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GI Payer Contracting and Evaluating Consolidation Offers: A Decision Framework for Independent Practices

GI Payer Contracting and Evaluating Consolidation Offers: A Decision Framework for Independent Practices

by Jason Farmer | Mar 3, 2026 | Growth Strategy

About one in ten gastroenterologists now practices inside a private equity-backed group. The other nine need a contracting strategy that works in a market where consolidation has already shifted the leverage. Key TakeawaysApproximately one in ten gastroenterologists...
Scaling With APPs and Second Sites: What Actually Breaks

Scaling With APPs and Second Sites: What Actually Breaks

by Jason Farmer | Feb 14, 2026 | Growth Strategy

Adding a provider or a location does not scale a practice. Codifying how the practice works is what scales it – and most owners do that in the wrong order. Key TakeawaysAANP reports 27 states, Washington D.C. and two territories provide full practice authority...
The Real Cost of Starting a Medical Practice in 2026

The Real Cost of Starting a Medical Practice in 2026

by Jason Farmer | Feb 8, 2026 | Growth Strategy

Startup budgets, buildout, credentialing, and working capital: what a launch really costs, and where physicians most often miscalculate. Key TakeawaysPlan on $70,000–$100,000 as the floor for a lean launch and $500,000 or more for equipment-heavy specialties....
Migrating Gynecologic Procedures to the Office and Building the Service Line

Migrating Gynecologic Procedures to the Office and Building the Service Line

by Jason Farmer | Jan 30, 2026 | Growth Strategy

Office-based hysteroscopy and endometrial ablation are performed routinely in private OB/GYN practices – and the economics are compelling compared to hospital or ASC settings. The financial case is real, but the service line requires infrastructure that most...
Adding Ancillary Services Without Tripping Over Stark and Kickback Rules

Adding Ancillary Services Without Tripping Over Stark and Kickback Rules

by Jason Farmer | Oct 23, 2025 | Growth Strategy

In-house imaging, labs, and therapy can strengthen margins and patient care at the same time. The rules are strict. They are also navigable, provided you build the structure before you build the service line. Key TakeawaysAncillary services are one of the few growth...
Marketing a Medical Practice Without Feeling Like a Salesperson

Marketing a Medical Practice Without Feeling Like a Salesperson

by Jason Farmer | May 29, 2025 | Growth Strategy

You did not go to medical school to write ad copy. The good news: the highest-yield marketing for a practice is operational, measurable, and mostly free. Key TakeawaysOnline reviews are the front door: 84% of patients check them before choosing a provider. The fastest...
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