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Notes from the desks.

No thought-leadership. These are the working notes we would send a client: where revenue leaks, what a useful KPI actually measures, and why a good candidate turns an offer down.

6 articles · published by the revenue cycle, advisory and people desks. Written for practice owners and managers.

LatestRevenue cycle

Where revenue leaks out of a medical practice

Practice revenue rarely disappears in one dramatic event. It leaks, a little at a time, through five ordinary points in the cycle — and each one is fixable.

6 min read

Strategy8 min read

Strategic planning for a physician practice, in five steps

Most practices know they should plan and never do. Here is the process, the reasons it gets postponed, and what a usable plan actually contains.

Patient experience5 min read

Why patients leave without telling you

Patient attrition is rarely a clinical failure. It is usually a communication gap that nobody logged, in a practice that believed its satisfaction scores.

Measurement7 min read

The KPIs a medical practice should actually watch

Clinical quality, patient satisfaction, access and financial performance — twelve indicators, one page, reviewed in a fixed monthly hour.

Revenue cycle5 min read

What pay-for-performance billing changes

When your billing company's fee moves with your collections, the incentive conversation changes. Here is how to structure it so it stays honest.

People4 min read

The real cost of a bad clinical hire

A replacement search is the cheap part. The expensive part is the schedule you could not fill, the referrals that stopped, and the team that absorbed the gap.

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