A Management Services Organization (MSO) provides practice management and administrative support services to individual physicians, private practices, or medical groups. MSOs play a vital role in mergers and acquisitions by offering services such as maintaining or gaining control, providing access to capital, offering expansion services, enhancing technology, leveraging relationships with payors, vendors, and hospitals, and streamlining services to avoid duplications. Independent Physician Associations (IPAs) are unified entities owned by a network of independent physician practices. IPAs play a role in mergers and acquisitions by providing leverage to negotiate with insurance companies and hospitals, obtain favorable pricing, and reduce overhead costs, thus enhancing the overall success.