This document summarizes a presentation on practice model perspectives from 2016. It discusses the transition from fee-for-service to value-based care under MACRA, as well as changing patient expectations and increasing physician burnout. A survey of over 700 providers found that 25% had adopted private pay/membership models, with reasons including spending more time with patients and improving work-life balance. Both traditional and private models saw challenges with patient retention. The presentation promotes Kareo's practice management platform to help with marketing, clinical workflows, billing, and more.