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Primary care has long been defined by what Barbara Starfield described as the 4 C’s: First Contact, Continuity, Comprehensiveness, and Coordination.

The PRM Curve™: Rethinking the Design of Physician-Patient Relationships

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 mod

Executive Summary  The Semi-Concierge Medicine® (SCM) healthcare delivery model represents an innovative, scalable solution that combines concepts derived from Fee-For-Service (FFS) care and Concierge models. It is designed to offer accessible, patient-centered care while maintaining operational sustainability and clinical excellence.  Traditional FFS models rely on large patient panels and volume-driven reimbursement, often resulting in rushed visits, limited preventive care