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The Next Wave of Medicine: When Transactional Medicine Becomes Personal

July 29, 2016/in Operations /by Wil Rivera

After spending over 20 years in traditional fee-for-service medicine, Dr. Alex Lickerman knew there had to be a better way. During that time, he worked with patients and in healthcare administration equally, providing him with a unique perspective. He saw our health care system from both the patient and the profit side.

Physicians usually spend around 20 minutes per patient and profits could only increase if a physician saw more patients. This snowballed into overworked physicians and underserved patients, prompting him to seek ways to practice medicine while putting the patient at the forefront of care — as a true partner in their lives, in both health and wellness. “I was curious about how I could engage the patient and understand his or her values,” says Lickerman. “How a patient’s disease impacts his or her life is much more interesting to me than the disease alone.”

In 2015, Dr. Lickerman left the hospital system and went into private practice. He was committed to creating a practice that profited both patient and physician.  ImagineMD was born as a direct primary care model, often referred to as concierge medicine. His patients pay a simple fee of $135 per month. This covers all of a patient’s office visits, no matter the number each month. It also covers access to same-day and next-day appointments, visits that last an hour or more, and 24/7 access every day of the year directly to Dr. Lickerman himself — even after hours. Since making this move, his practice has grown. He credits his growth to simplifying the patient experience while also improving the quality of care he’s able to provide.

Q: Why did you decide to establish your practice as direct primary care instead of the traditional fee-for-service model?

Lickerman: After spending 20 years in both patient care and administration, I’d gotten a strong grip on what patient frustrations were with our current fee-for-service healthcare system. I didn’t want to see more patients to earn a living practicing medicine. That would mean I’d have less time to spend with each of those patients. Direct primary care allows me to build my practice on a simple fee model and get money out of the way of building a relationship between my patients and the care I can provide.

Q: How has your current business model allowed your practice to grow financially?

L: Well, there are a few answers to this. They all work together to create the growth in my practice.

First, I don’t accept insurance. In traditional fee-for-service practices, I’d estimate that approximately 30% of both time and revenue go towards the complicated process of insurance billing. Involving insurance makes a project much more complicated. There’s intricate software and the staff you have to hire to manage billing. It’s also complicated to track where and when all of your revenue is coming in when it’s divided up between a myriad of insurance companies.

By taking insurance billing out of the equation, my direct primary care model allows me to operate with a very lean, patient-centric staff. I also don’t have to spend time on physician-to-insurer conversations. It takes up a fair amount of time in a fee-for-service model. This frees me up to spend more time with my patients.

Secondly, I have less administrative weight on each visit I have with a patient. In a fee-for-service model, I had to make sure that chart notes for each patient’s diagnosis were “insurance-ready.” I had to prioritize documenting their medical issues over their care. My current model, since insurance isn’t involved, means my notes are for the benefit of myself, the patient, and any future physician we might have to interact with for their care. Again, it translates to less administration and more time to spend on patient-centric activities.

Finally, because I am able to increase both the time and care that I am able to give to all of my patients, they’re incredibly happy with their relationship with my practice. The majority of our new patients come by referral from existing patients. When we keep our patients well taken care of, they send us more people who want that level of service.

Q: Did patient satisfaction increase with your direct primary care model?

L:When you’re a physician seeing 20 patients a day for 20 minutes maximum each, the patient feels that. There’s a disincentive to see a doctor when you’re not feeling well. This is because of time spent, an impersonal experience, and the co-pay. My practice model and flat fee structure lets patients access me when they need me without worrying about the cost.

This means my patients see me more frequently and reach out to me as a partner in their health. I have the time to spend answering their questions — in the office, via email, or via phone. I can build relationships instead of receivables, yet still operate a profitable business that grows each month. Most importantly, the patients are happy with the kind of care they receive and the level of interest I take in their overall health and lifestyles. It’s an attractive feature for patients to feel they can reach out or go see their doctor whenever they have to.

