Building a Compliant Integrated Practice: MSO–MSA–PC Explained
As integrated practices continue to grow, one question keeps surfacing: How do you build a compliant structure that protects both the chiropractor and the medical provider? The answer lies in the MSO–MSA–PC model.
The Professional Corporation (PC) or PLLC is owned by the medical professional and employs all clinical staff. The Management Services Organization (MSO)—typically owned by the chiropractor—handles non-clinical operations like staffing, marketing, and administration. The Management Services Agreement (MSA) clearly defines responsibilities, ensuring that both sides remain compliant while sharing in the success of the enterprise.
This structure provides chiropractors a legitimate way to participate in multidisciplinary care while respecting state laws that prohibit non-physician ownership of medical entities. It also protects both parties by keeping clinical decision-making separate from business management.
For integrated practices, this setup is a win-win: the chiropractor benefits from diversified revenue streams, the medical provider enjoys operational support, and patients receive seamless, coordinated care.
If you’re considering integration, start by engaging legal counsel familiar with CPOM and healthcare compliance. With the right foundation, you can expand your services, attract new patient populations, and future-proof your practice against regulatory changes.
Learn more at MyBreakthrough.com.
