY HAVE NOW) IS TODAY, NOT WHEN YOU NEED ONE

Play Episode Listen Later Nov 20, 2025 4:36


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.

Surprise: The No Surprises Act Is Working, Just Not How Insurers Planned

Play Episode Listen Later Nov 20, 2025 5:04


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

Why You Must Understand that the Law is Not Necessarily Your Reality

Play Episode Listen Later Oct 27, 2025 4:47


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

Do You Know What Block Can't be Pulled From the Deal?

Play Episode Listen Later Oct 27, 2025 3:33


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

Signaling During Medical Group Negotiations

Play Episode Listen Later Oct 27, 2025 3:32


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.

Preparation Wins Games and Negotiations

Play Episode Listen Later Oct 27, 2025 2:37


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

Play Episode Listen Later Oct 1, 2025 4:23


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

The FTC Buries Its Ban on Non-Competes, But Sharpens its Aim on Violations

Play Episode Listen Later Oct 1, 2025 6:15


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

From Kings to Contracts: No Love Lost

Play Episode Listen Later Oct 1, 2025 3:16


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

The Anti-RFP: Forward and Reverse Auctions for Physician Services

Play Episode Listen Later Oct 1, 2025 4:52


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

Play Episode Listen Later Aug 21, 2025 6:30


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

The Prevailing Healthcare Business Model is Upside Down

Play Episode Listen Later Aug 21, 2025 3:32


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?

Will Your Business Walk Back in in the Morning?

Play Episode Listen Later Aug 21, 2025 2:36


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

Double Trouble: Prosecuted and Sued for the Same Scam

Play Episode Listen Later Aug 21, 2025 4:32


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.

You Can't Lipstick That Pig: Why Physicians Must Carefully Vet Deals

Play Episode Listen Later Aug 21, 2025 5:02


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.

Healthcare Fraud and the Physician as Victim

Play Episode Listen Later Aug 21, 2025 6:35


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

The Nation's Largest Health Care Fraud Bust, Plus Bureaucratic Negligence

Play Episode Listen Later Aug 21, 2025 6:10


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.

Why Fail at Optionality?

Play Episode Listen Later Aug 21, 2025 3:14


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

Speak Truth to Numbers

Play Episode Listen Later Jun 26, 2025 2:50


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.

A Ban on PE in Medical Practice and a Gutting of Practice Value

Play Episode Listen Later Jun 26, 2025 11:04


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.

Pain Doc Likely in Pain After Settling Allegations That Billed Procedures Weren't Performed

Play Episode Listen Later Jun 26, 2025 2:52


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.

Why Hospital-Based Medical Groups Must Exploit Honey Bee Strategy

Play Episode Listen Later Jun 26, 2025 2:12


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.

14 Month Prison Term in “Doctor Chasing” Scam

Play Episode Listen Later Jun 26, 2025 3:10


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.

DOJ to Focus on Criminal Healthcare Fraud and Prosecuting the Individuals Involved

Play Episode Listen Later Jun 26, 2025 5:40


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

Avoid the Second Biggest Mistake Medical Group Leaders Make

Play Episode Listen Later Jun 26, 2025 4:10


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

Play Episode Listen Later Jun 25, 2025 3:23


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

How Medical Group Collaboration Creeps into Fraud—Pass-Through Billing

Play Episode Listen Later Jun 25, 2025 4:11


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

Did They Sell Their Seoul? The $62+ Million Settlement

Play Episode Listen Later Jun 25, 2025 4:42


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

Why Bigger Hospitals May Actually Be More Fragile

Play Episode Listen Later Jun 25, 2025 3:52


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?

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