Management Service Organizations (MSOs) were originally created to help physician practices with administrative tasks like billing and HR. However, they’ve increasingly become tools for private equity firms, insurers, and corporations to control medical practices—often bypassing state laws that prohibit non-physicians from owning or directing medical care.
MSOs now not only provide services but also buy up practices, consolidate networks, and influence clinical decisions—all while claiming not to “own” the practice. This can result in higher costs, reduced physician autonomy, and patient care that may prioritize profits over health.