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"Medical Practice Marketing News"
  Incendiary marketing at its best. 

  Nov. 2008  No. 102 
www.MarketingAMedicalPractice.com

Hi everyone,
 
In my last newsletter you were exposed to the many types of marketing strategies and some definitions.  Today, I want to go into much more detail about the major differences between advertising and marketing because it's critical to any marketing strategies you decide to use.

"Advertising.....A Wart On Marketing's Finger"

By Curt Graham, M.D.

"It's intellectual and moral pollution," is what a professor taught students at the New York New School of Social Research and what one of the world renowned advertising expert, David Ogilvy, used to point out the common misconception held by Galbraith and Toynbee, among many others.

In our world economy advertising has become the most efficient way to sell.  How else would any person find out a product existed, what its benefits are, where it's sold, and how much it costs? 

In the case of physicians, how will any patient know you have a medical practice "out there somewhere," what kind of medical practice you have, where you are located, and how you treat patients?  Relying on the outdated methods of building your practice, like word of mouth and surfing the yellow pages in this modern age of express information, is fraught with disappointment let alone the loss of income.  It's, "Money left on the table."

Advertising is a simple process of alerting patients in your area you exist and why they should seek your services.  Use of printed or spoken words in any channel of media that patients see (TV infomercials), read (newspapers), or hear (radio) is the basis for delivering  advertising to the public. 

The words and graphics must be presented in such a way it immediately attracts attention, quickly focuses attention on the product (your medical practice), and logically, clearly, and rapidly leads the viewer through the critical emotional benefits of using the product (seeing you for medical care). 

Constructing an ad which does all those things at the same time makes it highly effective in attracting patients to your practice.  It's a skill that few do well without learning---but can be learned and used productively in a medical practice.

Advertising can be quite expensive but doesn't have to be if you do it all yourself.

Why advertising won't make doctors rich:

It's because advertising has several short-comings marketing doesn't:

  • Ads don't reach all the patients.
     

  • Ads aren't focused on the group of patients you want to attract.
     

  • Ads have no follow-up methodology.
     

  • Ads don't rely on what patients are interested in knowing.
     

  • Ads must be constantly changed to avoid customer boredom.
     

  • Ads have only one shot at catching attention and usefulness.
     

  • Ads are perceived to be manipulative, insincere, and misleading.

Ads are like shooting an arrow and hope you hit something
you're looking for. 

Advertising shines when it's merged with your marketing plans.  Putting a great player on a poor team diminishes the player's ability, not his or her talent.  Ads are only valuable when they're coordinated with your marketing plans and goals. If your efforts at marketing are less than desirable, advertising won't help much.

Marketing is an ongoing process.

Marketing is a blanketing protocol.  When you think about the actions of the football team on the field Friday night, do you consider the often unrecognized factors responsible for the team playing such a great game?  The school must search for a coach with certain qualifications.

The coach must adapt to the school expectations.  The team must learn to comply with the coach's methods and techniques.  After the game's over, comes the evaluation of what went wrong and how to correct it before the next game---exactly like the marketing game.

The marketing process begins as an idea for increasing income and expands into any and all steps required to bring it to maximum efficiency and use.  It includes every detail to make it profitable from start to finish, modifications over time to extract the largest amount of income from the needs of the public, and refined to become a profitable tool for a prolonged period of time.

What marketing a medical practice does that advertising doesn't accomplish: 
 

  1. Marketing is directed at the segment of patients you want in your practice.
     

  2. Uses multiple methods for persuading a patient you are the best doctor for them.
     

  3. Applies strategies and tactics that are constantly revised for maximum effect.
     

  4. Is designed for the long term.
     

  5. Modifications in the marketing plan can be made immediately for best results.
     

  6. Applying the laws of marketing is not effective through advertising itself.

Is all this sinking in.......or what?

Al Ries and Jack Trout published "The 22 Immutable Laws of Marketing" in 1993.  Their straight talk about the concepts well known to marketing experts set new standards for even doctors to follow in marketing their own medical practices.

The laws work for doctors as well as for other professionals:
(my adaptation to medical practice)
 

  • It's better to be first at doing a new procedure than it is to be better at doing it.
     

  • If you can't be first in a category, set up a new category you can be first in.
     

