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Operations
Real numbers, real case studies, real advice for clinic owners.
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.
The real cost of running a med spa (beyond the Botox)
Med spa revenue looks great on paper. But between injectable waste, equipment leases, and marketing spend, the margins are thinner than owners think.
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.
I reviewed 40 dental practices. Here is where most of them leak money.
After working with dozens of dental practices, the same financial mistakes show up over and over. Lab costs, PPO write-offs, associate comp — here is what to watch.
One provider was generating $380K in revenue and $12K in profit. 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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