About Althera

    Medicine the way it used to feel —with the tools of today.

    Concierge primary care, longevity medicine, and regenerative therapies in Albuquerque — built by a family who believed healthcare could be personal again.

    Inside the Althera Alternative Care clinic in Albuquerque

    Althera Alternative Care was founded in 2018 by Todd LeCesne, PA-C, MPAS, MBA, and Raquel LeCesne, CAE — a husband-and-wife team who set out to build the kind of clinic they wished existed.

    Todd is a native New Mexican who has practiced medicine in Albuquerque for more than 30 years. He's treated patients, taught medical students at UNM, and worked the front lines of urgent care and emergency medicine. Somewhere along the way, he noticed the same thing most providers eventually do: the 15-minute visit model wasn't built for real healing. It wasn't built for the conversation about sleep, stress, nutrition, hormones, or the slow decline that shows up years before a diagnosis does.

    So he built something different.

    Raquel joined the practice full-time after a career spent solving operational problems at scale — first in university governance and development at the UNM Foundation, later as General Manager of a Beverly Hills wealth management firm serving professional athletes and entertainers. She brought that same rigor to Althera: building the systems, partnerships, and infrastructure to grow a clinic without losing the thing that makes it work — time with your provider, not a queue for one.

    Today, Althera is a membership-based, direct-pay practice. No insurance company between you and your provider. No 15-minute cap on what matters. Just a team that knows your name, answers when you call, and has the time to actually dig into your health — not just react to it.

    We designed our clinic to feel less like a waiting room and more like a place you'd choose to be. That was intentional. Anxiety about the doctor's office is real, and it gets in the way of good care. So we built a space, and a model, meant to remove it.

    Our Approach

    Four principles that shape every visit.

    Value-based, not volume-based

    We're not bound by insurance-dictated visit lengths. Appointments run as long as your care requires.

    Direct access

    You get your provider's direct line — not a call center.

    Whole-person care

    We look at nutrition, sleep, hormones, stress, and lifestyle — not just symptoms.

    Prevention first

    Our goal is to catch what's coming, not just treat what's already here.

    Our Team

    People who answer when you call.

    TL

    Todd LeCesne, PA-C, MPAS, MBA

    Co-Founder

    30+ years practicing medicine in Albuquerque. Board-certified Physician Assistant, fluent in Spanish, trained in cosmetic dermatology and hormone replacement therapy.

    RL

    Raquel LeCesne, CAE

    Co-Founder & CEO

    Leads strategy and operations. Background in university governance, executive development, and wealth-management operations for high-net-worth clients.

    GV

    Gilbert Vigil

    Clinic Coordinator & EMT

    Brings emergency medicine training to the front line of patient care and day-to-day clinic coordination.

    AC

    Ady Chavez

    Clinic Coordinator & Patient Experience Lead

    Makes sure every member's experience feels personal from the first call to every visit after.

    Coming soon: an Aesthetic RN and Licensed Aesthetician joining the Althera team.

    Althera is a certified minority-owned small business (Hispanic American-owned, SBA Self-Certified Small Disadvantaged Business), proudly Albuquerque-based since day one.

    Ready for medicine that has time for you?

    Start with a 15-minute discovery call, or explore what concierge membership includes.

    Not sure where you fit?

    Start with a 15-minute consult.

    We will help you find the right entry point into CORE.

    Not sure where to start?

    Bring us your symptoms, goals, and questions.

    You do not need to know exactly which service you need. Bring us your symptoms, goals, questions, and curiosity. We will help build the plan from there.