Key Points

- Group Medical Visits (GMVs) can make Yoga Therapy accessible and sustainable in healthcare, supporting population health and health equity.

- Advanced, accredited yoga therapy education prepares therapists for rigorous, collaborative roles on healthcare teams.

- GMVs align with the Quintuple Aim—improving care, health outcomes, equity, cost, and workforce well-being—and Yoga Therapy’s relational and evidence-based approach is especially suited to this model.

- Integrating Yoga Therapy into GMVs may transform it from a private-pay luxury to a scalable population-health strategy.

In considering the future of Yoga Therapy, the primary question has shifted from its value to its implementation. Clinical experience and an expanding body of research demonstrate that Yoga Therapy supports individuals facing chronic pain, stress, anxiety, cancer recovery, cardiovascular conditions, burnout, and numerous other health challenges (Büssing et al., 2012; Cramer et al., 2013; Holtzman & Beggs, 2013).

A more challenging question emerges:

How can Yoga Therapy become accessible, sustainable, and fully integrated into healthcare systems without compromising its scope, depth, or integrity?

One potential solution lies in the Group Medical Visit (GMV) model.

Group Medical Visits, sometimes called Shared Medical Appointments (SMA), are not simply wellness classes. They are structured clinical visits in which patients with shared health concerns receive care in a group setting, usually led by a billing medical provider. The group may include medical education, self-management tools, movement, mindfulness, nutrition, behavioral health support, and complementary or integrative health practices.

This consideration is particularly significant for the field of Yoga Therapy.

For decades, Yoga Therapy has primarily operated outside the healthcare reimbursement framework. Patients able to afford private-pay services can access individualized support, whereas those with limited financial resources often cannot. This ongoing access barrier restricts the profession’s capacity to serve individuals with chronic stress, pain, trauma, social isolation, and complex health needs—populations that could benefit most.

The Group Medical Visit model may serve as a bridge to address this gap.

What Is a Group Medical Visit?

A Group Medical Visit is a healthcare delivery model in which multiple patients with a shared concern meet with a medical provider and care team. The provider addresses the medical component, while the group format allows more time for education, skill-building, discussion, and support.

The Integrated Center for Group Medical Visits describes this model as a way to reduce health disparities in underserved communities by using the power of group-based care. Their work emphasizes that GMVs can improve health outcomes, support mental health, reduce barriers to care, and make space for services that are often poorly reimbursed in conventional systems.

I first learned of this model at a Society of Integrative Oncology (SIO) meeting, where a representative from the Integrated Center for Group Medical Visits (ICGMV), a nonprofit dedicated to reducing health disparities in underserved communities through the power of group medical visits (GMVs), was present. We are the first GMV teaching center in the US. ICGMV is nationally recognized with the experienced duo of Dr. Paula Gardiner leading research and Dr. Jeffrey Geller leading clinical innovation.  ICGMV frames GMVs as a model for whole-person healthcare, patient empowerment, and improved access, especially for people affected by social and structural determinants of health. The workshop objectives include learning how to implement GMVs, understanding how they improve whole-person care, and practicing skills patients can use for chronic pain self-management.

This structure is essential. A Group Medical Visit is not merely an extended appointment; it represents a fundamentally different approach to healthcare delivery.

Instead of asking, “What can we do in a 10-minute visit?” the model asks:

What support does this person need to actually live with, manage, understand, and respond to their condition?

At this intersection, Yoga Therapy becomes highly relevant.

Why This Model Matters for Yoga Therapy

Yoga Therapy is not simply teaching yoga poses in a medical setting. A Yoga Therapist works within a defined scope of practice, using assessment, therapeutic relationship, breath, movement, meditation, self-inquiry, lifestyle reflection, and nervous-system regulation to support self-care and well-being.

In my own professional framework, I have often described Yoga Therapy as an evidence-informed, collaborative care discipline. Yoga Therapy draws from both traditional yoga philosophy and contemporary biomedical science to support the whole person: body, breath, mind, behavior, relationships, meaning, and environment.

The Group Medical Visit model provides a practical, responsible pathway for Yoga Therapy to enter healthcare (Integrated Center for Group Medical Visits, n.d.).

The medical provider does not need the Yoga Therapist to diagnose, prescribe, or manage disease. That is not our role. Instead, the Yoga Therapist contributes within scope by helping patients develop embodied skills that support regulation, function, self-awareness, and behavior change.

