Subject: Just Say “No” to Healthcare System Employment

February 21, 2025

Dear Friend,


It’s time to say no to systems thinking. Healthcare systems, that is.

 

That was the subject of Monday's blog post, First, Let’s Kill All the Healthcare Systems. You can follow the link to read the post online, or just keep reading.


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


Those physicians, like my clients, share the notion that serving the patient, delivering actual, not bullshit, patient-care value is the raison d'être.


Unfortunately, that’s anathema within a “healthcare system”.


It’s the difference between a “system” built to capture cross-referrals, to charge facility fees for what used to be office visits, and so on, and doing what’s best for the patient.


It’s the difference between advancing care and treatment versus being hemmed in by diktats labeled “value based care” or “evidence based medicine” or whatever other BS buzz word was just coined.


Now let’s return to the top. Did you notice that that 25% of system-employed physicians WANT NEW JOBS, not to form their own practices or groups. No cojones there, huh?

And that’s a tremendous advantage for you, someone who’s willing to take the leap into physician-owned and physician-controlled practice. After all, that 25% wants to be your worker bees. They’ll be happy. Patients will be happy. And so, too, will you.


Don’t know where to start?


Let’s chat.


P.S. Still think a system is required? Watch the classic “I, Pencil” and let me know what you think.

BOI Reporting Back on With a Caveat on Timing


The immediately prior nationwide injunction against mandatory BOI reporting pursuant to the Corporate Transparency Act, in place in connection with Smith v. United States Department of Treasury, was lifted earlier this week.

 

The deadline for BOI reporting to FinCEN is now March 21, 2025.

 

There are, however, pending updates to the BOI reporting rule and pending legislation (enacted by the House but not yet by the Senate or signed into law), that might cause you to choose to delay filing until closer to the deadline. The timing issue depends on your situation; for advice on filing, contact Mark.

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