December2018/January 2019 Edition | © 2019 Concierge Medicine Today, LLC.
Concierge Medicine Industry Statistics In 2018-2019
Concierge Medicine Doctors and Membership Medicine programs have become more popular in the past five to ten years, particularly in middle-class and upper middle-class suburban and metropolitan marketplaces. These subscription-based, membership medicine business models primarily in family medicine and internal medicine [but some specialties as well] serve as a lifeline for Patients with chronic conditions that require more time and attention from their Doctor. These Physicians are entrepreneurial, respected by their peers, hospitalists, surgeons and specialists alike. They are often recognized as healthcare’s most forward thinking sub-set of Physicians. They’re innovating constantly, looking and actively implementing new ideas into the practice and delivery of medicine and viewed as healthcare’s earliest adopters precision of genomic medicine, advanced precision medicine testing and preventative lifestyle programs.
National Estimates on Growth and Numbers In 2018-2019
Total Number of Physicians for industry: Industry sources from within Concierge Medicine, Membership Medicine at-large and the Private, Self-Pay and Cash-Only healthcare delivery sectors confirm there are between 5,000-6,000 and upwards of 20,000 private medicine physicians nationally. Why such a wide gap in numbers? Well, since there is no federal registry or official national database of these physicians utilizing these subscription-based or cash-only healthcare delivery business models across the U.S., it is difficult to accurately track and approximate a precise number. According to the independent industry trade publication, Concierge Medicine Today and its multiple sources these figures still only represent a small percentage of the roughly 923,308 total licensed physicians in the U.S., that actively practice medicine today. However, Concierge Medicine’s customer service influence, respect among peers and care quality continues to rise in popularity.
Growth and/or Entry/Conversion Into Concierge Medicine
Overall, Concierge Medicine is thriving in metropolitan markets. Concierge Medicine continues to grow at a moderate and acceptable pace each year with physician earnings increasing gradually. We (Concierge Medicine Today) concur with other outside thought leaders, surveys, industry consultant observations and many industry thought leaders estimates that moderate and gradual growth will continue each year in Concierge Medicine. Furthermore, industry consultants tell us they continue to field more and more physician inquiries from entrepreneurial-minded doctors (from across the U.S.) about their business model options which supports a moderate and conservative growth pace. Additionally, industry experts and observers also tell Concierge Medicine Today that they believe growth in the provision and implementation of private, subscription-based healthcare delivery services is between 3% to 6% each year and has been primarily in the areas of internal medicine and family medicine.
Top Concierge Medicine Industry Specialties In 2018-2019
A listing of the top 5 specialty areas for Concierge Medicine include:
- Family Medicine Concierge Doctor: 32%
- Internal Medicine Concierge Doctor: 23%
- Osteopathic Concierge Doctor: 11%
- Pediatric Concierge Doctor: 8%
- Concierge Dentist: 5%
Specialist Entry Into Concierge Medicine, High-Touch Membership Medicine Delivery and Business Models Becoming More Popular: Specialty Physician interest, entry and participation is also on the rise in Concierge Medicine/Membership Medicine as well. A notable observation in 2018 alone is that Endocrinology, Oncology, Cardiology and Pediatric are all seeing slight increases in 2018 when compared to prior year polling data. The latest polling figures among specialty Concierge Medicine Physicians from 2014 to 2018 finds a nearly 6-7% increase in the amount of specialists now in Concierge Medicine. Concierge Medicine Today also cautions that there is no way that Internet directories, Google searches and polling on the Internet can or will result in an accurate head count of these subscription-based business model physicians. Therefore, many of these common questions are left up to industry thought leaders, examiners and Physicians in the space to accurately estimate and discuss about the history and future of this important, trend setting Membership Medicine space.
Ten Year Career Satisfaction Trend In Concierge Medicine (2018-2019)
Question: 10 Years After Opening Your Concierge Practice, Would You Say That You Are More or Less Satisfied Than Practicing In A Traditional Manner?
Answer: 95% said “Yes!”
