Preserving entrepreneurialism in medicine.

The physician-patient relationship is the work. Physician-led practice is what protects it.

Why PPA exists.

The Private Physicians Alliance was founded in 2017 to counter the consolidation of healthcare. Private equity firms and hospital systems acquire practices at an unprecedented rate, and the autonomy of the physician erodes with each transaction.

Over 30% of primary care practices have been absorbed into corporate structures. The pattern repeats: acquisition, standardization, optimization for margin, not care.

PPA exists to break that pattern. We provide the scale, leverage, and intelligence of a large health system without taking ownership. We are the layer that lets you stay in control of your practice.

2017Founded
300+Members
190+Physician members
98%Annual member renewal

What we stand for.

01

Autonomy over scale

Growth should never come at the cost of control. We help practices grow while keeping clinical and operational decisions with the physicians who run them.

02

Transparency, always

No hidden fees, no opaque contracts, no surprises. Members know exactly what they get and what it costs.

03

Physician-led governance

Decisions that affect members are made by physicians who run practices themselves, not corporate administrators.

04

Community over competition

Entrepreneurial physicians are stronger together. Information sharing, peer support, and collective action benefit everyone.

What the alliance stands for.

Private Physicians Alliance is a curated network of entrepreneurial, best-in-class concierge and direct primary care (DPC) practices, along with the specialists who support this care model. The Alliance fosters growth, sustainability, and excellence through shared knowledge, exclusive member benefits, global referral pathways, and access to trusted local and global resources.

Curated Membership

Prospective members undergo a thorough screening process, including interviews and final approval by our Board of Directors, ensuring alignment with the Alliance’s values and standards.

Entrepreneurial Focus

We welcome physician-owners who lead their own practices. The Alliance provides a robust platform for business intelligence, operational best practices, and strategic guidance — including scaling, growth, and succession planning.

Best-in-Class Care

Our members are dedicated to delivering personalized, preventive, and science-based care. While embracing innovation, the community collaborates to validate the clinical efficacy of new diagnostics, therapies, and technologies — ensuring patients receive the most effective, evidence-informed treatments.

A Manifesto

What we believe.

The patient-physician relationship is the work.

Everything else in medicine is structure around that core relationship. The membership model exists because the structure had drifted far enough from the relationship that the relationship was suffering. We exist to defend the structure that makes the relationship possible.

Ownership matters.

Who owns the practice determines what the practice optimizes for. Physician-owned practices optimize for patient outcomes and long-term professional satisfaction. Corporate-owned practices optimize for the operator's financial returns. These are different optimizations and they produce different medicine.

Going your own way does not mean going it alone.

The most common failure mode for an entrepreneurial practice is the assumption that running your own model means doing it without backup. The most successful physician-led practices have deep networks, peer relationships with other owners and operators, referral relationships with trusted specialists, vendor relationships built on negotiated rates. The network is the strategy that makes the autonomy sustainable.

The membership model is not a feature, it's a structure.

Calling concierge or DPC a "premium" tier of care misses the point. The membership structure changes the financial relationship in ways that change every other operational and clinical decision downstream. Practices that treat the model as a feature on top of insurance medicine struggle. Practices that treat it as a structural choice and rebuild the operation around it thrive.

Small panels do not mean elite medicine.

The most common public criticism of concierge medicine is that it concentrates resources on the wealthy. The honest answer is that the public conversation has lumped together very different fee structures, a DPC practice at $80 a month is not the same as a $5,000-a-year concierge practice. Both are responses to a primary care economic model that has failed both patients and physicians. PPA represents the full spectrum.

Consolidation is not inevitable.

Private equity has acquired roughly 30% of primary care in the last five years. Hospital systems have acquired more. The standard narrative says this trajectory continues until physician-led practice is a memory. We disagree. The trajectory continues until entrepreneurial practitioners are organized enough to compete. That's the work.

The Work

What PPA actually does.

The alliance is not a brand statement. It's a working organization with concrete deliverables to its members.

  • Group purchasing. Pre-negotiated rates and special offers across the categories every membership practice spends on, supplies, technology, marketing, payroll services, conferences, and exclusive vendor access. Average member savings: 14% in the first quarter.
  • Peer network. Direct access to 400+ owners and ops leaders running the practices closest to yours. Forums, monthly ops briefings, weekly clinical briefings, referral routing for traveling patients.
  • Intelligence cadence. Monthly Afternoon Reports with legal and clinical experts. Monthly Ops Briefings for administrators. Knowledge Center archive of 60+ editorial pieces. CME accreditation.
  • Annual Meeting. Three days of clinical and operational programming, CME credit, peer networking, and curated partner conversations. 220+ attendees expected this year, a record.
  • Leaders Circle Retreat. Invitation-only counterpart to the Annual Meeting. Less programming, more peer time.
  • Curated partner relationships. A small, slow-changing roster of industry partners who deliver real value to members. Recommended by current members, vetted by the Partnership Committee, reviewed annually for renewal.

Stay in control. Grow on your terms.

300+ members chose alliance over consolidation.