This research examines an innovative business framework to improve equity and operational efficiency in delivering speech and hearing services in India. Applying Total Quality Management (TQM) and Transformational Leadership theories, a mixed-methods study was conducted across 10–12 rehabilitation centres in the Delhi NCR region. Quantitative survey results from 60 patients and qualitative data from 30 professionals revealed high patient satisfaction and clinician competency levels but also identified shortcomings in patient involvement, flexibility, and facility amenities. Based on Osterwalder’s Business Model Canvas, a scalable framework is proposed—emphasising personalised care, telehealth integration, and multi-sectoral partnerships. The model aligns with national initiatives such as the National Programme for Prevention and Control of Deafness (NPPCD) and advocates for data-driven policy and patient-centered innovation.