Integrate is a majority joint venture that brings comprehensive delivery across all five service areas together with access to Duke’s negotiated rates and payer contracts — available at majority ownership. It is the path for practices ready for deep alignment and regional scale, with Duke’s brand and economics behind them.
What You Gain
- Comprehensive support across practice management, digital operations, quality, and network access
- Access to Duke’s negotiated rates and payer contracts (available at majority ownership)
- Stronger operational enablement, digital access, and coordinated care pathways
- Regional growth backing and scale
- A structured, long-term partnership with Duke’s brand behind you
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
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
- Ambient scribes (AI documentation)
- Virtual care enablement
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
Optional Add-On Services
Practice Management — Running the business
- Provider recruiting & credentialing
- Supply chain & purchasing support
Care Delivery & Management — Delivering and managing care
- Clinical trials access
- Remote patient monitoring
Specialty & Network Access — Connecting to Duke’s ecosystem
- eConsults
- Specialty access pathways
- Duke specialty network access