Historical Concierge Medicine Career Satisfaction In 2009-2012
The data is based on surveys, polling analysis and verbal responses received from concierge doctors across the U.S. from 2009-2012 collected by The Collective. Here are some of the highlights:
- 55% of concierge doctors across the U.S. state they are very satisfied with their decision to enter concierge medicine and would make the same decision.
- 27% of concierge doctors across the U.S. are somewhat satisfied with their decision to enter concierge medicine but would make the same decision.
- 18% of concierge doctors across the U.S. are not satisfied with their decision to enter concierge medicine and would not make the same decision.
Media Pull Quotes Available On The Topic
“Concierge Medicine and other private, direct care delivery business models are career paths Physicians can now trust. They have over a long period of time now proven themselves to be sustainable and rewarding business models, a lifeline for both a Physician and his or her Patients.”
Quick Comparison to Other More Traditional Physician Satisfaction Surveys In 2018
Patient Outcome Data Is Encouraging In 2018-2019
In August of 2018, a number of outcome studies, research, published medical journal articles and the like hit the press. The top five articles in Concierge Medicine related to Patient Outcome Data “Wowed” the marketplace. One Patient recently remarked … “Not only did they call me by my first name, even the Doctor’s staff called me by first name before I had a chance to tell them. It wasn’t programmed or fake. There was a sincerity I finally felt at a Doctor’s office that just felt right. I wasn’t a number. I wasn’t an interruption. I was a welcome friend.” It’s a powerful moment to someone who has felt ignored by his/her Physicians for months or even years when another Doctor says to them [while looking them in the eye and saying their first name], ‘I’m here to listen. How can I help serve you today?’
As we approach a new year and close the chapter of the entirety of 2018, August of 2018 will leave many optimistic about the future of High-Touch, Concierge Medicine and Membership Medicine and Subscription-based healthcare delivery models and programs. A lot of positive momentum and energy was reported from various places within the marketplace and they furthermore, documented their findings and released them. Here are the top ten most-read concierge medicine stories from Concierge Medicine Today (CMT) in August, beginning with the most popular and widely read:
- TC: One Medical cash infusion is a tad higher than originally thought … $130M million more, total $350 million.
- Inc. Magazine Honors Concierge Medicine Company in 37th Annual List of America’s Fastest Growing Private Companies
- 2018 Concierge Medicine Forum Recap | Atlanta to Showcase Neuroscience; Behavior Change; Telemedicine; Medical Marijuana Research; Genomics and Precision Medicine Research
- Employees at National Primary Care Network Praise the Company’s Atmosphere, Communication and Leadership
- Meet The Top Doctors In Concierge Medicine  of 2018
- The Rise Of Concierge Medical Practices | FORBES
- EDITOR: “When Three Docs Retire, Here’s What They Say …”
- Why Concierge Medicine is an Ideal Fit for Women Physicians…an Open Discussion with Five Leading Female Doctors
- Crossover Health Celebrates One Millionth Patient Visit
- CMT SPOTLIGHT on CANADA: Meet Dr. Mark Brown, “Moose Jaw doc prescribes creative health-care changes”
Media Pull Quotes Available On The Topic
“Data supporting the cost-effectiveness and affordability of Concierge Medicine and other free market healthcare delivery models is intriguing,” said Michael Tetreault, Editor of the independent industry trade publication, Concierge Medicine Today. “Long-term data on these particular subscription-based Patients is still being compiled. Further analysis is encouraged and supported by marketplace consultants and physicians. More data to support these common observations should be analyzed and published. What we do know today is that Concierge Medicine, retainer medicine and boutique physicians that have a long, relational history with their Patients often have high annual retention rates. Based upon observation of these trends year after year, these [Concierge] practices are reporting levels or percentages at or exceeding traditional primary care and family practice patient retention and care expectations. As an industry, we still need more patient outcome data to be published to further unpack these trend lines and observations. What we do know for certain is that inside each and every High-Touch, Membership Medicine office is an opportunity to connect a Patient with a Physician who desires to have a relationship with his or her community.”
