Wisdom. Applied.

Physician groups often believe they’re negotiating price when, in reality, they’re negotiating value, positioning, and long-term relationships. The groups that succeed understand that contracts aren’t commodity transaction, and that the outcome is shaped long before negotiations begin.

Utah has launched a program allowing AI to process prescription refills, but without clear regulatory authority or defined liability.

AI can either tighten institutional control over physicians or restore autonomy and human‑centered care. The difference isn’t technology, it’s who holds the strings.

Many physicians leave hospital or private‑equity owned practices only to recreate the same factory model they wanted to escape. Real differentiation comes from rejecting throughput medicine in favor of human‑centered care.

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

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.

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.

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

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

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.

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

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.