← Back to InsightsMarch 10, 2026 · By PPA Editorial
A private equity defense playbook for the independent owner
How private equity rolls up specialty practices, and what independent owners can do today to keep the option of independence open.
Private equity has aggregated 30% of the primary care market in five years. The pattern is consistent: an attractive offer, standardization, optimization for margin.
The window to stay independent narrows once a regional MSO is built. This article outlines what owners can do in years 1, 3, and 5 to keep the door open.