“Patient Satisfaction in the field remains exceptionally high. Attitudes toward Concierge Medicine have undergone significant and positive changes since the signature of the Affordable Care Act in 2010.” ~Michael Tetreault, Editor, Concierge Medicine Today.
“There is a big difference between being expected to do something and being invited to try something,” said Michael Tetreault, Editor of Concierge Medicine Today. “Inside traditional medicine, patients expect to wait. They expect insurance to cover their visit. When it is not, they expect to fight. Consumers of healthcare today say they expect a disengaged staff and an unpleasant visit when at their doctor’s office. We can do better. Concierge Medicine Patients are Invited rather than Expected. This counter-intuitive approach exceeds expectations, thereby creating a massively loyal and engaged audience which, in turn, is producing some amazing patient outcome data as released and seen by some organizations in the space.”
Support For Use of Whole Genome Sequencing in Concierge Medicine Use and Application of Pharmacogenomics (PGx) Inside Concierge Medicine
Pharmacogenomics is the combination of pharmacology and genomics. It involves the study of genetic variations that influence an individual’s response to specific drugs. Pharmacology is the part of science that studies how drugs work. Genomics is the study of a person’s genome including the interactions of those genes with each other and with the person’s environment. Just as decision aids now alert prescribers that the patient takes a supplement that may interact with a prescription, these tests would alert the physician and prescriber that the patient is a poor metabolizer of a particular drug. While one pharmacology treatment approach may work well for one individual, the same approach may not be effective or may cause adverse drug effects in other patients. The implementation of pharmacogenomics helps physicians make informed treatment decisions. This can lead to better patient outcomes by decreasing adverse drug events and by increasing the effectiveness of drugs using data, research, science and the analysis and interpretation of the data by a licensed Physician.
Concierge Medicine Today issued a statement of support for the use and appropriate application of Pharmacogenomics under the guidance and direction of a Physician. “Pharmacogenomics aims to predict how individual genetic variability impacts drug absorption, metabolism and activity,” said Catherine Sykes, CEO and Publisher of the national trade publication. “Concierge Medicine Physicians are the ideal delivery mechanism for this comprehensive testing.”
“Comprehensive Pharmacogenomics is a powerful healthcare innovation. Concierge Medicine provides the ideal delivery model for the future of predictive medicine,” says trade publication, Concierge Medicine Today. “Used under the guidance and application of a Concierge Physician, these tests can have a predictive effect on patient treatment outcomes, find adverse interactions and help to manage prescription dosages. Comprehensive screenings with more than 50 well-established pharmacogenomic genes in a single, cost-effective test can provide medically actionable and clinically relevant data, allowing Concierge Physicians, to make a more informed and thoughtful treatment recommendation for the health and well-being of each patient. Concierge Medicine Today strongly supports use of this innovative testing.”
Concierge Medicine Today cautions that in order to make this information actionable for patients, a Physician must fully integrate pharmacogenomics into system-wide prescribing practices. After years of thoughtful consideration, careful research and review and countless hours of dialogue with various physicians and companies, we recommend Concierge Medicine Physicians begin to make personal genomic data information and tests available to patients. However, the type of test matters. There are a number of offerings in the marketplace with more to come in the years ahead as these tests become more mainstream. Comprehensive screenings with more than 50 well-established pharmacogenomic genes in a single, cost-effective test will be able to provide medically actionable and clinically relevant data, allowing Concierge Physicians and their patients to make more informed and thoughtful treatment decisions.[Source]
“This is an important next step in medicine,” said Catherine Sykes, Publisher of Concierge Medicine Today. “It is critical that patients and their advising Physician(s) begin to learn more about a person’s individual genome. Medical science is advancing more rapidly than we’ve ever seen, outpacing what a Physician can possibly know about adverse drug interactions based on genotype. There are tests available and becoming increasingly more affordable that determine how patients will respond to drug therapy for a number of therapeutic areas, including psychiatry, pain management, and cardiology.”
Patients need only to be tested once, as genetic information does not change over time. Therefore, genetic testing results have lifetime utility. As hospitals roll out pharmacogenomics programs in the coming years, patients will likely undergo tests for genetic variants known to play a role in the metabolism of a drug their Physician plans to prescribe.
