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Operations
Real numbers, real case studies, real advice for clinic owners.
2026 Medicare Final Rule: What Outpatient Clinics Must Know
The CY 2026 Physician Fee Schedule (CMS-1832-F) reaches into 2027: efficiency adjustment, split conversion factor, and skin substitute reset reshape the math.
The hidden cost of switching EHRs: a 24-month financial reality check
The vendor quote is the smallest number in an EHR switch. Productivity loss, data migration, training, and year-two optimization drive the real 24-month cost.
AI billing tools: what they save, what they miss, what your CFO should watch
AI coding assistants and billing automation are showing up everywhere. Some save real money. Others create expensive new problems. Here is what we are seeing.
Med Spa Operating Costs 2026: Where the Margin Leaks
Med spa cost breakdown: 25–35% injectables, 20–25% staff, 8–15% marketing, 8–12% rent. Where the 20–30% margin actually leaks — and how to fix it.
Medicare reimbursement is down 33% since 2001. The math gets worse from here.
Adjusted for inflation, Medicare pays physicians 33% less than it did in 2001. For a clinic with 30% Medicare patients, that is a slow-motion financial crisis.
Where most dental practices leak money: six patterns I see over and over
After dozens of dental practices, the same financial mistakes recur: lab costs, PPO write-offs, associate comp. Here are the six patterns to watch.
The highest-revenue provider was barely profitable. Here is why.
Revenue is not profit. Without provider-level P&Ls, you are guessing which providers make you money and which ones cost you.
Location-level P&Ls: why you need to know which clinic subsidizes the others
Most multi-location clinics run one consolidated P&L. That means your profitable location is hiding the losses at your other one.
Insurance reimbursement keeps dropping. What smart clinics do about it.
Medicare payments are down 33% since 2001 in real terms. Commercial payers follow. Here is how profitable clinics adapt their financial model.
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