  • It's better to be first in minds of patients about a new treatment than to be first in doing a new treatment.
     

  • Marketing is not a battle of how smart and talented you are, it's a battle of how smart and talented your patients perceive
    you are.
     

  • The most powerful concept in marketing is owning a word
    (ex. "hip replacement" instantly brings up your name) in the patient's mind.
     

  • Two doctors cannot own the same word in the patient's mind.
     

  • The strategy to use depends on which rung you occupy on the professional ladder. If you're not top doctor for a certain medical treatment, you market your talent in a way that appears top rung---AVIS number 2 in car rental "We try harder."
     

  • In the long run, every physician market becomes a two-horse race. The top doc drops to second and the second rung doc becomes top doc eventually.
     

  • If you're shooting for second place, your strategy is determined by what the top doc used to be first.
     

  • Over time, a category of medical practice will divide and become two or more categories. There's room for you to then be top doc in another category instead of second in the original one.
     

  • Marketing effects take place over an extended period of time. Therefore, the need to be persistent at marketing efforts to be successful.
     

  • There's an irresistible pressure to extend your knowledge, expertise, and talents beyond which you are unable to cope with.
     

  • You have to give up something in order to get something--you don't have time for all you'd love to be doing.
     

  • For every attribute, there's an opposite, effective attribute. When the top doc owns the turf don't try to copy him or her. Choose an opposite expertise position that equals or competes with his marketing focus.
     

  • When you admit a negative or mistake it's disarming, the result is positive.
     

  • In each situation, only one move will produce substantial results. Forget about marketing everything you do, make a bold audacious thrust at what you do best.
     

  • Unless you write your competitors' plans, you can't predict
    the future.
     

  • Success often leads to arrogance and arrogance to failure.
     

  • Failure is to be expected and accepted.  You go at the project
    a different way.
     

  • Your marketing strategies are often the opposite of the way it appears in the press.
     

  • Successful practice marketing programs are not built on fads, they're built on trends.
     

  • Without adequate funding an idea to improve your income
    won't fly.

The worst thing I can think of in today's world is the disappearance of private medical practice, but that's where we are headed. Perhaps physicians who market their practice will hang on forever.

"A prudent person profits from personal experience,
a wise one from the experience of others."   
                                                Dr. Joseph Collins
 
As I'm sure you know, the whole field of marketing is kind of like the big boy's club.  The tendency of marketers is to avoid teaching you much, if anything about doing your own marketing.  It would be like shooting themselves in the foot.  They want your business and to earn money.
 
Because I'm a physician who has run the medical practice gauntlet, I look at marketing in quite a different and emotional manner.  My lack of knowledge about marketing kept me from building a better practice, kept my income at a level that I am ashamed to admit now, and made me on many occasions believe that I had chosen the wrong profession, or at least the wrong specialty.
 
Marketing and office business are areas of knowledge most of us were never taught and had to learn by trial and error.  It's a wide gap in a physicians academic training.  A few medical schools are beginning to wise up and add some of this to medical
school curriculums. 

****************

Give me feedback so I'll know I'm helping in some way.
 

May your abundance increase,

Curt Graham, M.D.
Physician, author, speaker, copywriter, markerer.

Deut. 8:18
http://www.healthcare-toolbox.com
http://www.hushed-upweightlosssecrets.com 
http://www.healthcaresecretsrevealed-finally.com 
http://www.marketingamedicalpractice.com 
 

 

 

"Medical Practice Marketing News"
  Incendiary marketing at its best. 

  Jan. 2009  No. 104
www.MarketingAMedicalPractice.com

Marketing Article

“How To Improve Patient Compliance Using
Persuasion Tactics”

No doubt about it.  Persuasion, in all its forms, is a formidable medical practice ally and marketing strategy which gives physicians the ability to move a patient from skepticism to one of agreement.  Depending on your persuasion knowledge and your use of the factors that makes it work, your effectiveness will vary considerably. 

Of course, you may in your mind be quite confident you have the bull by the horns on this issue.  Remarkably, most physicians are practicing with persuasion approaches they learned earlier in life by trial and error.  They may do a reasonable job for you most of the time.  But, wouldn’t it be more profitable to you to have it work every time? 

