July 2025

Community-Based Wellness: A Model for Real Healthcare

In The Community Cure, James Maskell argues that community itself—not pills or procedures—is one of our most powerful interventions for chronic disease. He shows how isolation drives poor health outcomes, while shared experience, accountability, and social support function as effective "treatments." The book makes a compelling case: sustainable healthcare must rebuild human connection as a core element of healing.

This forms the foundation of community-based wellness: health as a collective rather than merely individual project. This model recognizes that patients more effectively make and sustain healthy changes when they feel supported, seen, and included. Healthcare providers can deliver transformation—not just information—through group visits, health coaching circles, and peer accountability systems.

CrossFit affiliates exemplify this principle in fitness. Far more than gyms, they serve as community hubs where people train together, celebrate progress, and hold each other accountable. While the CrossFit methodology centers on measurable, observable progress, it's the community—woven into every class, coach relationship, and post-WOD high five—that creates lasting engagement. Affiliates foster belonging, purpose, and shared struggle, creating environments where behavior change sticks. In doing so, they address a fundamental cause of chronic disease: disconnection.

When considering healthcare transformation, CrossFit affiliates provide a powerful, real-world template for community-based wellness in action. They demonstrate how to blend individualized coaching with collective support, making preventive health both accessible and sustainable. This approach is now emerging in medical settings as providers reimagine primary care. The following examples showcase what's possible when providers integrate these principles into their daily operations. By centering community, they demonstrate that authentic health care extends beyond prescriptions and office visits—it creates spaces where people can truly get—and stay—well.


Lifestyle Intervention: CrossFit Methodology as a Framework for Optimal Health

The June Grand Rounds presentation by Elevation Health and Ash CrossFit provides a compelling case study for how the CrossFit methodology can be effectively integrated into healthcare to address chronic disease and promote optimal health. This integrated approach aligns perfectly with CrossFit's core philosophy of using "constantly varied, high-intensity functional movement" to achieve comprehensive fitness and health outcomes.

The Integration of Medicine and Movement

Elevation Health's model illustrates how the integration of direct primary care with CrossFit creates a powerful healthcare delivery system. By combining medical oversight (through nurse practitioner Heather Peters) with nutrition expertise (registered dietitian Maggie Birdsell) and functional fitness (CrossFit coaching), they've created a comprehensive lifestyle intervention program that targets the root causes of chronic disease rather than simply managing symptoms.

This approach embodies CrossFit founder Greg Glassman's vision of fitness as "increased work capacity across broad time and modal domains" while also improving health markers. The InBody scans used by Elevation Health provide objective measures of body composition changes, reinforcing CrossFit's emphasis on measurable, observable, and repeatable results.

Community as Medicine

One of the most powerful aspects of the Elevation Health model highlighted in the Grand Rounds is the community element inherent to CrossFit. This community support proved particularly valuable during challenges like the hurricane they experienced. CrossFit's group class structure naturally creates accountability, camaraderie, and social connection—factors increasingly recognized as determinants of health outcomes.

Research consistently shows that social isolation and loneliness contribute significantly to morbidity and mortality. The CrossFit methodology, as implemented by Elevation Health, counters this by creating a supportive community environment where patients become athletes working alongside others with similar goals.

Addressing Chronic Disease Through Functional Movement

The patient success stories shared during the Grand Rounds presentation demonstrate how the CrossFit methodology can effectively address chronic conditions. Improvements in blood pressure, A1C levels, testosterone, and body composition align with CrossFit's "Sickness-Wellness-Fitness Continuum" concept, which positions these health markers on a single spectrum.

Particularly noteworthy is the emphasis on muscle mass maintenance for older clients. CrossFit's focus on functional movements—movements that mimic real-life activities—directly supports the goal of helping seniors maintain independence. This approach recognizes that strength training isn't just about aesthetics but about preserving quality of life and functionality as we age.

The Layered Approach to Sustainable Change

Elevation Health's strategy of introducing patients to its services in a layered approach mirrors CrossFit's scalability principle. In CrossFit, workouts are universally scalable, allowing individuals of any fitness level to participate. Similarly, Elevation Health meets patients where they are, starting with one service (often primary care) before gradually introducing nutrition counseling and fitness training.

This progressive introduction acknowledges that sustainable lifestyle change requires both patience and personalization. Rather than overwhelming patients with a complete overhaul of their habits, the layered, stepwise approach builds confidence and competence over time—a strategy that promotes greater adherence and long-term success.