 

Strategic Funding provides needed operating funds to small businesses. Strategic Funding has helped business in hundreds of industries.  Industries served include: restaurants, personal services, construction, medical, manufacturing, agriculture, retail stores, automotive, and food stores.

/wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png 0 0 Wil Rivera /wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png Wil Rivera2016-07-29 00:00:002016-07-29 00:00:00The Next Wave of Medicine: When Transactional Medicine Becomes Personal

3 Key Facebook Features Small Businesses Should be Leveraging

July 27, 2016/in Sales and Marketing /by Wil Rivera

While younger business owners may be focused on newer social media platforms like Snapchat and Instagram, Facebook is taking steps to ensure businesses are well-equipped on its platform. From ads, to groups, to Messenger, Facebook has introduced a number of tools to enable companies to do more business on their platform.

Facebook ads

While pay-per-click (PPC) ads are nothing new, the level of specificity you can achieve with Facebook makes it worth exploring. In fact, Facebook offers a long list of objectives you can achieve by advertising there.

By leveraging the personal information Facebook has collected about its users, your company can advertise through Facebook to potential customers based on age, geographic location, gender, and stated interests.

You can also create “look-alike audiences,” which are groups of people on Facebook who are very similar to your current customers. Advertising to look-alike audiences is likely to be highly effective since those sets of people have characteristics that match people who are already doing business with you. Facebook’s ad program offers sophisticated targeting and is relatively inexpensive.

Two easy ways to drive traffic to your Facebook page or your website is through “boosting” or “promoting” a particular post. Both options allow you to specify what types of people you want to see your post in their news feed and you can set a budget for how much you want to spend to reach your target audience. Boosting is easy, by clicking on a button at the bottom of your post; but promoting gives you more options in terms of targeting and paying for your ads.

Facebook groups

Another tool gaining popularity is the ability to create a private Facebook group. Creating a group dedicated to a topic of interest enables you to identify prospects and market directly to your customers. For free!

The types of information shared in groups are also broader:

  • Members can post content and ask questions that can be of interest in the discussion feed.

  • Members can upload files to share via the attachment icon.

  • Events make it easy to invite group members to schedule get-togethers.

  • Polling offers a way to quickly get a read on how the group feels about certain topics. Examples include: feedback on an upcoming advertising campaign or the best platform for finding new IT hires, etc.

Since your business controls what happens in the group, it is a no-cost tool for your company to identify, attract, and constantly market to current and prospective customers.

Facebook Messenger

Messenger is much more than a me-too direct messaging system that enables direct conversations through Facebook. Using Messenger Links and Messenger Codes, businesses can encourage prospects and customers to contact a company quickly, conveniently, and privately. Customers can make contact via Facebook by copying and sharing Messenger Links from a company’s Facebook page. Messenger Codes are shareable and scannable, also providing a way for prospects and customers to reach out quickly and easily.

Providing a way for prospects to have a conversation with a company online increases the odds that they will reach out, and buy.

Messenger codes and links also encourage using Facebook for customer service issues, helping to preserve customer relationships and reduce dissatisfaction.

It’s obvious that Facebook has been investing in its infrastructure, adding tools and features to attract a business audience. It’s working. Savvy companies are leveraging these 3 key features to connect, communicate and better serve their customers and prospects.

Strategic Funding provides needed operating funds to small businesses. Strategic Funding has helped business in hundreds of industries.  Industries served include: restaurants, personal services, construction, medical, manufacturing, agriculture, retail stores, automotive, and food stores.

/wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png 0 0 Wil Rivera /wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png Wil Rivera2016-07-27 00:00:002016-07-27 00:00:003 Key Facebook Features Small Businesses Should be Leveraging

Christmas In July: Plan Your Holiday Promotions NOW

July 25, 2016/in Sales and Marketing /by Wil Rivera

With August fast approaching, small businesses should be thinking about Christmas, as well as all of the holidays over the next six months. Holidays provide great hooks for marketing, but it’s important to prepare well in advance so that you aren’t rushing on last minute deadlines and missing opportunities.

