For Physicians
Own your practice.
Earn more with fewer patients.
OffPlan is a direct care platform built in partnership with independent physician-owned practices. Your patients pay a monthly membership fee. No claims, no billing cycles, no insurance middleman. You build a smaller panel, deliver better care, and your income grows as your membership grows.
8-12 patients per day. 30-60 minute visits. Predictable, growing income.
80% of Healthcare Was Never Meant to Run Through Insurance
Most of what you do as a primary care physician does not require insurance: preventive care, chronic disease management, acute visits, medication management, and care coordination.
Yet the system forces all of it through claims, coding, prior authorizations, and denials.
OffPlan removes insurance from everyday care and lets you practice medicine directly again.
The Problem
If This Feels Familiar, You're Not Alone.
Whether you're employed, independent, or somewhere in between, the underlying problem is the same:
The Volume Trap.
High patient volume leaves little time for meaningful care. Short visits, constant throughput, and pressure to move faster make it difficult to practice the way you were trained.
The Admin Burden.
Hours each week are lost to documentation, coding, prior authorizations, and insurance requirements. Time that should be spent with patients is spent navigating the system.
Clinical Interference.
Clinical decisions are influenced by payer rules, employer structures, and administrative constraints. Care is shaped by the system, not always by what is best for the patient.
This is not a better job. It is yours.
The Daily Reality
Your Day:
Today vs. OffPlan
We do not just change your billing.
We change your daily experience.
Today
(FFS / Employed)
OffPlan
Fewer patients. Better care. Higher satisfaction.
The OffPlan Solution
A Different Model for How
Healthcare Actually Works.
OffPlan separates everyday healthcare from the insurance system. Instead of running all care through claims, we focus on how healthcare actually works, delivering routine care directly through physicians, while traditional insurance1 remains in place for major medical events.
handled directly through
your practice
Delivered through a membership-based model, without claims, coding, or prior authorizations.
- Preventive care
- Chronic disease management
- Acute visits
- Medication management
- Care coordination
Prior Auths
Middleman
handled outside
your practice
Specialists, imaging, and major medical events handled outside the practice.
- Specialist care
- Advanced imaging and diagnostics
- Procedures and surgeries
- Hospitalization
1. For employer-sponsored members, surgery and hospitalization are covered through the employer's stop-loss policy. ER and urgent care costs are addressed through an optional hospital indemnity benefit. Individual members obtain catastrophic coverage separately.
You Own the Practice. We Provide the Infrastructure.
You practice medicine. We handle everything around it.
Key Physician Benefits
Independent Practice Model
- Operate as an independent clinician within the OffPlan platform
- Maintain control of your clinical practice
- Supported by centralized infrastructure
Member Pipeline
- Employer contracting and consumer enrollment
- Patient growth supported by OffPlan
- You are not building a panel alone
Full Clinical Autonomy
- You control all patient care decisions
- No payer interference
- No utilization management pressure
Care Coordination & Specialist Access
- Access to curated cash-pay specialist network
- Coordinated care workflows
- Support beyond primary care delivery
Practice Infrastructure
- Technology and practice systems
- Membership-based billing (not claims)
- Operational support and workflows
You are independent, but not alone.
Generate 2-3x More Income at Full Panel Maturity.
OffPlan replaces visit-based billing with predictable, membership-based revenue. OffPlan physicians earn 2-3x more than the average employed PCP at full panel maturity.
No billing. No insurance write-downs. No revenue cycle overhead.
Instead of managing 2,000-3,000 patients and chasing volume, we help you build a focused panel of roughly 600-800 patients and you deliver high-touch, longitudinal care.
You are paid based on relationships, not visits. Your panel grows as we grow. Income builds predictably as employer members and individual members join your practice.
The Economics of Autonomy
At maturity, this model supports:
- 8-12 patients per day
- 30-60 minute visits
- 2-3x the income of an average employed PCP
No billing. No coding. No prior authorizations.
