How to Test the Waters of a Cash-Only Practice

Jeffrey J. Denning

Disclosures

UnCommon Sense 

In This Article

Introduction

We were recently asked this question: "How should a physician go about establishing a cash-only practice?"

We get the question from time to time from family physicians and internists. It represents a yearning for the way nearly everyone's practice was in the pre-managed care days. That period -- prior to about 1990 -- corresponded to the golden age of medical wealth creation for physicians. Medicare was a bonanza and Medicaid meant that even poor folks could break free of the county hospital charity ward. Returning to a simpler time is tempting. So how do you do it?

Carefully.

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