If you want to run your practice like a business, you have to focus on the self pay market.
That doesn’t mean that you can’t treat insured patients, it just means that you can’t rely on them.
If you rely on insured patients, you are working for the insurance companies, so don’t be surprised if they cut your fees or impose restrictions on you.
You need to focus on the self pay market and develop your services around giving more value to your self pay patients because this is the group that you can control and really separate yourself out from your colleagues.