Top Small Medical Practice Challenges

Running a small medical practice doesn’t go without its challenges, but almost half of the doctors believe the extra work involved is worth it. Many patients enjoy the smaller practices they were used to when they were kids. The older buildings carry a charm that the larger hospitals of today don’t offer.  

The care seemed more personalized, and parents seemed to take their kids to the same doctor they grew up with.

And then, all of a sudden, it seemed the wonderful world of small practices began to shut down. The entire industry of small medical practice was getting prepared to succumb to the larger-sized practices. 

Today we look at the challenges that small medical practices go through so that you understand what to expect in this industry.

1. No expertise or time for medical marketing

Medical marketing is a much different animal from traditional marketing for various reasons, and many practices simply don’t have the time or expertise to do it because they are too busy running their small medical practice.

Their competitors, who are larger, may have the budget to hire a marketing company that can do their marketing for them, which in turn attracts more patients to their practice.

In today’s world, it’s vital to have a complete medical marketing plan that covers content marketing, social media, and search engine optimization (SEO). If you don’t have the time, consider outsourcing or hiring a staff member to do it.

Are you looking to get into a career in Functional Medicine? Let MindBody Talent guide you in the right direction by pairing you with the perfect employer focused on the field of holistic healthcare. Visit our website today to talk to one of our specialists!

2. Work-life Balance is Minimal

Running your practice on your own can be very time-consuming. It can make it challenging to spend time with your family or other extracurricular activities. 

It’s not surprising to find that many of the small medical practices owned by one person get burned out and eventually shut down. Bureaucratic tasks and too many hours at the office make it difficult to keep running the practice on your own.

If this sounds like you, consider hiring a temporary staff member to help with administrative tasks or things you can easily delegate that doesn’t require much skill. 

3. Cash flow issues

In general, as a business owner, cash flow is the lifeblood of your business.  As a small practice owner, you need to provide the level of care your patients expect, all the while keeping money coming into the practice.

That’s why a good medical billing system is essential for your practice. Finding good medical billing software can help your practice tremendously, allowing for better organization and streamlining of daily transactions. Take your time to find software that will work best for your small practice.

Related Links: The Hero’s Journey Of Functional Medicine in 2022

4. Hiring the right people

You probably have a few good employees that help you run the practice and keep things going as smoothly as possible. As you grow, you will want to hire more people for your team. 

Having a good hiring system in place will help you bring on the best people because hiring the wrong people can lead to costly mistakes. Note that the average cost per hire of a medical assistant in the United States is around $38,000 per year.  

Consider partnering with recruitment agencies or staffing firms to help you choose the best candidates for the office roles you are trying to fill.

Related Links: Health and Wellness Branding Tips For Functional Medicine Practitioners

5. Low Patient Retention

Patients these days have several options when it comes to healthcare. That’s why proper branding and marketing can help you stand out in the medical field. If you don’t treat patients right, they may never return, or worse…leave a bad online review.

An easy way to improve your practice is to ask your patients for feedback on how you can improve your practice. Satisfaction surveys can be put together to get honest feedback and grow the way your patients want and need your practice to develop.

Providing the best healthcare experience possible will encourage patients to become referral partners — a great asset for any small medical practice.

Are you a functional medical practice looking for the ideal candidate with holistic medicine experience? Visit MindBody Talent to find the perfect match for your practice!

6. Increased Regulatory Requirements

Another pressure facing independent practices is the increased data reporting required by regulatory measures such as the Quality Payment Program (QPP). 

This can be a challenge for small practices because they don’t have office managers, IT personnel, administrative support, and anyone else to help them stay on top of the regulations. 

For example, there is one program called the Merit-Based Incentive Payment System (MIPS) that rewards high-quality medical providers with payment increases while, at the same time, decreasing payments to providers who don’t meet specific standards or performance. 

The Merit-Based Incentive Payment System is used for the payment adjustments for Medicare Part B under the QPP based on eligible providers’ performance levels and participation. 

If your practice participates in the MIPS, you must submit and track data for at least three or four categories for the performance year you are participating.  

Things such as quality, improvement activities, and promoting interoperability become important when participating in the Merit-Based Incentive Payment System.

