A perspective on technology adoption, financial pressures, and growth strategies for independent practices today.
After a decade of consolidation, independence is far from extinct. A new generation of clinicians is weighing independence against employed positions at large systems, and the tooling to run a lean practice has never been better.
This piece is our perspective on where independent practice stands, drawn from public research, industry reporting, and conversations with the practices we build for.
AI tooling — particularly ambient documentation — has been the breakout category, moving quickly from early adopters to mainstream interest. Cloud EHRs and patient portals are now considered table stakes.
Margins are compressing, and the biggest controllable lever tends to be platform integration — practices using a single integrated EHR + billing + engagement platform spend less time reconciling data across disconnected tools.
Hiring remains hard, and time-to-fill for clinical and front-office roles is long. Practices that invest in workflow automation report doing more with the team they have — often the most reliable lever available.
The independent practices doing well share three habits: they invest in modern tooling, they measure their own performance, and they build margin deliberately rather than hoping for it.
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