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News
Small retina practices are under pressure — but they don't have to go under. At the AAO meeting, Dr. Asheesh Tewari outlined five key habits for independent retina practices to stay competitive, from mastering drug economics to leveraging their personal touch. The secret? Stop acting like a smaller version of a big practice and start using size as an advantage.
Small independent retina practices are feeling the squeeze — and it's not just competition from larger groups. At Retina Subspecialty Day during the American Academy of Ophthalmology annual meeting, Dr. Asheesh Tewari laid out the unique pressures facing small practices, including prior authorization challenges, step therapy hurdles from Medicare Advantage plans, and the cash flow risks tied to drug inventory and reimbursement timing.
But Tewari wasn't just sounding the alarm — he came with a playbook. He outlined five habits that define successful small practices: knowing your numbers (especially drug economics), building a tight and cohesive team, using technology selectively, collaborating with other practices without consolidating, and committing to continuous evolution.
Key Takeaways:
Why it matters: With ~60% of ophthalmology practices having four or fewer full-time physicians, the fate of small retina practices has broad implications for patient access and care quality. Tewari's framework offers a practical roadmap for independent practices navigating an increasingly complex landscape.
