The US ambulatory surgery center (ASC) industry has prospered in recent years and there are indicators that this growth trend will continue, as medical advances, technology, and lower costs increasingly drive care to the outpatient setting. Continued growth will not come without challenge, however, as ASCs will face declining reimbursement rates; competitive threats from hospitals and health systems; and a shrinking pool of specialized surgical talent. Continue reading →

In more than 20 years of doing business overseas, I have worked in 16 countries of the world, from North America to the Far East. The area where I have spent the most time is the Middle East. I am fond of this territory for many reasons, not the least of which is the warmth and hospitality of the people. Continue reading →

Those of you that follow my blog know that I am passionate about healthcare expansion and growth. I firmly believe in the old maxim “no margin, no mission,” which means that in a privatized healthcare system (with declining government subsidies), even non-profit entities must generate “profit” Continue reading →

The English language expression “fish or cut bait” implores one to be decisive; to act upon a matter or disengage; to lead, follow, or get out of the way. It is useful in many contexts, but in business development, it is a sine qua non. Continue reading →