Insights

Real practice problems. Plain-English answers.

Practical notes for independent practice owners. Each one starts with a real business question, explains what the data can and cannot tell you, and offers a useful next step.

Revenue Cycle
№ 01

Why Is My Practice's Cash Slowing Down?

Production looks fine, the schedule is full, and the bank balance still feels tight. Here is how to find where the cash is getting stuck.

7 min read
Operational Clarity
№ 02

How Do You Know If Your Practice Is Doing Well?

You may have plenty of data and still lack the context needed to make a sound decision.

6 min read
Decision Quality
№ 03

Why More Dashboard Data Does Not Always Help

More measures can make decisions harder when no one identifies which changes deserve attention.

5 min read
Operating Model
№ 04

The $150k Question: Do You Really Need a Fractional COO?

A senior operating hire can help, but first define the work the practice actually needs done.

6 min read
Benchmarking
№ 05

Why Generic Healthcare Benchmarks Can Mislead

Broad benchmarks can hide important differences in specialty, size, service mix, and market.

5 min read
Revenue Cycle
№ 06

The A/R Trap: When Earned Revenue Stays Uncollected

Every day in A/R is an interest-free loan you’re extending to your payers.

5 min read
Access
№ 07

The No-Show Rate Nobody Talks About

An 8% no-show rate can create a larger capacity loss than the headline number suggests.

4 min read
People
№ 08

Staff Turnover Is Costing You More Than You Think

Turnover carries recruiting and training costs, but the larger risk may be lost knowledge and operating disruption.

5 min read
Access
№ 09

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
№ 10

Why Revenue per Provider Needs Context

Total revenue rewards growth in headcount. Revenue per provider rewards growth in productivity.

4 min read
Revenue Cycle
№ 11

The Collection Rate Illusion

A 96% net collection rate is excellent, until you look at the 4% you’re losing.

4 min read
Resilience
№ 12

Patient Satisfaction Has Business Consequences

Satisfaction trends can help explain retention, referrals, and access friction when reviewed with operating data.

4 min read
Payer Contracts
№ 13

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
№ 14

Your Staff-to-Provider Ratio Is Telling You Something

The same staffing ratio can represent useful capacity or excess cost. The surrounding measures tell you which.

4 min read
Growth
№ 15

When a Virtual Intake Pilot May Improve Access

A small virtual intake pilot can test whether convenience improves access without adding too much staff work.

4 min read
Operating Model
№ 16

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
Operating Model
№ 17

What Belongs in a Practice Financial Briefing

Most practice owners get reports. Very few get a briefing. Here is the difference, and what a monthly practice financial briefing should actually contain.

6 min read
Cost Structure
№ 18

How to Run a Practice Overhead Analysis That Actually Changes Something

Overhead percentage is a headline, not a diagnosis. Here is how to break practice overhead into pieces you can act on.

7 min read