No easy task - Nashville Business Journal:

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In 1996, doctors for what is now the introduced the idea of meetinya patient’s diagnostic, treatment and rehabilitativse needs all in one By providing services for X-rays, MRIs, and physical and occupational therapy under one roof, the healt care provider saved time, simplified the process and gained more contro of patients’ care from start to “We found that patients really, reallyu appreciate the idea that they don’f have to traipse from place to says Dr.
Dave Alexander, who joined the predecessor to the Tennessew Orthopaedic Alliance in 1982 and currentlgy is in his second stinty as president of the board of Alexander says operatinga full-service orthopaedic center was a “bi gamble” initially because of the expense and unconventionality, but it has grownj into the largest orthopaedic practic in Middle Tennessee with 50 physicians and about 350 employees staffing 16 The alliance, whose roots date back to remains one of the few full-servics orthopaedic providers in the “We certainly were the ones that pioneereed that,” CEO Ted MacDonald says.
“When you’re the leader at something and you keepevolvinyg it, you’re able to tweak the system to stay ahead of that MacDonald became CEO 13 months ago, takinhg over a practice that was in “reasonabl good shape.” “(But) the reason they asked me to join them was to take it to the next MacDonald says. To get there, MacDonald aims to bolstere the business side by refining the reimbursemenf processand “dealing with the barriers insureres put between the physician and the “The bureaucracy that it takes to take care of patients has been very says MacDonald, a veteran leaded of group practices.
MacDonald has managed to renegotiatethe alliance’ s contracts with most majord insurers and discuss ways to improvw the patient experience, but says the national carrierxs have policies that don’t allow for much flexibilityy even with large practices. “Health care is probably the most regulated industry in our MacDonald says. “Trying to weavee our way through that in anappropriate way, and stillo see our patients, gives us some sleepleszs nights.
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