Physician-led models, labor alignment, retention, and succession challenge corporatization

Workforce shortages, administrative burden, compensation concerns, technology distrust, organizing activity, and practice closures are elevating physician governance and retention as platform-performance issues. Independent contracting offers flexibility but creates tax, benefits, classification, credentialing, continuity, and alignment risks; physician-owned groups need workforce models and succession plans that protect access, quality, and long-term enterprise value.