The Great Sell-Off: What’s Driving the Shift
More and more independent physician practices are being absorbed by hospitals, insurers, and private equity groups—but not because doctors want to give up autonomy. Economic pressures, administrative overload, and payer negotiations aren’t just challenges—they feel like a system rigged against small practices.
According to a 2024 AMA report, only 42.2% of physicians remain in private practice, down from 60.1% in 2012, and the trend continues to accelerate (Payerchin, 2025).
Among those who sold, the top three reasons cited were:
- The need to better negotiate higher payment rates with payers (70.8%).
- The need to improve access to costly resources (64.9%)
- The need to better manage payers’ regulatory and administrative requirements (63.6%) (AMA, 2025)
The shift isn’t just financial—it’s existential. Private practice is no longer a default. It’s a decision that requires strategy, support, and a new kind of partner.
The Core Problem: A System Stacked Against Independents
Independent physicians are facing more than just tough decisions—they’re navigating a perfect storm of systemic pressures that threaten their autonomy, drain their resources, and push them toward consolidation:
- Negotiation disadvantages with increasingly consolidated payers
- Technology and infrastructure costs required for value-based models
- Overwhelming administrative burdens and shifting regulatory requirements
- Barriers to success in risk-based payment contracts
- Staffing challenges, burnout, and workforce competition
Many physicians feel trapped: merge or quit. We want you to know that there is another way.
Selling may feel like the only option, but it isn’t the only path forward.
Many physicians don’t want to give up on private practice—they just don’t know how to keep going without burning out or going broke. The system is asking them to be clinicians, negotiators, IT managers, HR directors, and regulatory experts all at once. That’s not just unsustainable—it’s unfair. At VBC Transformation Partners, we believe the choice shouldn’t be “sell or suffer.” We believe independent physicians deserve infrastructure, insight, and support without losing their autonomy.
The Alternative: Stay Independent with the Right Transformation Partner
VBC Transformation Partners (VBCTP) was created by physicians, for physicians. We understand the struggle firsthand—and we’ve built a better way.
We help independent practices:
- Negotiate better by modeling smart risk strategies and providing payer-ready support
- Access shared resources like analytics, automation, and EMR-agnostic tools
- Simplify VBC participation with clear roadmaps, custom VOI/ROI models, and phased rollouts
- Ease administrative burdens with documentation and compliance tools
- Build resilient teams with burnout prevention, staff retention, and culture-first strategies
We bring more than data or software—we bring direction.
We return clinical leadership to the heart of healthcare transformation.
We meet you where you are—with no assumptions, no jargon, and no pressure to adopt a full VBC model overnight. Whether you’re still fee-for-service, dipping your toes into quality metrics, or already testing downside risk, we’ll build a plan that fits your pace, your systems, and your people. You don’t have to go it alone. We’ll walk every step with you.
We don’t just help you survive—we help you thrive.
A Human-First Strategy, Rooted in Real-World Results
We recognize that transformation isn’t just a spreadsheet exercise—it’s about people. Your team. Your patients. Your community.
Our approach rehumanizes systems:
- Helps physicians practice at the top of their license
- Reduces burnout with better workflows and targeted support
- Builds care models that improve outcomes and restore joy in practice
- Engages staff and patients alike in a model of collaborative, meaningful care
Why VBCTP?
- Founded by physicians. Grounded in real-world experience (Take a look at our company story).
- Built for independent practices, not corporate systems.
- Tech-enabled but people-first—on your timeline, not someone else’s.
- Flexible engagement options that fit your goals and your budget.
- Designed for fast wins, long-term value, and transformation that lasts.
We don’t just fix broken systems—we ease the burdens they leave on your shoulders.
Ready to Reclaim Control?
Don’t let payer pressure force your hand. You can stay independent and thrive in value-based care—with the right partner.
Built by Physicians. Trusted by Providers. Proven in Practice.
At VBC Transformation Partners, we don’t just model your transition to VBC—we architect it for results. Our solutions are tested, trusted, and tailored for real-life impact. Whether you’re just starting to explore value-based care or ready to scale an early-stage model, we help you move forward with confidence.
