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Florida · Physician-led · Independent Florida · Physician-led · Independent

Doctor-led. Patient-first.
Transparent. Always.

Médico a médico. — Doctor to doctor.
Synera is the MSO built by a practicing physician, for physicians who refuse to sell their practice to grow it. We pay on time. We tell the truth about every dollar. And we put real income in your hands within ninety days — or you get a credit.
Talk to a doctor

Vision

A future where independent physicians thrive in a network they actually trust.

Mission

We back independent doctors with transparency, timely payments, and a partnership built on respect.

Independent providers contracted across Florida
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Active payer contracts (Oscar, Amerihealth, Prominence)
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First payment SLA published, not promised
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Open-book provider economics. Always.
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Active Payer Partnerships · Florida

Prominence Health
Doctors Health
AmeriHealth Caritas
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oscar
Our Services Our Services

Most MSOs were built to extract from doctors. Synera was built to fight for them.

Our founder spent twenty years as a practicing physician — and six years as a National Director at one of the country’s most respected senior care platforms. He has lived every frustration on this page. Synera is the answer.

Hidden margins, opaque splits.
Hidden margins, opaque splits.
Most MSOs profit from what they don't tell you. With Synera, every contracted provider sees the payments we received from the payer, the total, and the percentage that flows to you. No black boxes. No "trust us."
Promises without timelines.
Promises without timelines.
"We'll grow your practice revenue." When? By how much? With what proof? Our promise has dates and dollars attached, not adjectives.
Lock-in contracts and hidden fees.
Lock-in contracts and hidden fees.
If we don't earn your loyalty every quarter, you should be free to leave. Ninety-day exit, no clawback. Earn the relationship, don't trap it.
Our Five Promises Our Five Promises

How we behave when nobody is watching.

Physicians First

Doctors First

Every decision passes one test: does this make the doctor’s life better? If the answer is no, we don’t do it.

01

02

Radical Transparency

Radical Transparency

Open books with our providers. Every dollar you make from your panel — what was paid, the total, the split — is yours to see. Always.
 

02

03

Skin in the Game

Real Commitment

We publish our SLAs in writing. Every quarter you see a scorecard showing how we performed against every commitment we made — on time, off time, missed. No spin.
 

04

04

Stewardship

Stewardship

We care for what’s entrusted to us patients, providers, capital, and calling. Mission before margin, every quarter.
 

05

Like-Minded Partnership

Alliance with Values

We choose our providers, payers, and partners the way we choose friends by character, not convenience.
 
 
The Provider Bill of Rights The Provider Bill of Rights

Eight things every Synera provider can demand from us in writing.

No other MSO will publish a list like this. We publish ours because the only proof of integrity is the willingness to be held to it.

The right to see every dollar.

Quarterly economics report  every PMPM, fee, and split disclosed. No black boxes.

≤45 days first payment. ≤30 days clean claim cycle. Tracked openly on your quarterly scorecard.

Named Physician Success Lead per practice. No call centers. No ticket queues.

Ninety day exit. No clawback. We earn your loyalty every quarter or we lose it.

Spanish and English across every channel billing, support, training, all of it.

ncome-lift roadmap from day one. Measurable, dated, and tracked openly.

You practice medicine. We handle the back office. We never tell you how to treat patients.

Every quarterly review is two-way. We answer to you as much as you answer to us.

— Dr. Rafael Hernandez Lora, MD
From the Founder From the Founder

I built Synera because I lived the problem.

I’m Dr. Rafael Hernandez Lora  a Dominican-American physician who has practiced internal medicine and geriatrics in South Florida for over twenty years.

 

As a National Director at ChenMed for six years, I helped scale one of the country’s most respected senior care platforms. As the founder of Nest Medical Center in Miramar and Domus Care Solutions for home-based senior care, I experienced firsthand how independent practices are squeezed by vendors, insurers, and MSOs that promise much and deliver little.

 

I built Synera to be the opposite of what frustrated me. We exist to help good doctors thrive by paying on time, telling the truth about every dollar, delivering measurable income growth within ninety days, and choosing partners the way we choose friends: by character, not convenience.

 

Faith shaped how I came to medicine. Medicine shaped how we run this company. Healthcare done right is a calling  not a transaction.

 

Founder & CEO, Synera Health Group

  • MD · Pontificia Universidad Católica
  • Internal Medicine
  • Geriatric Medicine, NYU Langone
  • National Director, ChenMed (6 yrs)
  • Founder, Domus Care
  • Founder, Nest Medical Center
  • 20+ years, South Florida
Built To Be Trusted Built To Be Trusted

Two audiences. One standard.

Synera isn’t trying to be all things to everyone. We’re trying to be the most trusted partner to the two groups that matter most  independent physicians, and the payers who serve their patients.

Why doctors choose Synera

Built by a practicing physician. Run by people who have spent decades inside primary care. Designed for doctors who refuse to sell to grow.
  • Open book economics.
    See every dollar we earn from your panel.
  • Income lift in 90 days.
    PMPM + ancillary stack measurable from day one.
  • Bilingual operations.
    Spanish native team, end to end.
  • No lock-in contracts.
    Ninety day exit, no clawback.
  • Named Physician Success Lead.
    One human, on speed dial.
  • Ancillary partners that pay you. On-site imaging, CCM, RPM — Stark/AKS-clean.

Why plans partner with Synera

ChenMed-trained operating discipline. Audit-proof HCC capture. A network of independent physicians ready to deliver Stars-grade quality without losing their souls.
  • Physician-CEO with 6 years at ChenMed.
    The operating playbook is internalized, not outsourced.
  • Florida Hispanic PCP wedge.
    60% Hispanic patient base, 80% PCP provider mix, highest MA penetration in the U.S.
  • Audit-proof HCC discipline. Document what's real. Code what's documented. Every chart RADV-ready.Audit-proof HCC discipline. Document what's real. Code what's documented. Every chart RADV-ready.
  • Disciplined risk progression. We climb the value-based ladder one rung at a time. We do not blow up.
  • Stars/HEDIS infrastructure. Quality-first operating model, not bolt-on reporting.
  • Real outcome data from Domus Care. Not "trust us" — proof from a working clinical site.
What we believe What we believe

The convictions that run this company.​

We believe healthcare done right is a calling, not a transaction. These are the seven convictions that filter every decision we make and shape every partner we choose.

The convictions that run this company.

It's the reason we treat people with dignity, run our books in the open, and choose our partners by character.

Independent physicians are the heart of medicine.

We exist to keep them that way.We exist to keep them that way.

A doctor's time is sacred.

Our job is to remove every barrier between you and your patient.

Hidden margins are a form of disrespect.

 If we earn it, we'll show it.

Let's have a real conversation.

If you’re a physician tired of being squeezed, or a payer tired of being burned, we should talk. No sales pitch. No pressure. Doctor to doctor.