Leadership in a Private Nephrology Practice: Autonomy Is More Than a Dream!

Private practice is entering an era of diminishing reimbursement and increasing overhead associated with federally mandated payment reforms resulting in a need to move from the traditional fee-for-service to a value-based model, changes that place financial and organizational strain on nephrology practices. In addition, the changing geopolitical scene is one of mergers and consolidation of health care networks, which in turn are developing their own insurance plans or partnering with commercial payers. The new landscape will require the leadership of a private nephrology practice to vigilantly monitor and adapt to these changes for success. Our leaders must be mindful of the impact of these changes to foster the successful growth of an autonomous private nephrology practice in which there is opportunity for personal and professional growth of its members in their quest to provide quality and safe patient care.