Enterprise Outsourcing for MSOs, IPAs, and PE-Backed Physician Networks
The Staffingly back office for MSOs, IPAs, and PE-backed physician networks. One credentialed team handling prior auth, eligibility, RCM, credentialing, scheduling, and virtual medical assistants across every affiliated practice. Billed by the hour. One BAA covers all your locations.
See how enterprise outsourcing actually works.
AI suggests, a certified human approves. Hourly billing. Month-to-month after the pilot.
One outsourcing partner for every affiliated practice in your MSO
What is MSO and physician network outsourcing?
MSO and physician network outsourcing is the practice of moving back-office work such as prior authorization, eligibility verification, revenue cycle, credentialing, scheduling, and virtual medical assistant support to one remote, credentialed team that serves every affiliated practice in an MSO, IPA, or PE-backed physician network under one Business Associate Agreement. It lets the network replace percent-of-net-patient-revenue contracts with hourly billing and run one partner across all affiliated practices instead of separate vendors per location.
Staffingly is the AI-Powered, HIPAA Compliant outsourcing partner for MSOs, IPAs, and PE-backed physician networks.
One credentialed team handles prior authorization, eligibility verification, revenue cycle, credentialing, scheduling, and virtual medical assistants across every affiliated practice. One BAA covers all locations. Hourly billing replaces percent-of-net-patient-revenue contracts.
Our AAPC-credentialed, overseas-licensed and educated specialists work inside eClinicalWorks, athenaOne, Epic Community Connect, NextGen, and AdvancedMD, plus MSSP and ACO REACH platforms. Every engagement starts with a 2-Week Risk-Free Pilot, BAA Signed, on your highest-volume affiliate before we expand network-wide.
Why MSOs and physician networks are running out of back-office capacity
MGMA and CMS data show the operational pressure compounding across affiliated practices. The numbers are not a forecast. They are what every MSO operations leader sees in the weekly scorecard.
92% reassign staff for PA
The MGMA 2025 prior authorization report found 92% of medical group practices have hired or reassigned existing staff solely to handle PA volume. Across an MSO with 30 affiliated practices that is a hidden salary line in every location.
35 minutes per PA request
MGMA found 35% of practices now spend 35+ minutes on average per PA request, and 60% need three or more employees per request. Each affiliated practice is paying that minute tax against the same MSO P&L.
95% say regulatory burden grew
MGMA 2026 Regulatory Burden Report found 95% of practices say regulatory burden grew over the past three years, with 40% maintaining three or more FTE admin staff per physician for compliance.
2025 ACO REACH = 100% PCC
CMS Innovation Center finalized the 2025 ACO REACH rule requiring PCPs in REACH ACOs to accept 100% Primary Care Capitation with 0% fee-for-service for primary care services. Cash-flow architecture changed for every PCP affiliate.
476 MSSP ACOs in PY 2025
CMS reported 476 ACOs in MSSP for performance year 2025, and ACOs with 75% or more PCPs delivered roughly 30% higher net per-capita savings than other ACOs. PCP-led MSOs are now the highest-impact cohort and the most reporting-burdened.
PE consolidation pressure
Mordor Intelligence reported PE-backed MSOs already hold 39.58% of MSO market share and are growing at 11.74% CAGR through 2030. Independent MSOs face acquisition or technology-enabled growth, and both paths demand a back office that can scale fast.
Tell us what you need. A named director replies within one business day.
Send us one workflow or your whole back office. We scope it, price it by the hour, and keep you month-to-month. No long-term lock-ins, no revenue share.
- Named director, one business day response
- HIPAA-compliant, SOC 2 Type II, BAA signed
- US-based oversight, billed by the hour
- 2-Week Risk-Free Pilot to prove the work first
By submitting, you agree to be contacted about the 2-Week Risk-Free Pilot. We do not share data with third parties.
Every back-office function across your MSO, in one team
Pods plug into your MSO operating model and bill through your master agreement. Each pod is staffed by AAPC-credentialed coders and trained healthcare specialists.
What makes our MSO back office different
Generalist BPOs do not speak healthcare. Solo PA billers cannot scale across an MSO. Legacy RCM outsourcers lock you into 7-year contracts and percent-of-net-patient-revenue pricing. We sit between all three.
AI-first stack built on healthcare workflows
Our stack runs PA, eligibility, charge capture, and denial analysis through healthcare-trained automation backed by AAPC-credentialed coders.
Not an AI demo bolted onto a call center. Production AI inside live MSO accounts today.
One BAA across every affiliated practice
One Business Associate Agreement at the MSO level with a schedule of covered affiliated entities. New practices added through addendum, not a fresh BAA.
SOC 2 Type II audited, HITRUST-aligned, ISO 27001-aligned. Signed before pilot.
By the hour, not 7-year contracts
You buy hours of work, not a percent of net patient revenue. No 7-year lock-in. Two-week notice clause.
We do not get bigger when your reimbursement gets bigger. We get better when your network throughput gets cleaner.
Staffingly vs. a solo PA biller vs. a generalist BPO
MSOs and physician networks have specific back-office needs that fall through the cracks of single-practice billers and generalist offshoring firms alike.
From contract to network-wide go-live
Most MSOs are running on their highest-volume affiliated practice inside two weeks and expanding network-wide inside 45 days.
Day 1: BAA + scope per practice
Master Business Associate Agreement signed at MSO level. Covered-affiliated-entity schedule attached.
Per-practice scope exhibit signed for each affiliate in the initial wave. DocuSign turnaround typically 48 hours.
Day 7: Pilot live on highest-volume practice
The 2-Week Risk-Free Pilot begins on the affiliated practice with the highest PA, call, or AR volume. Real work, real claims, real EMR.