For example, in a chronic pain GMV, a Yoga Therapist might offer:

Gentle therapeutic movement to support pacing, safety, and functional confidence.

Breathing practices to help regulate the nervous system.

Interoceptive awareness practices to help patients notice early signs of pain escalation, guarding, fatigue, or dysregulation.

Accessible self-inquiry to explore the relationship between body, energy, mood, thought patterns, and daily choices.

Restorative practices that support sleep, recovery, and self-compassion.

Education that helps patients understand the difference between pain, protection, fear, and movement avoidance.

These interventions are not supplementary; rather, they often represent the essential link between medical recommendations and actual behavior change.

For Yoga Therapy to move into healthcare with integrity, we must be able to clearly describe our work. The CLARIFY 2021 guidelines help establish that yoga-based interventions should not be reported vaguely. They should include details about intervention rationale, practices used, delivery method, dose, home practice, adherence, instructor qualifications, and fidelity. This gives Yoga Therapy an important bridge into healthcare language: our work is relational and embodied, but it can also be documented, evaluated, and communicated in clinically meaningful ways.

Yoga Therapy Is Already Built for Whole-Person Documentation

Notably, Notre Dame of Maryland University (NDMU), through the School of Integrative Health (SOIH), offers the only terminal degree for yoga therapists in the United States—a Master of Science in Yoga Therapy (Notre Dame of Maryland University, n.d.). This rigorous, IAYT-accredited program includes over 1,485 hours of specialized training, encompassing supervised clinical rotations and mentorship. Graduates are prepared for roles in integrative health clinics, hospitals, and other healthcare environments, working alongside medical professionals as part of interprofessional teams. Such advanced education demonstrates a commitment to clinical rigor and academic excellence, supporting the movement toward higher educational standards for yoga therapists nationwide.

For Yoga Therapy to be recognized within healthcare, it is necessary to communicate effectively using the language of interdisciplinary care teams. This extends beyond offering practices to include co-assessment, clinical reasoning, documentation, scope clarity, privacy considerations, and outcomes tracking.

A qualified Yoga Therapist can work within HIPAA-informed environments, contribute to SOAP-style documentation, communicate with referring providers, track patient goals through outcome measures, support study designs and case reports, and support care plans through multimodal interventions. In clinical and educational settings, Yoga Therapists may document observations of breath, movement, posture, stress response, self-reported function, pain patterns, fatigue, sleep, nervous system regulation, and patient adherence to home practices.

This is critical because healthcare systems require not only innovative concepts but also services that can be documented, communicated, evaluated, and integrated into team-based care.

This need for clarity is already being addressed in yoga research. The CLARIFY 2021 guidelines were developed to improve the transparency and clinical usefulness of yoga research reporting. Rather than allowing “yoga” to remain a vague intervention label, CLARIFY asks researchers to specify the population served, the rationale for the intervention, the practices used, the dose, the delivery method, home practice expectations, adherence, yoga therapist qualifications, protocol modifications, and fidelity. For healthcare leaders, this matters because it shows that yoga-based care can be described, documented, studied, replicated, and evaluated with the same seriousness expected of other clinical interventions.

The Neuroscience Case for Yoga Therapy in Group Care

Yoga Therapy also brings a nervous-system lens that is highly relevant to chronic disease management. Many chronic conditions are shaped not only by tissue pathology but also by stress physiology, pain sensitization, autonomic dysregulation, disrupted sleep, social isolation, fear of movement, and reduced self-efficacy.

Yoga Therapy works through multimodal pathways: breath regulation, interoceptive awareness, proprioceptive feedback, mindful movement, attentional training, relaxation response, and meaning-centered self-inquiry (Elwy et al., 2014). These tools may help patients notice early signs of stress activation, downshift sympathetic arousal, improve body awareness, reduce fear-based movement avoidance, and build confidence in self-management.

In a Group Medical Visit, these practices become even more powerful because patients are not only receiving education; they are practicing regulation, movement, and self-awareness in a community.

The Business Model: Why GMVs Are So Important

A significant advantage of the Group Medical Visit model is its capacity to establish a more sustainable financial structure.

In many healthcare systems, physicians and other eligible providers can bill for the medical visit. Because the group format allows multiple patients to be seen within a shared clinical structure, there may be more financial flexibility to include team members whose services are not otherwise reimbursed directly.

