Navigating Private Practice in Cardiology

Dr. George shares how his frustrations with hospital financial transparency, procedural limitations, and the pandemic’s impact on patient willingness to come to hospitals motivated his transition to a solo practice in 2020. He explains why only about 30 percent of U.S. cardiologists remain independent, highlighting the shift toward lower-cost outpatient sites, recent CMS approvals for more ASC procedures, and state differences in certificate-of-need laws. Dr. George discusses strategies for scaling through hospital affiliations, negotiating teaching and research support, and partnering with management companies to streamline operations. He also describes building a state-of-the-art cath lab and imaging center, improving efficiency and physician lifestyle, and offers a practical five-question framework for clinicians considering the move to private practice.