Conclusion

The Elevation Health model presented in the June Grand Rounds offers a compelling blueprint for how the CrossFit methodology can be effectively integrated into healthcare delivery. By addressing physical activity, nutrition, medical oversight, and community support simultaneously, this approach tackles the multifaceted nature of chronic disease and wellness.

As healthcare continues to grapple with rising rates of lifestyle-related diseases, models like Elevation Health demonstrate that the solution may not lie in more medications or advanced technologies, but in a return to fundamental principles of human health: functional movement, nutritious food, supportive communities, and personalized care. The CrossFit methodology, with its emphasis on measurable results and functional fitness, provides an ideal framework for this type of comprehensive lifestyle intervention approach to optimal health.

(Watch the full Grand Rounds Webinar is available on the CrossFit Medical Society’s YouTube Channel.)


Pioneering Integrated Healthcare: The Legacy of Dinesh and Shveta Raju at Gwinnett Clinic

In the evolving landscape of healthcare, few medical professionals have demonstrated the vision and commitment to holistic patient care that Drs. Dinesh and Shveta Raju of Gwinnett Clinic have. Their innovative approach to integrating traditional medical practices with lifestyle interventions has revolutionized patient care in their community and serves as a model for healthcare providers nationwide. In July 2024, the Rajus kicked off the inaugural CFMS Newsletter and Grand Rounds, sharing their philosophy on lifestyle medicine and bringing CrossFit into the primary care setting. As we embark on year two, we reconnected with Dinesh and Shveta. Both are Level 3 CrossFit trainers who recently affiliated their primary care clinic.

Origins and Medical Background

Dr. Dinesh Raju is a board-certified neurologist and brings specialized expertise in treating neurological conditions while recognizing the profound impact of lifestyle factors on patient outcomes. His wife, Dr. Shveta Raju, is boarded in primary care and obesity medicine and oversees 17 primary care clinics in the greater Atlanta area.

Together, the Rajus represent a powerful combination of medical excellence and innovative thinking. Their complementary skills have allowed them to build a medical practice that extends far beyond the traditional clinical model, addressing the root causes of chronic disease rather than merely treating symptoms.

The GC Healthy Living Initiative

Perhaps the most distinctive aspect of the Rajus' work is the development of GC Healthy Living, an integrated department within Gwinnett Clinic that focuses on fitness, nutrition, and lifestyle modifications. This groundbreaking program represents a paradigm shift in medical practice, acknowledging that many chronic conditions respond positively to changes in physical activity and diet.

What makes GC Healthy Living unique is its location within the clinical setting. Unlike traditional medical referrals to external specialists, patients at Gwinnett Clinic can access fitness training, nutritional guidance, and lifestyle coaching in the same facility where they receive their medical care. This integrated approach removes barriers to participation and provides patients with a seamless healthcare experience.

Embracing Evidence-Based Fitness Methodologies

The Rajus' decision to affiliate with CrossFit demonstrates their commitment to evidence-based fitness interventions. Recognizing the effectiveness of functional movement patterns and scalable workouts, they incorporated CrossFit principles into their clinical practice, adapting them to meet the specific needs of their patient population.

Their program employs dedicated CrossFit coaches who work alongside medical staff, creating an environment where physical activity is prescribed and monitored with the same care and attention as pharmaceutical interventions. This team-based approach ensures that patients receive comprehensive care that addresses all aspects of their health.

Overcoming Implementation Challenges

The implementation of an integrated fitness and nutrition program within a medical practice is not without challenges. The Rajus have navigated numerous obstacles, from securing provider buy-in to maintaining patient engagement and measuring outcomes. Their persistence in addressing these challenges speaks to their commitment to transforming healthcare delivery.

One significant hurdle has been convincing physicians to invest time and resources in lifestyle interventions, given the immediate results often seen with medication management. The Rajus have addressed this by educating their medical staff about the long-term benefits of lifestyle modifications and creating systems that make it easy for physicians to refer patients to the program.

Patient Engagement and Retention Strategies

Understanding that sustainable lifestyle changes require ongoing support, the Rajus have developed innovative strategies to engage and retain patients in their program. From personal and small group training sessions to a branded app that supports virtual participation, they have created multiple touchpoints to keep patients connected and motivated.

Their approach to patient care emphasizes accountability and relationship-building. By seeing patients more frequently than in traditional medical models, they create opportunities for regular check-ins, adjustments to treatment plans, and celebration of small victories – all essential components of successful behavior change.

