For the physician who keeps her own name on the work

Independent, but networked.

Most of medicine is employed now, and a lot of it is owned by funds with a three-to-seven-year exit clock. The pendulum story says ownership swings back on its own. The evidence says it does not: when a platform exits, the physicians who leave mostly land in bigger groups, because the ones with capital and a contract ready are health systems and insurer-owned groups. Independence returns only if a kit exists at the moment a physician walks. This is that kit. We run it for our own brands first.

82.0%of U.S. physicians are employed by a hospital or corporate entityAs of January 1, 2026. Hospitals 59.7%, corporate entities 22.3%. PAI-Avalere, 2018 to 2026 report. 60% → 42%Physicians in private practice, 2012 to 202460.1% to 42.2%. AMA Physician Practice Benchmark Survey. The decline happened while practice technology got better; tooling was never the binding constraint. +10 ptsLikelier to join a 120-plus-physician group after a private-equity exitJAMA Health Forum, 2025: 1,215 physicians, 70 exiting practices, matched controls. Turnover rose after the exit, and it consolidated. ~3 in 4Employed physicians have only ever practiced as employeesPAI 2026 Employed Physician Survey. A cohort that never owned does not return to ownership by itself. It has to be handed a kit.

The kit

Not "independent again." Independent but networked: the parts a solo or small practice used to have to buy with equity, rented instead, with the physician's name on every consequential act.

01 · Keep your name on the work

An AI front office that signs under your NPI

Eleven physician-attested agents for the orthopedic practice: missed-code capture graded by the CMS NCCI engine, prior auth, coding audit, PROMs, RTM. The model proposes; you sign; your practice bills. Wonder Bill is free to start.

02 · Rent the back office, never sell equity

A technology company with zero clinical control

SolvingHealth is structured as a technology MSO: flat fees, never a share of revenue, never tied to referral volume, no ownership of the practice. Every brand publishes its price; there is no fund on the other side of the table.

03 · Own a portable record of your judgment

Every determination you sign becomes a receipt you keep

ClinicalSwipe pays a flat fee per review you sign or decline. Each decision is hash-anchored on the public registry, so your review record travels with you, not with an employer.

04 · Share risk through ownership, not a fund

The cooperative model, applied to care

co-op.care pays caregivers $26 of every $35 hour and gives them equity. The same structure, physician-side, is a network you own a piece of instead of one that owns you.

05 · Know the clocks

TEAM live · ASM January 2027 · CJR-X January 2028

Mandatory episodes and specialist-level risk favor whoever has the record. An independent practice with an attested outcome record is not the one that gets squeezed by the reconciliation.

06 · Verify before you trust

Our operating proof is public

The registry our own brands write to is countersigned into Bitcoin daily. Check one receipt before you take a meeting.

The honest edges

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