For independent clinics and clinicians
More ways to be paid for what you know.
We help independent practices and clinicians find and build revenue streams that fit their license, their state and their patients.
Care between visits. Virtual care. Direct-pay services. Paid professional work. Each one built around the rules that govern it.
- 30-minute call
- No patient information needed
- No obligation
Fit before revenue
We’ll also tell you what doesn’t fit.
Who it’s for
- For physicians, NPs, PAs and therapists
- Care leads, billing follows
- Relationships disclosed in writing
- Counsel where it counts
The problem
Independent practice runs on thin margins.
For many practices, payment per visit has not kept pace with the cost of staff, space and software. The usual answer is more visits, and for many clinicians that path leads to burnout.
Yet a visit is only one of the ways your expertise can be paid for.
- Structured care between visits.
- Advice to colleagues who need your specialty.
- Judgment that companies, law firms and schools seek out.
The answer is not more volume. It is putting your expertise to work in more ways, each one done properly.
Revenue streams
Six ways expertise becomes revenue.
Not every stream fits every practice. What fits depends on your license, specialty, state, payers and patients. Each one notes what it takes to do well.
Care between visits
Structured, ongoing care for patients living with chronic or complex conditions. Medicare pays for these programs when each program’s requirements are met; other payers vary.
Includes
- Chronic and principal care management
- Advanced primary care management
- Transitional care management
- Behavioral health integration
- Remote patient and therapeutic monitoring
What it takes
Informed consent that covers cost-sharing, a real care plan, qualified staff under the right supervision, and documentation that matches each program’s rules. Remote monitoring is under close regulatory review.
Care beyond the exam room
Video visits, e-visits and specialist-to-clinician consults that extend your reach without adding a room.
Includes
- Telehealth visits
- E-visits and virtual check-ins
- Interprofessional consults
- Remote second opinions
What it takes
Licensure where the patient is located, each payer’s telehealth rules, and particular care with controlled substances.
Care patients pay for directly
Membership, direct primary care or clear self-pay pricing for services patients value, including services insurance doesn’t cover.
Includes
- Direct primary care
- Membership and concierge models
- Transparent self-pay pricing
What it takes
State insurance and direct-care rules, your Medicare status and payer contracts, good faith estimates for self-pay patients, and terms that are easy to understand and to cancel.
Services within your scope
Services your training already covers but your practice doesn’t yet offer, added with the right certification and supervision.
Includes
- In-office procedures
- Group visits
- Evidence-based prevention and lifestyle programs
- Occupational and certification exams
What it takes
Scope-of-practice and supervision rules, required certificates and registrations, and federal and state self-referral rules where they apply.
Expertise for organizations
Paid professional work for companies, health systems, law firms and research sponsors that need clinical judgment.
Includes
- Industry consulting and advisory boards
- Medical directorships
- Expert witness and record review
- Clinical research
What it takes
Written agreements, fair market value for real work, disclosed conflicts of interest, and nothing tied to referrals or prescribing.
Teaching and writing
Roles and products that share what you know with students, peers and the public.
Includes
- Precepting and faculty roles
- Continuing education
- Medical writing and review
- Courses and publications
What it takes
Accurate, supported claims, disclosed relationships, and education that stays general rather than becoming individual medical advice.
Some streams need new staff, credentials or contracts. A fit review shows which ones, what each involves and what it costs, before you commit.
How it works
From first conversation to a working program.
Start with one stream, run it well, then decide what’s next.
30 minutes
A first conversation
Your practice, your license, the states where you work, and what you want more of: income, flexibility or time. No patient information needed.
Written summary
A fit review
We map which streams fit your scope, specialty, payers, staffing and state rules, and which don’t. You get a plain-language summary with assumptions, costs, risks and open questions.
Before launch
A careful build
For the streams you choose: workflows, consent and documentation, pricing and staffing. Contracts, and anything else that needs legal review, go to healthcare counsel before launch.
Ongoing
Run and review
Start small. Measure what matters. Review documentation and results on a regular schedule, and change or stop anything that isn’t working or isn’t meeting its rules.
Who it’s for
Built for independent practice.
Independent primary care
Family medicine, internal medicine, geriatrics and pediatrics, including practices with many patients who live with chronic conditions.
Independent specialists
Cardiology, endocrinology, pulmonology, nephrology, rheumatology, behavioral health and other specialties whose judgment colleagues and organizations seek out.
NPs, PAs and therapists
Nurse practitioners, physician assistants, physical and occupational therapists, psychologists and counselors, within the scope your state and payers allow.
Clinicians beyond one role
Consulting, teaching, writing and review work alongside a practice or an employed position. If you’re employed, check your agreement’s outside-activity terms first.
Not a fit if you want paid referral arrangements, billing shortcuts or guaranteed numbers. We don’t build those.
Principles
Ancillary means supporting the main work.
Your patients and your practice are the main work. Everything we help build should support them, not compete with them.
Fit first.
We start with your license, specialty, state, payers and patients. If a stream doesn’t fit, we say so.
Care leads. Billing follows.
Every program starts with care that is clinically appropriate for each patient, consented to and documented. Billing reflects that care.
No payment for referrals.
We never pay or accept payment for patient referrals. Our fees never depend on the volume or value of referrals, or on business you do with anyone we suggest.
Relationships disclosed.
If we have a financial relationship with any company we suggest, we tell you in writing before you decide.
Honest numbers.
Estimates come with their assumptions, costs and risks. No guarantees, and no projections dressed up as promises.
Counsel where it counts.
Anything touching referral relationships, ownership, fee-sharing or state practice rules belongs with healthcare counsel. We flag it early and work alongside your attorney.
Questions
Plain answers.
Is this about billing more?
It’s about being paid properly for care and work you genuinely provide. Some streams add billable services, such as care between visits; each must be clinically appropriate, within your scope, consented to where required and documented. Others, like consulting and teaching, involve no insurance billing at all. We don’t coach upcoding or build programs to drive volume.
How much could I earn?
We can’t say honestly before we understand your practice, and we never promise a number. Results depend on your patients, payers, state, staffing and execution, and some streams won’t pay for themselves in every practice. A fit review shows estimates with their assumptions, costs and risks, so you can judge them yourself.
How are your fees set?
In writing, before any work begins, based on the work we do. We never pay or accept payment for patient referrals, and our fees never depend on referrals or on business you do with anyone we suggest. If we have a financial relationship with a company we suggest, we disclose it in writing first.
Are you a law firm?
No, and we don’t give legal advice. Arrangements that touch referrals, ownership, fee-sharing or state practice rules should be reviewed by qualified healthcare counsel. We’ll tell you when that applies and work alongside your attorney.
Do you work in every state?
We can talk with clinicians anywhere in the US, but many of these rules are set state by state. What’s possible depends on where you’re licensed and where your patients are, and we’ll tell you early if something isn’t available, or isn’t wise, where you practice.
What do I need for the first conversation?
About 30 minutes, a rough picture of your practice and the states where you’re licensed. Please don’t share patient information on the form or the call.
First conversation
Start with a conversation, not a contract.
Thirty minutes about your practice, your goals and what might fit. No obligation, and no patient information needed.