James Doulgeris

Negotiating with health plans is not about who you are or what you do. It is about fair compensation for what you deliver.

Affecting real change with clinical or claims analytics isn’t about getting the right report, it’s about asking “How?” and “Why?”

Many hospitals have built and grown to diversify fee for service. The movement to shift risk to them leaves many in jeopardy.

Here’s how to avoid being a gambler in value-based healthcare.

The economics of healthcare are inexorably shifting risk from payers to providers. Independent providers who fail to join risk facing groups are doomed.

New Jersey is the only state in the country that fails to protect its residents against predatory out-of-network billing.

New Jersey's policies toward primary care physicians are decimating its ranks and deepening a public health crisis.

Non-EMR practice software is routinely touted as a solution for a problem that may not be yours. Here's what you need to know.

Physician-run accountable care organizations have a great track record of success due to one key element: the doctors that oversee them.

A little time and effort by practices can save patients thousands of dollars in unseen costs.

Anti-competitive trends and consolidating hospitals purchasing physician practices, are crushing patients with higher costs and poor service.

Ocean Spray Cranberries is the perfect analog for an independent practice association – a cooperative comprised of independent entities with central operations.

A healthcare CEO gives his opinions on improving the current healthcare system, putting onus on physicians to step-up and make changes.

Movie, music, and publishing revenues are a shadow of what they were 10 years ago thanks to new technology and delivery systems. The same can be said of healthcare.

Healthcare policies and laws that favor special interests are bad news for physicians and the public. New Jersey is a more extreme example.

IBM's Paul Grundy may best be known for his role in creating Patient-Centered Medical Homes, but his next steps are all about primary care.

Pay-for-performance programs often set up complex metrics to define quality, when simple solutions to the initial problem would be far more effective.

You don't need practice advice, software, or seminars to make patients happy and loyal. You just need to be there when they need you. Here's how.

Being successful as a physician entrepreneur has little to do with how clever an invention or service is and everything to do with how useful it is to others.

Paying primary-care physicians more is a proven winner, but a Michigan study indicates that health plans playing penny-ante get what they pay for.

Our fragmented, disconnected, crisis-based medical system where doctors bear no consequence for cost, but liable for everything, is a wasteful money pit.

Informed consent traditionally attempts to indemnify liability. Without disclosing risk and cost, it creates it.

Data hogs from hospitals to EHR purveyors should take the investor's creed much more literally: "Pigs get fed but hogs get slaughtered."

The National Physicians' Congressional Health Care Advisory Group has been called to Washington, D.C., later this month. What would you have us say?

Our healthcare system is fragmented, misaligned, full of conflicts of interest, and tragically ineffective. Here are four strategies to fix it.

With 30-plus years in the hospital business, here are three secrets about the physicians hospitals hire and those who are most valued.

New wearable and ingestible wireless diagnostics promise to improve quality of life for physicians and patients … if EHRs would cooperate.

Defensive medicine makes it more likely that you will be sued. Defensible medicine? Now, that puts you on malpractice insurers’ "A" lists. Here's how.

Meet the future head-on with these five essentials for a successful healthcare service business (you can bet the retail clinics are using these).

Patient deductibles have gone from getting patients' "skin in the game" to being "skinned alive." Their problems are physicians' problems.