May 23, 2026
Reading Time: 6 minutesStephanie Murrin signed her 1993 tax return in good faith. Her preparer, Duane Howell, placed false entries on it. She did not know, and the IRS later stipulated she had no intent to evade tax. She signed her returns through 1999 the same way.
May 22, 2026
Reading Time: 3 minutesYour second-highest-producing associate has been with your medical practice nine years. She joined the year you moved into the building, took her first call on a Tuesday in October, and within eighteen months had built a panel that ran three deep on the schedule by Wednesday morning.
May 15, 2026
Reading Time: 3 minutesMedical practice consultants charge tens of thousands to help you set goals. Make plans. Improve processes. Find your “why”. But successful practices, the ones that enable owners to live the lives they want, aren’t built that way.
May 12, 2026
Reading Time: 5 minutesYour practice produced a profit last month. Your bank account does not agree.
And yet payroll is tight, the credit line got touched again, and the financial pressure that was supposed to ease has not moved.
April 24, 2026
Reading Time: 3 minutesEvery medical practice owner knows the pattern. The renewal cycle opens. The timeline compresses. The negotiation happens on the payer’s schedule. The rate moves the same two percent. Six months later, nothing has changed.
April 18, 2026
Reading Time: 3 minutesYou have pushed back on a contract renewal before. You prepared. You presented the data. You made the case clearly enough that the conversation lasted longer than usual. And then you signed. The rate moved two percent. You filed the paperwork and moved on.
April 13, 2026
Reading Time: 3 minutesYour last payer contract renewal went the same way every renewal goes. Someone on the payer’s side ran the numbers on your specialty across their entire network, calculated what the average provider in that pool costs them, and set a rate accordingly.
April 10, 2026
Reading Time: 3 minutesImagine seeing ten patients today instead of twenty-two. And having more time per patient. And making more profit. Then at 4pm, having an hour to call all ten, six minutes each, to ask how they are doing. It isn’t a fairy tale.
March 27, 2026
Reading Time: 4 minutesThe responses most practices use when revenue falls short are not wrong.
They are correct inside a model that does not include the variable causing the problem.
March 20, 2026
Reading Time: 4 minutesYour income statement shows what you collected. It does not show what collections cost you, what you were prevented from collecting, or what you would have collected if the price had been set by a market instead of by a contract.
May 23, 2026
May 22, 2026
May 15, 2026