Just practicing medicine the way it was meant to be.
| Category | Employed / Insurance-Based | Independent Solo DPC | OffPlan-Supported Practice |
|---|---|---|---|
| Visit Volume | 20-30+ patients/day typical | Lower-volume, relationship-based | Lower-volume, relationship-based |
| Visit Length | Often 10-15 minutes | Typically longer visits | Typically longer visits |
| Revenue Model | Insurance-based, billing/coding dependent | Membership-based | Membership-based |
| Admin Burden | High: prior auths, claims, coding, payer rules | Lower, but still owner-managed | Lower, with infrastructure support from OffPlan |
| Clinical Autonomy | Often constrained by employer, payers, RVUs | High | High |
| Startup / Transition Risk | None, but little ownership | High: physician builds from zero | Lower: practice support and guided ramp |
| Patient Acquisition | Driven by employer/system referrals | Physician responsible for growth and marketing | OffPlan supports growth through employer partnerships and consumer enrollment |
| Operations | Provided by employer/system | Physician builds and manages independently | OffPlan provides operational infrastructure and support |
| Specialist Integration | Usually fragmented, insurance-driven | Physician coordinates independently | Coordinated through OffPlan workflows and partner network |
| Ownership | None | Full local ownership | Independent practice with platform support and ownership path |
| Income Profile | Predictable salary, capped upside | Potentially strong, depends on panel build | Potentially strong, supported by structured growth and dual-channel member acquisition |
All three models are not the same.
OffPlan is not trying to replace solo DPC. It is trying to remove the operational and growth burden that keeps many physicians from building it successfully on their own.
How It Works
Join OffPlan
We set up your practice within our platform. Structure, compliance, and systems are in place from day one.
Build Your Panel
We bring members into your practice through employer-sponsored memberships and individual enrollment. You are not starting from zero. Your panel grows predictably as we grow.
Practice Medicine
Longer visits. Deeper relationships. Coordinated care. You focus on care. We handle the rest.
Find Your Path
OffPlan is built around when you enter, not just how you enter.
Start Your Practice
Founding Track
For physicians ready to be the first to build in their market.
- Income support during ramp
- Direct equity participation from day one
- Priority position in market development
Founding physicians make the earliest commitment in each market and receive the most comprehensive participation in the platform. Once a market's founding position is filled, this track is no longer available.
Leave Employment
Liberation Track
For employed physicians ready to transition out and build independently.
- Structured exit path
- Income support during transition
- Participation in the platform with a clear path to ownership
Liberation physicians follow the same model as Founding physicians but enter after the initial market is established.
Transition Your Practice
Conversion Track
For independent physicians currently operating in a fee-for-service model.
- Gradual transition from volume-based care to membership-based care
- Maintain stability while shifting your panel over time
- Supported conversion with infrastructure and patient growth
Move from a traditional model to a more sustainable, relationship-based practice without starting over.
Join the Platform
Affiliation Track
For existing DPC or concierge physicians who want to grow without giving up independence.
- Add OffPlan employer-sponsored and consumer members to your existing panel
- Access a broader patient base through employer partnerships
- Maintain your current practice while expanding within the OffPlan platform
Designed for physicians who have already made the shift to direct care and want to scale more efficiently.
Start Part-Time
Part-Time Track
For physicians not ready to leave employment yet.
- Build your OffPlan practice on your own schedule
- Income support available during transition
- Move to full-time when your panel supports it
Lower-risk entry point with a path to full independence.
Ownership, Not Employment
Early physicians are not just joining a platform. They are helping build it. Every OffPlan physician has the opportunity to participate in equity over time. Founding physicians receive direct equity participation from day one. Other physician tracks have a path to participate in an equity bonus pool that grows with commitment.
This is not a job posting. It is an invitation to build something you own.
Equity details are discussed directly with physician candidates.
What to Expect
The Roadmap
Here's what building an independent practice through OffPlan looks like over time.
PHASE 1
Foundation
Practice setup, structure, and systems are put in place. Your practice is operational from day one with no startup friction.
PHASE 2
Panel Growth
Employer-driven and consumer-driven patient acquisition. Predictable panel expansion from both channels. Increasing income stability. We recruit employers and attract individual members alongside you, so you are not building a panel alone.
PHASE 3
Maturity
A full panel of roughly 600-800 patients supports a sustainable schedule, strong income, and full clinical autonomy.
We recruit employers and attract members alongside you, so your panel grows with the platform, not just your own efforts.
Why Physicians Choose OffPlan
Leave the insurance system without taking startup risk.
Earn more with fewer patients.
Practice with full clinical autonomy.
Build something you actually own.
Deliver care the way you were trained to.
Launching Q3 2026
Explore what your practice could look like.
Initial markets: South Florida and Northern Virginia.
Expanding nationally after launch.
Have a 15-minute conversation. We will walk through the model, your situation, and whether this makes sense for you.
Schedule a Conversation