Concierge Medicine Today supports Concierge Medicine Doctors in working with pharmacists and pharmacogenomic companies to develop clinical decision support tools that will assist and guide prescribers in the use of pharmacogenomic information. Concierge Medicine Today further supports them in preparing and distributing materials for patient education and beginning to frame institutional guidelines for pharmacogenomic implementation inside local hospitals and specialty offices.
Concierge Medicine Today encourages Concierge Medicine Physicians and the provider community to work with local pharmacists to lead the clinical application of pharmacogenomics. Collaborating together, as part of a safe, effective, and cost-efficient medication practice. Furthermore, to prepare all Concierge Medicine Physicians and staff to provide Pharmacogenomics testing and recommendations, Concierge Medicine Today calls on more State Associations, colleges of pharmacy and the Board of Pharmacy Specialties (BPS) to include curriculum about this growing field.
Support For Use of Whole Genome Sequencing in Concierge Medicine
“The accuracy of whole genome sequencing is quickly improving and the cost is quickly dropping. Within the next couple of years, this technology will most likely be widely used by Concierge Physicians in the daily clinical care of their patients,” said Michael Tetreault, Editor of Concierge Medicine Today in a press release.
Concierge Medicine Today issued a statement of support in November of 2016, noting, “Genetic technology has reached the point where the cost of conducting comprehensive genetic testing [ie. Whole Genome Sequencing] for hundreds of preventable diseases at a single time is now affordable,” said Catherine Sykes, CEO and Publisher of the national trade publication. “After years of thoughtful consideration, careful research and review, countless hours of dialogue with various physicians and technology companies, we encourage Concierge Medicine Physicians to make personal genomic data information available to patients so that they can start to understand their makeup, learn more about their individual genome and predictors, and begin to use these insights to improve their lives.”
Genetics usually refers to the study of individual genes and their role in disease or inheritance. Genomics refers to an individual’s entire genomic make-up. Genomics looks at the genetic sequence of genes, and their structure and function as well as the interactions between genes. An easy way to think about genetic testing is to compare it to a book, because genetics is truly our Instruction Manual of Life and genetic testing is simply a way to proofread each person’s Instruction Manual for potential typos, according to Sequencing.com.
The Concierge Medicine Physician can, should [and currently is] acting as the informed fiduciary, shepherding the patient treatment process so as to make informed decisions with actionable data, together, with their patients. Advanced DNA research and whole genome sequencing have powerful applications, says trade publication, Concierge Medicine Today. Companies see Concierge Physicians as the ideal delivery model, allowing people to learn more about their DNA and make informed, data-driven decisions under the direction and support of their involved [Concierge] physician, to live a healthier life.
“The genetic revolution has already begun, and it is having far-reaching effects on healthcare right now,” said Brandon Colby, MD and author of Outsmart Your Genes. “Our knowledge of how to use this information is increasing at an exponential rate. What this means is that we can now start to integrate genetics into our everyday lives. With comprehensive genetic testing, we launch an innovative strategy against disease, attacking it before it even manifests. Genetic testing, therefore, provides a new counter-offensive in our war against Alzheimer’s, cancer, heart disease, and many other diseases that have plagued our civilization for centuries. This is the most exciting, and potentially groundbreaking, medical development of this century.”
“The data, however, should be owned by the patient. Their Physician can help direct them on how to apply the information contained in WGS to maximize its benefits,” states Michael Tetreault, Editor of Concierge Medicine Today. “Patients need the ability to securely store, use, and understand genetic data.”
Concierge Medicine Today advises this should be accomplished through physician involvement and technology that integrates genetic data into software applications [apps]. Software apps are now available that analyze genetic data and transform the data into actionable information that can have a real impact on health.
