Private Equity Is Killing Medicine. Meroka’s Plan to Save It.

Yoni Rechtman

Context:
Independent medicine is dying. Let’s be blunt: private practice is the best way to run healthcare—patients get better care, providers have more autonomy (and make more money), and insurers spend less when doctors are in charge. But the system is stacked against independent practices. They can’t compete with scaled players, lack leverage, miss out on innovative contracts, and don’t get the full upside from new technology. Worst of all, there’s no succession plan as older doctors retire. The result? Private equity is swallowing up medicine, consolidating practices, and slowly killing American healthcare.

Alex Barrett, CEO of Meroka

Market Signal:
There’s massive, untapped potential to transform healthcare: improving operations, boosting provider earnings, and delivering better patient outcomes. But here’s the catch: private practice is in such a structural crisis that it can’t afford to invest in or adopt AI. Software alone won’t fix this. In fact, without intervention, AI will just accelerate consolidation and make the PE problem worse.

Our Bet on Meroka: Announcing their $6M Seed round led by us and Better Tomorrow Ventures with participation from 8VC and others

Yoni, Lead Investor for Meroka

  • Meroka is building an alternative: powering generational transitions, technology transformation, and economic independence for private practice.

  • Their model: transition practices to employee ownership via an ownership trust, ensuring permanent independence from PE. Practices that partner with Meroka will be employee-owned, forever.

  • As a Management Services Organization, Meroka brings scale—better tech, stronger negotiating power, and network effects—without sacrificing autonomy or care quality.

  • Doctors become owners, patients get better care, and the system wins.

Don’t Like the Comics? View the Live Conversation Instead:

Alex Barrett, CEO of Meroka, and Yoni Talk Through The Solution To Save Healthcare

Ask:

  • If you’re a practice owner who wants to stay independent, get in touch with Meroka

  • And if you want to see a future where doctors—not financiers—run medicine, help us spread the word

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