Aligned Marketplace

Independent primary care is disappearing. Out of 174,561 physicians, between age 31–40, more than 80% now work in corporate-owned practices. Young doctors aren’t choosing this. They’re entering a system where independence no longer feels like an option. And when physicians lose autonomy, patients lose something too, real relationships, time, trust, and transparency. They become a number and not a name. We can’t keep pretending consolidation is harmless. It has to change because it's changing the ❤️ of healthcare. Independent physicians built American medicine. We owe it to the next generation to make that possible again. Chart from Journal of General Internal Medicine (JGIM): Wang et al., “Commercial Prices for PCP Office Visits” 2025 #Healthcare #PrimaryCare #PhysicianLeadership #HealthcareManagement #MedicalPractice #standardizednotpersonalized

We’re just a few days out from our Annual Summit in Austin, and we want to extend a big thank you to our sponsors.   Each year, we bring together employer sand public purchasers to work though some of health care’s toughest challenges around affordability, quality and access. The conversations, connections, and practical takeaways that come out of these events are made possible because of our sponsors, and we’re grateful for their support.   We’re looking forward to seeing everyone next week! For more information about the Annual Summit, visit: https://lnkd.in/g3UDdnzA #PBGHAnnualSummit2025

Patrick Nelli highlights a critical challenge we solve for self-insured employers. High-Deductible Health Plans were designed to control costs, but instead created barriers to preventative care resulting in unknown out-of-pocket costs and higher downstream costs such as emergency visits and specialty care. Our marketplace makes it possible for any self-insured employer to offer DPC benefits at $0 cost-sharing for employees on HDHPs regardless of the employer's size or geographic distribution.

Our CEO Patrick Nelli captures this perfectly. Members on Aligned Marketplace are engaging with primary care—instead of avoiding it due to cost or access barriers—and employers are quickly starting to understand why Direct Primary Care is so essential to the health outcomes of their employees. The patient-clinician relationship emphasized with DPC is fundamentally changing the primary care experience!

"I became a DPC doctor so I could practice medicine in a way that aligns with my professional and ethical principles. I believe this allows me to better care for my patients and for myself." – Dr. Leslie Surbeck Dr Leslie Surbeck made this remark after moving her traditional family practice to a Direct Primary Care model at Evergreen Primary Care in Saint Paul, Minnesota. She's part of a growing movement of clinicians choosing to reclaim their independence and refocus on patient care instead of being bogged down by administrative tasks. Why do clinicians love DPC? ▫️ Direct relationships: Patients have the ability to reach their clinician directly, building trust and better context for diagnoses. Clinicians typically provide 30-45 minutes during each appointment. ▫️ Clinical freedom: No prior authorizations or insurance restrictions. ▫️ Predictable income: Monthly membership fees versus unpredictable insurance reimbursements. The result? Clinicians have lower burnout rates and patients have significantly better health outcomes. For employers considering Direct Primary Care benefits, remember: happy physicians with lower patient panel sizes can deliver better care to your employees. When great doctors have the time and resources to focus on employees' health, everyone wins! #DirectPrimaryCare #ClinicianSatisfaction #PhysicianBurnout #QualityCare

As published by Inc. Magazine and writer Bruce Crumley today: Wayne-Sanderson Farms hired Marathon Health to set up an on-site healthcare facility nearly a decade ago and Charter Communications partnered with Marathon Health in recent years to open three on-site health centers which have helped cut the company’s overall healthcare costs. David Keyt, national director of employer health centers at Alliant Insurance Services, added: 💵 “Employers are facing double-digit medical cost trend increases and looking for solutions.” 🎯 “Directly contracted worksite and near-site care models have been a proven strategy that delivers significant value on investment.”  ⚕️“Employer health centers are a strong foundation for an employer total worker health strategy.” #MarathonHealth #AdvancedPrimaryCare Read the full article here: https://lnkd.in/gGDCtA-m

Primary care in America is at a crossroads. Traditional fee-for-service models in primary care have led to rushed appointments, heavy administrative burden, and frustrated patients who struggle to access their own doctors. There's a better way: Direct Primary Care (DPC). DPC is a membership-based healthcare model where patients pay a transparent monthly membership fee directly to their primary care clinician. In return, they get: ▫️ Unlimited visits with no copays ▫️ Same-day or next-day appointments ▫️ 30–60 minute appointment times ▫️ Direct access to their doctor via phone/text ▫️ Transparent, upfront pricing Unlike traditional primary care, DPC clinicians operate independently and focus solely on their patients' best interests—not the competing priorities of insurance companies or hospital systems. This independence allows them to maintain smaller patient panels and spend meaningful time with each person, building lasting relationships and focusing entirely on what matters most: their patients' health outcomes. For employers, DPC represents a way to provide high-quality primary care while reducing overall healthcare costs through better prevention and chronic disease management. Over the next several weeks, we'll explore how DPC is transforming healthcare for members, clinicians, and employers. What questions do you have about Direct Primary Care? Drop them in the comments! #DirectPrimaryCare #PrimaryCare #EmployerHealthcare #HealthcareInnovation

We invite you to join HealthCareTN for our upcoming Regional Conference, taking place on Wednesday, December 10, 2025, in Knoxville, TN. This half-day event is designed exclusively for employers, HR professionals, benefits leaders, and decision-makers who are committed to improving health outcomes for their workforce. Primary care is foundational to good health. Engagement with effective primary care often leads to higher compliance with necessary screenings, higher rates of early disease identification, better chronic condition management, higher adherence to maintenance medication, and more effective wholistic care coordination. Yet identifying and promoting utilization of effective primary care remains a challenge for employers. This panel will provide perspectives by presenting several approaches for identifying and sourcing effective primary care. The panel will be moderated by Raymond Tsai, MD MS, who leads the PBGH strategic initiative to implement advanced primary care in markets across the country, ensuring PBGH members and their employees have access to high-quality, cost-effective primary care.  Panelists include Kristy Bowman, Russell DuBose and Patrick Nelli. Register now to reserve your seat at this exciting and actionable conference! https://lnkd.in/eEC4irfA

We’re thrilled to share some exciting news from the Aligned Marketplace team! Please join us in welcoming Will Lerner as our new Head of Engineering. With over 15 years of experience building scalable, high-impact products across healthcare, consumer electronics, hospitality and startup environments, Will brings a deep technical background and a demonstrated ability to lead teams through growth and innovation. His leadership at companies such as Monument, Sonder, Mirror and Samsung Electronics has shaped robust engineering outcomes, and he’s demonstrated the ability to combine strategic vision with hands-on execution. At Aligned Marketplace, Will will steer our engineering organization as we scale our platform, deepen our technical capabilities, and deliver next-level value for our customers and partners. We’re excited to see him lead our efforts in building reliable, innovative solutions that enable our team to turn ambitious ideas into reality. Please join us in welcoming Will to the team — we are so excited for the journey ahead!