Operational Clarity
№ 01
“I Don’t Know If My Practice Is Actually Doing Well”
The confession nobody makes out loud. You have plenty of data — what you’re missing is context.
6 min read
Insights
Real practice problems. Plain-English answers.
Fifteen field notes from working with independent practices. No advertorials, no listicles, no “seven tips for better leadership.” The actual problems we hear in consults, and what the working answer looks like.
Decision Quality
№ 02
Why Your Dashboard Is Making You Dumber
The paradox of too much data — and why 47 metrics are worse than 5.
5 min read
Operating Model
№ 03
The $150k Question: Do You Really Need a Fractional COO?
Hiring a COO feels like the only option. It almost never is.
6 min read
Benchmarking
№ 04
Why Generic Healthcare Benchmarks Are Useless
The MGMA report is too broad to be useful. Specialty-specific is the only way.
5 min read
Revenue Cycle
№ 05
The A/R Trap: How Your Practice Is Bleeding Cash
Every day in A/R is an interest-free loan you’re extending to your payers.
5 min read
Access
№ 06
The No-Show Rate Nobody Talks About
An 8% no-show rate is actually costing you 15% of revenue — here’s the math.
4 min read
People
№ 07
Staff Turnover Is Costing You More Than You Think
Replacing one office manager runs $50k–$100k. The hidden cost is the disruption.
5 min read
Access
№ 08
Scheduling Efficiency Is Not What You Think It Is
Full schedules are not productive schedules. The right metric is utilization, not booking.
5 min read
Revenue Cycle
№ 09
Why Revenue per Provider Is the Only Revenue Metric That Matters
Total revenue rewards growth in headcount. Revenue per provider rewards growth in productivity.
4 min read
Revenue Cycle
№ 10
The Collection Rate Illusion
A 96% net collection rate is excellent — until you look at the 4% you’re losing.
4 min read
Resilience
№ 11
Patient Satisfaction Isn’t Soft — It’s Financial
A 0.4-point lift in NPS correlates with a 3–5% lift in retention. Here’s why that matters.
4 min read
Payer Contracts
№ 12
The CMS Rate Update Most Practices Miss
Federal rate updates aren’t automatic at every payer. Here’s the 30-day playbook.
5 min read
People
№ 13
Your Staff-to-Provider Ratio Is Telling You Something
It’s either strategic capacity for growth — or pure overhead. Decide which.
4 min read
Growth
№ 14
Telehealth Intake: The Cheapest Growth Lever in Medicine
A 15-minute virtual intake reduces friction, shortens wait times, and lifts conversion.
4 min read
Operating Model
№ 15
The Monthly Briefing as an Operating Rhythm
Cadence beats intensity. The practices that compound are the ones with a steady monthly read.
5 min read