Related Links: Embracing Lifestyle Health

Small Medical Practice Challenge Wrap Up

Physicians in today’s independent medical practices face steadily increasing pressures. The three challenges highlighted here—decreased time with patients, increased regulatory reporting requirements, and increased provider burnout—are connected, each magnifying the others. 

It’s very challenging for a small practice to thrive today without having a solid strategy for growth, marketing, and patient retention. With the increased regulatory reporting, constant burnout from being overworked, and decreased patient retention, it can seem like a huge hill to climb over.

Finding help with hiring, marketing, and customer retention is key to growing your small practice over time.

For more information on how MindBody Talent can help with your recruiting efforts for your holistic medicine practice, visit our website today!

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Trusted Partners To Help You Leverage Practice Growth

At MindBody Talent, we see our holistic health and wellness clients as more than just customers — they’re mission-driven partners in healing. That’s why we’re highly selective when recommending any outside organization to complement our Talent Acquisition and Talent Performance services. Before introducing a new partner, we cast a wide net, research deeply, and apply what we call our “Trust Factor Test.” Few pass. But Stitch PEO has — and with flying colors. They’ve consistently demonstrated the integrity, capability, and strategic value that our clients deserve. As a trusted HR outsourcing resource, Stitch PEO offers the kind of leverage that can fuel real growth for healthcare practices. The article below, authored by their team, is a great example of why we trust them — and why we think you’ll benefit from knowing them too. Scaling a Healthcare Practice? Why HR Outsourcing Is Essential for Growth & Stability Expanding a healthcare practice takes more than medical expertise—it takes a strong operational foundation. As you add locations, hire new staff, and navigate evolving regulations, internal HR functions can quickly become a bottleneck. That’s why many healthcare leaders are turning to Professional Employer Organizations (PEOs) for support. A PEO acts as a co-employer, taking on essential HR responsibilities such as payroll, benefits administration, and compliance. This partnership allows healthcare practices to scale with greater efficiency, lower risk, and improved financial predictability. Reclaim Time for What Matters Scaling means more decisions, more paperwork, and less time for patient care. Without a dedicated HR team, administrative tasks like onboarding, tax filings, and policy management often fall on practice leaders, distracting from their core priorities. By outsourcing HR functions to a PEO, your team can focus on strategic growth and care delivery. PEOs centralize these responsibilities, offering a streamlined, scalable solution that grows with your practice. Stitch PEO, for example, brings healthcare-specific experience that helps reduce the time spent on back-office tasks. Offer Competitive Benefits—Without the Overhead As your team grows, so do employee expectations. Competitive benefits play a major role in attracting and retaining top providers and support staff. But for smaller or independent practices, offering high-quality benefits can be complex and cost-prohibitive. PEOs pool multiple businesses together to access affordable, large-group benefits plans, like medical, dental, vision, and retirement. According to the U.S. Chamber of Commerce, PEO-sponsored plans are often less expensive than those on the open market. Stitch PEO helps practices of all sizes offer benefit packages that rival those of larger health systems. Stay Ahead of Compliance Challenges Growth often comes with increased regulatory exposure. From managing multi-state payroll to staying up to date on employment laws and healthcare-specific mandates, compliance mistakes can be costly. A trusted PEO partner ensures that your practice remains compliant as it scales. Stitch PEO monitors changes in employment law, handles filings accurately, and helps reduce risk across your workforce, so you can expand with confidence. Build a Scalable Foundation Every new hire or new location shouldn’t require reinventing your internal systems. PEOs provide infrastructure that supports consistent onboarding, employee management, and HR support as your practice grows. Instead of juggling vendors and HR tools, you gain a single partner that adapts alongside your business. Stitch PEO’s model is designed to support fast-moving healthcare organizations with flexible, scalable services. The Bottom Line Growth should feel exciting, not overwhelming. Outsourcing HR through a healthcare-specialized PEO gives your practice the stability and support needed to scale with confidence. Let Stitch PEO handle the HR complexity so you can stay focused on delivering excellent care. Two Calls to Action

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Clients (Hiring Managers)

