CHS Insights
Perspectives on independent practice.
Practical thinking on ownership, operations and the business of specialty medicine, from the people who run it.
Independent Practice
Growing Faster Than the Business Behind It
For independent specialty groups, the most perilous period is often not decline but growth. The clinical enterprise can scale in months; the infrastructure that sustains it rarely keeps pace.
Laurie Gallagher · October 2026 · 7 min read
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Independent Practice
Keeping Private Practices Private
As private capital increasingly reaches physicians through management services organizations, the language of partnership has outrun the substance. The management agreement, not the pitch, reveals who governs the practice.
Laurie Gallagher · September 2026 · 7 min read
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