Every doctor has had a patient who refused to agree to a certain treatment or surgery procedure which the doctor knew would cure a medical problem or disease process.  Yet, all the health information given to the patient, pro and con, didn’t phase the patient’s decision one bit.  You ask yourself, “Why am I not able to convince this patient I’m sure of what I say and know it’s the right advice, given at the right time, however you slice it.”

My patient in 1975 was a registered nurse about 34 years of age, former cheer leader, blustering with life, slender, healthy, and complained she had noticed unusual vaginal bleeding that was persistent.  Five years ago her last pap smear was reportedly normal.  This time it wasn’t.  A cervical biopsy proved the Class 5 pap result was fact.  With her husband we discussed all the appropriate therapies for treatment of a Stage I cervical cancer.

I advised total hysterectomy and to go for a high assurance of curability—she refused.  She refused radiation as well, and her husband didn’t hesitate a second to agree with her decision, even understanding the probable outcome.  She had worked for a herbal medicine doctor for many years and knew she could cure the cancer with herbal medication.  Mind you, she was quite intelligent, and believed totally in alternative medicine cures.

After she agreed to an Oncology consult (my last ditch effort), kept the appointment, and we never saw her again.  Almost 2 years later, the local hospital emergency room physician called to tell me he had one of my patients there in distress. 

Five minutes later on arrival at the emergency department I did not even recognize who it was, until I saw her husband.  Although moribund, she recognized me, could only talk in a whisper, and could barely lift her arm off the stretcher.  After our tearful reunion, she died the next day in the hospital.

For two years, I hadn’t forgotten her and I kept asking myself the same question doctors ask themselves.  What I know now about persuasion might have made a difference in her survival back then.

Effective approaches are:

  • 1.    Get the patient’s non-distracted attention.  You change the
       moment for them with words.
     

  • 2.    Transform the patient into a pleasure mode.  Use a
       body metaphor.
     

  • 3.    The power of free.  Give patient something that’s valuable
       and free (like next visit free).
     

  • 4.    Induce clarity.  Describe exact details of the treatment or
       advice—vividly clear.
     

  • 5.    Positioning. Pick a position to take (like “peace of mind”)
       and use it extensively.
     

  • 6.    Overcome resistance.  They just need more information.
     

  • 7.    The “Look”.  Your face expression, tone of voice, body
       language transfers confidence.
     

  • 8.    Empathy pitch.  You’ve been there and felt similar pain.
     

  • 9.    Contact mind-reading.  Body language of the patient leads
       you to the solution.

As you undoubtedly understand, each of these has many facets which you can use for implementing your verbal effectiveness on the patient in a persuasive positive way.  This is not a list of theoretical gibberish.  These are well documented maneuvers used for eons by wise practitioners who are willing to put some effort into learning them.  Incredibly, each works extremely well 90% or more of the time. 

And yes, I’m not here to sell you on these things or make you believe them, it’s up to you to prove it to yourself.  My view is that every physician continues to seek new and better ways to communicate with their patients thereby becoming more effective in the treatment of their patients, and, at the same time, increasing you reputation in the community.

Persuasion is not a tactic taught in medical school.  But, it’s a tool that can be very effectively used to improve your professional expertise, provide far better medical care, and improve your personal self-esteem.  If you do what no other doctors are doing---it’s called marketing your practice.

Joel Bauer, Mark Levy, David Lakhani, Kevin Hogan, Robert Cialdini, Michael Masterson, and many others have spent a life-time learning, researching, teaching, and using persuasive and influential techniques which make a huge difference and improvement in people’s lives—including doctors.

What’s in it for you?

How many times a day in your practice do you think you use persuasive tactics, influence strategies, and your mind power to entice your patients to accept you advice and follow your treatment options?  Actually, you probably in one way or another, using one persuasion strategy or another, use persuasion on every single patient—and probably are completely unaware you are doing it.

All you need to do is improve on those abilities. Read the books by those experts mentioned above.  Let it sink in.  Use it.

These same marketing strategies add passion to your public speaking, credibility to your comments at hospital and peer group meetings, and competence to your patient’s eye.

You gain respect, admiration, and referrals.

