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In order to respond to the multiple paradoxes of current medical and healthcare services, some health professionals have chosen to operate as collective entities by creating multidisciplinary health houses. This trend is the practical outcome of an initiative that began in the early 2000s and that resulted in the creation of the Federation of health and healthcare houses (Fédération des maisons de soin et de santé), now known as the French federation of health houses and medical hubs (Fédération française des maisons et pôles de santé). Health houses offer a rich and varied range of prospects for improving the provision of healthcare services for local populations. Because of their multidisciplinary focus, health houses provide a comprehensive service for patients (i.e. treatment projects) with the possibility of articulating public healthcare policies around the coordination of prevention, education, screening and healthcare services (i.e. healthcare projects). They restore patients to a central position within the healthcare system and promote the provision of healthcare services aimed at ‘fragile’ populations. Socio-medical coordination also optimizes the use of hospitalization and the quality of home healthcare. To ensure the provision of such services, these new modes of organization require other means in addition to consultation fees. The “structure fee” (or forfait structure) is one such key element. The French federation of health houses and medical hubs is thus conceived in partnership with administrative and policy-making bodies on questions concerning access to healthcare, medical demography and the development of health houses and medical hubs.