The Biden Administration's Impact On Healthcare, Private Practices, and Urology Practices

Posted by Clark Love on Apr 1, 2021 2:25:50 PM

On January 20th of this year, Joe Biden was sworn in as the United States of America’s 46th president. Like any new leader of a country, this change in the White House meant many different things for various people, businesses, and entire industries.


The new administration is a tremendous shift from the previous one, changing the nation’s landscape across the board.


No more are these changes evident than in healthcare. Biden and his administration’s approach - even at first glance - is a totally different beast than former President Trump’s. With that said, how will this impact private practices across the US?


This blog will explore the above question and then delve into urology practices, specifically.

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Topics: Reimbursments, urodynamics, finance, Reimbursment Trends, Reimbursement Trends, clinical operations, urology, urodynamics billing, Medical Practice Operations

Should Urodynamics (UDS) Require Certification for Doctors and Nurses?

Posted by Dr. Peter Steinberg on Jun 18, 2019 6:11:31 PM

As with many aspects of medical practice, a solid training foundation is critical to best practices and the safe delivery of care. When it comes to performing urodynamics (UDS), as with many other procedures, the question of what level of training is requisite to perform UDS appropriately is a reasonable one. And the natural extension of this is whether or not a specific certification process is warranted to perform UDS.

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Topics: Urodynamics Testing, urodynamics, urology, UroGynecology

Are Urodynamic Studies a Core or Ancillary Urologic Procedure?

Posted by Dr. Peter Steinberg on May 16, 2019 7:56:15 PM
In any urology practice, critical questions related to what services to offer, who will provide them and where the services will be performed are the foundation of practice management. When establishing or managing a practice, one decision you must make is whether urodynamics (UDS) is a foundational and core offering the practice will offer or an ancillary service. As with many things in urology, the answer is not straightforward and in reality, it is a little bit of both, though I tend to think of UDS as an ancillary service for most practices.

Core services urologists must offer include basic history and examination ability, cystoscopy and access to and interpretation of relevant lab and/or radiologic studies of the urinary tract. A urologist who cannot offer these basic services is really not practicing urology. UDS is an important test that urologists offer; however, a urology practice can exist without offering UDS and still thrive.


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Topics: Urodynamics Testing, urology, urodynamics interpretation, Urology Practice Trends

Annual UDS or Annual Ultrasound in Neurogenic Bladder?

Posted by Dr. Peter Steinberg on Sep 21, 2018 6:52:26 PM
Patients with neurogenic lower urinary tract dysfunction (NLUTD) are at high risk of having poor bladder compliance, making upper urinary tract injury a distinct possibility. Given the wide variety of causes of NLUTD and the risk of upper tract damage, it is critical to perform surveillance of these patients for deterioration in bladder function and upper tract injury. Two of the most popular methods of surveillance for these issues are annual renal ultrasound and annual urodynamics (UDS) testing.
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Topics: Urodynamics Testing, General Urology Information, Neurogenic Bladder, urology, Ultasound

Is Your OBGYN Practice a Failing Business?

Posted by Dr. Peter Steinberg on Aug 17, 2018 9:09:55 PM

Strategic Partnering.

Is your OBGYN practice a failing business? BHN (Brighter Health Network) would like to know. So should you.You’re busy. Your parking lot has a brisk turnover and your lunches are hurried. CME costs much more than tuition when you add up the money lost while out of your office. You have good months most of the time, but you also have your “marginal” months. All the more confusing is that today’s shortfall is based on what you did six weeks ago, while the piper who demands payment demands it today.

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Topics: urodynamics staffing, urology, urodynamics service provider, urodynamics profitability

Arе Urodynamic Prосеdurеѕ On The Rise?

Posted by Clark Love on Jan 23, 2018 3:28:44 PM

Urology and Urodynamics - Is Urodynamics on the Rise?Most of the urodynamic literature is currently focused on the indications for urodynamic studies for treatment of voiding dysfunction and urinary incontinence. In reality, much less is known about the frequency with which urodynamic procedures are being performed and trends in the practice among urologists. In the following article, we will talk about trends in the practice of urodynamic procedures among urologists in the last decade and we will try to find what factors impacting growth. We compared relevant studies and put together the information to assess the utilization of urodynamic  procedures.

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Topics: urodynamics staffing, urology, urodynamics service provider

5 Marketing Hacks for Urology Practices

Posted by Clark Love on Aug 29, 2017 2:18:53 PM

Did you know that 72% of ALL U.S. Internet users have gone online in the past year specifically for health-related information.  Additionally,  77% of that group (i.e. 77% of the 72%) say their research started at Google, Bing or another general search engine - not web portals like WebMD or HealthGrades.  What are you doing to drive your business's growth online?

Small business owners know the value of marketing, so why don’t more doctors and urologists perfect this art? In short, there simply isn’t enough time in the day for most urologists to engage in effective marketing. Here, five marketing hacks for urology practices will be discussed, which can change the flow of your business and help you with marketing.

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Topics: urology, urology practice marketing

The Trump Administration’s Effect On Urology Practices

Posted by Clark Love on Jun 15, 2017 1:18:34 PM

Almost 6 months into Donald Trump’s presidency, there are many unanswered questions regarding the present state of affairs in America.  Among the most daunting questions is what will happen in the United States in regards to healthcare. The phrase "your guess is as good as mine" comes to mind.  In this article, Trump’s administrations effect on urology practices will be discussed.