Did you ever consider persuasion anything more than a patient walking out of your office with your advice under their arm and a smile on their face—let alone a marketing tactic?  That was me for too many years.

Marketing strategies are what makes the difference between owning a Buick or owning a BMW, a family vacation twice a year instead of once, an income that matches your lifestyle dreams or one which compromises your needs and desires, your kids college education paid for or requiring them to work their way through, among others.

**********************************

Patrick Henry had it right when he said, “Give me marketing, or give me failure.”  Or, have I misquoted him?

Word Count = 1,177

Keywords = marketing, marketing strategies, health information, medical school, emergency room physician, persuasion strategy.

Give me feedback so I'll know I'm helping in some way.
 

May your abundance increase,

Curt Graham, M.D.
Physician, author, speaker, copywriter, markerer.

Deut. 8:18
http://www.healthcare-toolbox.com
http://www.hushed-upweightlosssecrets.com 
http://www.healthcaresecretsrevealed-finally.com 
http://www.marketingamedicalpractice.com 
 

Disclaimers-Policies / Links Page


 

photo Dr. Graham smiling"Medical Practice Marketing News"
  Incendiary marketing at its best. 

  Mar. 2009  No. 106 
www.marketingamedicalpractice.com

 Marketing News is mailed to you only at your request.

Hi everyone,

Your CPA probably is bugging you for your K-1s about this time in order to complete your tax return for personal tax filing.  Here in Nevada the Corporate tax return must be filed before the personal tax return.  Why--I have no idea. 

It does get to me that I always seem to be waiting for the K-1s because the businesses mail them out as a last ditch effort to prevent me from hassling them each year with my phone calls to find out if they forgot me.

But, the whole process forces, or should force, everyone to spend a reasonable time to pay attention to the final figures on the return and get a sense of income vs. expenses.  And, that reflects on your own productivity for a year of hard work and time spent. 

Doctors should find a way to measure how much improvement they have made over the last year in their medical practices, not only in income, but also in efficiency of your medical practice management.

That applies to group practice as well as to solo practice.

The problem is that doctors are always too busy to look at the figures.  They rely on their CPA, business office personnel, and attorney to magically see your stumbling maneuvers and bring them to your attention.

Wake up doctors---they don't do it!  They could care less!  They have their own problems to take care of.  After all, the only person who really knows your practice system and goals..... is you.

Marketing Article:

"Your Greatest Asset Of Your Marketing Genius Can Kill Your Practice"

And....what is that?  Ever wonder why your patients chose you for their health and medical care rather than another doctor?  Have you ever asked them?  It might be a very smart idea to do it.

Some physicians exploit their surgical prowess to draw in patients.  Others get patients who need their doctor to dictate to them in strong fashion what they need to do.  Well, those approaches work well for some doctors to recruit patients, but patients do not stay long in those practices.

Most physicians prefer to have their patients remain in their practices for long periods of time where good rapport is developed and consistently results in more efficient and better medical care.  You already know that--but, is that really why your patients keep coming back to you? 

Surgical specialty physicians operate on a patient and further services aren't usually needed---they're cured.  But, how the patient is treated during that experience will determine whether they return to that doctor for the next operation they need---similarly, they continue with your care because of how they're treated.

One fact is clear.  You'll lose patients right and left if your personality leaves a lot to be desired.  Marketers know that most purchases are based on emotion, and later rationalized by the left brain.  The key here is how you respond to your patients in an emotional way.  People buy the new car often because they really like the salesman, what he says, and how he says it.

Consider then some of the emotional factors in relating to patients that make or break you.  Let's call it your "patient" personality.

  • Greeting your patients.

  • Discussing medical treatment.

  • Respecting a patient's choice.

  • Offering options to their care.

  • Being willing to adapt to their whims.

A. Greeting: We're taught in medical school it's important to avoid a bad attitude when treating or consulting with a patient, no matter what is going on in your thoughts or your environment.  Even if the patient you are seeing belongs to one of your associates.  Right?

First impressions are immediate in a patient's mind.  The second you walk into the exam room the patient senses your body language, mental preoccupation, and voice tone characteristics, all of which tells them what you may not want them to recognize.  So, what's your tactic for disemboweling yourself of that invisible cloud you are carrying around with you?