Go Month to Month

Forget the 12 days of Christmas: Charlie Cook, author of The New Profit Rules, says almost every small business is too focused on trying to get new customers rather than tap into existing ones. Furthermore, he advocates thinking long-term and developing a 12-month email or postcard campaign that contains great offers on products or services tied to the season. If your Black Friday (November 25th) and Free Shipping Day (December 18th) reminders are automated and ready in advance, you won’t forget them. Don’t reinvent the wheel every year. Keep all yours files for holiday promotions on a shared drive for review and implementation next year.

Take a Gift From Your Competition

If you plan early, you can research what holiday promotions succeeded and failed for your competition, and borrow (or avoid) some of their techniques. With this in mind, just plug in your messaging and differentiation points.

Think Beyond Christmas

From “Different Colored Eyes” to Pecan Pie, every product or service you can imagine has a holiday. As you scan lists of holidays, look for tie-ins to your business. If you’re an organizer, National Simplify Your Work week in August is a natural, for example. If you can’t find a holiday, make one up. Wellcat Holidays, an online retailer, came up with “Embrace Your Inner Geek” Day,” which let people tout their love of, “dungeon games, comic books and doing vampire dress-up.” What holiday would your customers love to celebrate?

Get an Early Start

Danny Peterson, founder of Integrity Home Pro, sends out his business’ holiday cards to arrive the day after Thanksgiving. Doing so separates him from the mass of other mailings. The greeting is focused on existing customers, and has a personal touch, with a picture of Peterson and his family, as well as a discount coupon. Additionally, instead of sending holiday cards in December, send a “post-holiday” card, thanking customers for their patronage.

It’s All Right to Sell Twice

St. Nick makes his list and checks it twice. No reason you can’t double dip too. When customers make a purchase in December, include a discount coupon or gift card with a short retention period to create a sense of urgency.

Extend the Holidays

A post holiday card isn’t the only way to keep the celebration — for both your customers and your business — going. Planning ahead for post-holiday marketing is another great idea. In January, send a discount offer for barbecue accessories to people who bought a grill in December. Post an inspirational message on social media tied to your brand. It’s a great technique to reach people who just made their New Year’s resolutions.

If you plan early, and keep promoting late, you can have a festive and profitable holiday season all year long.

Strategic Funding provides needed operating funds to small businesses. Strategic Funding has helped business in hundreds of industries.  Industries served include: restaurants, personal services, construction, medical, manufacturing, agriculture, retail stores, automotive, and food stores.

/wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png 0 0 Wil Rivera /wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png Wil Rivera2016-07-25 00:00:002016-07-25 00:00:00Christmas In July: Plan Your Holiday Promotions NOW

Small Businesses: Shore-Up Your Supply Chain with these Eight Tips

July 22, 2016/in Operations /by Wil Rivera

Your business is growing – which means the demands on your supply chain are increasing. So how do you stay ahead of your supply chain and keep both your customers and your bottom line happy?

These eight tips will help you check in with the health of your supply chain and calibrate your next steps for growth.

Start with good data

You can only make decisions based on what you can see. How much of your supply chain data can you truly see? Make sure you have centralized methods for storing your supply chain data, from vendors to pricing. For example: Do you have a way to easily access all of your vendors for a particular item, along with accurate historical order/invoice/pricing data? Do you have an easily accessible way to review vendor payments to assess who pays invoices early/on-time/late? All of this “good data” will help negotiate future pricing, build better vendor relationships, and keep both your bottom line and customers happy with fewer surprises in your supply chain.

Track your vendors

After you’ve shored-up your data, keep an eye on your vendors. By tracking your vendors, including pricing history, shipping time, and reliability, you have better information to negotiate future orders. You can also decide whether to continue the vendor relationship.

Establish a vendor review process

All of your vendors should be subject to periodic review. It’s just good business to know who your best vendors are. On top of that, regular calls with your vendors can help identify potential opportunities for improved pricing and discuss ways you can help one another speed and smooth operations.

