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In any industry, new business is required for growth, but it’s naturally much harder to come by.  This has an impact on health care.

The New York Times published an essay titled, “Referral System Turns Patients Into Commodities” recently, and it provides stellar insight into the behind-the-scenes business relationships that are driving supply and demand of both patients and specialty care.

Logic says that a referral should depend only on a patient’s needs and the reputation and skill of the physician to which the patient is referred. But medicine is a business too, so that isn’t how it always works in practice.


Tannus Quatre PT, MBA is a private practice consultant and principal with Vantage Clinical Solutions, Inc., a nationwide healthcare consulting and management firm located in Bend, OR and Denver, CO.  Tannus specializes in the areas of healthcare marketing, strategy, and finance, and can be reached through the Vantage Clinical Solutions website.