Physician & Medical Group Advisory

Strategy built where
clinician success and
health system performance meet.

Aventra partners with physicians, advanced practice providers, and medical groups to navigate operational complexity — and build organizations that last.

What We Do
01 Practice Operations & Optimization
02 Physician & APP Integration
03 Medical Group Strategy
04 Compensation & Incentive Design
05 Governance & Leadership
06 Medical Directorship Advisory — including interim and transitional leadership
Physician Practice Operations Medical Group Strategy APP Integration Compensation Design Governance & Structure Growth & Alignment Medical Directorship Advisory Performance Optimization Physician Practice Operations Medical Group Strategy APP Integration Compensation Design Governance & Structure Growth & Alignment Medical Directorship Advisory Performance Optimization
What We Do

Advisory built on
deep expertise

We work at the intersection of clinical operations and organizational strategy — where the real challenges for physician groups live.

01
Practice Operations & Optimization
Streamlining workflows, staffing models, and operational infrastructure so your practice runs at its highest potential — with less friction and more margin.
02
Physician & APP Integration
Designing governance structures, roles, and compensation models that align physicians and advanced practice providers under a shared strategic vision.
03
Medical Group Strategy
Long-range planning, competitive positioning, and organizational design for independent and health-system-affiliated medical groups navigating a complex landscape.
04
Compensation & Incentive Design
Building physician and APP compensation frameworks that align incentives, reward performance, and hold up under scrutiny — from fair market value to wRVU modeling.
05
Governance & Leadership
Structuring board governance, leadership development, and decision-making frameworks that create accountability and enable your organization to scale with confidence.
06
Medical Directorship Advisory & Interim Leadership
Supporting organizations through medical director searches, advisory engagements, and interim or transitional medical directorship — ensuring clinical leadership continuity at every stage.
"The best healthcare organizations aren't just
well-run — they're deeply aligned."
— Aventra Medical Strategy
About Aventra

Consultants who have
lived the work.

Aventra was founded by a physician executive with direct experience leading large and small health systems, medical groups, and clinical operations. We don't arrive with generic frameworks — we bring pattern recognition earned across decades of real-world leadership.

Our advisory depth gives clients a partner who understands both the exam room and the boardroom.

Deep physician and APP operations expertise
Independent, conflict-free advisory
Boutique firm — senior attention on every engagement
Experience spanning independent practices to large health systems
Michael B. Green, MD, MBA
Credentials
MD, MBA
Specialty
Pulmonary & Critical Care
Experience
20+ Years
Based In
Charlotte, NC
Leadership

Michael B. Green, MD, MBA

Founder & Principal, Aventra Medical Strategy

Michael Green is a physician executive and healthcare strategist with more than two decades of clinical and operational leadership experience across some of the nation's largest and most complex health systems. As Founder and Principal of Aventra Medical Strategy, he brings a rare combination of frontline clinical expertise and sophisticated organizational strategy to every engagement.

Dr. Green serves as Senior Specialty Medical Director at Atrium Health, where he oversees clinical quality, personnel management, strategic development, and financial performance for Pulmonary, Allergy, Critical Care, and Sleep Medicine across 19 hospitals and 36 clinics in North Carolina and Georgia — leading a team of more than 270 physicians and APPs with a budget exceeding $150 million. He has provided executive oversight for the organization's Virtual Critical Care program across 15 hospitals and played a central role in major integration efforts across Atrium Health's Wake Forest, Floyd, Navicent, and Advocate Aurora partnerships.

A pulmonologist and intensivist by training, Dr. Green completed his fellowship at The Ohio State University and holds an MBA from OSU's Fisher College of Business — a combination that gives him an uncommon ability to bridge clinical excellence and business strategy. He has served on the American Thoracic Society Board of Directors, chaired its Clinicians Advisory Committee, and presented nationally on physician compensation, contract negotiation, and critical care operations. His research has been published in JAMA Internal Medicine, Annals of the American Thoracic Society, and other leading journals.

Dr. Green founded Aventra to give physician groups, APPs, and medical organizations access to the kind of senior, experienced advisory counsel that has historically been available only inside large institutions — delivered with the personal attention and independence that only a boutique firm can provide.

270+
Physicians & APPs Led
$150M+
Budget Oversight
20+
Years of Leadership
Insights

Insight for
clinical leaders

Insight for clinical leaders.

Medical Group Strategy
Why Independent Practice is Harder — and More Possible — Than Ever
The pressures on independent physician groups have never been greater. But so have the tools, models, and strategies available to those willing to invest in their own futures.
8 min read  ·  February 2025
APP Integration
Getting APP Integration Right: Structure Before Scale
Most medical groups add APPs reactively, without the governance or compensation infrastructure to support them. Here's how to build a model that works from day one.
6 min read  ·  January 2025
Compensation Design
The Hidden Costs of Misaligned Physician Compensation
Compensation structures that feel fair on paper can quietly erode culture, productivity, and retention. What to look for and how to fix it before it becomes a crisis.
7 min read  ·  December 2024
Get in Touch

Let's talk about
what you're building.

Whether you're navigating a specific challenge or thinking through longer-range strategy, we'd welcome a conversation. No pitch — just a candid discussion about where you are and where you want to go.

strategy@aventramedical.com
Serving clients nationally
Boutique engagements — limited availability