How independent practices build stability without adding hours

Staying independent is harder than it was even a year ago. Costs are rising, reimbursements are slower, and administrative work continues to spill into nights and weekends. Yet not every practice is struggling.    Drawing on insights from Tebra’s 2026 State of the Independent Practice Report, this case study collection shares five real practice stories. Each one shows what changes when clinical workflows, billing, and the patient experience are connected, so work doesn’t break between systems.