My suggestion is first---make it a habit pattern of making eye to eye contact with the patient immediately and maintain that until you have finished your verbal greeting.

  • Not making eye to eye contact, immediately indicates to the patient you are too busy to take much time with them--your mind is somewhere else--you don't want the patient to present them with 10 medical questions, thus isolating yourself from the patient you lose trust, respect, and professionalism.
     

  • I have a VA doctor whom I see on occasion who walks into the exam room head and eyes fixed to the far wall, no greeting at all, spends 6 or 8 silent minutes on the computer reading my medical information, then speaks his first words to me without even looking at me.  I have the urge to punch him every time. 

Second---the verbal words should be pleasant, oriented to the patient not about yourself, and content should be different, yet interesting.  Something like, "Good morning Mrs. Nelson, I trust you are enjoying the sunshine today--and even do a little shopping after your visit here."

  • Recognition is a communication everyone is looking for. By far, the best way to do that is by saying a patient's name.  It opens up your respect for them and allows for much better history taking.  Adding some humor is often a good thing. 

    The reference to a positive aspect of our environment (sunshine) gives the patient a few seconds to enjoy the moment, reduce the "white-coat" stress, and create a positive mental image about the visit.

Third---make a real effort to make a physical contact with the patient, usually in the form of a handshake, a light touch on the shoulder, or a gentle grasp on the forearm.

  • Humans understand the value of human touch, whether it's a handshake or pat on the back.  Touch sends an unconscious message to the patient that you have concern for his or her welfare, and want to know more. 

B. Medical treatment discussion: Your ability to focus your attention on the exact information the patient wants to know and understand is critical.  I'm sure every doctor has heard a patient state that they went to a doctor who never explained anything--just handed them a prescription and walked out of the room.

Nothing is more appreciated by a patient than a doctor who explains what he advises, pro and con, and why it's important.  And you can believe that same patient tells 10 of her friends how thorough you are. And, Even recommends you to their friends.  That's free marketing going on if I ever saw it.

C. Respect Patient's Choice: You don't have to agree with it, but you have to respect the right of a patient to refuse treatment, or modify your advice to fit their wishes.  In our community, it was rare to find a physician who would accept a Jehovah Witness patient as a surgical patient.  I did, and never regretted that decision in 35 years. 

Being clever enough to persuade a patient to do as you advise by using certain tactics that accomplish the same thing and yet the patient agrees with, is an outstanding boost to your self-esteem.  Sometimes it takes a
bit of humor. 

I remember a patient who commonly told me she never bothered to take all the medication as prescribed by any doctor.  I told her I'd see her again in a week to see how much the problem had increased. 

Often, that brought a chuckle from the patient and a non-verbal compliance from the patient.  It doesn't always work but you can figure out angles that patients will go for.

D. Offer Options: Every patient enjoys choices of treatment.  It's a courtesy to present options of therapy while being careful to look for how the patient responds to each---especially when you explain the pro and cons of each method of treatment. 

When only one option for treatment is offered by the doctor, and may be the best one in your opinion and experience, the patient tends to believe you aren't keeping up with newer medicine and treatments. 

Being dictatorial towards the 2009 kind of patients is a big mistake.  If you treat older geriatric patients, who are used to the old times when patients were dumb and doctors were trusted to dictate therapy without being questioned, you may get by with the tactic.

E. Adapt to a patient's whims: It doesn't mean you let the patient have full control of their care or tell you how they insist on being treated medically.  The patient may have something going on behind the curtains you don't know about.  Responding to the patient in a suggestive manner so as not to corner them, will permit you leeway in their treatment. 

You may believe that it's logical and prudent to remove the patient's appendix while you are in the abdomen doing benign surgery on other organ systems.  When a patient refuses that procedure, how would you respond? 

They just want to keep that wormy little dangler for some reason or another that you can never understand.  Your decision to agree to leave it alone creates trust and a patient who will stay with you a long time.

Summary: Every single one of these factors generates patients who go about town bragging about you, recommending your practice to everyone they meet, and definitely increases patient flow into your practice, let alone increasing practice income. 

This free marketing strategy is profoundly profitable to you in the long haul.  If you already have way too many patients and want less of them, then it's time to start catering to a different group of patients.