Research Funding

At the top of President Trump’s proposal to balance the United State’s budget is significant cuts to grant funding for scientists. While Congress ultimately reversed Trump’s cuts to the National Institutes of Health for 2017, it remains to be seen whether the agency will have limited funds for 2018, as Trump proposes.

In 2016, $506 million were awarded to researchers for the study of urologic diseases. In 2017, $522 million is estimated to be used towards urology research. For 2018, Trump hopes to slash $5.8 billion in funding from the NIH, which could dramatically affect research towards urological developments, particularly for prostate health and urinary incontinence.

Health Insurance

A major promise throughout President Trump’s campaign was the repeal of the Affordable Care Act (ACA), which provides people at or below the poverty line, as well as those with pre-existing conditions, an opportunity to purchase health insurance. While a satisfactory replacement for the ACA has not yet been introduced into Congress, a repeal of the current ACA could be both good and bad for urology practices.

The ACA has mandated numerous regulations that some physicians believe have hindered their ability to maintain a close relationship with their patients, particularly due to cumbersome electronic paperwork. Removing this regulation – as well as others – could lead to a more direct connection between patient and physician.

Additionally, deregulation could provide the opportunity for medical companies to promote their products in new ways and with fewer stipulations. The overall result could be enhanced technology from private firms as well as more patient / doctor interaction.

On the other hand, the Trump administration’s proposals could potentially leave millions of Americans uninsured, meaning that fewer patients would be able to afford preventative care and procedures for non-life threatening disorders. Therefore, fewer Americans would be able to receive preventative prostate exams or expensive urodynamic tests for diagnosing disorders such as pelvic organ prolapse, stress incontinence, urge incontinence, pelvic pain, and difficulty urinating.

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Fewer Regulations

As a businessman, President Trump has promised fewer regulations in health care, particularly the pharmaceutical industry, which could trickle over to medical devices. For urologists, the deregulation of medical devices could result in more affordability of implants such as transvaginal meshes and similar items.

Additionally, deregulation could reduce the amount of paperwork that needs to be performed, saving urologists time and money. For some physicians, this would be a welcome change under the Trump administration.


The US Preventative Services Task Force (USPSTF) was formed to serve as an independent panel of experts to review the effectiveness of clinical preventative services. In May 2012, the USPSTF recommended against the screening of prostate cancer with prostate-specific antigen.

There has largely been concern regarding the recommendations of the USPSTF and the manner in which it has justified limiting access to routine preventative care. In January, the USPSTF Transparency and Accountability Act of 2017 was introduced to Congress and is backed by the American Urological Association, Large Urology Group Practice Association, and Association of American Colleges and Universities.

With a dramatically decreased focus on regulations and government spending by the Trump administration, this act is likely to be approved, with the possibility of the USPSTF being dismantled entirely. For urology practices, that means a return to annual prostate cancer screenings as well as fewer hesitancies among patients for preventative care.


Many physicians have wondered what effect – if any – the Trump administration will have on the Medicare Access and Chip Reauthorization Act (MACRA) that was enacted in 2016. Bipartisan support of MACRA does not take into consideration the push-back from doctors, which are concerned of its consequences.

For instance, a doctor shortage crisis is likely, due to the exodus of doctors from Medicare, as well as due to the struggles caused by implementing this law into independent urological practices. By 2018, half of a doctor’s fees will be directly tied into quality of care and outcome measures, with eventually 90% of reimbursement to be linked with these measurements.

For urologists, who treat patients with disorders that are not widely understood and for which treatment outcomes can be unpredictable, MACRA has potential to be extremely disruptive.

Many urologists hoped that Trump would approach MACRA with the same repeal goals as were promised for the ACA. However, Seema Verma, the Trump-appointed director of the Centers of Medicaid and Medicare Services has openly supported MACRA and even applauded Congress for its enactment. Ultimately, there is little hope for urologists that MACRA will be repealed by the Trump administration.



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Topics: General Urology Information, urology

5 Most Common Urology Misdiagnoses

Posted by Clark Love on May 30, 2017 1:59:13 PM

Despite their prevalence among the aging population, urological disorders are among the most commonly misdiagnosed diseases. Here, five of the most prevalent urology misdiagnoses will be discussed.


Pelvic Organ Prolapse

Pelvic organ prolapse1 is one of the most common urinary disorders among women, as well as one of the most commonly misdiagnosed. This disorder occurs when a pelvic organ prolapses from normal position and pushes against the vaginal wall.

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Topics: General Urology Information, urology

Urodynamics Testing Backlogs – What to do about them

Posted by Clark Love on Jan 27, 2017 11:10:02 AM

We are in the market daily talking to practices that utilize urodynamics.  We regularly encounter practices that have a large backlog of urodynamics patients waiting to be tested.  Just this week one large urology practice approached us about their problems with a three month backlog of urodynamics patients. Backlogs often occur because of staff and/or equipment issues.   We were able to craft a solution to eliminate their backlog quickly and efficiently, and we thought it would be prudent to write about it.  

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Topics: urodynamics, urology

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