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Concierge and Primary Care Transactions

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Baker Donelson's Health Care Transactions team is uniquely positioned to help practices seize these opportunities and navigate the challenges of a shifting marketplace.

Overview


The landscape for concierge medicine and primary care is rapidly evolving, shaped by shifting patient expectations, ongoing consolidation, and the drive for more personalized, accessible healthcare. Today's patients are seeking greater convenience, enhanced access to their physicians, and a more individualized approach to care, which is prompting practices to rethink traditional models and expand their service offerings. As the industry embraces innovation, physician groups are finding new ways to enhance patient experience, diversify revenue streams, and build resilient organizations for the future.

Baker Donelson's Health Care Transactions team is uniquely positioned to help practices seize these opportunities and navigate the challenges of a shifting marketplace. Our attorneys have guided numerous concierge and primary care groups through growth strategies, partnership transactions, and restructurings, including the development of Management Services Organization (MSO) models and value-based arrangements.

We provide strategic counsel on the development and optimization of a wide range of ancillary services, including:

  • Diagnostic testing and imaging (X-rays, ultrasound, and blood and genetic testing)
  • Executive health programs
  • IV therapies
  • Weight loss and diabetes care programs
  • Hormone replacement therapy (HRT) services
  • Sexual wellness and longevity/anti-aging programs
  • Direct-to-employer arrangements
  • Medspa and non-surgical cosmetic services (e.g., Botox)
  • Wellness and preventative care programs
  • Allergy testing and shots
  • Physical and occupational therapy
  • Urgent care centers and after-hours care
  • Occupational health
  • In-office pharmaceutical dispensing
  • New subscription tiers with premium add-ons

Our work in this space is as diverse as the practices we serve. We regularly advise clients on practice sales, mergers, acquisitions, joint ventures, direct-to-employer contracting, strategic affiliations, private equity sponsors, and national platforms. We also support clients with MSO structuring, regulatory compliance, and post-transaction integration to ensure long-term success. Our approach is collaborative, business-minded, and tailored to the realities of concierge and primary care.

Results may vary depending on your particular facts and legal circumstances. Some of these matters were handled by a current Baker Donelson professional while associated with a prior firm.

  • Represented a large primary care practice located in the mid-Atlantic region in connection with a sale to a payor.

  • Represented a large primary care practice in connection with a sale to a national strategic company.

  • Represented a primary care group in a renewal and amendment of its professional services agreement with a health system.

  • Represented a large (150+) primary care-driven multispecialty practice in the Northeast on its sale to a national strategic provider.

  • Represented a mid-sized primary care group in New York on its sale to a large regional medical practice.

  • Represented a mid-sized primary care group in the Northeast on its sale to a larger payor-affiliated medical practice.

  • Represented a private equity firm in its investment in a national emergency medicine practice.

  • Represented a concierge medicine MSO in its initial formation and capitalization, as well as its first acquisition of a concierge practice in Florida.

  • Represented a concierge platform in its acquisition of a primary care practice in New Jersey to convert to a concierge model.

  • Advised in the development of a multistate concierge practice in the Northeast, including concierge agreements and potential hospital affiliation.

  • Events Relevant to All Physician Specialties

  • "7th Annual Physician Transactions Conference: The Future of Healthcare Conference Series™ " (February 2024)
  • "Private Equity Physician Deals: What Investors, Physicians, and Hospitals Need to Know in 2023," American Health Law Association (AHLA) Health Care Transactions 2023 Conference (April 2023)
  • "The Anatomy of a Private Equity Transaction and Process," 6th Annual Physician Transactions Conference: The Future of Healthcare Conference Series™ (March 2023)
  • "The (Still) Robust Market for Physician Groups," 6th Annual Physician Transactions Conference, The Future of Healthcare Conference Series™ (March 2023)
  • "The Anatomy of a Physician Group Transaction with Private Equity," 2022 Physician Transactions Conference (March 2022)
  • "Key Terms and Protections for Physicians in Sale Transactions," Physician Transactions Conference, The Future of Healthcare Conference Series® (February 2022)
  • "The Process of Undergoing a Strategic Medical Practice Transaction," 2021 Physician Transactions Conference (April 2021)
  • "Assessing Strategic Options and Practice Value in the Wake of the Pandemic," 2021 Physician Transactions Conference (April 2021)
  • "Exit Planning and Strategic Transactions for Physician Groups," AllianceBernstein (June 2020)
  • "Part 3: The Transaction Process, Key Protections for Physicians, and How to Prepare," Physician Group Transactions 2020 (May 2020)
  • "Part 2: Beyond the First Partnership – Second Bites and More," Physician Group Transactions 2020 (April 2020)
  • "Part 1: What's Going On, and What Do You Need to Know?," Physician Group Transactions 2020 (April 2020)
  • "Executive Session: Gary Herschman on Private Equity Investment in Healthcare," Medical Group Management Association (April 2019)

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