May your abundance increase,

Curt

Curt Graham, M.D.
Physician, author, speaker, copywriter, marketer.

Deut. 8:18
http://www.healthcare-toolbox.com
http://www.hushed-upweightlosssecrets.com 
http://www.healthcaresecretsrevealed-finally.com 
http://www.marketingamedicalpractice.com 
http://www.online-homebasedbusiness.com  

Disclaimers-Policies / Links Page

Curt Graham, M.D., L & C Internet Enterprises, Inc.
2404 Mason Ave.  Las Vegas, NV 89102
E-mail = cgmdrx(at)gmail.com

      © Copyright 2008 Curtis Graham, M.D., L & C Internet Enterprises, Inc.  
All Rights Reserved.

 

 "Medical Practice Marketing News"
      Incendiary marketing at its best. 

                   June. 2009  No.109
       www.MarketingAMedicalPractice.com        

Marketing News is mailed to you only at your request.

Hi Everybody,

Dr. Graham here.  A great free bonus for you.

I have obtained permission from my friend Dan Kennedy to publish his monthly marketing articles in this newsletter.  I consider it an honor and privilege to be able to give you even more marketing strategies from this world renowned marketing expert--for free.

Today I thought it would be beneficial to you to know in more detail than you may not have considered doing about the business concept of "positioning" --- not to be confused with location. 

Over the years you have often noticed business names boldly splashed in attractive colors and designs over the front of the building, thought about it for a second, and realized that you had absolutely no idea what the business actually did. 

Another, often troubling, mind-set about pricing and fees has a crippling effect on your freedom to charge what you are worth.  Sure, you come into town, set up your medical practice, put out your signs, get listed in the yellow pages, and then must decide what to charge patients for office visits. 

You probably did what I did.  I collected the fee schedules of several of the local physicians in my same specialty, averaged them out, and settled on fee levels somewhere in the middle.

Your image may not seem to you to be a big deal because, after all, you have an M.D. after your name, a specialty listed after that, and maybe even some authoritative set of abbreviations behind all that.  Now that's an image in itself--right? 

Why would anyone want more?  But then, you need to make it work in your favor, quite a different and important issue.  After all, there may be several other physicians with exactly the same image to compete with.  Why would a patient select you above others?

One of the most intimidating things I discovered about myself was that I found myself at the start of my medical practice in a large group of other physicians, waiting and hoping someone would appoint me to the top status, best in town doctor, the expert that patients should go to for their care.  I'll tell you why.

It seems we are in a self induced professionally acceptable holding pattern waiting for approval by our peers, someone of high status, or some professional organization or committee to be permitted to advance our value.  And that, my friend, is true.  It's necessary to avoid that attitude at all costs.

Article #1:

"How To Position Yourself And Your Medical Business For Maximum Success And Wealth"

Positioning is a marketing concept which, when stripped of it's advertising label, has become one of the most important strategies for your medical practice business. 

The best definition of positioning I've found is what Dan Kennedy describes as (my paraphrasing), "controlling how your patients and prospective patients think and feel about your medical practice business in comparison to other, similar businesses competing for their attention.

Experts are quick to teach the most effective strategies for positioning yourself in any business enterprise.  These three should be implemented into any medical practice, especially now because of restricted fees, continued high malpractice premiums, and ever increasing office overhead expenses that shackle your entrepreneurial spirit----and income.

How to attract the patients you want:

Patients need to know what you do in your medical business.  One way to make it clear is in the name you choose for your practice, business cards, and letterheads.  It should reflect exactly what your business does--your primary focus. 

Thousands of doctors do obstetrics, for example.  Your business name might be "Complicated Obstetrics," "Natural Birth Obstetrics," or "Surgical Obstetrics."

Patients who see "Surgical Obstetrics" quickly know you love to do c-sections and even forcep deliveries, and migrate to your office for care and their repeat c-section.

What would you understand if you saw signs like "Emergency Chiropractic" or "Chronic Pain Chiropractic?"  Do they steer any patient to the right place?  You bet! You need to think in terms of targeting those patients you prefer to work with.

Titles make profound imprints on patient's minds as well.  If you don't believe that, then why are Osteopathic physicians given the choice of using D.O. or M.D.?  In the past the training levels of each profession were
quite different. 

