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States Are Expanding Independent Practice Rights for NPs and PAs, and It's Reshaping the Competitive Landscape

States Are Expanding Independent Practice Rights for NPs and PAs, and It's Reshaping the Competitive Landscape

Growing state-level authority for nurse practitioners and PAs to practice independently is reshaping physician practice competition and creating a genuine new addressable buyer segment.

08/18/2026
The New HIPAA Privacy Rule Is About to Drop, and Practices Have Genuinely Little Time to Prepare

The New HIPAA Privacy Rule Is About to Drop, and Practices Have Genuinely Little Time to Prepare

The HIPAA Privacy Rule's final rule is expected in August 2026, giving practices genuinely little runway to prepare for whatever changes it introduces.

08/14/2026
MVPs Are Replacing MIPS, and Independent Practices Are About to Feel It Most

MVPs Are Replacing MIPS, and Independent Practices Are About to Feel It Most

The 2027 Medicare fee schedule proposal introduces MIPS Value Pathways, described as "MIPS on steroids," with cuts landing hardest on independent practice groups.

08/13/2026
Healthcare Unionization Is Rising, and Practice Leaders Need a Legal Playbook They Don't Have Yet

Healthcare Unionization Is Rising, and Practice Leaders Need a Legal Playbook They Don't Have Yet

Healthcare staff organizing efforts are accelerating, and practice leaders are navigating unfamiliar legal territory around how to respond appropriately.

08/11/2026
Women Physicians Leave Clinical Practice 15 Years Earlier Than Men, and Practice Leaders Are Only Now Connecting the Dots

Women Physicians Leave Clinical Practice 15 Years Earlier Than Men, and Practice Leaders Are Only Now Connecting the Dots

New data shows women physicians leave clinical practice 15 years earlier than men, and practice leaders are only now connecting the dots on what actually drives retention.

08/07/2026
Physician Practice Bankruptcies Just Hit Their Highest Level Since 2019, and It's Creating a New Wave of Buyers

Physician Practice Bankruptcies Just Hit Their Highest Level Since 2019, and It's Creating a New Wave of Buyers

Physician practice bankruptcies are on pace for their highest level since 2019, nearly tripling year over year and creating a genuine new wave of practice buyers and restructuring advisors.

08/05/2026
The $100,000 H-1B Fee Is Reshaping Who Rural Hospitals Can Even Recruit

The $100,000 H-1B Fee Is Reshaping Who Rural Hospitals Can Even Recruit

The new $100,000 H-1B visa fee lands directly on international medical graduates who fill a disproportionate share of rural and underserved physician roles, forcing hospitals into urgent recruiting decisions.

08/01/2026
How to Tell If a Physician Email List Vendor Is Reselling Data They Don't Own

How to Tell If a Physician Email List Vendor Is Reselling Data They Don't Own

Most physician email list vendors are reselling the same underlying aggregated data with a different logo attached. Here is how to tell, and why it matters for deliverability.

07/27/2026
CMS Just Proposed a 2027 Pay Cut, and the Site-of-Service Payment Gap Is Reshaping Who Owns the Practice

CMS Just Proposed a 2027 Pay Cut, and the Site-of-Service Payment Gap Is Reshaping Who Owns the Practice

CMS's proposed 2027 fee schedule cut and the hospital-versus-office payment gap are actively driving practice consolidation and MSO deals right now, not next year.

07/24/2026
are Is Leaving the Hospital, and Most Physician Contact Databases Cannot Keep Up

are Is Leaving the Hospital, and Most Physician Contact Databases Cannot Keep Up

Care is shifting from hospitals to outpatient clinics, urgent care, and home-based services faster than most physician contact databases can track. Accuracy is now the differentiator.

07/23/2026
The Physician Retirement Wave Is Creating the Largest Wealth Transfer in Healthcare -- and the Vendors Who Understand It Are Moving First

The Physician Retirement Wave Is Creating the Largest Wealth Transfer in Healthcare -- and the Vendors Who Understand It Are Moving First

An estimated 40 percent of practicing physicians are over 55. As they retire, they are selling practices, transferring patient lists, and making retirement account decisions at a scale that has never existed before in American healthcare.

07/16/2026
Concierge Medicine Is Growing Faster Than Anyone Expected -- and It Is Pulling in a Different Kind of Physician Than the Model's Critics Predicted

Concierge Medicine Is Growing Faster Than Anyone Expected -- and It Is Pulling in a Different Kind of Physician Than the Model's Critics Predicted

Concierge medicine has grown from a luxury niche to a mainstream practice option attracting burned-out physicians seeking better care relationships, not just wealthy clientele. The vendor ecosystem supporting it is thriving and largely underserved.

07/14/2026
Healthcare Email Marketing Has the Highest Unsubscribe Rate of Any B2B Vertical, and the Reason Is Almost Never the Content

Healthcare Email Marketing Has the Highest Unsubscribe Rate of Any B2B Vertical, and the Reason Is Almost Never the Content

Physician email lists have notoriously high unsubscribe rates compared to other B2B verticals. The reason is almost never the content. It is stale data, IT-filtered work addresses, and send cadences that violate physician attention preferences.

07/10/2026
Rural Hospital Closures Have Created a Clinical Technology Vacuum Nobody Has Mapped as a Vendor Opportunity

Rural Hospital Closures Have Created a Clinical Technology Vacuum Nobody Has Mapped as a Vendor Opportunity

More than 180 rural hospitals have closed since 2010 and 600-plus are financially vulnerable. The FQHCs and critical access hospitals absorbing their patients are in urgent technology evaluation most physician mailing lists have never reached.

07/06/2026
Ambient AI Scribes Have Reached the Independent Practice, and the Buyer Isn't Who You'd Expect

Ambient AI Scribes Have Reached the Independent Practice, and the Buyer Isn't Who You'd Expect

Ambient AI scribes have moved from academic medical center pilots to mainstream adoption in a little over a year. In independent and small practices, the purchasing decision belongs to the practice administrator or owner physician, not a CMIO most physician lists target.

07/02/2026