Physician's Practice - November 2008 - (Page 71) CME THE GREAT PRACTICE MAKEOVER BRANDING THE CASH-ONLY PRACTICE KNOW WHO YOU ARE TO ATTRACT WHO YOU WANT BY SHIRLEY GRACE, MA Mark Wehr* wanted nothing more than to focus directly on his patient’s needs. But insurance company rigmarole was really bogging him down, which, of course, greatly hampered this desire. His solution? Dump the payers. All of them. didn’t have to file insurance,” says the family practice physician. The cash-only model is appealing to physicians tired of corporate intrusions into their relationship with patients, but so far only a handful of pioneers have actually attempted the switch. It’s risky: suspected doctor shoppers, insisting they just had to have an Oxy script for their “aching” heads or spines. WHY ISN’T IT WORKING? DR. ACCESSIBLE He took all comers. He gave out his cell phone number. He was willing to crank up his Prius and make house calls way past the witching hour, if needed. Wehr knew that his biggest challenge would be finding enough patients to make the practice viable. He took all comers. He gave out his cell phone number. He was willing to crank up his Prius and make house calls way past the witching hour, if needed. He was also willing to receive them, literally: He moved himself and his family into a residence above his own medical offices, in order to maximize accessibility. Now that’s a patient-focused doctor, eh? Problem was, Wehr didn’t get the patient mix he thought he’d get — those wanting and meriting such one-on-one attention. His practice is located in the heart of a midsized Southeastern city. “What I got were knocks on doors for lacerations from bar fights,” he explains. He also got a disturbing number of Wehr took a huge leap, revamping his practice into a cash-only model. He would cut third-party payers out of the equation and get all of his revenue directly from patients. “My mission was to try to practice medicine in ways that we Falling short of a goal is usually due to multiple factors, the impact of which can range in magnitude from slight to derailing. For example, it’s possible that Wehr’s less-than-ideal location is contributing to his difficulties. Or perhaps his bookkeeping skills, though streamlined, are too loosey-goosy. Whatever. Doesn’t really matter, because there’s one firm rule being violated here: He doesn’t know his own practice. No matter how skilled the doctor, how accommodating the services, how flexible the hours, or how easy the payment structure, if you don’t define your practice’s purpose and develop a strong brand — and make every single decision based on that — you won’t succeed the way you want to. Wehr wants to offer it all — all the time. That’s fine, and it can be done, but not before he defines exactly what “it” is, and exactly to whom he wants to direct “it.” NARROW YOUR FOCUS LEARNING OBJECTIVES After reading this article, readers will be able to: • Identify and define a tightly-focused mission statement for their practice • Develop branding strategies that reinforce their practice’s mission statement • Utilize marketing strategies that WWW.PHYSICIANSPRACTICE.COM target their desired patient panel For a practice with half-baked success in going cash-only, the malfunction is frequently a simple case of “too much too fast, without enough thought given to the wisdom of such fast and broad expansion,” says David Albenberg, a family physician who is a nationally recognized expert on cash-only practices. And he should know, having also been guilty of said unfocused branding when he reformulated his own cash-only practice, Access Healthcare, in Charleston, S.C. NOVEMBER 2008 | PHYSICIANS PRACTICE | 71 http://WWW.PHYSICIANSPRACTICE.COM
Table of Contents Feed for the Digital Edition of Physician's Practice - November 2008 Physician's Practice - November 2008 Contents Death of Solo Practice Just a Myth Letters HSAy What? Noteworthy Finding Lost Revenue: The Search for Billing and Coding Gold Getting More: Our Annual Physician Compensation Survey ’Tis the Season to be Neutral Ask the Experts Evaluating Paperless Labs HR in a Box? The Guide Coding Third-Party Audits on the Rise Branding the Cash-Only Practice Intra-Office Tug-of-Wars Stickin‘ Up For Yourself Classifieds Advertiser Index Physician's Practice - November 2008 Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page Cover1) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page Cover2) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page 1) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page 2) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page 3) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page 4) Physician's Practice - November 2008 - Contents (Page 5) Physician's Practice - November 2008 - Contents (Page 6) Physician's Practice - November 2008 - Contents (Page 7) Physician's Practice - November 2008 - Contents (Page 8) Physician's Practice - November 2008 - Contents (Page 9) Physician's Practice - November 2008 - Death of Solo Practice Just a Myth (Page 10) Physician's Practice - November 2008 - Death of Solo