Dr. Rafael Hernandez
Chief Executive Officer
Internal Medicine & Geriatrics | Value-Based Care Expert
A renowned expert in value-based medicine and clinical leadership. Originally from the Dominican Republic, he completed his residency in NYC and a fellowship in geriatrics at NYU Langone.
He is the founder of Domus Care Solutions, with a vision to enable older adults to age in their own homes through quality, cost-effective home care.
Our Business Lines
Supporting providers across multiple payer lines with comprehensive MSO infrastructure
ACA
Affordable Care Act marketplace plans with comprehensive coverage and quality care coordination.
Medicare Advantage
Enhanced Medicare benefits with value-based care models and superior patient outcomes.
Medicaid
Comprehensive Medicaid managed care serving vulnerable populations with excellence.
Centers Without Walls Infrastructure
“Centers Without Walls” represents Synera’s philosophy that exceptional care and strong clinical performance should not be limited by geography, brick-and-mortar constraints, or isolated practice operations.
For a physician joining Synera Health Group, it means:
- You remain independent in your own office, under your own brand, and serving your own patients.
- Yet you become part of a larger, fully integrated clinical and operational ecosystem.
- Synera extends your “center” beyond your four walls—bringing centralized contracting, credentialing, analytics, imaging, wound care, revenue cycle support, quality programs, and payer relationships directly to your practice.
- Your office functions as part of a multi-site, physician-led network with shared infrastructure, negotiating power, and performance tools—without losing autonomy.
In practical terms, “Centers Without Walls” allows every Synera-affiliated practice to operate like a scaled, enterprise-grade medical group while preserving the culture, relationships, and independence of a local physician office. It is the bridge between private practice and enterprise medicine—without the loss of control.
Credentialing
Streamlined provider enrollment and payer credentialing
Network Contracting
Strategic payer negotiations and network development
Revenue Cycle
End-to-end billing and claims management
About Synera Health Group
Synera Health Group was born from lived experience at the intersection of medicine and managed care.
Its founder, Dr. Rafael Hernandez, is board certified in Geriatric Medicine and has spent decades leading large,
multi-market healthcare organizations through the transition from fee-for-service to value-based care. In those
roles, he was not only responsible for clinical outcomes, but for navigating full-risk models, payer contracts,
quality programs, and the operational realities that determine whether a practice thrives or struggles.
What Dr. Hernandez saw, repeatedly, was a widening gap between physicians and the managed care ecosystem
that governs their future.
Physicians were being asked to assume financial risk, meet increasingly complex quality benchmarks, and
operate like enterprise organizations—yet they were given little guidance, limited infrastructure, and almost no
strategic partnership. Many were excellent clinicians, but were forced to navigate capitation, RAF, HEDIS, Stars,
utilization management, and payer negotiations on their own. The result was burnout, underperformance, and
lost revenue—despite delivering high-quality care.
Synera was created to change that.
The vision was clear: build a physician-centric organization that understands both sides of the table—the
clinical realities of practice and the business mechanics of managed care. An organization that could guide
providers through complexity, protect their autonomy, and equip them with the tools, contracts, and
operational support necessary to succeed in value-based models.
From inception, Synera assembled a leadership team drawn directly from the managed care world. Executives
who have built networks, negotiated health plan contracts, launched markets, and operated under full-risk
arrangements. Professionals who speak the language of payers and understand their incentives, timelines, and
regulatory pressures. Individuals who have sat inside health plans and large provider organizations and know
how decisions are made.
Together, the Synera team brings more than 100 years of combined experience across multiple markets
nationwide.
That depth of experience allows Synera to do what most organizations cannot:
● Translate managed care complexity into actionable strategy for physicians
● Secure and structure payer agreements that are economically viable
● Build operational frameworks that support quality, compliance, and growth
● Align clinical excellence with financial performance
● Ensure that providers are not just surviving in value-based care, but winning
Synera’s mission is not simply to help physicians participate in managed care. It is to empower them to lead
within it.
By surrounding providers with seasoned expertise, modern infrastructure, and aligned incentives, Synera
enables physicians to focus on what they do best—delivering exceptional care—while the organization handles
the architecture of growth, performance, and sustainability.
At its core, Synera exists to restore balance:
Quality care for patients.
Economic strength for providers.
And a clear, guided path through one of the most complex healthcare systems in the world
Our Story
Synera Health Group was created out of a simple but powerful conviction: physicians and clinicians should be in control of
their own destiny. For too long, healthcare has been shaped by systems and entities that often place financial priorities
ahead of clinical judgment. Providers have found themselves constrained by decisions made far from the exam
room—decisions that impact how they practice medicine, care for patients, and sustain their clinics.
Synera was founded to change that dynamic.
We built Synera to place providers back in the driver’s seat—to restore autonomy, influence, and economic strength to the
very professionals who deliver care. Our model is designed to empower clinics and clinicians to make decisions that are in
their best interest and in the best interest of their patients. By aligning operational support, managed care expertise,
technology, and strategic partnerships under one unified platform, we give providers the tools they need to thrive without
surrendering control.
The name “Synera” is rooted in synergy—the idea that together we are stronger than we could ever be alone. In today’s
healthcare landscape, scale matters. Strength in numbers creates leverage, stability, and opportunity. When like-minded
professionals unite around a common goal, the collective impact is transformative. Contracting power increases. Resources
expand. Innovation accelerates. Most importantly, providers regain their voice.
We believe that when independent practices come together with shared values and purpose, extraordinary outcomes
follow. Clinics become more resilient. Physicians become more fulfilled. Patients receive better, more coordinated care.
Synera is not just an organization—it is a movement built by providers, for providers, designed to shape a future where
healthcare is led by those who know it best.
When we align around a common vision, the possibilities are not just promising—they are extraordinary.
Multi-State Network
Expanding provider networks across the Southeast and beyond
Florida
Georgia
Alabama
Tennessee
Contact US
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