What You Gain

• Core practice management — revenue cycle, payer strategy, and credentialing
• Patient access & digital operations support
• Quality and value-based care performance support
• Specialty and referral connectivity to Duke
• Flexible, menu-based service selection under a professional services agreement

What's Included

The full Duke MSO service catalog is available at this level, across all five service areas. Services are scoped to fit the practice (standard or optional):

Practice Management — Running the business

• Revenue cycle management
• Payer strategy and contracting
• Provider recruiting & credentialing
• Supply chain and purchasing support

Patient Access & Digital Operations — Getting the patient in the door

• EHR & digital platform support (Epic / Maestro Care)
• Digital front desk
• Patient portal activation
• Waitlist optimization
• Patient access center support

Care Delivery & Management — Delivering and managing care

• Patient outreach and education
• Coordinated care pathways
• Clinical trials access
• Ambient scribes (AI documentation)
• Virtual care enablement
• Remote patient monitoring

Quality, Value & Regulatory Compliance — Measuring and providing value

• Quality / CMS reporting
• Joint Commission support
• Patient experience insights
• Value-based care performance support

Specialty & Network Access — Connecting to Duke’s ecosystem

• Referral connectivity and management
• Labs and imaging connectivity
• eConsults
• Specialty access pathways
• Duke specialty network access

What's Not Included

• Nothing in the service catalog is categorically excluded — all five areas are available and scoped to fit the practice (standard or optional).
• Not included at Align: any change in ownership, and Duke’s negotiated payer rates/contracts at the practice level. Those rates require majority ownership (see Integrate).