Six Years. 1,000 Insights. One Big Truth

MBT Reflections on the Fixable Ills of Holistic Health Care Gale-Force Winds at Our Backs The fields of personal holistic health and professional holistic health care have the wind at our backs like no other time in history. In the Spring of 2025, all of the momentum is moving in our direction in unprecedented ways. Even so, holistic health care practices across the U.S. still struggle to survive, much less grow and thrive as they should in a market that increasingly wants and needs their services. Today is the anniversary of our founding in 2019. Based on six years in business and 1,000 insights from working with practices and practitioners across 22 U.S. states coast-to-coast, MindBody Talent knows why the struggles exist.  Something is seriously out of whack and we know what it is. We are consistently shocked to discover that the most well-known names in Functional and Integrative Medicine, who address and cure supposedly incurable diseases, and are the most sought-after speakers at conferences, can’t figure out how to run profitable practices. As with the majority of patient diseases and maladies, the health problems of health care practices are (at the root) self-inflicted. As with the majority of patient health challenges, these practice challenges are also fixable ills; but only when viewed honestly, humbly, and holistically. The Opportunity Thanks to decades of courageous voices and waves of miraculous health recoveries in the disciplines of Functional, Integrative, Personalized, and Regenerative Medicine, the messages are finally resonating and people are finally waking up. By “people”, that means patients, caregivers, health seekers of all kinds, and health care professionals who entered their professions with the best intentions — to get people well.  Unfortunately, over the last 70 plus years, the odds have been heavily stacked against their success, our success, and patient health. The network of industrial healthcare, led by the pharmaceutical business model of disease management, convinced all of those “people” that treating symptoms of illness with pharmaceutical chemicals was the right path to healing and health. That misguided, dangerous, and deadly emperor is finally being revealed to have no clothes.  Prominent voices that include (among many others): Dr. Mark Hyman, Dr. Casey Means and Calley Means, Dr. Frank Lipman, and the new U.S. Secretary of Health and Human Services, Robert F. Kennedy Jr., are speaking broadly on podcasts, in media interviews, and to the U.S. Congress. They are loudly and strongly waving the flag about holistic health approaches that leverage the miraculous healing capabilities of the human body when those capabilities are not constrained, thwarted, and disabled by pharmaceutical drugs masking symptoms and creating often worse side effects. Those voices, combined with enhanced access to health knowledge provided by the internet and AI (as well as basic common sense) are creating an unstoppable wind in the sails of holistic health and holistic health care practitioners. A  major shift toward rethinking health and healthcare is underway. The cautionary last third of pharmaceutical commercials have become a laughable joke if the first two thirds weren’t so full of dangerous and deadly brainwashing. The pharmaceutical-dominant era is finally being put in its proper place. So why are so many holistic practices struggling and failing?  The Problem  As with the root cause focus of Functional and Integrative Medicine, this practice illness has a root cause. MindBody Talent has consistently seen it first hand for six years. There are vast differences between the models of conventional medicine and holistic health care. The differences that are most relevant here is that conventional medicine practices don’t have to market their services and practitioners don’t have to understand the business of running a practice.  Patients come to conventional physicians through their insurance plans and network referrals. The business side of their practices are generally handled by their hospital or medical group infrastructure. On the contrary, holistic health care practices are typically smaller, privately-owned entities. Within their practices, they somehow have to understand how to market their services and how to hire, manage, and run their practice operations as a business — on top of the complex process of caring for patients.  Those business and marketing skills are not the natural domains of health care practitioners. In fact, we have come to believe (with a six-year base of hard evidence) that physician brains and business brains are wired differently, making it virtually impossible for even the smartest physicians to successfully run a practice business. That is the root cause of why the majority of holistic health care practices struggle and fail, despite the unprecedented market demand for holistic health care services that continues to accelerate. The Truths Today is the 6th anniversary of the founding of MindBody Talent. So far we have served holistic health practices in 22 states across the U.S. In those years we have spoken with and negotiated with over 1,000 practice leaders, some of whom became clients, many more have not.  The following truths apply to 100% of those practices and practice leaders: Awakening and Humble Honesty Needed The wisest and most successful practice leaders humbly recognize those truths. They hire and trust professionals like MindBody Talent to handle their recruiting, marketing, and practice operations.  Recruiting top notch clinical and non-clinical holistic health professionals is extremely difficult work. That’s why MindBody Talent largely stands alone as the only and most successful talent acquisition company in the industry with our focus on holistic health care.  However, even the most brilliant and talented health professionals will struggle to succeed when placed into a practice with poor operations, a dysfunctional culture, and/or ineffective marketing. Our biggest frustration and sadness is watching practices struggle to thrive because they refuse to understand and trust those truths. Frankly, this is the biggest reason why holistic health care overall fails to reach its potential in this country. Time to Break the Mold Health seekers need a different kind of support system from their health care providers. It’s long past time to break the old mold.  The market opportunity for holistic health

