EHC Insights

Navigating Radiology Contract Risks: How to Respond to an RFP

For many years, hospitals routinely renewed agreements with incumbent radiology groups with relatively little disruption. That environment is changing. The...

How Radiology Consulting Services Improve Operational Efficiency

Radiology departments are under increasing pressure to provide timely, high-quality imaging services while managing physician shortages, growing imaging volumes, subspecialty...

EHC Radiology Services

At Enhance Healthcare Consulting, we help hospitals and health systems elevate their radiology services by focusing on: Strategic alignment with organizational goals...

EHC Anesthesia Services

At Enhance Healthcare Consulting, we specialize in helping hospitals and health systems optimize anesthesia services through: Strategic alignment Operational efficiency...

Radiology in 2026: The Workforce Crisis Meets the AI Revolution

As healthcare organizations continue navigating growing radiologist shortages, increasing imaging volumes, and rapid advancements in AI, it is more important...

The Future of Radiology Isn’t AI Alone

Will AI replace radiologists? That's the wrong question. AI is changing radiology—but the future belongs to organizations that successfully integrate...

Do you have enough onsite Radiologists to support your organization’s clinical needs?

Do you have enough onsite Radiologists to support your organization's clinical needs? If you're evaluating your current staffing model or...

Anesthesia Contracting, Lessons Learned Over the Years – Part #1

In the first video of our new educational series, Howard Greenfield, M.D. shares key insights into today's anesthesia landscape and...

Anesthesia Contracting, Lessons Learned Over the Years – Part #2

In the second video of our educational series, Howard Greenfield, M.D. discusses the key elements of building a successful anesthesia...

Anesthesia Contracting, Lessons Learned Over the Years – Part #3

In this third video of our educational series, Howard Greenfield, M.D. discusses one of the most costly mistakes hospitals can...

Anesthesia Contracting, Lessons Learned Over the Years – Part #4

In this fourth video of our educational series, Howard Greenfield, M.D. discusses why data should be the foundation of every...

Anesthesia Contracting, Lessons Learned Over the Years – Part #5

In this fifth video of our educational series, Howard Greenfield, M.D. discusses how hospitals and health systems should approach anesthesia...

Anesthesia Contracting, Lessons Learned Over the Years – Part #6

In this sixth video of our educational series, Howard Greenfield, M.D. discusses the importance of preparation when approaching anesthesia contract...

Anesthesia Contracting, Lessons Learned Over the Years – Part #7

In this seventh video of our educational series, Howard Greenfield, M.D. discusses the importance of a strategic approach to recruitment...

ASC Subsidies: The New Normal

We are excited to share our latest article, published in Becker's Healthcare ASC Review: “ASC Subsidies: The New Normal.” The...

Is your anesthesia group prepared if your hospital issues an RFP tomorrow?

For incumbent anesthesia groups, the time to prepare isn’t when the RFP arrives—it’s well before. Hospitals are increasingly evaluating anesthesia...

Evaluating the Transition to Employed Anesthesia Services

In the healthcare industry, hospital and ASC leaders face increasing pressure to balance quality patient care with operational efficiency. One...

Why Choose an Anesthesiologist-led consulting team for your facility?

With a significant anesthesia provider shortage and rapidly increasing demand for covered locations, the cost of securing anesthesia coverage has...

Basics of Clinical Anesthesia for Hospital Leaders

Anesthesia enables surgeons to perform complex procedures while ensuring patient comfort and safety. As an anesthesia provider, understanding the nuances...

Elevating Perioperative Care Through Consulting Solutions

In the healthcare industry operating room performance is critical to delivering high-quality care and maintaining operational efficiency. At Enhance Healthcare...

Anesthesia Employment Models for Hospitals and Healthcare Systems

Many hospitals and healthcare systems are exploring transitions to an employed anesthesia services model to tackle workforce shortages, reduce labor...

Creating a Win-Win Hospital Agreement

Howard Greenfield, MD, presented alongside Judy Semo and Shena Scott on anesthesia groups and hospitals working collaboratively to develop mutually...

What Does the QZ Modifier Really Mean?

American medicine has many quirky aspects. Those who claim they can fix it have no clue what they are up...

EHC Anesthesia Subsidy Drivers Intro Video

▶️ Watch our video to explore the key drivers shaping anesthesia subsidy needs. Understanding Anesthesia Subsidies is critical in today’s...

Expanding your Anesthesia Practice to New Locations and Responding to RFPs

Expanding your anesthesia practice to new locations presents an exciting opportunity to grow your business. As the demand for specialized...

Part 2 – Anesthesia Subsidy Drivers

In Part 2 of our anesthesia subsidy series, we’re breaking down the first driver: Fair Market Value (FMV) compensation 💲. In...

Transitioning to Hospital Employment What’s in it for Me?

