MSOs & Multi-site Medical Groups · VALUE CAPTURE
Acquired-Practice Integration.
Each acquisition reaches platform performance sooner, on one operating model, with the synergies in the investment case tracked against a baseline.
The problem this solves
- Acquired practices on separate PM/EHR systems and fee schedules
- Payer enrollment and credentialing delays holding back cash after close
- Synergy targets in the model with no operating owner or measurement
What we measure
- Time from close to KPI parity with the platform
- Days from provider start to first billed claim
- Synergies captured versus the investment case
Every program starts by baselining these numbers in your systems. Results are reported against your baseline, not against industry averages.
The playbook
01
Standard integration sequence
A repeatable plan for each acquisition covering payer enrollment, system migration, central scheduling, revenue cycle cut-over and staffing, with a named owner for every step.
02
Credentialing and enrollment tracking
Provider credentialing and payer enrollment tracked by provider and payer, with documents gathered and submissions prepared automatically so new clinicians can bill sooner.
03
Synergy and KPI tracking
Every site measured on the platform KPI set from close, so management and the sponsor can see which synergies are captured and which are still on paper.
The market context, in published numbers
82.0%
of US physicians were employed by hospitals or corporate entities, including private equity firms and health insurers, as of January 1, 2026
31 days
average wait for a new-patient physician appointment across six medical specialties in 15 large US metro areas, up 19% since 2022
39
prior authorization requests completed per physician per week on average, taking physicians and their staff an average of 13 hours a week (AMA survey of 1,000 physicians, late 2024)
60%
of medical group leaders reported an increase in claim denial rates versus the same period a year earlier (MGMA Stat poll, 235 responses)
$21B
remaining US healthcare savings opportunity from fully automating manual and partially manual administrative transactions between providers and health plans
CAQH (now DataSpring), 2025 CAQH Index, released February 19, 2026 (2026)
Figures are third-party market benchmarks from the cited sources, not Ometz Partners client results. We share them so you can size the problem before we ever talk.
Capabilities
What the Integration & Value Capture program covers.
Day-1 readiness and the first 100 days
Legal Day-1 readiness, communications, decision rights and a plan for the first 100 days with the risks named and owned.
Integration management office
Workstream plans, a weekly cadence, issue and risk logs and decision tracking, run with your leadership and the sponsor.
Synergy tracking
Each synergy defined, baselined and owned, with run-rate benefits and one-time costs tracked against the deal model.
Systems and data consolidation
Practice-management, ERP, CRM, accounting and custodial platforms consolidated, with data mapping, migration and reconciliation automated where possible.
Operating-model harmonization
Pricing and fee schedules, front-desk and back-office processes, and policies standardized where it creates value, and left local where it does not.
People and relationship retention
Retention plans for clinicians, advisors, partners and key staff; for wealth platforms, advisor transitions and client repapering run as a tracked workflow.
Carve-outs and TSA exits
Standalone functions stood up and transition-service agreements exited on schedule for businesses carved out of larger groups.
Also in the MSOs & Multi-site Medical Groups program
ACCESS
Patient Access & Referral Performance
Shorter time to appointment and more referrals converted into visits, with scheduling, intake and referrals run as one managed flow across sites.
MARGIN
Front-End Revenue Cycle & Denial Prevention
Fewer denials and faster cash, by fixing eligibility, authorization and registration before the claim and working what still denies through prioritized workqueues.
Next step
Size this opportunity in your own numbers.
The Performance Diagnostic runs for two to four weeks at a fixed fee and ends with a baseline, three priced improvement plays and a 90-day plan. The findings are yours whether or not we continue.