Focus  Passion Experience

How We Started

Richard Lauve first saw an opportunity for healthcare systems improvement in the mid-1980s while serving as President of a small rural medical staff in Utah, navigating the challenges of a "new" payment system called DRGs. He observed that the physician-administration "team" rarely understood each others perspectives, and often failed to connect at the basic level of a shared purpose. Non-clinical administrators rarely comprehended the gravity of being responsible for human life, and physicians rarely grasped that in the absence of a margin, there could be no mission.

Years later, while teaching medical students and residents, he realized that physicians are rarely taught the constructs they needed in order to fully comprehend administrators. Similarly, most experienced non-clinical leaders were not ideally prepared to understand, or to communicate effectively with, physician leaders.

Thus began a journey to unify the clinical and non-clinical leadership of healthcare delivery systems.


Who We Are

Richard Lauve, MD, MBA, FACPE, CPE

Founder  |  Owner  |  LLC Manager

Richard Lauve (pronounced “love”) is a nationally recognized speaker, facilitator, and consultant for health systems. His engagements range from half-day seminars to multi-year system transformations.  With 25 years of diverse experience, Dr. Lauve understands the perspectives of the healthcare market stakeholders

Dr Lauve's has assisted clients throughout the country with: physician leadership development, coaching and mentoring; hospital–physician relationships; building administrative teams; group and system’s Board function; transforming fee-for-service systems into risk-taking operations; addressing quality, safety and efficiency simultaneously in financially failing systems; and pre-trial consulting and expert witness work in high profile privileging cases.

Most recently, Dr. Lauve served as the CEO of Palmetto Primary Care Physicians, the largest independent primary care group in South Carolina. Under his guidance and the management team he hired, the group revamped its accounting systems, remodeled its Partner payment methods, installed a new EHR across twenty-five practice sites, reduced the practice's debt load, and started a highly successful MSSP ACO. Previously he was the Chief Medical Officer for Trident Health in Charleston, SC - a two-hospital system with an additional freestanding ED and ASCs. In this role he provided support for clinical and efficiency improvement efforts – implementing an EHR, a palliative care service, a 24x7 intensivist service, and rebuilt the Hospitalist service.

In the past, Dr. Lauve was Medical Director and VP of Clinical Affairs of the LA, MS, & TN regional office of the Voluntary Hospital Association (VHA, Inc is now VIZIENT). Prior to joining VHA Inc., Dr. Lauve was the Vice President of Medical Affairs for Woman’s Hospital in Baton Rouge LA, and was the President and Medical Director of a privately held, multi-state PPO where he developed the infrastructure to enable conversion to a provider-owned HMO.

Dr. Lauve received his MD from LSU School of Medicine - New Orleans and completed an Internal Medicine Residency, practiced for five years in a solo Internal Medicine practice in rural Utah, initially in the National Health Service Corps, and left that practice to accept the challenge of being the Chief Medical Officer for the first chemical-weapons-destruction facility in the world with the U.S. Army. Dr. Lauve received his MBA from Tulane Freeman School of Business; served as the Medical Director for the Faculty Practice at LSU New Orleans; taught ethics and medical management to medical students and residents from his position as Assistant to the Chair of Medicine; was the Medical Director of a 120 bed multi-unit “hospital within the hospital” at Charity in New Orleans; provided consulting services to a wide range of healthcare organizations and professionals. He was Board Certified in Internal Medicine in 1990. 

Dr. Lauve is a Fellow of the American College of Physician Executives (now American Association for Physician Leadership) and serves as faculty and consultant through the AAPL's Lx Solutions. He was Boarded in Medical Management and then designated by the College as a Certified Physician Executive (CPE) in its first class. He has long served ACPE / AAPL as faculty and currently sits on the Faculty Advisory Committee. Dr Lauve has a long history of service in organized medicine at county, state and national level governing boards including as Chair of the Young Physicians Section of the AMA, and Chair of the ACCME. Dr. Lauve brings hospital, physician group, academia, payer, and medico-legal perspectives to bear on the issues facing health care organizations and their physicians.


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Marc Gelinas is a nationally recognized speaker, writer, facilitator and consultant for health systems, health plans, and physician groups.  His engagements include strategic planning board retreats, senior management retreats, business planning for start-ups and expansion programs, process and productivity improvements for physician groups, and preparation and management of CMS innovation and demonstration programs.

With over 30 years of highly diverse management experience and 14 years of successful consulting experience, Marc understands the workings of local, regional and national hospital systems, health plans, and all sizes of physician practice within both not-for-profit and for-profit environments.  His senior management roles in acute care, post-acute care, long term care, health plans and physician practices has provided him the in-depth experience to evaluate a full range of operations for any health system.  More recently, Marc also managed an 1115 Medicaid Waiver program with 21 projects valued at more than $350 million for a large academic medical center.  His consulting clients range from small 3 - physician practices to large groups of over 900 providers, hospital program level initiatives to system-wide planning and implementation.

Marc earned his MHA from Duke University. He is a Certified Medical Practice Executive through MGMA, a Certified Professional in Health Information Management Services through HIMSS, and a Fellow in the American College of Healthcare Executives.  He has spoken nationally on a wide variety of planning and trend topics, as well as having published numerous articles in a variety of healthcare journals.

Get in touch

We know that finding the right assistance is a choice not taken lightly.  We are happy to just chat, or walk with you through your needs, the scope of your goals, your time-line, and your budget.  Feel free to give us a ring, or shoot us an email and we will be in touch!