HCVC.net · consulting for independent practices
Launch a physician-led metabolic program your patients stay with.
HCVC helps independent practices design and run GLP-1 and metabolic-health programs: program design, staff workflows, the between-visits patient experience, and the numbers to run it on.
What a practice owner is dealing with
The metabolic patient is the one you are most likely to lose.
Five things owners of direct primary care, concierge, longevity, and women's-midlife practices deal with.
The relationship goes to a telehealth mill
A patient asks about a GLP-1, gets a prescription from a website in four minutes, and the practice loses a relationship it spent years building. The patient is still yours on paper, and nowhere else.
Between-visit messages land on the physician
Refill timing, nausea in week three, a dose question at nine in the evening. Each one is short, none of them is billable, and they all arrive in the physician's inbox.
Nobody structures the weeks between visits
Protein, resistance training, sleep, and symptoms go unstructured between appointments. Patients lose muscle along with the weight, feel worse, and drop out, often before the third refill.
The practice cannot tell whether the program works
Engagement, retention, visit completion, escalations, clinician time per patient, contribution margin. None of it is answerable from the chart, so the program is run on impressions.
Staff are underwater on admin
Prior authorization, scheduling, documentation, and reporting consume the people who should be running the program. Adding a program to a saturated front office fails on week two.
A program fixes the first four. Workflow automation fixes the last one. We do both.
How we work
Lead with the outcome the practice wants, then make it durable.
Three stages. The first one is the front door, and it can end with us telling you not to launch.
Readiness Diagnostic
We look at your panel, your staffing, your systems, and the economics. It ends with a written go or no-go recommendation on whether to launch at all. If the answer is no, you have the analysis and you keep it.
Launch Sprint
We build the program you decided to run: the branded design, the clinical and staff playbooks, the patient experience, the onboarding sequence, and the scorecard you will judge it by. Your program, your name on it.
Ongoing program support
Once patients are enrolled, the work is keeping it running: reviewing the scorecard, tuning the playbooks, retraining staff as the panel grows, and adjusting the between-visits experience as you learn what your patients respond to.
| Layer | Owns |
|---|---|
| The physician | Medical decisions, medication, escalation, and the patient relationship. Every one of these stays inside the practice. |
| Practice staff | Enrollment, monitoring, refill readiness, and triage, run from playbooks we write for your practice. |
| ProForta | The between-visits experience, carried under the practice's own program name: check-ins, protein and strength support, symptom capture, and progress the patient and the clinician can both see. |
| LifeCare.ID® | Identity and consent. The patient holds the key and decides what the practice and the program can see. |
Services
Two lines of work. One door.
Metabolic Care Program Launch
For practices that want a GLP-1 and metabolic-health program under their own name, run by their own clinicians. It starts with the Readiness Diagnostic, two weeks, paid, which delivers:
- Member and workflow opportunity map
- Program business case
- Clinical-safety and operating model
- Technology and integration plan
- A go or no-go recommendation
If the recommendation is to launch, the Launch Sprint runs six to eight weeks and delivers the branded program design, the staff and clinician playbooks, ProForta configured under your program name, the patient onboarding sequence, and a metrics scorecard covering engagement, retention, visit completion, escalations, clinician time per patient, and program contribution margin. Support after launch is monthly.
Practice workflow automation
For the admin load that decides whether a new program survives contact with your front office. HIPAA-compliant, human-in-the-loop automation for prior authorization, scheduling, documentation, and reporting.
It integrates with the EHR and PMS you already run. We stay vendor-agnostic, we hand over what we build, and every automated step writes an audit trail your compliance review can read. Nothing here creates lock-in.
This line stands on its own. Practices that are not ready for a program often start here, and the staff capacity it frees is what a program later runs on.
Prices are set per practice after the discovery call, once we know the panel size and the systems involved.
Proof
We build what we recommend.
The between-visits experience, the identity layer, and the hardware it runs on are not a roadmap. They are running today, and you can open all three yourself before you talk to us.
ProForta
A live muscle-preservation companion for people on GLP-1s: check-ins, protein and strength support, symptom capture, and progress the patient can see. It is running a public 12-week challenge with pre-registered endpoints from 1 September 2026. This is the same between-visits experience a practice program runs on. Open it at proforta.com.
LifeCare.ID®
A live identity and consent layer. The patient holds the key, decides what each app and each clinician may see, and can take that permission back. Anyone can verify what code and which AI models a node is running at lifecare.id. No account, no trust required.
The node
Real hardware, running today on an NVIDIA DGX Spark (GB10 Grace Blackwell, 128 GB unified memory), serving open-weight, Apache-2.0 licensed AI models. Raw health data stays on the node. What leaves is the interpreted result, and only with the patient's permission. HCVC.net is a member of NVIDIA's Inception startup program.
{
"node_id": "node0",
"code_commit": "d3e42e8…",
"models": [
{ "id": "…", "license": "apache-2.0" }
],
"params_version": "…",
"measurement": "sha256:…",
"node_key": { "kty": "EC", "crv": "P-256", … },
"signature": "…"
}
// recompute the measurement from this response
// verify the ECDSA signature - no trust needed
✓ measurement matches ✓ signature valid
The shape of the node's actual proof. Run the real check live.
Why us
The practice focus comes from working inside practices.
HCVC.net is Enbarca Inc. The founder built two prior venture-backed companies, with work funded under the EU FP7 programme and the German BMVI, and is building the LifeCare Network in the open. Background and history: founder on LinkedIn.
Fifteen minutes, direct with the founder.
Tell us how your practice runs today and where your metabolic patients go. You will get a straight read on whether there is a fit.
Follow the build
One essay every two weeks on building this.
We are building this in the open, and writing it down in plain language: what a metabolic program actually costs a practice to run, how to check what an AI does with patient data, and dispatches from the build itself, including what does not work yet.
Subscribe on Substack Free. The first post is the whole idea in three minutes.