Measuring Success: Beyond Traditional Metrics

The Rajus' commitment to evidence-based medicine extends to their approach to outcome measurement. They track a comprehensive set of metrics, including InBody scans, blood markers, weight, and blood pressure, to document patient progress. Perhaps most significantly, they monitor medication reduction as a key indicator of program success, recognizing that helping patients reduce their dependence on pharmaceuticals represents a significant achievement.

These metrics not only validate the effectiveness of their approach but also provide valuable data for research and continuous program improvement. By systematically documenting outcomes, the Rajus contribute to the growing body of evidence supporting lifestyle medicine.

Creating Pathways to Community Integration

While the in-clinic program provides essential support for patients beginning their wellness journey, the Rajus recognize the importance of eventually transitioning patients to community-based fitness options. They have established relationships with local CrossFit gyms and other fitness facilities, creating pathways for patients to continue their progress after gaining confidence through the clinic's program.

This community integration approach acknowledges the social determinants of health and the importance of sustainable support systems outside the clinical setting. By building these bridges, the Rajus extend the impact of their work beyond the walls of their clinic.

Educational Leadership and Knowledge Sharing

Beyond their direct patient care work, Dinesh and Shveta Raju have emerged as educational leaders in the field of integrated healthcare. Through case studies, presentations, and mentorship, they share their knowledge and experience with other healthcare providers interested in implementing similar programs.

Their willingness to discuss both successes and challenges transparently makes their insights particularly valuable to others in the field. By documenting patient outcomes and program metrics, they contribute to the academic understanding of lifestyle medicine and its role in addressing chronic disease.

Future Directions and Legacy

As healthcare continues to evolve, the Rajus' work at Gwinnett Clinic stands as a testament to what is possible when medical professionals embrace innovation and holistic approaches to patient care. Their model demonstrates that integrating fitness and nutrition into clinical practice is not only feasible but also highly effective in improving patient outcomes.

The legacy of Dinesh and Shveta Raju extends beyond their immediate practice. By pioneering this integrated approach and documenting its effectiveness, they are helping to shape the future of healthcare delivery. Their work serves as an inspiration for medical professionals seeking to address the root causes of chronic disease and improve the overall health and wellbeing of their patients.

In a healthcare system often criticized for its fragmentation and focus on disease management rather than prevention, the Rajus offer an alternative vision – one where medical expertise, fitness principles, and nutritional guidance come together to create truly comprehensive patient care. Their continued commitment to innovation and excellence ensures that this vision will continue to influence healthcare practices for years to come.

"Working on-site allows us to see patients weekly, offering a higher level of accountability and a closer relationship compared to traditional monthly or quarterly visits." - Dr. Shveta Raju

"We track patient progress using InBody scans, blood markers, weight, and blood pressure checks, and also monitor medication reduction as a significant patient achievement." - Dr. Dinesh Raju

"60 to 80 patients are actively participating in in-person fitness sessions monthly or weekly, supplemented by a virtual program via a branded app to support consistency." - Dr. Shveta Raju


One of CrossFit’s most innovative contributions is its clear definition of fitness: work capacity across broad time and modal domains. This standard didn’t just describe what fitness is—it explained how to measure it and why it matters for health. The Level 1 Training Guide stands as a foundational document, articulating this methodology with precision. It’s a kind of constitution for how we understand and deliver effective fitness. Crucially, this approach continues to be validated through research. If we’re going to say that “CrossFit cures,” we want you to really understand how it does so—and why this method is so effective at building lasting health.

Join us on the journey. Journal Article 1, Cardiorespiratory Endurance: A Clinical Vital Sign for Chronic Disease Prevention, is out now.


 

What’s coming up?

  • Are you going? We’ll be there with other members of the CrossFit Medical Society. We’d like to connect!

    Owners and Coaches Conference: July 30 and 31 at the Marriott Albany Conference Center

    CrossFit Games: August 1-3, MVP Arena

    Download the HUSTLE-UP app if you’ll be onsite and look to connect at the conference or at the games.

  • Northeast Affiliate Gathering at CrossFit Chief Nation on Friday, September 26.

    Think of this like your Save-the-Date. Event details to follow.


Another month, another big savings. Keep in mind— the max amount for an individual under 55 is $140. July was roughly HALF of what the max crowdfunding amount can be. This is how healthcare should be. Support the CrossFit community, pay only what’s needed, and take out the bullsh*t.

For CrossFitters, by CrossFitters. Schedule a call and learn more.

 

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