Colby notes, whole genome sequencing allows him to “cast a wide net” by generating a tremendous amount of genetic data. He then uses apps at Sequencing.com that analyze the data and provide straightforward reports focused on relevant, actionable findings. He also noted that there are five questions you [patients and physicians] need to ask in order to assess the quality of the outcomes data: (1) The credibility of the laboratory doing the testing; (2) What types of diseases are included in the test; (3) How thoroughly does the test actually evaluate risk for each of the diseases; (4) Whether the information is provided in a way that makes it actionable; and (5) Will the results be delivered in a format that is straightforward and easy to understand?
Use of Quality Scores for Hospitals and Surgeons based on Medical Performance and Evidence-Based Medical Outcomes.
Outcomes-based scoring is quite complex. The data on readmissions and patient mortality inside a hospital require no subjective interpretation, the data on complications however, is not as clearly documented. This is due to recording complications that require individual judgment. Coders, healthcare professionals and their patients may differ in their interpretation of events. As a result, complications may be recorded differently across facilities (or even by different coders within the same facility). Furthermore, even if codings were consistent, the codes themselves do not always separate a mild complication (like a simple infection) from a serious one that requires greater medical attention (like sepsis). Therefore, a time-tested, peer-reviewed methodology to account for complications must be integrated into Surgery Quality Scores.
Concierge Medicine Today, a news organization and the Concierge Medicine industry’s oldest national trade publication for the Concierge Medicine and Private Medicine marketplace, issued a statement in December of 2016, noting, “Anyone seeking medical care, along with their referring Physician, should have access to a Quality Score [a simple, three-digit number] that individually measures their local hospital facilities, and surgeons, at the Procedure Level.”
According to MPIRICA Health, a Washington-based healthcare quality transparency company that scores hospitals and surgeons based on actual outcomes for specific surgeries, “Quality Scores should be designed as an objective comparison of facilities and physicians, so it is essential that the quality measurements upon which the score is based are themselves objective, and that the underlying data is adjusted to account for providers who take on higher-risk cases.”
“Concierge Medicine Today (CMT) is committed to transparency and the availability of information for patients to make informed decisions about their medical care” says Michael Tetreault, Editor of Concierge Medicine Today. “To accomplish this goal, objective quality measurements consisting of a set of clinically driven, scientifically valid and weighted calculations about quality indicators that matter to patients who are choosing a physician for their family, having surgery or need hospital care, must be simple to understand, objective, reliable, and complete. People deserve to have access to accurate information, especially when it concerns their health. Simply searching the web in today’s convoluted environment leads to inaccurate assumptions, misinterpretations, harms reputations and undermines the confidence that patients have in their physicians and local medical facilities they trusted.”
Tetreault adds, “It should take into consideration all of the important things that you should think about when planning for surgery and wrap them into a single performance score. The components of the Quality Score should also factor in and weigh important things like: Am I going to be in a hospital for a prolonged length of stay? What are my risks of complications? What are my chances of the ultimate poor outcome: death?”
Based on currently available data that are reported by hospitals, key measurements critical for evaluating quality should include: mortality; re-admissions; and complications.
CMT continues to support health care professionals and their patients in promoting and advocating for the transparency of information and trust that comes with having clinically driven, scientifically valid and weighted calculations pertaining to quality and making that information available and accessible to patients in a simple to understand format.
Supporting Laws That Encourage Physician Independence
Concierge Medicine Today (CMT), the premier trade publication in Concierge Medicine, released a statement in late 2017 and again in early 2018 into the hands of physicians and lawmakers which discussed the Support for laws that encourage patient choice and physician independence.
Concierge Medicine Today (CMT) believes the American consumer (i.e. patient) should have access to the widest range of services made available by licensed physicians and healthcare professionals. CMT supports laws that respect and enhance consumer choice in the marketplace. State laws should support an independent physician that is unencumbered by controls imposed by insurance company regulations, large healthcare systems, and which ensure access to market for all doctors wishing to provide Concierge Medicine and direct-to-consumer healthcare programs to his/her community at-large. For smaller Subscription-based Medical Offices, the ability to be unencumbered by these market forces is essential to practice business survival.
