Specialty Practice Consolidations (DSOs & MSOs)

Consolidation fails when revenue cycle fragments; we provide the 'Integration Fixers' who protect your roll-up from revenue leakage and cultural attrition. We specialize in placing RCM and integration leaders who harmonize disparate clinical systems into high-performing, centralized platforms.

Industry Challenge

A massive consolidation wave is sweeping through specialties like dental, dermatology, and ophthalmology. The percentage of dentists affiliated with DSOs jumped from ~7% to over 16% in under a decade. Similar trends are transforming other specialty clinics via Management Services Organizations (MSOs).

The Bottleneck: As independent practices roll up into larger platforms, Revenue Cycle Management (RCM) often breaks down. Disparate billing systems and processes lead to cash flow disruptions and revenue leakage. Many consolidators face a critical shortage of leaders who can integrate acquisitions smoothly – standardizing billing, IT, and operations across newly acquired clinics to prevent revenue leakage and culture clash.

Future Outlook

The winners in specialty healthcare consolidation will be those who excel at lean, centralized operations. We anticipate a focus on streamlined back-office functions (through MSO structures) and advanced procurement strategies to drive profitability at scale. In an environment of heavy private equity investment, there is intense pressure to show improved margins post-merger. Expertise in RCM, compliance, and payer negotiations will be at a premium.

Our Solution

We specialize in finding “integration fixers” – leaders who have felt the pain of messy roll-ups and know how to align processes quickly. These executives have unified billing platforms across dozens of clinics, standardized procurement and supply chains, and introduced corporate discipline while respecting the clinical culture of practitioner-founders. They will plug the revenue leaks by implementing common RCM systems and best practices, ensuring that the promised value of consolidation is actually realized on the bottom line.

Common searches

Chief Financial Officer (Healthcare Consolidation): Guides financial strategy during rapid growth, managing integration costs and protecting EBITDA for PE stakeholders.

VP of Revenue Cycle Management: Standardizing reimbursement engines across fragmented provider groups.

Integration Manager: Coordinates the operational and cultural integration of acquired practices – from systems migration to staff training.

Director of Compliance: Ensures that as clinics consolidate, they adhere to healthcare regulations and internal standards.

Director of M&A Integration: Executing 100-day integration plans to stabilize post-close operations.

VP of Payor Relations & Risk Contracting: Manages relationships with insurance payers and negotiates contracts.