The reasoning is that patients know the difference and select the M.D. doctor because of the perception they are better trained doctors, even if they aren't.  It gave an edge to osteopathic physicians on patient attraction they would not have had.

Labels placed on business ventures, if done with marketing and attracting patients in mind, are very effective in areas of value, interest, and benefit. 

A friend and associate of mine in practice moved from obstetrics and gynecology, to allergy, to "Environmental Ecology Specialist."  In the 1970s there were only 200 in the whole USA.  He actually increased his practice flow using that EES label for what he was, and still is, doing.  He stepped out of his comfort zone and made
a difference.

How to use fees and pricing to position yourself:

Fee strategies used by doctors have never in the past been able to overcome their fear of losing patients or never having enough patients in their practice to make their medical practice financially stable.  It's a myth which has been perpetuated for decades in medical circles.  The only area in our profession that seems to have overcome that barrier is in plastic surgery. 

However, a small number of physicians have managed to beat the odds in their cash only medical practices residing in affluent neighborhoods.

It is clear that any business dependent on "lowest prices" concept alone are prone to fail for many business and economic reasons.  

To illustrate how you might look at this process, let me ask you a question.  Would you rather serve 100 patients at 20 dollars a visit, or serve 1 patient at $2000 a visit?  The latter, of course.

By understanding the dynamics of money, you recognize that you are not selling price in your medical practice.  You are selling your services, expertise, skills, and knowledge.  These are unique to you alone--no one else.  They are worth a lot more than most physicians
attribute to them.

One of the most powerful dynamics of marketing any product is what's called "scarcity."  So if you raise your fees well above what comparable doctors are charging, what happens?  You would think you'd lose most of your patients.  Not true.

Human nature says that the harder it is to find a product, the more it's worth to you.  People naturally fear missing out on deals, bargains, and products in short supply.  Doctors who begin to restrict their practices by raising their fees find that they become even more in demand.  This has proven to be true in all aspects of the
business world.

I firmly believe that most financially stable medical practices are linked to the highest quality medical
care by doctors.

The low end price conscious practice patients shopping for the doctor having the lowest fees are the least loyal to your practice.  Actually, loyalty is an illusion nowadays.  Patient retention must be earned, and can't be obtained by lowering fees.  So, don't lower
your fees, ever.

A scary thought: You are selling your services for less than you need to.

A scarier thought: You're selling less of your services at a lower price than you would at higher prices.  A fact.

Why is this true?  Because business owners are so fearful of raising prices.  The same is true for physicians. 

One well researched factor is that fees are not linked to your patient's actual knowledge of what your fees should be or what the comparable fees locally actually are.  It leaves you with far more flexibility and freedom than you probably take advantage of to set your fees at a level which pleases you.

The more effectively you use your marketing skills, the less your fees will matter to your patients.

The Harvard Business Review contains examples showing that raising the prices on goods increases demand for the more expensive item.  Net profit may be more for sales of the higher priced product.

The fear of losing patients as a result of increasing fees is a myth.

How to make your image help your practice income:

It's generally accepted that if you want to be perceived as a successful trustworthy physician, you must be the image of a successful doctor.

You can deliver a profound and motivating speech in your jeans and a T-shirt knowing the high value of what you are saying.  Your attire, however, will have everything to do with how that speech is received.  People judge you by your looks in spite of what you've heard. 

Dressed up physicians creates an authoritative look and avoids the psychological barriers for acceptance patients have for the doctor in jeans.  If you'd rather be rich than right, dress professionally.

How to become an expert:

Simple, just be one!  Being an expert does not require approval by any person or organization, nor does it have requirements that must be met first.  If you have ever read Robert Ringer's book, "Winning By Intimidation," you'll understand his concept of "leap-frogging"
to the top.

You want to get out of that group of doctors at the bottom of the line who are waiting for permission from somewhere to move higher in the hierarchy. 

Expert positioning is all about self-promotion and declaring yourself as an expert.  As a physician there are areas of skills, knowledge, and expertise that no one else has and makes you unique.  No other physician knows all the same things you do, nor has all the skills you do when you get right down to it.

Among those skills is the need to retain certain amounts of modesty and appreciate that others have the right to be important.