“The Concierge Medicine Physician can, should [and currently is] acting as the informed fiduciary, shepherding the patient treatment process so as to make informed decisions with actionable data, together, with their patients,” said Michael Tetreault, Editor of CMT. “Employers large and small and companies see Concierge Medicine and other membership medicine delivery vehicles as the ideal delivery model for healthcare innovation as it allows patients to control their healthcare dollars, be guided by a relational physician when learning about advanced healthcare options and make more informed, data-driven decisions under the direction and support of their involved [Concierge] physician, to live a healthier life.”
Listen to our latest interview with Marni Jameson here.
Top States In 2018 For New Patient Subscriptions, Interest By Patients, Growth and Search
A listing of the top 7 states where the documented number of new Patients search inquiries are either enrolling and/or seeking to learn more include:
- New York
Source: © 2018-2019 Concierge Medicine Today, LLC
With Hospitality As The Backdrop of Concierge Medicine, Industry Is Innovative, Early to Adopt New Technology To Help Patients, Benevolent, and Trend Setting.
Today, even inside hospitals, its [Concierge Medicine’s] historical fingerprints are centered around access, transparency and relationship. It is these types of new delivery programs and free market healthcare business models that are rescuing the careers of some of America’s greatest physicians and healthcare professionals.
Setting A New, Common Sense Trend For Missed Appointments
Question: How Does Your Concierge Medicine Practice Handle Missed Appointments?
- “Penalty? We would do no such thing to our patients.” = 65%
- “Because we have a relationship-oriented practice, missed appointments have declined more than 95%.” = 27%
- “We charge a $25 Fee less than 24-48 hours out.” = 5%
- Other: 3%
24/7 Access and Call Volume
Question: What Time of Day Do Concierge Medicine Doctors Receive The Majority of Phone Calls from Patients?
- DURING NORMAL BUSINESS HOURS | (M-F) 8am-5pm = 81%
- AFTER HOURS | (M-F) 5pm-7am = 10%
- Weekends | 8am-5pm = 4%
- Weekends | 5pm-7am = 3%
- Right after closing, daily (M-F) | 5-7 pm = 2%
Times Spent With The Patient
Question: CMT Physician POLL, 2018 | How many questions do you ask your patients during their visit? BEFORE Concierge Medicine, How Many Questions Did You Have Time To Ask Patients?
- In Concierge Care, I Can Ask/Have Time to Ask Less Than 6-10 Questions per Patient, per visit. = 14%
- IN Concierge Care, I Can Ask/Have Time to Ask Less Than 11-15 Questions per patient, per visit. = 29%
- IN Concierge Care, I Can Ask/Have Time to Ask Less Than 20+ Questions per patient, per visit. = 57%
- Notes: Before implementing a Concierge Medicine program/practice, 100% of Polled Respondents said “Before, I had Time to Ask Less Than 5 Questions per Patient, per Visit.”
Patient and Physician Expectations Finally Match Up
Question: CMT Physician POLL, 2018 | As a Concierge Doctor, What Do You Think Is Most Important to A Patient When Learning About Your Practice for the First Time?
- Finding A Doctor I Can Know/Like/Trust: 81%
- Cost: 11%
- Convenience: 8%
Question: After Converting A Practice To A Concierge Medical Practice, What Is The 1st Thing To Change In Their Practice?
- Reduced Staff: 22%
- Updated Furniture and Interior: 18%
- Updated Signage: 15%
- Moved Out of Current Space: 13%
Average Staffing Necessary For Every 300 Patients Under Membership
Question: If you have 300 Patients, How Many Staff (Omitting the Physician) Is Necessary?
- 1 employee (fig. does not include the Doctor): 39%
- 1-2 employees (fig. does not include the Doctor): 21%
- 2-3 employees (fig. does not include the Doctor): 40%
Setting A Trend For Immunization Forms and Sports Physicals
Question: Does Your Concierge Medicine Practice, Do You Charge A Fee for An Immunization History or Sports Physical Form?
- No. Each form is free! = 93%
- Yes! $25 each. = 7%
Question: CMT, PHYSICIAN POLL, 2018 | Does Your Concierge Medicine Practice Participate In Medicare?
