OPEN IDEAEXPLORING

Primary care, re-architected

Right now primary care gets paid per visit, which means the system earns more when you come back sick – not when you stay well. I watched these incentive knots up close doing drug-pricing policy work at HHS, and they are very real.

What if a primary care company earned its money by lowering a patient's long-term costs instead? Holistic care, AI-native operations from care management down to transportation, and a completely different brick-and-mortar plan – because the waiting-room clinic is an artifact of the old incentives. Patients get healthier, payers spend less, and the clinic finally profits from the right outcome.

Reach out if you're a clinician, a health-systems person, or you've fought value-based care from the inside.

ariyan.patel@yale.edu