This document outlines a telemedicine startup called MDChronic that aims to address the growing problem of not enough doctors to meet the chronic disease needs of 133 million Americans. MDChronic offers video consultations and concierge services to connect patients with doctors for a monthly or per visit fee. The business model takes 20% of doctor fees and plans to partner with electronic health record companies. It competes against telemedicine companies by also offering doctor collaboration and chronic disease concierge services while avoiding directly employing doctors.