With a significant trend toward anesthesia group consolidations, mergers and acquisitions, many small to medium-sized groups have shown interest in maintaining independence. It is estimated that nearly 50 percent of physician anesthesiologists in anesthesia-related practices have fewer than 50 anesthesiologists.

The platform has changed from volume to value, and groups are questioning what can be done to prevent the loss of their small practice. Is it possible to remain independent? The answer is more complex than space permits, but there are areas in which each group can assess and improve. Consider these “hacks” and a working to-do list.

At the very least, anesthesia groups must have in their arsenal:

Where does a small group start, and is there a priority? There are some key areas and specific actions that can be taken by a small group that can make...

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