This may include health coaches, dietitians, behavioral health clinicians, mindfulness instructors, acupuncturists, movement specialists, and potentially Yoga Therapists.

This is the key distinction:

The Yoga Therapist does not have to become the billing provider. The Yoga Therapist becomes part of the interprofessional care team.

This approach represents a more robust and ethically sound position for the profession.

It enables Yoga Therapists to be compensated for their expertise without overstepping into medical diagnosis or treatment. Medical systems can offer more comprehensive care without expecting physicians to deliver every aspect of education, emotional support, lifestyle counseling, movement guidance, and self-regulation training alone (Kirsh et al., 2017).

Such a model creates opportunities to integrate Yoga Therapy, a medically adjacent modality within complementary integrative medicine (CIM).

Not as a luxury.

Not as entertainment.

Not as a fitness class.

But as a scope-appropriate, team-based therapeutic service.

For healthcare leaders, the primary value proposition extends beyond Yoga Therapy’s holistic nature. Yoga Therapy provides a structured, multimodal, evidence-informed approach that helps patients translate medical recommendations into sustainable daily self-care behaviors (International Association of Yoga Therapists, 2020).

Community as Medicine

A notable strength of the Group Medical Visit model is its recognition of an ancient principle: healing occurs within relationships.

This opens with the concept of “Healing in Circle,” acknowledging that Indigenous and many other cultures have used circles and community-based healing practices since the beginning of human history.

This relational dimension is not simply sentimental; it is part of culturally responsive healthcare. Ijaz and colleagues argue that equitable healthcare requires broader recognition of practitioners whose credibility may be established through licensure, certification, community trust, cultural knowledge, or other forms of accountability. Their statement of principle emphasizes that community health workers, traditional and Indigenous healers, and complementary health practitioners can play an important role in culturally responsive care, especially for communities that have experienced marginalization or distrust within dominant biomedical systems. This strengthens the case for Group Medical Visits because the model not only delivers information more efficiently, but also creates a care environment where trust, community accountability, cultural responsiveness, and shared support can become part of the therapeutic process. (Ijaz et al., 2021)

This concept is not novel; rather, it represents longstanding wisdom adapted to contemporary healthcare structures.

In conventional healthcare, patients often feel alone with their diagnosis. They may receive instructions, but not enough time, support, or encouragement to integrate those recommendations into daily life. They may feel shame, isolation, confusion, or fatigue. They may be told to exercise, reduce stress, sleep better, eat differently, or manage pain—but they may not be shown how to do that in a way that feels possible in their own body and life.

Group Medical Visits transform the relational dynamics within healthcare.

Patients see that they are not alone. They learn from one another. They practice together. They hear other people ask questions they were afraid to ask. They build self-efficacy through repetition, belonging, and shared experience.

Community as medicine in group-based models may reduce depression, anxiety, and isolation while supporting positive behavior change in populations most affected by health inequity.

This approach is closely aligned with the principles of Yoga Therapy.

Yoga Therapy is not only about symptom management. It is about relationships: the body, breath, mind, self, others, environment, and meaning.

A well-facilitated GMV provides Yoga Therapy with a place to support relational healing in a healthcare setting. Yoga Therapists use SOAP notes, have a scope of practice and code of ethics, and so on; however, healthcare providers and researchers are not aware of the profession, and healthcare systems also need more inclusive ways to recognize credible, community-rooted healing professions to which yoga therapists could fill. (Ijaz et al., 2021)

GMVs and the Quintuple Aim

As healthcare evolves, the Quintuple Aim provides a comprehensive framework for evaluating models that address not only patient outcomes but also provider well-being and health equity. Understanding how GMVs—and integrative approaches like Yoga Therapy—align with these aims is essential for advancing whole-person, sustainable care.

Healthcare systems are increasingly asked to consider not only individual treatment outcomes, but also broader measures of value. The GMV presentation connects the model to the Quintuple Aim: improving population health, improving care, lowering cost, improving workforce well-being, and advancing health equity.

Yoga Therapy’s emphasis on self-regulation, community, and holistic care uniquely aligns with the Quintuple Aim’s goals, particularly in areas of patient experience and workforce well-being. This perspective strengthens Yoga Therapy's advocacy position within healthcare.

Instead of saying, “Yoga Therapy helps people feel better,” we can say:

Yoga Therapy can support population health by helping patients develop self-regulation, body awareness, functional movement, stress resilience, and sustainable self-care behaviors.

