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.