The Staying Independent Playbook

Key Strategies to Protect Your Practice's Independence
- Practical tools to strengthen autonomy in independent practices
- Proven pathways like MSO and ACO to gain scale without losing control
- Technology solutions to reduce administrative burden and boost efficiency
- Real-world case studies of practices thriving on their own terms
- Checklists and templates to build resilience and safeguard growth
Your practice’s independence is worth protecting. Get the guide.
Many independent practices face mounting challenges — reimbursement cuts, staffing shortages, and administrative burdens threaten their very existence. Data from the AMA shows a stark decline, with only 42.2% of physicians in private practice in 2024, down from 60.1% in 2012.1
But it doesn’t have to be this way. There’s a path forward for practices determined to protect their autonomy without going it alone.
athenahealth has developed The Staying Independent Playbook, a comprehensive guide built on real-world insights and practical strategies. We’ve analyzed the pathways and tools that successful practices use to maintain autonomy while thriving in today's complex healthcare landscape.
This playbook offers a clear framework to protect your independence, featuring actionable strategies like joining an MSO or ACO, leveraging technology to reduce administrative burden, and building financial resilience. It includes checklists, templates, and case studies from practices that have successfully navigated these challenges without sacrificing control.
These insights are designed to work whether you’re focused on fee-for-service or transitioning to value-based care. If you’re determined to safeguard your practice’s autonomy and deliver exceptional patient care on your own terms, this playbook is your essential resource.
Take the first step: Download your playbook today.
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- American Medical Association. 2025. “Physician Practice Benchmark Survey.” https://www.ama-assn.org/about/ama-research/physician-practice-benchmark-survey







