Adult Vitality healthcare is a Direct primary care provider where there is cash participation only. This is to allow for a timelier and more involved healthcare relationship between the provider and the patient, hence producing a better-quality patient care outcome on a patient centered basis. Thus, payment is based on a contractual model where there is a monthly membership fee.  This monthly membership fee allows the patient to consult with the provider for as many times as needed. The interaction can be via secured text messages, telephone, televisits, live video and using remote patient patient monitoring equipment.