Powering Primary Care with Specialist
Support
Dr. David Duhamel
Pulmonologist, Gazuntite
Dr. Lalit Vadlamani
Cardiologist, Gazuntite
“Gazuntite is what every primary care provider needs—real-time, specialist collaboration without the red tape. I can step into their workflow, review the case, and send back actionable guidance that keeps care local and builds patient trust.”
Dr. Greg Schenk
Cardiologist, Gazuntite
“Seventy percent of specialist referrals don’t need an in-person visit. Gazuntite eliminates that waste. We turn those unnecessary referrals into meaningful consults that save time, cost, and keep the right patients in the right place.”
Dr. Anthony Yonts
FQHC customer, Gazuntite
“Gazuntite is what every primary care provider needs—real-time, specialist collaboration without the red tape. I can step into their workflow, review the case, and send back actionable guidance that keeps care local and builds patient trust.”
Dr. Reena Bommasani
Family Practice Customer, Gazuntite
“Gazuntite feels like having a full panel of specialists down the hall. I can send an e-consult in seconds and get expert input that improves my care plans, strengthens patient relationships, and makes my practice more efficient.”
We turn every clinic into a multi-specialty access point
Saving Billions
Billions Saved
Trust Preserved
Faster Access
Specialists respond in hours, not months.
Stronger Clinics
Every practice gains multi-specialty reach without adding staff.
Smarter Care
Licensed, credentialed specialists provide accountable guidance.
Revenue Retained
Practices keep care (and income) in-house rather than leaking to outside systems.
Healthier Outcomes
Closing care gaps prevents progression to costly emergencies
Gazuntite Provides: specialists you don’t have, In workflows you already use.
Gazuntite was born when a military intelligence expert teamed up with a leading Cardiologist to solve one of healthcare’s toughest challenges: access to specialists. Drawing on the intelligence world’s real- time coordination and decision-making, they built a care network that empowers primary care physicians with consistent specialist support.
The Referral Problem is SO Massive We need to think differently
70%
are unnecessary → that’s 117 million wasted referrals each year.
70 day
average wait for specialist care (vs. same-day or 1–2 days for PCP visits).
167M
specialist referrals annually in the U.S.
$49Bn
in wasted costs annually from unnecessary referrals.
18M
avoidable ER visits annually start as failed or delayed referrals.
Driver Of Bigger Problems
ER overcrowding
ER overcrowding (40% of ED cases could be handled in primary care).
Specialist shortages
Specialist shortages (bogged down with Unnecessary referrals).
PCP burnout
PCP burnout (buried in referral admin work).
Value-Based Care failures
Value-based care failures (when avoidable referrals escalate to hospital admissions).
01
In-house Specialist
The PCP is seen as the patient’s central medical home and trusted “quarterback,” not just a gatekeeper
03
Improves Care Efficiency
Direct, same-day consults make it easier to manage complex patients without disrupting workflow.
02
Revenue retention
PCPs consult with specialists they know. Prevents unnecessary external referrals while improving diagnostic accuracy.
04
Payers love Gaz
Helps clinics meet payer requirements for timely access, chronic care management, and reduced unnecessary ER visits.
01
Flexible, meaningful work
Quick consults from any where, no full practice overhead.
03
Higher-value medicine
Focus on complex cases instead of unnecessary referrals.
02
Compensation + coverage
Competitive compensation complimented with malpractice and credentialing support.
04
Scale without limits
Serve multiple clinics across states via multi-licensure
01
Billions in savings
Avoids unnecessary referrals ($25B+) and ER visits ($27B+).
03
Better quality scores
Faster treatment lowers chronic complications and hospitalizations..
01
Efficient specialist use
Reduces waste, doubles effective capacity of the specialist workforce.
03
Supports VBC contracts
Each avoided ER visit ($1,500) and admission ($12,000) boosts shared savings.
01
Faster answers
Specialist input in hours, not 70 days.
03
Trusted PCP at the center
Care stays anchored to the doctor they know.
01
Lower costs
Avoids expensive ER visits and specialist bills. No travel and no time off
03
Better outcomes
Better outcomes
When it comes to your health,
you don’t want a straight line, you want the circle of life
Proven by Research
The Evidence Behind Gazuntite’s e-Consult
Independent studies confirm what Gazuntite delivers every day: faster specialist access, lower costs, and stronger continuity of care. Across dozens of peer-reviewed trials and systematic reviews, e-consult systems have been shown to reduce referral delays by weeks, cut unnecessary specialist visits by up to 50%, and improve provider satisfaction while keeping patients under the care of their trusted primary team
Gazuntite brings that evidence to life—transforming rural and value-based clinics into virtual multi-specialty centers that deliver higher-quality, lower-cost care, all within the existing EMR workflow.
Gaye et al., “Association of eConsult Implementation With Access to Specialty Care”—JAMA Health Forum,2022
Implementation of an eConsult program in a large urban safety-net system was associated with a significant reduction in median specialty wait times—from 61.2 days to 54.1 days—while maintaining access for vulnerable populations.
Key Takeaway
Real-world evidence from a major health system showing faster specialist access and preserved equity after introducing e-consults.
Peeters et al., “Family Physician–to–Hospital Specialist Electronic Consultations: Systematic Review”—JAMA Network Open, 2024
Across 72 studies, eConsults consistently improved access to specialist advice and reduced the number of patients requiring in-person specialist visits.
Key Takeaway
Large-scale systematic review confirming that e-consults reduce unnecessary face-to-face referrals while maintaining quality of care.
Vimalananda et al., “Electronic Consultations to Improve the Primary Care–Specialty Care Interface for Cardiology in the Medically Underserved” — Annals of Family Medicine, 2016
Electronic consultations betw een primary care clinicians and cardiologists improved access to specialist expertise for underserved patients and decreased unnecessary in-person referrals.
Key Takeaway
A randomized controlled study showing e-consults improved cardiology access and reduced in-person visits for safety-net patients.
Ali et al., “Specialists Triaging Referrals to eConsult: A Feasibility Study” — BMC Health Services Research, 2025
Specialists safely converted a proportion of in-person referrals to ‘advice-only’ eConsults, with over 80% of primary care providers reporting the guidance as clinically useful and actionable.
Key Takeaway
New evidence that structured e-consult triage can safely reduce unnecessary specialist appointments while maintaining clinician confidence.
Vimalananda et al., “Electronic Consultations (e-consults) and Their Outcomes: A Systematic Review” — Journal of the American Medical Informatics Association (JAMIA), 2019
eConsult systems were associated with decreased wait times, reduced specialty visit volumes, improved continuity of care, and enhanced provider satisfaction.
Key Takeaway
One of the foundational reviews in the field—demonstrates multiple system-wide benefits across cost, access, and satisfaction.
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