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
- 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
- The full service catalog is included and delivered comprehensively.
- Not included versus Unite: full acquisition and employment, and the complete transfer of the practice into Duke operations. Physicians retain a defined role within the joint-venture structure rather than full employment.
