The Story of Solution Practice Management: Rediscovering the Joy of Private Practice
In recent years, a troubling trend has emerged in the healthcare industry: private equity firms have been rapidly acquiring independent medical practices, leaving many physicians feeling disillusioned and sidelined. As talented doctors became employees in their own companies, the very essence of what made their practices unique seemed to fade away. This situation resonated deeply with Dr. Thomas Rambacher and Dr. David Pougatsch, two dedicated physicians who witnessed firsthand the dissatisfaction of their colleagues.
Having spent years in compliance consulting for Medicare and private insurances, Dr. Rambacher and Dr. Pougatsch identified a pressing need for an alternative model that would allow doctors to maintain their independence. Many of their friends expressed a longing to run their practices according to their own vision—free from the constraints imposed by hospitals, managed care organizations, or private equity. Inspired by these conversations, they embarked on a transformative journey to revolutionize the way private practices operate.
Over 18 months, they meticulously crafted a solution that aimed to keep private practices independent while empowering doctors to reclaim control over their careers and lifestyles. This vision culminated January 2025 in the creation of Solution Practice Management—a company designed to provide comprehensive support for physicians seeking to maintain autonomy in their practices.
At Solution Practice Management, the focus is simple: to alleviate the administrative burdens that so often lead to burnout and dissatisfaction. By offering tailored solutions that streamline operations, improve work-life balance, and enhance patient care, the company seeks to empower physicians to concentrate on what they do best—helping their patients.
Gone are the days of bringing work home, doing charts late into the night, or feeling overwhelmed by administrative tasks. With Solution Practice Management, doctors can delegate these responsibilities and regain precious time for their families, friends, and personal pursuits. The promise of this partnership is clear: a return to the joy of practicing medicine, the fulfillment of building a thriving practice, and the satisfaction of serving patients on their own terms.
Don't let dissatisfaction and frustration dictate your career. Join the growing community of Solution Practice Management clients and take the first step towards reclaiming your passion for medicine and achieving the work-life balance you deserve. Together, we can ensure that private practice remains a place where doctors thrive—both professionally and personally.
Created by Physicians, for Physicians
Meet the physician behind SPM who offers extensive experience in healthcare administration, billing, compliance, technology, and private practice marketing.
Dr. Thomas E. Rambacher
During his 25-year medical career, he obtained a double board-certified in podiatric surgery and wound care. He actively engages in resident teaching at the Long Beach Memorial program and has established an endowment at Western University's podiatric school to support students specializing in reconstructive limb salvage.
Dr. Rambacher began his medical career at the Ohio College of Podiatric Medicine and completed his residency at the Cleveland Clinic Foundation in Cleveland, Ohio. He furthered his training with a second residency at Saddleback in Orange County. He has consulted for medical distributors and specializes in audit defense, advocating for clients against improper financial recoupment. As the California representative for the Private Insurance Advisory Committee and the medicare CAC, he maintains strong relationships with carriers and physicians nationwide. He is currently a board member for the California Podiatric Medical Association and was president of Orange County Podiatric Medical Association twice.
Dr. David A. Pougatsch
Dr. David A. Pougatsch is a board-certified podiatrist who founded a multi-specialty wound care group, surgical center, and hyperbaric oxygen facility in Southern California. His expertise encompasses complex reconstructive foot and ankle surgery and diabetic limb salvage, utilizing advanced wound care modalities such as flap surgery, regenerative medicine, and cellular tissue products. His business acumen was instrumental in the wound care group’s growth from its inception, expanding to multiple providers and locations. Dr. Pougatsch is also a recognized leader in medical billing and collections, provider documentation, and regulatory compliance.
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He holds leadership roles as President of the Los Angeles County Podiatric Medical Association and serves on the Board of Directors for the California Podiatric Medical Association, also representing California at the American Podiatric Medical Association. Additionally, he advocates for providers and patients as a member of California’s CAC/PIAC insurance committees.
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Dr. Pougatsch completed his residency training at Cedars-Sinai Medical Center in Los Angeles and a fellowship in wound care, reconstructive surgery, and limb salvage at Western University of Health Sciences. He maintains academic appointments as a Clinical Instructor of Surgery at Western University and serves on the attending staff for the Cedars-Sinai Podiatric Surgery Residency Program.