Computer implemented methods are provided for managing and optimizing the profitability of a plurality of physicians in a healthcare practice participating in an insurance network. Exemplary computer implemented methods can include, for example, comparing via one or more computers current ancillary medical procedures used by each of the plurality of physicians with one or more preferred ancillary medical procedures of the insurance network to thereby identify at least one of the plurality of physicians in the healthcare practice who engages in ancillary medical procedures that are not preferred by the insurance network. Such exemplary computer implemented methods can also include, for example, modifying the ancillary medical cost management behavior of the at least one of the plurality of physicians and distributing a predetermined percentage of savings attributed to the modified ancillary medical cost management behavior of the at least one of the plurality of physicians.