Landmark or Landmine?

Lately, my most enjoyable consulting time spent with my clients has given me cause to look back on all the events in private practice during the last year. Lots of what I first wrote about in “Practice by Design” (Miami 2007) “Commanders of Change™” (Marina Del Rey 2008) and Impeccable Systems” (Boston) 2009 has come to pass.

Future Shock is here, and as Toffler observed, may very well be modern mans most serious psychological affliction. Now, we are on the verge of a major dismantling of the doctor patient relationship by politicians and the greatest victory for health insurers, ever.

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What now Mr. President?


Two years ago members recently so poignantly asked me “John, you keep talking about all the changes. What do you mean, and what’s happening?” Now, it’s all self evident.

So what I thought I would do is summarize how the events of the last 12 months have impacted doctor’s behaviors and decisions in private practice. Don’t read any further if you want sugarcoated op-ed. This is not it.

The most striking thing I warned doctors about was that unless you the Doctor clearly handle finances in private practice (no, its not like the ER), patients are gone, especially in the scared and frightening media driven economics for so many of those we serve. In essence, you need to be crystal clear, and also priced for the realities of your own future!  Are you serving humanity to the best of your abilities, and at the same time selling higher tiers of care to those who want and will gladly pay in full? Not everyone wants or needs a Rolls Royce, but they still make and sell plenty of them.

Patients are no different, when unique service is needed. And wanted. Help give them their health back, teach them how to maintain it, and it’s the greatest gift ever.

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