Dedicated lead assigned. Daily standup with the MSO ops manager begins.
Day 14: Review + network-wide expansion
Pilot scorecard reviewed with the MSO. PA approval rate, eligibility hit rate, AR reduction, denial recovery.
Approved engagements expand to additional affiliated practices on a rolling schedule until network-wide go-live around day 45.
What your MSO ops manager sees the Staffingly team handle
A real day across a multi-state MSO supporting primary care, women’s health, and specialty affiliates. 6am ET to 11pm ET coverage.
One Flat Hourly Rate Per FTE. No Percent of NPR.
Dedicated specialists at a fixed weekly cost per FTE. 45 hours per week, fully managed. No long-term contract. No minimums beyond the 2-Week Risk-Free Pilot.
Bilingual front-desk, scheduling, and intake coverage for a single affiliated practice. Add seats by FTE.
5+ dedicated specialists across PA, eligibility, RCM, and VMA. Network-wide BAA. Most common MSO configuration.
25+ FTE across a multi-state network or PE-backed group. Includes ACO/MSSP reporting pod and MSO IT helpdesk.
All tiers include dedicated specialists, payer-portal access, EMR access, AI-assisted workflows, MSO-wide BAA, and a 2-Week Risk-Free Pilot. No long-term contract. Two-week notice clause.
Estimated cost savings are based on US Bureau of Labor Statistics wage data for medical secretaries and billing clerks compared to Staffingly hourly rates. Actual savings vary by affiliated practice mix, payer mix, EMR, and PA volume. Pilot scorecard establishes baseline before network-wide rollout.
We work inside your MSO operating stack
A single MSO often runs four or five EMRs across affiliates plus an ACO platform on top. Our team logs into each one, your way.
MSO leaders ask us these eight questions
How does Staffingly handle prior authorization across multiple affiliated practices in our MSO?
We assign a dedicated MSO lead plus specialty pods (primary care, women’s health, orthopedics, cardiology, oncology, behavioral). Each affiliated practice keeps its own intake queue and EMR login while the pod routes work by payer and J-code. The MSO sees one weekly scorecard with PA volume, approval rate, and turnaround by affiliated practice. MGMA 2025 found 92% of practices reassign staff for PA volume and 35% spend 35+ minutes per request. We absorb that load network-wide.
Can one BAA cover every affiliated practice in our network?
Yes. We sign a single Business Associate Agreement at the MSO level with a schedule of covered affiliated entities. New practices added mid-engagement get appended through a short addendum, not a fresh BAA. This mirrors the contracting workflow MSOs already run with payers and clearinghouses. Staffingly is SOC 2 Type II audited, HITRUST-aligned, and ISO 27001-aligned.
Do you support ACO REACH and MSSP quality reporting?
Yes. We support APP Plus measure data extraction, chart abstraction for HCC and quality measures, and PCP attribution checks. CMS finalized the 2026 MSSP rule with continued APP Plus expansion. For ACO REACH, 2025 introduced 100% Primary Care Capitation with 0% fee-for-service for primary care services in REACH ACOs, which changes how downstream PCP affiliates need to be tracked. Our team works inside your ACO platform or pulls flat files for ingestion.
How quickly can you onboard a new affiliated practice?
Day 1 we sign the BAA addendum and define scope per practice. Day 7 the 2-Week Risk-Free Pilot goes live on the highest-volume practice. Day 14 we review pilot metrics and expand to additional affiliated practices. Most MSOs see network-wide rollout in 30 to 45 days. Multi-EMR networks take a touch longer because we map workflow per EMR.
What is the pricing model for an MSO engagement?
Hourly, by the FTE, billed weekly. Three tiers: Front Desk ($299 per week per FTE for 10+ specialists), Full MSO Stack ($349 per week per FTE for 5+ specialists), Enterprise Custom for networks above 25 FTE or with PE-backed scope. No percent-of-net-patient-revenue games, no 7-year lock-ins, no minimums beyond the 2-Week Risk-Free Pilot. Estimated cost savings are based on US Bureau of Labor Statistics wage data for medical secretaries and billing clerks.
Can your team work across multiple EMRs inside one MSO?
Yes. A single MSO often runs eClinicalWorks at primary care affiliates, athenaOne at women’s health affiliates, Epic Community Connect at hospital-aligned affiliates, and NextGen or AdvancedMD at specialty affiliates. We staff cross-trained specialists who handle each EMR per affiliated practice. We also work inside ACO platforms including Aledade, Privia OS, and Agilon Health workflows when affiliated practices participate in those networks.
How do you handle multi-payer credentialing across the MSO?
We run a network-wide credentialing tracker covering Medicare, Medicaid by state, Medicare Advantage plans, Aetna, Cigna, BCBS, UHC, Humana, plus regional payers per affiliated practice. CAQH maintenance, NPPES updates, re-credentialing cycles, and payer enrollment status all feed one weekly MSO report. Out-of-date credentialing surfaces in our daily standup before it shows up as a denied claim.
What happens if our MSO acquires another practice mid-engagement?
Standard MSO acquisitions are absorbed through a BAA addendum and a new scope-per-practice exhibit. We have onboarded affiliated practices inside a 7-day window when the existing MSO contract architecture is already in place. The acquired practice keeps its own EMR and payer mix; we add coverage without disturbing your other affiliated practices. The Q1 savings and participation report you receive will include the new affiliate from day one of go-live.
Try us. 2-Week Risk-Free Pilot. BAA Signed.
Real PA work, real eligibility checks, real AR follow-up across your highest-volume affiliated practice. Two weeks. No invoice. If we do not earn the seat, you walk away.
