MedMerge

Independence is not failing. It is under-structured.

MedMerge is the coordination infrastructure for independent medical practices, integrating risk, capital, employer access, and operational intelligence without requiring consolidation or loss of ownership.

1,000 Facilities
$4.2B Aggregate Premium
$1.6B Aggregate Payroll
$840M Captured Float
The Structural Gap

Consolidation is not a talent issue. It is a structure issue.

Independent physicians are not losing to hospital systems because hospital systems deliver better care. They are losing because independent practices purchase alone what hospital systems purchase together.

The gap is not clinical. It is not operational. It is structural. Without coordinated infrastructure, selling becomes rational. That is not a failure of will. It is a failure of structure.

"If selling is your only strategic option, your structure is incomplete."
See where the money goes →
The Framework

Independent groups remain independent when four conditions are met.

I

Risk Coordination

Pooled risk across hundreds of practices creates actuarial credibility and captive insurance economics no individual practice can access alone.

II

Capital Retention

Premium dollars, underwriting surplus, and float returns stay within the physician collective rather than transferring to commercial carriers.

III

Direct Employer Access

Independent practices contract directly with employers as a coordinated network, bypassing intermediaries and competing for covered lives.

IV

Operational Intelligence

AI-driven analytics across the collective surface patterns in claims, utilization, and cost that individual practices cannot see independently.

How it works →

The capital is already leaving your accounts every month.

The only question is which balance sheet it builds. MedMerge redirects the float, the surplus, and the underwriting margin back to the physicians who created it.