The link below is to an article in the ADA News. In my opinion reduced revenues means a chance (maybe a requirement) for better management. Now is the time to examine systems, replace out of date “stuff” with more efficient “stuff” and to get training.
Health spending growth slowed down to 4.4 percent in 2008, the slowest rate of growth in 48 years. The dental growth rate also declined but not as dramatically nor as low while dental spending increased from $96.3 billion in 2007 to $101.2 billion or $332 per person in 2008 as measured by the National Health Expenditure Accounts and reported in the journal Health Affairs
via ADA.org: ADA News: Health spending at slowest rate in 48 years.