Merging primary care practices with MSOs

Primary care group practices need to merge to provide the community-wide access demanded by managed care companies. Unfortunately, merger costs are high; according to some estimates, creating large-scale access can demand $1 million in start-up costs alone. Creating and using a management service organization can make the process less trying by pooling resources and talent in a common organizational structure. It's important, though, also to recognize the personal and financial burdens of such a plan.