A rural Direct Primary Care (DPC) practice gave 84 vaccines in one day with an independent pharmacist and billed no insurance. Here is the model.

Before she looked at a single feature, Dr. Sarai Ambert-Pompey timed how fast each EHR vendor answered her email. That one test eliminated most of them. One year into owning Libelula Primary Care in Boise, Idaho, she shares how to vet an EHR, what salespeople will not show you in a demo, and the three telehealth skills most physicians were never taught.

Dr. April Soto's new-patient visits for mast cell activation syndrome run up to four hours, something a fifteen-minute insurance slot could never allow. She spent three intentional years exiting corporate medicine, and now compares her pricing philosophy to the Ritz Carlton: no two-for-one specials.