- No. I have formally opted out of Medicare. = 44%
- Yes, and, I participate in Medicare. = 38%
- I participate in some Insurance programs in my area that I feel are important. = 12%
- Other: 6%
Average Concierge Medicine Salaries In 2017-2018
Year End Salary Poll (e.g. 2017-2018 tax year): Annual Salary of a Concierge Medicine Doctor? (2017-2018)
- Below $100,000: 11%
- Between $100,000 – $125,000: 3%
- Between $150,000 – $200,000: 19%
- Between $250,000 – $499,000: 39%
- Between $200,000 – $250,000: 18%
- Above $500,000: 10%
- Notes: 8% of polled survey participants indicated that in 2017, “I am in my first year of practice, currently …” or, “Last Year, I was a first-year startup.”
- According to Concierge Medicine Today, the 2017-2018 median annual salary for a Concierge Medicine Physician in the U.S. is $260,825.58.
Quick Salary Comparison To Outside Surveys In Other Employed Healthcare Models In Family Medicine and Primary Care
- The average Family Physician – Family Practice salary in the United States is $199,204 as of October 31, 2018, but the range typically falls between $175,455 and $228,612.
- The average Physician – Internal Medicine salary in the United States is $212,427 as of October 31, 2018, but the range typically falls between $191,387 and $241,404.
Wait Times In Concierge Medicine Reduce
Question: What is the average wait time at your Concierge Medicine Practice?
- Never. None. Zero. = 34%
- Less than 5 Minutes: 33%
- 5-10 Minutes = 20%
- 10-15 Minutes = 4%
- 15-30 Minutes = 9%
Inside Traditional Healthcare Offices (e.g. not Concierge Medicine, private pay, cash only or subscription-based healthcare delivery clinics) , typical/average wait times to schedule a new patient appointment with a physician in 15 major metropolitan areas rose 24 days, up from 18.5 days in 2014, according to Merritt Hawkins. Meanwhile, the median visit length was just 15.7 minutes, according to a study in the “Health Services Research Journal. While the above Merritt Hawkins data is accurate, the data they cite is from 2014.
The graphics and insight (see graphic right) published by The Globe and Mail Inc., by Kelly Grant HEALTH REPORTER The Globe and Mail [Last; Updated: on Friday, Feb. 17, 2017 8:48AM EST] is also very insightful and more up-to-date national intelligence related to general and traditional healthcare delivery wait times, minutes, outside of this space. Additionally, an overview of the 2016 survey’s results was published in the journal, Health Affairs in November 2016, but on Thursday, the Canadian Institute for Health Information (CIHI) released a deeper dive into the Canadian findings, including breakdowns by province.
Average Annual Subscription Cost of Concierge Medicine In 2018
Media Pull Quotes Available On The Topic
“What physicians and healthcare professionals are learning and observing in the Concierge Medicine space is having an impact on the entire healthcare ecosystem across the U.S. and abroad. From in-depth, 90-minute intake visits with your doctor, 30 to 60-minute follow-up visits at your convenience to the use of advanced genomic testing and lifestyle coaching, Concierge Medicine physicians don’t accept the status quo.” ~Michael Tetreault, Editor, Concierge Medicine Today.
“Personalized application of evidence-based decisions should be the norm, and companies should provide the technology to access the most up-to-date, patient-specific evidence for a given therapeutic area or intervention, so that physicians and patients can decide together the most effective course of treatment,” says Dr. Todd Feinman, Advisory Board Member at Evidenza Precision Medicine and the Chief Medical Officer and co-founder of Doctor Evidence. “Concierge Doctors, known to be innovative and patient-centered care, are in a unique position to take advantage of the growing number of personalized data resources matched to patient profiles and preferences to improve patient care.”
