Why Tributary Advisory Group Was Created

Patients, providers, and health systems are all strained. A middle-ground membership medicine model, alongside traditional practices, may be the answer, improving choice, relationships, and the bottom line.

That's exactly why we launched Tributary Advisory Group (TAG).

TAG is a physician-led advisory firm helping health systems design and refine membership-based primary care models that align how care is delivered with how relationships actually function.

Membership models, including Middle-Ground models are uniquely effective because they advance the Quadruple Aim almost effortlessly:

• Better patient experience through time and continuity

• Improved population health through sustainable access

• Lower system strain, sustainability, and smarter resource use

• Improved physician well-being through realistic panel sizes

Too often, organizations feel forced into false choices: high-volume fee-for-service or ultra-low-panel concierge care. The reality is a wide, underdeveloped middle where relationship-based care can thrive. One of the primary benefits, outside of patient care and satisfaction, is diverisfying revenue streams with a predictable positive revenue flow that eases the burden of loses often encountered through FFS models that remain in place. Oftentimes, these practices can help fund community health projects, and other areas of care.

TAG helps organizations operate in that middle by aligning physician capacity, patient expectations, access, and financial sustainability.

Follow the TAG pages on LinkedIn and X for practical thinking on membership medicine and the future of primary care.