Can general medical practices in the UK can be indirectly with MSO?

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December 20, 2023

by a searcher in Nynäshamn, Sweden

Does anyone know if general medical practices in the UK can be indirectly controlled by an MSO operated by people not registered as doctors, as well as a few doctors as industry experts? As in the MSO charges a variable rate and essentially sweeps the accounts and thereby controls the cashflow and makes the business desicions while a physician is the owner and responsible for clinical descisions? If yes how would one make sure the doctor owning the medical practices that operates under the MSO would not go against the MSO?

Best regards

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Reply by a searcher
in London, UK
Don't know the details of this industry by any means, but if it's not possible there will certainly be other business models which could be used to achieve the desired goal. It may also be worth considered Primary Care Networks which existing here in the UK, as they seem to have a somewhat similar role to MSO's, and are doctor led.

https://www.england.nhs.uk/primary-care/primary-care-networks/

Happy to share some recommendations about different routes to your desired destination, and to do so, I need a little more context.

It seems the desired position is to have control of the cashflow.

For what reason, other than being able to take a margin from it, do you want this?

To avoid back and forth, repeat the question a few times to uncover the deeper motivation, so the community and I can help you achieve what you're really after 😎
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Reply by a searcher
from University of Pennsylvania in Ambler, PA 19002, USA
Great question and posting here to follow. I don't know about MSO roll-ups of medical practices in the UK.

If it is of any help, I do know that there are a few large US based health systems that have acquired private hospitals in Ireland. In these situations, the Physician owner of the hospital/clinic received a partial upfront payout with remaining paid over x years (undisclosed) and was put on the payroll to continue to receive the typical structured pay - per procedure renumeration. In this situation the incentives are aligned for the physician seller and the buyer... the better the clinic does, the better the physicians performance pay.

I also would not be surprised if they tied the remaining x years payout to performance metrics.
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