When Growth Breaks the Business Model: Deanna Woodroffe on Direct Primary Care, Capacity, and the Cost of Volume

Growth can look healthy long after the underlying business model has stopped serving the people inside it. Deanna Woodroffe confronted that tension when Vibrant Health of Colorado moved away from an insurance based model that had helped the practice reach roughly 7,000 patients and adopted direct primary care with a planned cap of about 1,000. Her decision raises a question that extends far beyond healthcare: when volume begins eroding quality, capacity, and the ability to do the work well, is getting bigger still growth?