“Two notable observations we encountered throughout our entire [Top Doctors in Concierge Medicine, 2017-2018] review process was related to patient comments received prior to transition and staff issues— which seem to plague most medical offices, even those inside the four walls of a Concierge Medicine practice,” said Tetreault. “A physicians reputation in the public and online is dramatically different from the patient reviews they may receive prior to a physicians entry into Concierge Medicine vs. after the conversion. Many [physicians] go from zero to hero in the eyes of their patients in a matter of weeks or months. We have also noticed that the physicians staff and their individual attitudes towards patients still remains a sore spot among the doctor’s and patients concerns. Even post-transition, when physicians are well into managing their Concierge Medicine members … managing staff inappropriately can impact the clinic’s annual patient retention and ultimately, their bottom line. However, it is amazing what can be accomplished when Physicians walk this healthcare delivery process out and into their own communities. It is only now, that when we are able to look back and track these dramatic career moves of physicians that we see why so many patient experiences make so much sense.”
“Clinical research, geneticists and cutting edge technology companies in healthcare delivery and Precision Medicine wouldn’t be putting this much effort into making a Concierge Medicine program more attractive if they didn’t work,” says Tetreault, who moderated in the Innovators Round Table Panel, Friday morning.
“The world is looking at the Tesla of healthcare and watching with wonder what is happening,” adds Tetreault. “It is so radically simple it’s strange. Yet, we do everything we can to make our friends and family feel at home when we invite them to dinner. Everyday a Patient will walk into your practice and determine whether or not they will return before they even see their Doctor. And that’s not fair. But it’s true. An uncomfortable setting makes people uncomfortable. Healthcare today should be a marriage of the Hippocratic Oath and The Golden Rule. History now sees this idea [e.g. subscriptions inside a doctors office] as so compelling that it warrants future discussion.”
Brandon Colby, MD, the founder of Sequencing.com, Evidenza Precision Medicine Advisory Board Member and author of Outsmart Your Genes: The Physician’s Guide to Genomic Sequencing & Precision Medicine said “Where the practice of medicine may fall short, a story is often found in our DNA that will provide clarity. Instead of waiting for sickness to occur, the clarity provided by a patient’s DNA can empower a Concierge physician to create a personalized plan for optimizing each patient’s health and longevity.”
“Slow and steady growth is ideal in this type of practice because it allows you to offer patients a personalized experience,” says Joel Bessmer, MD, FACP of Omaha, Nebraska’s Members.MD. “I’ve found that the word-of-mouth aspect (vs. a billboard advertising approach) has been the most consistent factor in building my practice. I consistently have patients recommending their family members and friends. Getting word of mouth referrals based on high quality care, staff service and patient satisfaction has been a much more effective tool than traditional marketing. And the slow and steady approach ensures that staff can keep up with new patients, as opposed to getting a rush of new caseloads that would be more difficult to manage all at once.”
“Some hospitals are investing considerable amounts of money into making their Emergency Rooms into more patient-friendly environments,” adds Tetreault. “Others are redesigning pediatric wings to accommodate for extended family stays. Today, even inside hospitals, its [Concierge Medicine’s] historical fingerprints are centered around access, transparency and relationship. It is these types of new delivery programs and free market healthcare business models that are rescuing the careers of some of
America’s greatest physicians and healthcare professionals. Concierge Medicine Programs and Executive Healthcare Memberships inside Medical Centers and Hospital environments have been happening for over a decade. There are a number of reasons why hospital executives and physicians do this. In today’s healthcare culture advertising aimed at the 55-plus audience is simply aimed at maintaining brand loyalty and establishing that the products they love are still good, still function and are most likely being improved. These are powerful programs which help maintain brand loyalty and provide care to a population in need of multiple chronic care visits with their doctor.”
“There is a mystique, a temperament and a curious fascination about Concierge Medicine. It is in the name alone and that impressionable terminology, like it or not, is an important conversation starter,” said Michael Tetreault, Editor of CMT/The DPC Journal. “The polarizing brand or terminology invites people into a critically important conversation. That is exactly where we find the ‘ah-ha’ moments. It’s an opportunity for Physicians to set themselves apart and raise the bar of healthcare delivery.”
Referenced and/or Cited Sources
- Concierge Medicine Today; July/August 2017;  Kaiser Family Foundation; April 2017; Total Professionally Active Physicians in the United States; Data includes currently active allopathic physicians (MDs) and osteopathic physicians (DOs).
Categories: Insights & Analysis