Working Healthcare · 2026-01-27 · 56 min
Step inside the playbook behind the nation’s largest independent rheumatology practice and hear what it really takes to scale while staying physician owned. In this episode of Working Healthcare, host Meredith Hirsh talks with Dr. Nehad Soloman, chief medical officer and one of 14 physician-owners of Arizona Arthritis & Rheumatology Associates, about how the group grew from 10 physicians to 24 rheumatologists and more than 50 providers, becoming the largest independent rheumatology practice in America by revenue and provider size. Meredith and Nehad bring a rare, in-the-field partnership to the mic, built through shared work across the rheumatology community, including their RPPA meeting presentation in November 2025, their planned November 2026 American College of Rheumatology session on medically integrated dispensing (MID) and their roles on the House Rx Advisory Board. Together, they break down the business decisions behind multistate expansion, the strategic use of advanced practice clinicians and how medically integrated dispensing and clear bagging can protect patient access while stabilizing practice economics as margins compress.
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