Starlight.MD
The Operating System for Direct Primary Care
Purpose-built practice management for DPC physicians who refuse to compromise on patient care.
| DPC Physicians in the U.S. | DPC Market by 2028 | Purpose-Built DPC Platforms | DPC Docs Using Cobbled Tools |
|---|---|---|---|
| 25,000+ | $2.4B | 0 | 85% |
The Thesis
Direct Primary Care is the fastest-growing movement in American medicine. Over 25,000 physicians have left fee-for-service to practice membership-based, insurance-free medicine. Yet not a single platform is purpose-built for how they actually run their practices.
DPC doctors juggle 4–7 disconnected tools: a generic EMR, a separate billing system, a CRM spreadsheet, a messaging app, a scheduling tool, and maybe a Google Sheet for revenue tracking. They spend 40% of their non-clinical time on administrative tasks that should be automated.
Starlight.MD is the all-in-one operating system built by a DPC doctor, for DPC doctors. It combines patient management, membership billing, pipeline CRM, automated communications, wellness scheduling, revenue analytics, and clinical workflows — all in a single platform designed from the ground up for the DPC model.
We're not adapting a fee-for-service EMR for DPC. We started with a real DPC pediatric practice — Starlight Pediatrics in Austin, TX — and built exactly what the doctor needed. Our CMO, Dr. Yogini Prajapati, currently uses Atlas.md as her EMR and had to commission an entirely separate platform (which became Starlight.MD) because Atlas.md couldn't handle her practice management, pipeline, communications, or revenue needs. Every feature exists because she needed it on real patients.
What We've Already Built
Starlight.MD isn't a pitch deck — it's a working product currently managing a live DPC pediatric practice with 21 patients, processing real revenue, and sending real patient communications. Our prototype includes:
- 14-page practice management platform with dashboard, patient management, pipeline CRM, billing, wellness scheduling, actions, revenue analytics, messaging hub, pricing guide, practice reports, and data backup
- 17 email templates with merge tags, CAN-SPAM compliance, and professional HTML formatting
- 5-step automated nurture sequences for prospect conversion
- Age-based tier pricing engine with automatic plan change detection and alerts
- Google Review tracking with 30-day follow-up cadence
- Newborn home visit checklist with structured clinical assessment
- Revenue simulator with what-if scenario modeling
- 4-layer data protection with auto-backup and recovery
The Ask
We're raising a $500K pre-seed round to hire 2 engineers, achieve HIPAA compliance, migrate to a cloud backend, onboard 50 DPC practices in a 6-month pilot, and prove product-market fit before a Series A.