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Hiring Brilliant Talent Isn’t Enough

In holistic healthcare, the right team can make or break a practice. Recruiting brilliant clinical and non-clinical professionals is essential—but it’s only the first step. Even the most highly skilled teams can struggle, stall, or even fail if the practice itself isn’t set up for success. At MindBody Talent, we’ve seen it all. Practices with world-class practitioners and staff still struggle because: ❌ Their mission isn’t clear—leading to misaligned patient attraction and a loss of purpose among the team.❌ Marketing efforts don’t match their mission—bringing in the wrong types of patients who don’t convert, don’t stay, or don’t value the care provided.❌ Internal operations are a bottleneck—creating inefficiencies, staff frustration, and patient churn.❌ Politics and drama infiltrate practice culture—sapping energy, driving away top talent, and creating toxic workplaces. The result? Even with the best doctors, providers, and staff, practices can find themselves in constant struggle mode—overworked, under-performing, and losing ground to competitors. But the best-run practices look much different. They have: ✅ A well-aligned team that shares a unified vision.✅ Seamless workflows that enhance efficiency rather than slow it down.✅ Consistent messaging from the front desk to the exam rooms and back, ensuring patients feel confident and cared for at every touchpoint. Enter Shane and Kelly—the experts in turning struggling practices into thriving ones. Beyond Recruitment: The Next Step in Practice Success For six years, MindBody Talent’s Talent Acquisition Services (TAS) has been the go-to resource for recruiting top-tier talent into Functional, Integrative, Personalized, Regenerative, and Aesthetic Medicine practices. Led by CEO Robin Stewart, MBT has led the market by helping practices across 22 states build high-performing teams. But hiring brilliant people isn’t enough. That’s why we’ve expanded our services to Talent Performance Services (TPS)—a division dedicated to ensuring those brilliant professionals and their practices operate even more brilliantly. Meet the Experts Powering Your Practice Success Kelly Coday, Practice Care Coordinator Think of Kelly as your Practice Care Navigator. Just as Patient Care Coordinators help patients navigate their health journeys, Kelly helps practices uncover hidden inefficiencies, fix operational misalignments, and implement strategies for long-term success. She’s here to provide an objective, expert perspective on your practice’s overall health. Shane Fedderman, VP of Practice Success Shane brings 20+ years of expertise in optimizing healthcare practices, with a proven track record of turning struggling or stagnant practices into high-performing, profitable organizations. He specializes in AI-driven efficiencies, patient acquisition strategies, operational excellence, and practice scalability. With deep expertise in Aesthetic Medicine, Shane also expands MBT’s ability to serve another rapidly growing sector of holistic healthcare. AI + Human Expertise: The Future of Holistic Healthcare Both Kelly and Shane also bring AI fluency to the table—helping practices integrate smart automation, predictive analytics, and patient engagement technology to maximize efficiency and profitability. As AI continues reshaping healthcare, practices that leverage it effectively will outperform and outlast those that don’t. Your Path to a More Brilliant Practice Starts Now With MBT Talent Acquisition Services bringing in the best talent and MBT Talent Performance Services ensuring that talent thrives, we don’t just help build great teams—we help build great practices. Is your practice set up to scale, grow, and thrive? Let’s start with a conversation.  Simply click here and book a discovery call with Kelly today. Let’s map out your path to a more brilliant 2025 and beyond. Talent Evolved. Healthcare Elevated.

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