Plan, plan, plan 

Examine how you order for both ongoing and incidental events. Whether demand ends up being lower or higher than expected, that good data you started with can help you have fewer out of stocks and less waste. By employing both advanced planning and demand planning into your supply chain strategy, you’ll become a small business thinking like a big business.

Count your middlemen.

How many people are between you and your goods? When you started out, it’s possible you were looking for sources who could get you what you needed, when and where you needed it. As you’ve grown bigger, however, you might be facing unnecessary layers between you and your goods. With that good data you’re building, make sure you know every step of the supply chain for every good you take in. From there, you can look for ways to potentially purchase direct or negotiate price breaks due to increased volume.

Use relationships to your advantage.

There’s a reason data was first on this list – solid supply chains all begin with good data. Relationships in supply chain are built on data. As you build relationships, don’t be afraid to leverage them – openly discuss pricing options, more favorable invoice terms, and potential price breaks on shipping. Relationships are the valuable partners in your supply chain. As a result, the bigger you grow, the more you’ll need those trusted vendor relationships.

Invest in supply chain management software

The larger your business grows, the more moving parts your supply chain will have. If you’re not already using supply chain management software, now’s the time to begin exploring options. By being an early adopter of supply chain management (SCM) software, you’re putting your business in a position to succeed. Furthermore, visibility across your entire supply chain is key for healthy growth, and software can put technology on your side as you look ahead.

 

Strategic Funding provides needed operating funds to small businesses. Strategic Funding has helped business in hundreds of industries.  Industries served include: restaurants, personal services, construction, medical, manufacturing, agriculture, retail stores, automotive, and food stores.

/wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png 0 0 Wil Rivera /wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png Wil Rivera2016-07-22 00:00:002016-07-22 00:00:00Small Businesses: Shore-Up Your Supply Chain with these Eight Tips

Eliminate Intern Concern: Know the Laws and Guidelines for Hiring Interns

July 20, 2016/in Human Resources /by Wil Rivera

Interns can boost your business by handling tasks you don’t have time or expertise for. When you hire interns, though, make sure you don’t run afoul of laws and sensible practices. Consider these five questions:

Do You Need to Pay Interns?

The Fair Labor Standards Act (FLRA) governs whether interns need to be paid the minimum wage and overtime. The act raises six criteria for unpaid internships; including that the internship is similar to training that would be given in an educational environment, the intern works under close supervision of existing staff and does not displace regular employees, and the employer derives no immediate benefit from the activities of the intern.

Whether your company benefits from an intern’s work has a big impact on what tasks you can have unpaid interns perform. Caron Beesley, who writes for the Small Business Administration blog, explains: a bakery can allow an unpaid intern to decorate a tray of cookies as a training exercise.  However, cannot sell these cookies since the profit earned from that sale would benefit the bakery.

How Much Should You Pay Interns?

Paying an intern allows them to legally perform work that contributes to a company’s operation, such as documenting inventory and answering emails. Furthermore, it’s worth compensating your interns appropriately if you want them to handle critical tasks, like boosting your social media effort.

“We recommend that small businesses pay at least minimum wage, but more for certain majors including computer science, design, and finance which are highly competitive for top talent (amounts can vary by region but for those roles around $15/hour is good),” says Nathan Parcells, co-founder of Looksharp, a company that matches interns with with available opportunities. “Small businesses can pitch students on the opportunity to get a lot of responsibility, which is more important than money, but paying at least minimum wage is the law and the right thing to do.”

Glassdoor, a job recruitment site, provides a list of what companies pay for interns depending on the tasks they handle.

Do You Have to Provide Health Coverage to Interns?

Probably not, but it depends on the details, according to attorney Sharon Quinn Dixon.  If you over 50 employees who work more than 30 hours a week, The Affordable Care Act indicates that the company needs to offer coverage within 90 days of hiring. The ACA is likely not applicable in the following situations:  if the internship is unpaid or if the intern is hired for a duration of six months or less.

