Play physician practice ownership: long training, high ceiling
Physicians who accept that ownership is a second job on top of clinical work.
First dollar: After residency and capital/partnership path. Longest education barrier on the board.
Exact steps. Ship the smallest unit of paid value before you gold-plate.
Employment vs ownership tradeoffs are changing with PE/hospital buyouts.
Payer mix and procedure mix drive reality.
Buy-in terms and noncompetes matter as much as salary.
Practice manager and billing excellence.
Consolidation is real. Keep options.
Related decks if this one is working or if you need a stronger wincon.
What you do on paper: Own a private medical practice (e.g., primary care or a specialty clinic) -- bill insurance for your own production plus the practice's profit, employ NPs/PAs and staff to leverage your panel.
Frequency: Tens of thousands of physician-owned practices, but the share is shrinking fast as hospitals/PE acquire them.