What You Gain

• The complete MSO service set, fully delivered by Duke
• The deepest connection to Duke operations, brand, and specialty network
• A full shift of operational and administrative burden to Duke Health
• Long-term stability, scale, and connectivity
• Access to Duke’s academic medicine, research, and recruitment engine

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 complete MSO service set is included — nothing in the catalog is excluded.
• By design, what is not retained is independent ownership: Unite is a full acquisition/employment path, so standalone practice ownership and operation transfer to Duke Health.