Ep110: How to Start a Physician-Owned MSO for Direct Primary Care: Legal Guardrails, Employer Contracts & Growth Tips with Dr. Natalie Gentile

About this episode

This episode explores how managed services organizations can support direct primary care practices while maintaining physician autonomy.

Most physicians dream of independence but dread the isolation and heavy lift of running a solo practice. What if there were a way to share infrastructure, lighten the load, and still maintain your autonomy? In this episode, Dr. Disha Spath sits down with special interviewer Dr. Dan Sooriabalan and guest Dr. Natalie Gentile to explore how managed services organizations (MSOs) can strengthen direct primary care practices. From sharing cross-coverage to negotiating employer contracts, she shares how she and her partner built a collaborative model that supports physicians while keeping patient care personal. This conversation is packed with lessons on leadership, partnership, and building something bigger than yourself! Key Topics Covered: 1. The Hidden Price of 401K Breaking down what a managed services organization is and why it matters for direct primary care. 2. From Vaccine Clinics to Direct Primary Care Collaboration How grassroots community efforts during the pandemic sparked the creation of Pittsburgh's first DPC-focused MSO. 3. Shared Pain Points, Shared Solutions Cross-coverage, marketing, vaccine acquisition, mentorship—how an MSO makes solo practice less lonely. 4. The…

People in this episode

Host: Dr. Disha Spath

Guest: Dr. Natalie Gentile

Topics covered

• managed services organizations
• direct primary care
• physician autonomy
• collaboration
• business of medicine
• leadership

Keywords

• physician-owned MSO
• direct primary care
• collaboration
• employer contracts
• leadership
• financial realities
• scaling

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