Instead of saying, “Yoga Therapy is relaxing,” we can say:

Yoga Therapy can improve the care experience by giving patients more time, relationship, education, and embodied tools for living with chronic conditions.

Instead of saying, “Yoga Therapy should be included because it is holistic,” we can say:

Yoga Therapy may help reduce downstream costs by supporting prevention, self-management, nervous-system regulation, pain coping, and behavior change.

And instead of placing all responsibility on already overburdened physicians, we can say:

Yoga Therapists can support workforce well-being by contributing to team-based care and offering self-regulation practices for both patients and healthcare professionals.

This is the type of language that resonates with healthcare systems.

Group Medical Visits and the Quintuple Aim: What the research shows

Group medical visits (GMVs), also called shared medical appointments (SMAs), bring patients with similar conditions together for clinical care, education, and peer support. Recent work explicitly links GMVs to the Quadruple and emerging Quintuple Aim frameworks, which aim to improve population health, patient and provider experience, lower costs, and health equity (Nundy et al., 2022; Roth et al., 2020; Roth et al., 2024).

How GMVs Map to the Quintuple Aim

Patient experience & engagement

• GMVs increase time with clinicians, peer support, trust, satisfaction, and sense of being well‑informed across chronic disease and prenatal models.

• Realist and qualitative reviews identify mechanisms such as reduced isolation, vicarious learning, peer inspiration, and more egalitarian patient–provider relationships that foster trust and self‑management.

Population health outcomes

• Systematic reviews find that GMVs/SMAs can improve clinical outcomes (e.g., diabetes control, blood pressure, other chronic conditions) compared with usual care, though effects vary by study and condition (Wadsworth et al., 2019; Vedanthan et al., 2021; Yang et al., 2025; Axtens et al., 2025; Cunningham et al., 2021; Jacz-Kruithof et al., 2023).

• In Kenya, GMVs (with or without microfinance) achieved clinically meaningful reductions in systolic blood pressure beyond usual care, especially for women and poorer participants, though confidence intervals included neutral effects.

Costs and efficiency

FIGURE 1 Economic and efficiency aspects of GMVs within the Quintuple Aim

Clinician experience & health equity

• GMVs are reported to improve provider satisfaction, reduce burnout, and create more meaningful, collaborative relationships with patients and colleagues (Haverfield et al., 2020; Kirsh et al., 2017; Jaber et al., 2006).

• GMVs in safety‑net clinics, First Nations communities, low‑income breast cancer survivors, and low‑resource Kenyan settings expand access and may advance health equity by restructuring encounters that often reproduce inequalities (Trejo et al., 2022; Lavoie et al., 2013; Vedanthan et al., 2021; Thompson-Lastad et al., 2024).

Evidence suggests GMVs/SMA models can contribute to all five domains of the Quintuple Aim: better patient experience, improved clinical outcomes for some chronic conditions, more efficient or cost‑effective care in many contexts, enhanced clinician experience, and improved access for underserved groups (Roth et al., 2020; Nundy et al., 2022; Thompson-Lastad et al., 2018; Simon, 2017; Jacz-Kruithof et al., 2023). Effects are not uniform, and implementation is complex, but GMVs appear to be a promising strategy for aligning care delivery with the Quintuple Aim. As healthcare systems continue to seek scalable, patient-centered solutions, integrating Yoga Therapy into GMVs may represent a vital step toward achieving the Quintuple Aim in practice.

A Scope-Appropriate Role for Yoga Therapists

For Yoga Therapists, this opportunity is promising but requires careful consideration.

A Yoga Therapist in a GMV should not be presented as a physician, physical therapist, psychotherapist, or medical provider unless they hold those separate credentials. Yoga Therapy must maintain clear professional boundaries as medically adjacent care, complementary to allopathic treatments.

A Yoga Therapist can support:

Self-regulation.

Breath awareness.

Therapeutic movement.

Body awareness.

Mindfulness.

Lifestyle reflection.

Pain education reinforcement.

Stress resilience.

Interoceptive awareness.

Self-efficacy.

Meaning-making and values-based self-care.

A Yoga Therapist should not diagnose, prescribe, replace medical care, make claims of curing disease, or independently bill under medical codes unless they are appropriately credentialed and legally permitted to do so.

