How Private Equity Is Buying Up Medical Billing Firms

Episode notes

Private equity has spent the last decade quietly consolidating the back offices of American medicine. In this episode, Lucas and Luna look at the roll-up of medical billing companies - the firms that process claims, chase denials, and decide when a hospital gets paid. They trace how a fragmented industry of small local shops became a PE favourite, and what that means for hospitals, insurers, and the doctors who never see the paperwork. With a focus on the biggest players and the numbers behind the trend, the hosts break down why billing is such an attractive target: recurring revenue, high switching costs, and a regulatory tailwind that keeps getting stronger. They also ask the uncomfortable question: does consolidation make the system more efficient, or just more opaque? If you've ever wondered who actually gets paid when you visit a doctor, this episode explains the middlemen you never met.

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