Scaling NP-Led Virtual Care Nationwide with Zivian Health's Compliance Platform
80% reduction in collaboration costs and nationwide expansion in days, not months.
80%
cost savings vs. hiring in-house physician collaborators
65%
cost savings vs. using a fractional medical director
<7 days
average time to launch compliant NP-physician collaborations across states
Company Overview
INDUSTRY
Men’s Health / Virtual Care
PRODUCT
Direct-to-consumer telehealth for weight loss and metabolic health
TEAM SIZE
Small; ~10
LOCATION
United States
🚧 The Challenge
Fella Health, a venture-backed virtual care company, aimed to expand its successful men’s health model nationally using a nurse practitioner (NP) workforce. However, they faced significant hurdles:
Regulatory Complexity
Each state had distinct requirements for NP practice, particularly concerning collaborating physicians.
Operational Strain
Managing compliance across states threatened to divert resources from their core mission.
Financial Burden
The cost of independently establishing compliant collaborations was substantial.
🔍 Options Considered
Fella Health evaluated three approaches to address these challenges:
Hiring Physician Collaborators
UPFRONT COSTS
Recruitment, credentialing, legal fees.
ONGOING COSTS
Monitoring compliance, physician payments.
TIMEFRAME
Several weeks to months.
RISKS
High dependence on individual providers, limited scalability.
Employing a Fractional Medical Director
COSTS
Higher labor expenses, similar compliance challenges.
TIMEFRAME
Months to implement.
RISKS
Single point of failure, limited scalability.
Partnering with Zivian Health
UPFRONT COSTS
Platform onboarding fee.
ONGOING COSTS
Per-user platform fees, collaboration fees.
TIMEFRAME
Days to establish collaborations.
RISKS
Significantly mitigated due to Zivian's physician network and compliance expertise.
✅ The Solution
Fella Health chose to partner with Zivian Health, leveraging Zivian’s platform to:
Automate Compliance
Streamline state-specific regulations and documentation.
Access Physician Network
Quickly match NPs with qualified collaborating physicians.
Reduce Time-to-Market
Establish compliant collaborations in days instead of months.
Maintain Quality
Ensure consistent clinical standards across all states.
📊 Outcomes
By partnering with Zivian Health, Fella Health achieved:
Cost Savings
Reduced expenses by approximately 80% compared to hiring their own physician collaborators.
Rapid Expansion
Enabled swift scaling into new states with compliant NP-physician collaborations.
Operational Efficiency
Freed internal resources to focus on core business objectives.
Compliance Assurance
Maintained adherence to varying state regulations, mitigating legal risks.
💡 Conclusion
Zivian Health's integrative collaboration empowered Fella Health to scale efficiently while maintaining high-quality care and compliance. This partnership exemplifies how innovative healthcare organizations can overcome regulatory complexities through strategic alliances.
