by Kamyar Shah | May 15, 2026 | Healthcare
Independent medical practices face a growth paradox: the physicians who are best positioned to grow the practice are also the ones doing the majority of clinical work. There’s no slack in the system for strategy. Most growth happens by default — a new insurance...
by Kamyar Shah | May 15, 2026 | Healthcare
A medical practice billing at $1.8M annually with a 72% collection rate is effectively a $1.3M practice. The gap — $500,000 in uncollected revenue — isn’t disappearing into a budget line. It’s escaping through denied claims, unbilled encounters,...
by Kamyar Shah | May 15, 2026 | Healthcare
Medical practice profitability is not determined primarily by clinical volume. It is determined by the efficiency of revenue capture, the structure of overhead, and the operational systems that allow a practice to treat more patients with fewer administrative...
by Kamyar Shah | Apr 20, 2026 | Healthcare
Acupuncture practices operate on thinner margins than most healthcare practices, which means operational inefficiencies that would be tolerable at a larger scale are practice-threatening at the acupuncture practice level. A revenue cycle that runs at 85 percent...
by Kamyar Shah | Apr 9, 2026 | Healthcare
Local medical practices hit a predictable wall at a specific growth threshold. The practice that ran efficiently when the founding physician was present for every decision, every billing question, and every staff conflict starts fracturing when a second location opens...
by Kamyar Shah | Apr 6, 2026 | Healthcare
Most medical practices are clinically excellent and operationally fragile. The physician who built the practice spent years mastering clinical competency and very little time building the operational systems that translate clinical output into financial results....
by Kamyar Shah | Feb 5, 2026 | Healthcare
Medical office management is the discipline that sits between clinical excellence and financial performance. A practice can have highly skilled providers, strong patient relationships, and adequate payer contracts while still underperforming its revenue potential...
by Kamyar Shah | Feb 2, 2026 | Healthcare
Healthcare marketing is not the same discipline as consumer marketing, even when the tactical tools — search, social, email — appear identical. The regulatory constraints, the professional ethics considerations, and the trust dynamic between patients and providers...
by Kamyar Shah | Jan 29, 2026 | Healthcare
Medical practice consultants are engaged at a specific inflection point: the practice is clinically excellent but operationally constrained. Revenue per provider is below benchmark, collections are inconsistent, scheduling is inefficient, or the physician-owner is...
