Marcia Frellick

Urologists who are members of LUGPA are doing the right thing by being part of large group practices.

While Laszewski said the Affordable Care Act (ACA), which is driving many of the changes, may end up being altered, he doesn't expect the program to be disbanded due to the political shift in legislative power.

Entrepreneur James Feldman, chief innovation officer of the Chicago-based company Shift Happens!, calls himself "a doctor for business."

Urologists hear quite a bit about risk from the legislative and regulatory angles.

Changing that model will be difficult and disruptive, Becker said, but recognizing the size of the change and developing a plan for managing it will be keys to success in large urology group practices.

Many community-based medical practices are being acquired these days by hospitals that are working to build a steady stream of patients and grow market share.

As fee-for-service models dwindle under healthcare reform, new reimbursement models based on risk are emerging.