Private Practice vs Big Systems: What’s Really Better for Patients? with Dr. Kevin Masur

In this episode of the Phoenix Prosperity Podcast, Tim Fergestad sits down with Dr. Kevin Masur, a surgeon with Arizona Advanced Surgery, to explore the evolving landscape of healthcare and what it really means for patients.

Dr. Masur shares insights from inside a large, multi-specialty private practice that spans across the Phoenix Valley. With services ranging from general and minimally invasive surgery to colorectal, breast, and trauma care, his group has grown significantly—including a major merger during the COVID-19 pandemic.

A major focus of the conversation is the shift from private practice to physician employment within large health systems. Dr. Masur explains how financial pressures, reimbursement changes, and generational preferences are driving more doctors toward employed roles. While these positions offer stability and benefits, they may also reduce long-term community ties and continuity of care.

Tim and Dr. Masur dive into how this shift impacts patient relationships, accountability, and the overall healthcare experience. They also discuss the rise of “algorithmic care” versus individualized treatment, and why medicine isn’t as one-size-fits-all as technology might suggest.

The conversation also touches on physician shortages, increasing competition, and how declining reimbursements are forcing doctors to see more patients just to maintain sustainability. Dr. Masur highlights how these pressures influence career decisions for younger physicians, including specialty choices and whether to pursue additional training.

------------------------------------------ Interested in being part of this? Please visit our guest invitation page where you can learn more and fill out a brief questionnaire to get started: https://phoenixprosperitypodcast.com/guest It’s going to be enlightening and, most importantly, a lot of fun. I’d love for you to be a part of it!