How High-Performing Physician Groups Scale Without Breaking Operations

What separates high-performing physician groups from organizations that struggle to scale?
In this episode of Healthcare Intelligence, Charlene Wang sits down with Doug Hemminger, Principal at H. Douglas Advisory and former healthcare operations executive for PE-backed and physician-owned specialty groups.
They discuss:
- The reality of healthcare operations transformation
- Why technology projects fail
- Common bottlenecks in multi-site physician groups
- Prior authorization and patient access challenges
- Building scalable training programs
- How operational leaders create lasting change
Whether you lead a physician group, MSO, health system, or specialty practice, this conversation offers practical lessons from decades of healthcare operations experience.
About the guest

Doug Hemminger
Doug Hemminger (hem-men-jer) is a healthcare operations executive with deep experience leading physician-owned and PE-backed multi-site physician groups and MSOs. His career spans orthopedics at Growth Orthopedics, women's health at Women's Care Florida, and multi-specialty operations at AdventHealth — through multiple private equity cycles.
A background in clinical operations across a variety of environments informs his approach to leadership and his belief in the value of partnership over prescription.
He founded H. Douglas Advisory, LLC to bring that experience directly to organizations navigating complexity, including growing specialty groups, PE-affiliated platforms, and healthcare staffing and technology companies that could benefit from a seasoned operational perspective without the overhead of a full-time hire.
Doug is based in Madrid, Spain, and focused exclusively on US engagements.