The model functions by leveraging existing private-sector infrastructure, including independent providers and self-funded plans, managed through a third-party administrator (TPA). By utilizing a nonprofit entity to subsidize primary care costs, the system aims to provide the benefits of public-interest governance while maintaining decentralized care delivery. Employers integrate the model into their existing benefits, bypassing the need for wholesale federal legislative changes.

Proponents argue that the structure addresses the primary criticisms of the current landscape—specifically high deductibles and administrative waste—without disrupting the fundamental roles of private providers. The framework adopts single-payer concepts such as simplified payment administration and consistent eligibility rules, yet rejects the transition to government-run healthcare. Dr. Diana McCosham, marketing director at WorXsiteHR, positions this as a structural shift that moves beyond traditional benefit products, aiming to prove that administrative reform can occur incrementally through private-nonprofit collaboration rather than system-wide nationalization.