When considering a program, take a look at how many of your peers will be offering the same program. If you are purchasing a program, insist on knowing exactly how much competition you will have in your market. As a physician, time is your most vital asset. You can only do so much physically without diminishing the quality of the service you provide. Some of the best structured programs include the use of existing employees who, when trained, will interact directly with the patient as your consultant and CBS manager, leaving you free to perform your normal duties.
Gradual progress works well.
For most doctors, their dependence upon insurance income has been a gradual process which did not happen overnight. Don't try to change your life in one day. Set a realistic, achievable goal. Many doctors test programs on a small scale initially, before committing more resources and time. It shouldn't take long to notice progress.