Can You Claim a Tax Credit For Summer Workers?

If you hire a 16 or 17-year-old who lives in a federally-designated empowerment zone between May and Sept. 1, you can get up to a $1,200 credit. Use IRS Form 5884 to figure out your credit through the Summer Youth Program.

What Should the Intern Agreement Say?

The agreement for an unpaid internship must include the length of the internship.  In addition, the agreement must also include a statement indicating that no payment will be provided to the intern.  It should also explain the type of educational training the intern will gain from the experience. Parcells provides a Sample Internship Offer Letter to help businesses craft a basic offer letter for new intern hires.

Readers should not consider this article legal advice. If you have questions, consult your attorney.

 

Strategic Funding provides needed operating funds to small businesses. Strategic Funding has helped business in hundreds of industries.  Industries served include: restaurants, personal services, construction, medical, manufacturing, agriculture, retail stores, automotive, and food stores.

/wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png 0 0 Wil Rivera /wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png Wil Rivera2016-07-20 00:00:002016-07-20 00:00:00Eliminate Intern Concern: Know the Laws and Guidelines for Hiring Interns

Use the Summer Slowdown to Soup Up Your Business

July 15, 2016/in Sales and Marketing /by Wil Rivera

Many businesses have a slowdown during the summer. The smart ones use this time strategically to soup up their business.

Dispute the Doldrums.

Yulia Vereshagina, head of marketing for the sales-consulting firm Skaled, suggests not assuming the summer lull is automatic. She examines the previous summer’s sales, comparing customers who kept buying to those who stopped. The underlying patterns lets her develop a smaller, better qualified outreach list.

Pick Up the Phone.

If you have free time, there’s a good chance prospects who were too busy to meet during the year do as well. “Connect with your clients, potential clients, and also clients who you no longer work with,” says Diana Ennen, president of Virtual Word Publishing. “Take the time to say, ‘hi!’ Connect on a more personal level.”

Set a Daily Task.

Peter Shallard, a coach for entrepreneurs, creates a daily task, like writing 500 words or following up on 100 percent of his sales leads. A small daily task puts on pressure that can push off lethargy.

Work On Your Web Site.

The Internet is the new storefront, so use downtime to see if yours is getting shabby. Does your site design feel old-fashioned? Is the site hard to navigate? Is it full of irrelevant material (like a sale that ended months ago, or old samples/photos that don’t reflect your current work?)

Benchmark the Competition.

While you’re prowling around your own site, look at your competitors’ websites to see what they’re doing well. A free tool called Social Crawler analyzes how the content on a site is being shared, as well as how the content is constructed in terms of keywords, themes, style and structure.

Turn Out Templates.

Before she writes a press release or social media content, Diana Ennen often sends a message to her client asking for information – such as their target audience, any key words they normally use, and a pithy quote – so that she can produce more impactful copy. During slow periods, she creates templates for these information requests, which makes the rest of her year run smoother.

Right Time to Write.

Use your summer downtime to promote yourself. Bryan Hyland, an account supervisor at Stanton Public Relations & Marketing , suggests you write an article (or hire a freelancer) that offers “5 top tips [for solving a problem in your line of work],” post it to your website and send it to your top local daily and weekly papers. Write an article that helps others in your field, like “5 things to look for when hiring staff.”

Make Some You Time.

Recharge, take a class, and focus on improvement. “Instead of putting all your focus on client work, build your brand and make processes run smoother,” Ennen says.

Strategic Funding provides needed operating funds to small businesses. Strategic Funding has helped hundreds of Industries including: restaurants, personal services, construction, medical, manufacturing, agriculture, retail stores, automotive, and food stores.

/wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png 0 0 Wil Rivera /wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png Wil Rivera2016-07-15 00:00:002016-07-15 00:00:00Use the Summer Slowdown to Soup Up Your Business

How Should Businesses Respond to Facebook’s New Algorithm? Start By Getting a Dog

July 13, 2016/in Sales and Marketing /by Wil Rivera

Businesses who rely on Facebook to gain new customers, engage with their community and spread brand awareness should revise their strategy – immediately – as the social media giant’s latest algorithmic tweak now ranks stories shared by people higher than those posted by businesses on their Facebook pages.

In short: Now that content people share on Facebook is more important than the content they consume, businesses need to get busy getting buzzy.    now that content people share on Facebook is considered more important than content they consume.

This comes out of Facebook’s “News Feed Values,” a set of five guiding principles released on June 30th explaining what content they show every month to its audience of 1.65 billion.

The question that companies need to ask themselves:  How can I create shareable content that meets Facebook’s primary goal of informing and entertaining? Fortunately, there’s a wealth of research to guide you.

In late 2014, the New York Times asked people what made them likely to share content, and from their comments the paper distilled shareability into five key points.

Five Points of Shareability

1. Appeal to consumers’ motivation to appeal to each other, not just your brand.

2. Trust is the cost of entry for getting shared.

3. Keep it simple and it will get shared.

4. Appeal to their sense of humor.

5. Embrace a sense of urgency.

It’s important to understand the different psychologies that come with liking and sharing material. People like a piece of content when they believe it, support it, and want to express they understand what someone is going through. People share content that says something about them personally and forges a bond between them and those they share it with.

You can see how these core concepts are put into practice by a Buzzsomo study, which analyzed 100 million posts from 2015. The most commonly shared posts had characteristics that can be used by any company in any industry.

Characteristics of Commonly Shared Posts

1. Surprise People: Folks love to share facts and images that are amazing and surprising. One of the most shared pieces of content carried the headline: Drinking champagne can prevent dementia and Alzheimer’s Disease.

2. Leverage a Trend: Zombies were big news last year, and so was a post about a Zombie-themed “Walking Dead” cruise. Look for news and hot topics you can play off of.

3. Inspire People: “As clichéd as some of them might sound, people share inspirational quotes on Facebook, not only because they like them, but also because they feel motivated and empowered, and they want others to know about it,” according to Kissmetrics, an analytics firm. What inspirational quote speaks to your brand?

4. Create Stunning Picture Lists: A list of “52 Places to Go in 2015” combined with catchy photos rocked the social media world last year. Think of what images tie into your business. For example, Kissmetrics notes a company that sells gardening supplies could offer up pictures of world-famous botanical gardens or a mechanic could provide images of vintage cars he restored.

5. Offer Cute Babies and Animals: “This Site Will Make a Stuffed Clone of Your Pet” generated 680,000 shares. How can a pooch or an infant work for you?

6. Quiz People: A quiz that tells people about themselves is social-media gold.

7. Provide Warnings: A 2014 study from Marketo found people often share content to warn friends about scams and other dangers. What’s going on in your industry you could caution people about?

Working These Changes into Your Strategy

This list isn’t exhaustive, but it does provide a good handle on what makes content become contagious; and the most shareable content often combines a few of these characteristics – such as a quiz on a popular topic. Similarly, business-to-business shares can have slightly different qualities, focused more heavily on informative material like eBooks and infographics.

If Facebook is a core platform for you, create posts that inspire, amuse, warn, advise and unite people. It’s not easy. Your target customer personas should guide you. But if you do this correctly, Facebook’s new policy could make you a lot of friends – and a lot of shares.

Strategic Funding provides needed operating funds to small businesses. Strategic Funding has helped hundreds of Industries including: restaurants, personal services, construction, medical, manufacturing, agriculture, retail stores, automotive, and food stores.

/wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png 0 0 Wil Rivera /wp-content/uploads/2020/03/Kapitus_Logo_white-2-300x81.png Wil Rivera2016-07-13 00:00:002016-07-13 00:00:00How Should Businesses Respond to Facebook’s New Algorithm? Start By Getting a Dog

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