To position yourself and your medical business it's necessary to clearly determine who you are, and drive that home in every marketing effort you do.  Don't short-change yourself as most doctors do.  If you feel like an expert then, it follows, that you will act like an expert. 

You act like an expert because there are things you know and do that no others can.  It's a reality that you develop a mind-set for.

It's fascinating how those around you will usually accept the position you choose for yourself and present to others.  Look at the doctors around you every day.  You have a perception of each of them relative to their strengths and abilities.  Your perception of them is what they present to you about themselves, and you
pick-up on.

You know the doctor who takes it on himself or herself to take over the discussion in every committee meeting he is a member of.  There's more than one on every medical staff.  Is he a leader with real knowledge, or is he a blow-hard with little to add.  Your perception is the same as everyone there about this person. 

Use this track to develop and promote who you really are and how you want to be perceived.

*******************************

Article #2

Why People Fail

A series of No B.S.  Articles from Dan Kennedy

How To Make A Lot More Money, Fast

Odds are, your business lost a lot of customers last year. There are holes in your bucket. And odds are, you can’t say for sure how many you lost, who you lost, why you lost them or where they went and are now.  If you do nothing different, I can tell you this same thing next year too. A great way to make more money is to stop losing customers, beginning with the next one you are about to lose.  

This will require accurately determining what a customer is worth and what cost of replacing a customer really is….so you can decide how much you are willing to invest NOT to lose a customer.  

Next, taking that investment and deciding how to apportion it, between preventive measures and rescue and recovery measures. Then designing or re-designing, beefing up and actually implementing both, the “keep ‘em” program and the “rescue/recovery” program.  Then testing, evaluating, improving, again and again.

Bill Glazer and I often meet to discuss strategies for our business, Glazer-Kennedy Insider’s Circle™.  During our last meeting, we spent a lot of time – and now Bill will spend a lot of time, money and work – doing exactly this, and we already have low loss/high retention stats and sophisticated, multi-step, multi-faceted “stick” (for new); “keep” (for continuing), and “rescue and recovery” (for lost) programs. (Do you?). But now we will add to, experiment with, refine and hopefully improve all three. (Will you?) I counted 23 different, specific “adjustments” we agreed on, all to be implemented within the next 90 days; some minor, some major, some simple, some painfully complex. (How many improvements are you testing in your three programs in the next 3 months?) 

Every year, I’m somebody’s lost customer. Many don’t even realize I’m lost. I guess they think “gee, he hasn’t been in, in a while,” if they think at all.  Every year, national companies and local shops lose me as a customer. I can’t recall even one, ever, doing anything proactive and significant about their loss.

Okay, so that’s one very practical suggestion for making a lot more money fast. Here’s another: upgrade customers before you lose ‘em. You’ll then lose less automatically. You ought to give that a lot of thought. 

You ought to HATE – and I mean, HATE – losing customers.  The athletes or teams who win a lot hate losing – even more than they like winning. To win races, you’ve got to hate losing. Winning is not sufficient motivation.  You NEED to understand the true economics of losing customers. You NEED to get yourself highly motivated and passionately committed to invest aggressively in not losing customers.

By the way, any nitwit can get customers. Thousands of dot-com nitwits got ‘em by the millions with no business model at all. No genius in getting them. But no successful business exists based on its owners’ ability to get customers. Successful businesses sustain themselves only by keeping them. 

The WHY PEOPLE FAIL articles are provided by Dan S. Kennedy, serial entrepreneur, from-scratch multi-millionaire, speaker, consultant, coach, author of 13 books including the No B.S. series (www.NoBSBooks.com), and editor of The No B.S. Marketing Letter. WE HAVE ARRANGED A SPECIAL FREE GIFT FROM DAN FOR YOU including a 2-Month Free Membership in Glazer-Kennedy Insider’s Circle, newsletters, audio CD’s and more: for information and to register, visit: www.freegiftfrom.com/drgraham

Please note: Dan's articles are created for all kinds of business people and apply to virtually any business.  You need to convert his ideas into usable strategies for your own medical practice business.

May your abundance increase,

Curt

Curt Graham, M.D.
Physician, author, speaker, copywriter, marketer.

Deut. 8:18
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