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March 19, 2025 19 mins

In this episode of the MGMA Insights Podcast, host Daniel Williams sits down with Les Jebson, Regional Administrator at Prisma Health, to unpack the critical challenge of medical equipment acquisition. Jebson brings a wealth of experience from both private and academic healthcare settings, offering medical practice leaders a comprehensive guide to making informed decisions about purchasing, leasing, or renting medical equipment. The conversation explores the financial, strategic, and compliance considerations that can make or break a medical practice's technology investments.

Key Takeaways:

  • Value Proposition is Paramount

Les emphasizes the importance of objectively evaluating equipment based on:

  1. Clinical necessity
  2. Potential revenue generation
  3. Anticipated lifespan of technology
  4. Alignment with current and future practice needs
  • Strategic Acquisition Strategies

Recommended approach for medical practices:

  1. Define capital equipment clearly
  2. Consider pros and cons of purchasing vs. leasing
  3. Implement 4-year replacement cycles for most technology
  4. Explore lease-to-own options for capital-constrained practices
  • Compliance and Risk Mitigation

Critical considerations for consumable agreements:

  1. Avoid inducement-based contracts
  2. Ensure fair market value
  3. Vet agreements through legal counsel
  4. Track historical consumption trends
  • Recommended Next Steps for Practice Leaders:
  1. Conduct a comprehensive audit of current medical equipment
  2. Develop a strategic technology replacement timeline
  3. Create a cross-functional team for equipment acquisition decisions
  4. Establish clear criteria for evaluating new technology investments

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