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.
The law is moving the same way. On September 16, 2026, Senators Warren, Wyden and Merkley introduced the Stop Corporate Takeovers of Physicians Act (House companion H.R. 10444), modeled on Oregon's SB 951, which is already law there. It would bar private-equity funds, insurers and other for-profit corporations from owning or controlling medical practices, and bar a management company from controlling hiring, pay, revenue targets, billing or contracting. With only Democratic sponsors it is unlikely to pass this Congress. The shape it draws is still this page's: the physician owns the practice and signs the work, and the help is rented on a contract, never equity, never control.
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.
An AI front office that signs under your NPI
Domain-tuned agents for the orthopedic practice (five run today, the rest are designs): 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 takes one note and no login.
02 · Rent the back office, never sell equityA technology company with zero clinical control
SolvingHealth is structured as a technology MSO: never a share of revenue, never tied to referral volume, no ownership of the practice. There is no fund on the other side of the table.
03 · Own a portable record of your judgmentEvery determination you sign becomes a receipt you keep
Every review you sign or decline on ClinicalSwipe 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 fundThe cooperative model, applied to care
co-op.care employs caregivers as W-2 co-owners with equity. The same structure, physician-side, is a network you own a piece of instead of one that owns you.
05 · Know the clocksTEAM 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 trustOur 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
- AI attacks overhead, not the fee schedule. Medicare cut hip and knee professional fees again for 2026, and CMS is moving risk onto specialists. Independence has to be built on the record, not on a hope that reimbursement recovers.
- We are early. The tools are deployed, every case so far runs on synthetic data, and no real case has been signed yet; the network is small. If you need a mature, staffed platform today, we will say so.
- Nothing here promises an outcome or a number. Representative examples are labeled representative. Run one real note for your figure.
- The signature is yours. SolvingHealth never bills a payer, never decides a case, and never furnishes care. A named, licensed physician does, under her own license, and can decline.
Or tell us where you sit and the founder reads it.