This characteristic makes the Group Medical Visit model particularly promising, as it enables Yoga Therapy to collaborate with medical professionals without imitating or replacing conventional medical roles (Macy et al., 2018).

The physician or qualified medical provider anchors the visit. The Yoga Therapist supports the lived integration of care.

That distinction protects the patient, the provider, and the profession.

How We Might Explain This to Healthcare Leaders

When speaking to healthcare organizations, I would frame the value of Yoga Therapy in GMVs this way:

Group Medical Visits offer a financially sustainable and clinically grounded model for integrating Yoga Therapy into healthcare. The billing medical provider anchors the visit, while the Yoga Therapist contributes scope-appropriate practices that support self-regulation, therapeutic movement, nervous-system awareness, and patient empowerment. This allows patients to receive more comprehensive whole-person care while helping healthcare systems address access, cost, outcomes, and health equity.

Or even more simply:

Group Medical Visits transform Yoga Therapy from a private-pay luxury into a population-health strategy (Integrated Center for Group Medical Visits, n.d.; Kirsh et al., 2017).

If Yoga Therapy remains solely a private-pay service, it will remain inaccessible to many individuals who could benefit most. However, integration into reimbursable, team-based models of care provides a realistic pathway for the profession to contribute to community health, primary care, chronic pain management, oncology survivorship, mental health support, and lifestyle medicine.

Yoga Therapists are trained to translate yoga’s multimodal tools—movement, breath, meditation, relaxation, lifestyle reflection, and self-inquiry—into individualized or group-based therapeutic strategies that support symptom management, self-regulation, functional capacity, and patient self-efficacy.

The Future of Yoga Therapy May Be Collaborative

The future of Yoga Therapy is not about replacing physicians, physical therapists, psychotherapists, nurses, or health coaches.

The goal is to become a trusted collaborator within the healthcare team.

Group Medical Visits offer a model in which Yoga Therapists can contribute what we do best: helping people experience their bodies differently, relate to their symptoms with greater awareness, build capacity over time, and reconnect with agency in their own healing process.

This is the work that often cannot happen in a rushed appointment.

This is the work that requires practice.

This is the work that requires presence.

And this is the work that Yoga Therapy is uniquely prepared to support.

The power of the Group Medical Visit model lies in its capacity to make room for the human side of healthcare: education, community, self-efficacy, embodiment, and belonging.

For Yoga Therapy, this opportunity may serve as an entry point into broader healthcare integration.

Why This Matters for Health Systems

Hospitals and clinics are under pressure to improve outcomes, lower costs, reduce clinician burden, advance health equity, and improve patient experience. Group Medical Visits already align with these goals. Yoga Therapy can strengthen the model by adding embodied, repeatable, low-cost self-management tools that patients can use between medical visits.

Community-based care also matters for health equity. Ijaz and colleagues argue that healthcare systems should recognize practitioners whose credibility is established not only through licensure, but also through certification, community trust, cultural knowledge, and accountability to the communities they serve. This perspective strengthens the case for Group Medical Visits because GMVs create room for culturally responsive, team-based care that may include community health workers, traditional healers, and complementary practitioners alongside licensed medical providers. (Ijaz et al., 2021)

This is especially relevant for chronic pain, anxiety, stress-related conditions, cardiometabolic disease, cancer survivorship, sleep disturbance, fatigue, and other conditions where lifestyle, nervous-system regulation, and patient engagement influence outcomes (Telles et al., 2012; Cramer et al., 2013).

A Yoga Therapist in this model is not functioning as a replacement for medical care. The Yoga Therapist is helping extend the care plan into the patient’s lived experience.

Yoga Therapy is not a stand-alone wellness add-on in this model; it is a multimodal, evidence-informed, documentation-capable discipline that helps patients practice the skills required for self-regulation, symptom management, and sustainable behavior change.

Author Bio

Kimberly Searl, MS, C-IAYT, is a certified yoga therapist and integrative health educator with extensive experience in clinical settings and group medical visits. Kimberly is dedicated to advancing whole-person care and health equity by bridging yoga therapy and conventional healthcare. She has had a private practice for 20 years and has been a professor at both NDMU and SCU for over 6 years.

Call to Action

Have you experienced or facilitated group medical visits that integrated Yoga Therapy? Share your experiences or questions with me. To learn more about implementing GMVs or Yoga Therapy in your organization, please sign up for a mentorship session today at www.ism.health

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