Jesse Fowler: work record

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PE-backed medical group: questions answered

What people ask me about PE-backed medical group, and my answers. The project itself has its own page.

Which part of the scoring model did the client push on hardest?

How effective the practitioner is. Most of these are small offices, three to eight staff, and the personal relationship between a practitioner and patients is very hard to score. They seldom ask for reviews, so conversion rates do not show it. Retention does. We ended up tying practitioner effectiveness to retention rates, and even that is difficult, because small medical offices are very sticky. When someone trusts the person actually treating them, that carries further than almost anything, and leaving becomes very hard. It was the hardest piece for us to model and score.

What did the client's own data confirm first?

That they pay far too much for services that have become very cheap: building websites, hosting, the links between their tools. They have brought in almost no AI, so they are carrying old vendor contracts, spread over dozens of offices, that likely made sense when signed. The clearest case is the website. They pay hundreds of dollars a month for each site, though the price of that work has fallen enormously. What I found enlightening was seeing the real cash going out, tied to specific lines, each of them something AI can fix.

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