In a recent presentation, Howard Greenfield, MD, Principal at Enhance Healthcare Consulting, shared critical insights on the growing trend of...

Part 3 – Anesthesia Subsidy Drivers

Understanding Anesthesia Subsidies is critical in today’s evolving healthcare landscape. At Enhance Healthcare Consulting (EHC), we continue breaking down the...

Part 4 – Anesthesia Subsidy Drivers

Understanding Anesthesia Subsidies is critical in today’s evolving healthcare landscape. At Enhance Healthcare Consulting (EHC), we continue breaking down the...

Part 5 – Anesthesia Subsidy Drivers

Understanding Anesthesia Subsidies is essential in today’s evolving healthcare landscape. At Enhance Healthcare Consulting, we continue breaking down the key...

Tales from the Crypt: Lessons from Anesthesia Contract Negotiations

At the Anesthesia Billing & Practice Management Conference, Bob Stiefel, MD, and Howard Greenfield, MD delivered a presentation that resonated...

Enhancing Pre-Anesthesia Processes with Effective Consulting Services

Effective anesthesia management is pivotal to ensuring that surgeries run smoothly, safely, and efficiently. However, a common bottleneck for many...

Fun with Numbers: Insights from Real World Data

At the 2025 Anesthesia Institute for Advanced Business & Practice Management (AIABPM), Enhance Healthcare Consulting physicians Howard Greenfield, M.D., and...

Enhance Healthcare’s Anesthesia & Operating Room Review – Third Quarter

Check out EHC's newsfeed from July to September 2019.

Real Challenges Radiology Practices are Facing Today

Radiology departments today are facing a perfect storm—staffing shortages, increasing hospital pressure, evolving coverage models, and contracts that are getting...

Anesthesia and Radiology Contract Negotiations in 2026: From Crisis Management to Strategic Advantage

Enhance Healthcare Consulting is proud to share our latest article, “Anesthesia and Radiology Contract Negotiations in 2026: From Crisis Management to...

Enhance Healthcare’s Anesthesia & Operating Room Review – Second Quarter

Check out EHC's newsfeed from April to June 2019.

Enhance Healthcare’s Anesthesia & Operating Room Review – First Quarter

Check out EHC's newsfeed from January to March 2019.

Enhance Healthcare’s Anesthesia & Operating Room Review – Fourth Quarter

Check out EHC's newsfeed from October to December 2019.

Howard Greenfield, MD podcast with Becker’s

This episode features Dr. Howard Greenfield, Principal at Enhance Healthcare Consulting & Board Certified Anesthesiologist. Here, he discusses what led...

Anesthesia Workforce Shortage: Part 2

Healthcare economics have always been defined by the supply of providers and demand for services. In Part 2 of our...

Anesthesia Workforce Shortage: Part 1

The healthcare industry is facing an escalating anesthesia workforce shortage. In Part 1 of our “Anesthesia Workforce Shortage” series, we...

Going Under 2021

We surveyed C-suite executives about their experience in choosing new anesthesia solutions, and the results are in! Our survey points...

Going Under: Anesthesia Provider Employment Trend

We surveyed C-suite executives about their experience in choosing new anesthesia providers and noticed a significant number of hospitals considering...

Anesthesia Subsidies: Putting It All On the Table

Hospitals are experiencing a dramatic increase in requests for financial support from their anesthesia service providers, a situation that has...

SUPER: Scheduling Accuracy

Accurate scheduling of surgical cases is a key component of a highly efficient and profitable operating room (OR). Best practice...

SUPER: Utilization Optimization

Analysis and interpretation of utilization is a foundational component of identifying opportunities for Operating Room efficiency and monitoring progress of...

SUPER: Process Consistency

The efficient delivery of processes will maximize throughput of cases in your operating room.  Using LEAN methodology to map current...

SUPER: Ensure Data Integrity

You have revamped your OR Scheduling procedures to increase accuracy, matched your clinical staff and resources to actual Utilization, and...

SUPER: Resource Support

To ensure optimal patient safety and OR performance, nursing leadership must foster and maintain strong relationships and communication with multiple...

Is Your Anesthesia Group an Asset or a Liability?

In this whitepaper, Enhance Healthcare outlines four key strategies for anesthesia groups to become an indispensable asset to their hospitals...

The Changing Landscape Of the RFP

Enhance Healthcare Consulting has seen approximately a fivefold increase in the issuance of RFP’s, with 30% of hospital based RFP...

What Do Hospitals Want From Anesthesia Groups?

Anesthesia groups have many issues to deal with, including pressure on reimbursement and hospital subsidies. Despite these concerns, it is...

The RFP Process: Steps For Getting The Most Accurate Bids

Distributing a request for proposal (RFP) for a HBP service line can often be a painful process and one which...

