After the MedPartners affiliation ended, with no financial history to work from, we needed months of observation and financial monitoring to determine that we were extremely top-heavy in management. We increased the number of physicians to seven and were still able to pare our management staff down to a general manager, one accounts-payable manager, one nursing supervisor and one staff supervisor. The change in management saved our practice nearly 10 percent of our operating costs. Marjorie Uhalde, PhD, MD Reno, Nev. We want to hear from you.
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