Let's take a look at hospitals. On a recent business trip, TSB was mesmerized as to how many hospitals were adding new additions, new parking lots, new specialty centers, and expanding patient services to make their respective hospital the publics facility of choice. Marketing, marketing, marketing! TSB thought that healthcare was in trouble? It was even funnier when the Materials Manager/Purchasing Director was requesting that the company comp the facility free product so that the surgeon could evaluate the technology intra-operatively, in addition to having the product assessed by a product evaluation committee. So in my politically correct manner, TSB asked the purchasing director if the hospital's intent was not to charge the patient, nor their insurance company for utilization of the product? Duh!!!! In my most politically incorrect manner, I asked the Purchasing Director if I needed emergency care would the hospital allow me to evaluate their services by having whatever my initial medical needs be, addressed for free? What is it about hospitals and the "business people" that work in them that make us wonder whether they are not the source of the industry's problem? Maybe part of the problem is that we have too many MBA's spewing their theoretical BS in order to justify their existence? I thought we lived in a free-market economy. I thought competition was good, and that free-markets would determine the winners, and sort out the losers? I thought that the Purchasing Directors job was to negotiate and purchase product at the best available price in order to minimize cost, rather than "shake down" a company? Today, we hear that facilities on the West and East Coast are beginning to initiate a policy where they will only allow three major vendors to be used at their facilities. When did the purchasing director become an integral decision maker in what the physician can or can't use? If the excuse that we hear is that there are too many companies to deal with, maybe it's time that we start shutting down some hospitals considering that there are too many of them that offer the same services? Maybe, this is why healthcare is so out of control, there are too many cooks in the kitchen stirring the gravy.
Let's look at Physician Owned Specialty Hospitals (POSH). TSB thought that physicians were all in an uproar that they weren't making enough of money. Yet, in various pockets across the U.S., POSH (and I'm not talking POSH SPICE) facilities are opening with the justification that if you become a specialty-centric hospital, the hospital will be run financially efficient with better outcomes. If Physicians are complaining about reimbursements, where are they getting the capital to build some of these facilities? Obviously, any facility that focuses on providing care to one or two specialties, i.e. Orthopaedics or Neurosurgery can be profitable when you pick and choose the patients that you opt to operate on, while sending the patients that do not have coverage to your local public or non-profit hospital. Aren't you sending the message that its better for the government to take care of these people? So what's the beef? TSB, wants to know what our readers have been experiencing in the field and how it's effecting your ability to sell product?