Mistakes Hospitals Make When Issuing an RFP

“As board-certified anesthesiologists and experienced nurse and business executives, we are able to combine our clinical expertise with nationwide management...

Key Components of a Successful OR Improvement Initiative

  Surgical Services is the key financial driver for all hospitals, often generating 70% of annual revenue. At the same...

Anesthesia Finances in the Age of COVID-19

Our four-part series on the financial and operational implications of the COVID-19 pandemic on hospitals, healthcare systems and anesthesia groups.

The 5 C’s of Group Leadership

Hospital-based provider groups are a vital bridge between the business leaders of the facility and its medical staff. Hospital executives...

Billing Optimization

Whether you are a hospital paying an anesthesia subsidy or a group trying to maximize profitability, it is in your...

Your Hospital Issues An RFP For Anesthesia Services: Now What?

As a national anesthesia consulting firm, we are seeing hospitals and healthcare systems change or attempt to change their incumbent...

Management Services Organizations: Leveling the Playing Field for Small and Local Groups

In the Healthcare environment of 2018, it seems that "bigger is better" is the mantra from all sides. We've got...

6 Steps for Anesthesia Practices Considering Selling

Howard Greenfield, MD, principal of management and consulting firm Enhance Healthcare, described several steps to follow when deciding whether to...

Uncovering Key Data Points To Improve OR Profitability

Hospital finance leaders can increase profit from operating rooms by developing performance improvement plans around key statistics, such as utilization,...

4 Ways Anesthesia Can Help Hospitals Reach Health Reform Goals

Here are four examples of ways anesthesia providers can help hospitals reach these goals.

F-O-C-U-S: 5 Key Factors of Anesthesia Success

Drs. Greenfield and Stiefel present a new framework hospitals can use when thinking about anesthesia services.

Physicians’ Role in Patient Satisfaction

Anesthesiologists can affect patients' satisfaction by overseeing preoperative preparation, ensuring the patient understands the process for the day of surgery...

How Preoperative Preparation Can Drive OR Performance

Some key preoperative responsibilities that can improve intraoperative metrics, including start times, turnover time and OR utilization

Anesthesia 101: Coverage Models

All MD Anesthesia Care Team (ACT) CRNA Only Each of these models has unique characteristics which will affect how the...

Anesthesia 101: Service Expectations

Hospitals have specific goals regarding patient and surgeon satisfaction as well as growth initiatives. Your facility's anesthesia model should help...

Anesthesia 101: Subspecialty Needs

Critical care. OB. Pain. Cardiovascular. Pediatric. Anesthesia sub-specialties have evolved to address an often complex and challenging subset of patients. Each...

Anesthesia 101: Stakeholder Needs

The needs of each of these stakeholders are diverse and when taken together, serve as a way to measure the...

Anesthesia 101: Business Models

The healthcare environment has dramatically changed in recent years, and anesthesia business models are evolving as well. If current trends...

Anesthesia 101: Anesthesia Subsidy Drivers

With eighty percent of hospitals paying an anesthesia subsidy, finding ways to reduce these costs – without risking quality –...

Pre-Op Your Anesthesia Practice

A “pre-operative” assessment of your own practice will reveal how your group will look to a possible partner, investor or...

Strategy And Adaptability In A Competitive Market: Lessons From The Nation’s Largest Anesthesia Organizations

The size and scope of these entities could not have been envisioned just a decade ago. The entities profiled below...

Renegotiated Payor Contracts And Improved Collections Significantly Boost Anesthesia Revenue

Due to lack of oversight of the anesthesia revenue cycle, this small Southwestern health system suspected it was not capturing...

Going Under 2016: Enhance Healthcare Releases Recent Anesthesia Survey Results

The RFP process has become much more standardized, and the options for change more robust, while at the same time...

Leadership And Technology Enhancements Allow Cost-Effective Expansion Of Coverage

A tertiary care facility in the South, part of a four hospital system needed to improve coverage amongst all its...

Improved Revenue Cycle Solution Increases Collections By 37% And Reduces Subsidy

SITUATION: Three years in a row the amount of subsidy had increased – 15%, 12% and 20% respectively – despite...

EHC STAFFING STRATEGY REDUCES ANESTHESIA SUBSIDIES BY 40%

SITUATION: An important Surgical Service Line expansion forced a West Coast community hospital to face a dramatic increase in anesthesia...

EHC OR/ER STRATEGY SAVES COMMUNITY HOSPITAL $1 MILLION ANNUALLY

SITUATION: A 321-bed community hospital in the Southeast United States was experiencing significant financial challenges due to its high anesthesia...

OR Efficiency and Throughput

Dr. Robert Stiefel discusses the heightened importance of OR efficiency to hospitals.

Anesthesia Group Changes

Dr. Greenfield shares insights on how anesthesia groups can stay afloat in the face of growing group consolidation.