Vikas Goswamy, Assistant Medical Director, Sollis Health – Miami

Vikas Goswamy, Assistant Medical Director, Sollis Health – MiamiIn an interview with Invest:, Vikas Goswamy, assistant medical director of Sollis Health – Miami, discussed the company’s concierge emergency and urgent care model, its expansion into Coral Gables, and how it is improving access to timely, personalized care. “We bring patients through their care and help them navigate the healthcare system beyond just their visit here,” Goswamy said.

How do you define Sollis Health’s concierge emergency care model, and how does it differ from traditional emergency rooms and urgent care centers?
Sollis Health is a concierge emergent and urgent care company. What that means is we are membership-based, and we provide members with the ability to be seen by our ER-trained clinical team within about three minutes of walking into one of our centers. 

Not only are you seen immediately by an ER-trained doctor or care provider, but we also offer comprehensive aftercare, following up after each visit and helping our members navigate the broader healthcare system if additional specialist care is needed. Additionally, we have on-site diagnostics like X-ray and in-house labs, and can quickly facilitate advanced imaging.

It is comprehensive and concierge in the sense that we bring patients through their care and help them navigate the healthcare system beyond just their visit here.

What operational or clinical systems have you implemented in Miami to make that level of responsiveness possible?
In Miami, we have our team here with a physical location that is open from 7 a.m. to 11 p.m., so there is access for 16 hours of the day, and members have 24/7  virtual access outside of those hours.

Here in Coral Gables, the team and I have also met with local physicians in the community and with the big systems in the area, like Baptist Health, UHealth, and Mount Sinai, to ensure that we can be ingrained in the community here in Miami. We also want to ensure that we can offer patients care whenever they need it or wherever they get the rest of their care.

As assistant medical director, how do you balance high-touch, personalized care with emergency-level readiness?
All of our physicians are board-certified emergency physicians, and all of our physician assistants have had at least three years of experience in the ER. Our team is equipped to handle a wide range of medical concerns, drawing on years of experience working in emergency departments across Miami, Florida, and the broader U.S. healthcare system before joining Sollis.

What also sets the Sollis team apart is the ability to spend meaningful time with patients. Care is not rushed — it is highly personalized, with support from our broader teams, including care navigation and aftercare, to help ensure patients are guided through every step of their care journey.

How have in-house diagnostics changed decision-making speed and patient outcomes?
In Coral Gables, we have a full lab. Basically, any tests that you would expect to do in an ER for quick diagnostics, we can get them back in 10 to 15 minutes, which speeds up patients’ care. We also do not need to keep our patients here to wait for those tests to come back. Because everyone is a member, they can get their lab tests done and then go about their day, and we can call them and give them results.

Beyond that, we have X-ray right here. From the time of order to the X-ray, it takes about two or three minutes, and we get that read pretty quickly as well. We are able to provide those services right here in our clinic. A visit that might take three to four hours in a traditional ER can take anywhere from 30 minutes to an hour here in Coral Gables.

Care navigation and specialist coordination are a major part of the model. How do you ensure seamless transitions when a patient needs care beyond what Sollis can provide?
We have an entire care navigation team that is run by our director, Stefanie Roumeliotis PA-C, and that team has built up a network with physicians in the community who are right here in Coral Gables and Miami, as well as with the big healthcare systems.

We also have strong relationships with specialists across the community, so when we refer a patient, we can often connect directly with the physician beforehand to help ensure continuity and a smoother handoff. That way, when patients walk in the door, they do not have to explain everything from the beginning. Their physician already has an idea of what is going on with them and can pick up from where we left off.

What do you think about the broader role of concierge healthcare within the overall healthcare ecosystem?
Concierge healthcare plays an important complementary role within the broader healthcare ecosystem. Our goal is not to replace traditional healthcare systems, but to help patients receive exceptional immediate care and also help them navigate traditional healthcare systems more seamlessly. 

We often serve as a bridge between patients and their primary care doctor — helping connect people to the right specialists, hospitals, and physicians when they need additional care. We also help alleviate some of the friction patients experience in traditional healthcare settings by providing faster access, more coordination, and a more personalized experience.

Ultimately, we see concierge care as a way to improve continuity, access, and patient experience within the larger healthcare landscape. Sollis also plays a complementary role to the existing concierge primary care landscape, working closely with many incredible concierge primary care doctors across all of our regions. 

Miami is a unique market with international patients and seasonal residents. How have you adapted Sollis’ model to fit the local population?
Here in Miami, there are international patients who often do not have insurance in the United States. Sollis can really help them get the care they need without worrying about the bill that is going to come afterward. Once they are members, most of their care is included in their membership here.

For patients in Miami, we provide an additional layer of access to care that can help alleviate pressure on overcrowded emergency rooms and urgent care centers. We are also available beyond the typical hours of many urgent care facilities, giving patients more flexibility when medical issues arise outside of standard operating times.

In addition, our 24/7 telemedicine capabilities allow patients to access care remotely when an in-person visit is not necessary, making it even easier to get timely medical support

We also offer house calls to our patients. Sometimes it is too difficult to get out of the house to be seen, or patients are not mobile or able to travel, and we fill that gap by bringing a physician to them.

How do you train and align your clinical team to deliver both emergency-grade care and a hospitality-level patient experience?
All of our physicians and our clinical team have ER experience and are board-certified in emergency medicine, so they come with that training.

Sollis’s hospitality-driven care is possible because of our volumes. We have much lower volumes than a traditional ER, and that allows our clinicians to really spend time with our patients. They are not rushing from room to room. They are given the time to see the patient, talk to them, get the full history, and ensure that they feel cared for and that their concerns and complaints are heard.

Are there any partnerships that are especially important to highlight?
We partner with local hospital systems like Baptist Health, Mount Sinai, and UHealth in two key ways: to give them a place to send patients when they want to avoid the emergency department and to send patients over to them when our patients need specialty care.

All three are ingrained in the community here, and we have found a way to give our patients access to them while also providing an alternative to an emergency department or urgent care to get the care they need.

What is your vision for the future of Sollis Health in Miami?

For the future in Miami, I hope to see us open around the clock in our physical location and potentially open other centers in the Miami-Dade or Broward area to be able to serve more patients and build access for more patients in the area.

How do you see concierge emergency medicine evolving as patient expectations shift toward immediacy, transparency, and personalized care?
What Sollis is doing in concierge emergency medicine is truly unique — there is no other company in the country doing it. We have built a model that combines emergency-level clinical expertise with immediate access, continuity, and a highly personalized patient experience.

A major part of that model is our close partnership with local primary care physicians. We provide them with a trusted extension of care for moments when their offices are fully booked, closed after hours, or when a patient needs immediate attention that cannot wait days for an appointment. Because we always have emergency-trained physicians available, patients can be evaluated within minutes of arriving.

That creates peace of mind not only for patients, but also for the physicians caring for them. Primary care doctors know their patients are being seen quickly, thoroughly, and in an environment designed to provide both high-quality medical care and a better overall experience.

As patient expectations continue to evolve, I think we will see growing demand for healthcare models that prioritize speed, access, coordination, and personalization — without sacrificing clinical quality.