Strategies to Remain Independent

Times are tough for independent docs and only getting more difficult.  Here are some strategies you can employ to counter the stresses on your independent practice:

1: Cultivate a cash pay practice, ie cosmetics, fertility, concierge. 

2: Join an IPA

3: Join a GPO (group purchasing organization)

4: Selectively contract with managed care, not all payers

5: Cherry pick easy diagnoses and refer out the rest

Anything else?   Let me know.