You just know it when it happens. It is that sudden shift in events that eerily presages a change in one's fortunes—and not necessarily for the better. For decades now, anesthesia practices have been able to rely on certain unchanging rules when it comes to the reimbursement of the providers' services. This includes those groups that utilize certif...

Along the edges of America's more mountainous regions are roads that motorcyclists call "the twisties"—named for the large number of hard turns that come at you in rapid succession. These types of winding roads are highly valued by riders as they afford the thrill of leaning into the curves at respectable speed. But it is not only the biker communi...

Anesthesia profitability has been defined in many ways over the years, but rarely has it been defined in a way that actually relates to the fundamental economics of the specialty. Physician anesthesiologists used to define it in terms of their own compensation. A profitable practice was one where the physicians earned a good income. This assumed th...

It was akin to what they call in Louisiana lagniappe (pronounced "lan-yap"), meaning a little something extra. Except in this case, it was excessively more than expected. Back in 2019, the U.S. Internal Revenue Service (IRS) seized a Lexus and $919,250 in cash from a Florida man who was mistakenly sent a tax refund of $980,000 on a reported income ...

Many of our clients have not made a significant commitment to the management of chronic pain, but it is a constant topic of conversation during strategic planning sessions. For many anesthesiologists, chronic pain is perceived as a logical line of care extension. Afterall, the specialty of anesthesia focuses on spinal and nerve anatomy and the use ...