moxi does this with a key prefix and a timeout per item (even 1 second makes a big difference for hot data), then fetching it from the authoritative server.
We've not really exploited this moxi functionality in membase deployments yet, but it's been there in moxi for a year now and could be easily turned on if we had a deployment which needed it.
Having said all of that, with membase (as with memcached) the limit you'll hit first for an item you're fetching is network throughput. It's not that common to be fetching a few items so much that you overrun network. Even if you do, then the answer is simple: add a few more nodes.
Having said that, there are cases where subsets of the keyspace get disproportionately "hot" and where load balancing reads would make sense. The vBucket mapping mechanism in membase was explicitly architected to support multi-read support in the future. But our focus initially was on providing a CA database that was immediately, versus eventually, consistent. We'll relax that constraint in the future. Did I say relax!? : )