● Anesthesiology Groups ●
Business leadership for anesthesiology groups
Anesthesia economics are unlike any other specialty: unit-based billing, facility stipends, staffing-ratio models, and payer dynamics reshaped by the No Surprises Act. Groups that treat the business side as an afterthought are negotiating from weakness.
Sound Familiar?
The economics moved. Has the group?
Stipend negotiations without a model
Facility subsidy discussions increasingly decide group viability — and walking in without coverage-cost modeling and market data means accepting whatever the hospital offers.
Out-of-network math rewritten
The No Surprises Act changed reimbursement leverage across the specialty. Contracting strategy and IDR discipline now directly determine revenue per unit.
Staffing costs climbing faster than revenue
CRNA compensation growth and coverage expectations squeeze the care-team model — ratios, call structure, and OR efficiency have become the margin.
● Two Ways to Engage ●
Same executive expertise. Two engagement models.
Both engagements bring senior healthcare-executive expertise to your anesthesiology group. The difference is the number of hours per week your outside expert is involved — and who executes the plan.
Fractional Executive
We lead it with your team
A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.
Consulting
We build it, you run it
A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.
How We Work
Five steps. Every engagement.
Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.
Where We Focus
What we work on inside anesthesia groups
The financial and operational infrastructure that lets an anesthesia group negotiate, staff, and grow from a position of strength.
■ Coverage-cost modeling
True cost per anesthetizing location, by site and shift — the foundation for every stipend conversation and coverage decision the group makes.
■ Facility stipend negotiation
Data-backed subsidy negotiations: coverage requirements, market compensation benchmarks, and OR-utilization accountability presented in the facility’s own language.
■ Payer contracting & NSA strategy
Unit-rate benchmarking, network participation decisions, and disciplined IDR processes where out-of-network positioning warrants it.
■ Staffing & care-team design
Physician/CRNA ratios, call structure, and flexible staffing pools matched to actual case demand curves — not to historical habit.
■ Billing & unit integrity
Time-unit capture, concurrency documentation, modifier accuracy, and audit-defense readiness — anesthesia billing errors are silent and systemic.
■ Group governance & growth
Income-division models, leadership structure, and evaluation of expansion sites, ASC contracts, and merger approaches with real diligence.
“Every stipend negotiation is won or lost before the meeting — in the coverage model the group either built or didn’t.”
Questions
Frequently asked questions
How should an anesthesia group negotiate a hospital stipend?
How has the No Surprises Act changed anesthesia economics?
What staffing model should an anesthesia group use?
Can a fractional executive really help an anesthesia group?
The Anesthesiology briefing series
Five sourced, data-driven reports on the business of running an anesthesiology practice.
Anesthesia billing: base units, time units, the 2026 $20.49 conversion factor, and what QK, QY, QZ, and AD modifiers mean for compliance.
Anesthesia group buy-in, distributions, and succession – what independent groups must resolve before a transition or acquisition arrives.
Hospital anesthesia stipends now average $2.9M annually in California. Here is how independent groups build the data case to negotiate a fair subsidy.
Anesthesia payer contracting 2026: negotiate commercial rates, use the No Surprises Act IDR process, and see what 2024 dispute data shows.
Anesthesia care team staffing ratios 1:1 to 1:4 – the economics of each model, CRNA compensation trends, and how to find the right mix for your case load.
Book your complimentary discovery call now
Thirty minutes. No pitch. An honest read on where your practice stands.
Free Consultation