Practice Management

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No matter the size of your practice, unless each physician is the same age and plans to retire at the same time, you should consider developing a transition plan for the senior doctors in your practice.

For the first time in several years, revenue in medical practices declined in 2008, according to data from the Medical Group Management Association (MGMA). Urology, however, was one of a handful of specialties reporting increases in total medical revenue after operating costs.

Because, as one urologist observed, "we spend more time with our partners than with our families," the importance of finding qualified urologists whose professional and personal styles are compatible with the colleagues in the practice is paramount.

Because, as one urologist observed, "we spend more time with our partners than with our families," the importance of finding qualified urologists whose professional and personal styles are compatible with the colleagues in the practice is paramount.

Urologists around the country lament the difficulty in finding and keeping good employees, and even gripe about the deteriorating performance and attitudes found in some of the more demanding positions. My advice: They're your employees, so it's time to take ownership of the problem.

The controversial concept of medical home calls for a team led by a physician, usually a primary care physician, to be paid extra to handle personalized coordination of a patient's care across the health care system, including acting as liaison with other providers.

It is important to be aware of the general arrangements (often referred to as "platforms") available for investment management and the alternative methods of compensation for those who are involved in retirement plan accounts.

President Obama's 2010 budget proposal, with its $630 billion down payment on health care reform over the next decade, appears to contain significant good news for urologists, but never has it been more true: the devil is in the details.