Our Approach

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Many health systems are struggling to sustain primary care under a fee-for-service–only model. Panels are too large, visits are too short, access is constrained, and physicians are burning out. Despite incremental workflow changes, the underlying pressure remains.

Our approach introduces membership-based primary care as a practical, incremental option for health systems that want to stabilize and strengthen primary care without dismantling what already exists.

This is not about rebuilding primary care from scratch. It is about expanding the set of tools available to system leaders.​​​​​​​​​​​​​​​​​​​​​​

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The Problem We Address

Fee-for-service primary care is being asked to do more with less:

• Rising patient complexity

• Increasing administrative burden

• Limited visit time

• Declining physician satisfaction

• Persistent access complaints despite full schedules

Most health systems recognize the strain but feel boxed in by the assumption that the only alternatives are full concierge models or wholesale redesigns. That assumption is outdated.

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How We Think About Membership Medicine

Membership medicine is not a replacement for fee-for-service primary care. It is a complementary model that can coexist within health systems and academic environments.

We view membership medicine as:

• A way to right-size panels for a defined patient population

• A mechanism to fund time, continuity, and team-based care

• An option that preserves insurance participation while adding modest patient contribution

• A strategy that can improve physician retention and recruitment

• A model that can be deployed selectively, not universally

Most importantly, it can be introduced without destabilizing existing primary care operations.

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How We Work With Health Systems

Our work is designed to help leadership teams explore membership medicine thoughtfully and realistically.

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Typical engagements include:

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• Context and constraint assessment

  Understanding your current primary care structure, mission, payer mix, workforce pressures, and leadership concerns.

• Model education and reframing

  Clarifying what modern membership medicine is and is not, including how it differs from traditional concierge care.

• Option development

  Outlining membership-based options that could sit alongside existing fee-for-service primary care without forcing broad change.

• Operational and cultural fit review

  Evaluating how such models would affect access, staffing, optics, and physician experience.

• Leadership alignment

  Helping clinical, operational, and executive stakeholders speak the same language about goals, risks, and expectations.

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This work is exploratory, deliberate, and aligned with system realities.

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Who We Work With

We primarily work with:

• Health systems and academic medical centers struggling to sustain FFS primary care

• System leaders exploring alternatives to improve physician retention and access

• Organizations curious about membership medicine but cautious about optics and disruption

We do not push organizations toward change. We help them understand their options.

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What This Is Not

• Not a full primary care rebuild

• Not a franchise or turnkey program

• Not a push toward boutique or exclusionary care

• Not a rejection of fee-for-service medicine

Membership medicine is presented as one option among many, introduced thoughtfully and selectively.

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What to Expect

Engagements are tailored and advisory in nature, ranging from educational sessions to structured feasibility discussions. The goal is informed decision-making, realistic expectations, and durable primary care strategies that fit within your system’s mission.