Advisory Insights
Thinking & Frameworks
Insights from our advisory work with independent practices. Real challenges, practical solutions, and the thinking behind our approach to operational excellence.
Case Study: Margin Recovery in a Multi-Location Ophthalmology Practice
How a 9-provider ophthalmology group recovered operating margin from 21% to 26.4% through a 90-day plan addressing revenue cycle, access, and operations.
The Empty Chair at 2pm: What Your No-Show Rate Is Actually Costing You
Patient no-shows are a system problem, not a patient problem. Better reminder workflows, waitlist management, and calibrated overbooking can recapture $150K–$400K+ in lost revenue.
The Contract Nobody Read: How Payer Fee Schedules Silently Drain Independent Practices
Most practices have not reviewed their payer contracts in years. Below-market reimbursement rates can quietly cost $100K–$300K+ annually. The practices that negotiate get paid more.
The 50% You Don't See: Why Your IT Spend Is Quietly Eating Your Margin
Most practices cannot itemize their IT costs. Redundant systems, unused licenses, and uncontested vendor pricing quietly erode 3–5% of operating margin.
The Silent Cost of Patient Frustration
Patients rarely storm out — they drift away quietly. A pediatric clinic recaptured $120K annually by fixing its phone system after measuring a 20% call abandonment rate.