Practice Just a Myth (Page 11) Physician's Practice - November 2008 - Letters (Page 12) Physician's Practice - November 2008 - Letters (Page 13) Physician's Practice - November 2008 - Letters (Page 14) Physician's Practice - November 2008 - Letters (Page 15) Physician's Practice - November 2008 - Letters (Page 16) Physician's Practice - November 2008 - Letters (Page 17) Physician's Practice - November 2008 - HSAy What? (Page 18) Physician's Practice - November 2008 - HSAy What? (Page 19) Physician's Practice - November 2008 - Noteworthy (Page 20) Physician's Practice - November 2008 - Noteworthy (Page 21) Physician's Practice - November 2008 - Noteworthy (Page 22) Physician's Practice - November 2008 - Noteworthy (Page 23) Physician's Practice - November 2008 - Noteworthy (Page 24) Physician's Practice - November 2008 - Noteworthy (Page 25) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 26) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 27) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 28) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 29) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 30) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 31) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 32) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 33) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 34) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 35) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 36) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 37) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 38) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 39) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 40) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 41) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 42) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 43) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 44) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 45) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 46) Physician's Practice - November 2008 - ’Tis the Season to be Neutral (Page 47) Physician's Practice - November 2008 - ’Tis the Season to be Neutral (Page 48) Physician's Practice - November 2008 - Ask the Experts (Page 49) Physician's Practice - November 2008 - Ask the Experts (Page 50) Physician's Practice - November 2008 - Ask the Experts (Page 51) Physician's Practice - November 2008 - Ask the Experts (Page 52) Physician's Practice - November 2008 - Ask the Experts (Page 53) Physician's Practice - November 2008 - Ask the Experts (Page 54) Physician's Practice - November 2008 - Evaluating Paperless Labs (Page 55) Physician's Practice - November 2008 - Evaluating Paperless Labs (Page 56) Physician's Practice - November 2008 - HR in a Box? (Page 57) Physician's Practice - November 2008 - HR in a Box? (Page 58) Physician's Practice - November 2008 - HR in a Box? (Page 59) Physician's Practice - November 2008 - HR in a Box? (Page 60) Physician's Practice - November 2008 - The Guide (Page 61) Physician's Practice - November 2008 - The Guide (Page 62) Physician's Practice - November 2008 - The Guide (Page 63) Physician's Practice - November 2008 - The Guide (Page 64) Physician's Practice - November 2008 - Coding (Page 65) Physician's Practice - November 2008 - Coding (Page 66) Physician's Practice - November 2008 - Third-Party Audits on the Rise (Page 67) Physician's Practice - November 2008 - Third-Party Audits on the Rise (Page 68) Physician's Practice - November 2008 - Third-Party Audits on the Rise (Page 69) Physician's Practice - November 2008 - Third-Party Audits on the Rise (Page 70) Physician's Practice - November 2008 - Branding the Cash-Only Practice (Page 71) Physician's Practice - November 2008 - Branding the Cash-Only Practice (Page 72) Physician's Practice - November 2008 - Branding the Cash-Only Practice (Page 73) Physician's Practice - November 2008 - Branding the Cash-Only Practice (Page 74) Physician's Practice - November 2008 - Intra-Office Tug-of-Wars (Page 75) Physician's Practice - November 2008 - Intra-Office Tug-of-Wars (Page 76) Physician's Practice - November 2008 - Intra-Office Tug-of-Wars (Page 77) Physician's Practice - November 2008 - Intra-Office Tug-of-Wars (Page 78) Physician's Practice - November 2008 - Stickin‘ Up For Yourself (Page 79) Physician's Practice - November 2008 - Stickin‘ Up For Yourself (Page 80) Physician's Practice - November 2008 - Stickin‘ Up For Yourself (Page 81) Physician's Practice - November 2008 - Classifieds (Page 82) Physician's Practice - November 2008 - Classifieds (Page 83) Physician's Practice - November 2008 - Classifieds (Page 84) Physician's Practice - November 2008 - Classifieds (Page 85) Physician's Practice - November 2008 - Classifieds (Page 86) Physician's Practice - November 2008 - Classifieds (Page 87) Physician's Practice - November 2008 - Advertiser Index (Page 88) Physician's Practice - November 2008 - Advertiser Index (Page Cover3) Physician's Practice - November 2008 - Advertiser Index (Page Cover4)
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