Business of Medicine

EDITOR: “Concierge Medicine Isn’t For Everyone. In fact, it might not be for you at all.”


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‘Membership Medicine (regardless of its form) is not the right career path for every doctor … and that’s okay. But for the thousands of doctors out there … you need to look at the career path you are on and choose which path you want to go. Otherwise, the day is soon coming that you will lose your right to complain any longer … and when you begin to see that your patients are unhappy with their care, employers around you will stop listening, and the insurance companies won’t care about your financial woes … these circumstances will ultimately impact your quality of life and career trajectory. You will never understand your purpose at work until you understand the purpose of your work. Now, go and do something about it.’

By Michael Tetreault, Editor in Chief, Concierge Medicine Today

Attitudes toward “Membership” Medicine have undergone significant changes since the signature of the Affordable Care Act in 2010.

Consumer concern about access to a doctor (or any doctor for that matter) and the now rising out-of-pocket costs of healthcare expenditures for an individual and family have risen exponentially across the country. You probably see this in everyday events around you that when a small family gathering occurs, someone always begins talking about the rising cost of health insurance or a describes a recently negative experience they had at a doctor’s office. To provide further fan to the flame, when we ask people thru our DOC FINDER Search Engine at Concierge Medicine Today‘Why are you searching for a Concierge Doctor?’ more often than not, the answers are ‘Obamacare is too expensive …’ and ‘I don’t get enough time with my doctor.’


So while the era of the high-priced, high-end, Concierge Doctor stigma in the minds of many American’s has changed and is changing, doctors in small towns and suburban metropolitan areas are more curious than ever about the personality make-up and motivations of the “Docpreneur” who enters and starts a Concierge Medicine Clinic, or some form thereof.

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But before we can unpack these qualities, you and those around you who are closest to you, need to take a long, serious look in the mirror.

You need to look at the career path you are on and choose which way you truly want to go. The metaphorical shoe has dropped. The bell has rung and the time is here. Physicians are at a crossroads in their career and many are choosing the way out. We’ve talked about Concierge Medicine and provided data over the years describing how Concierge Doctors are in fact not adding to the physician shortage but actually creating businesses that provide a safe-haven, a refuge if you will, to those doctors willing to risk their reputation, personal finances and career on a new way of serving people in their community.

John Blanchard, M.D., doesn't bill health insurers for services. Instead, through his Premier Private Physicians PLC office in Troy, he sells subscriptions for primary care to patients at about $200 a month.

John Blanchard, M.D., doesn’t bill health insurers for services. Instead, through his Premier Private Physicians PLC office in Troy, he sells subscriptions for primary care to patients at about $200 a month.

“We’re selling a service and people are paying for it,” notes Dr. John Blanchard or Premier Private Physicians, a pioneer and renowned entrepreneurial physician in Michigan.

Passionate Concierge Medicine doctors tell us that they cannot help but talk about what is working well and strive to find new ways to fix what is not.

“This new practice has been truly liberating. I am working harder than ever getting it off the ground but my time with Patients is wonderful. And I get to be creative again in how I develop the practice, something that was lost from my previous office.” ~Dr. Alicia Cunningham, Vermont

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One of my favorite authors, Jon Acuff writes in his book Start: Punch Fear in the Face, Escape Average and Do Work that Matters, as people in our careers, we must go through very distinct stages or phases in life to become masters of our business. He writes that ‘Nothing cripples your business, budget or causes more frustration that spending money and not seeing results, right?’ Overcoming fear and the success that follows is learned, edited and shortly thereafter, mastered.

Julie Robinson, Vice President at Cypress Concierge Medicine. Julie’s professional passion is concierge medicine and truly enjoys helping both physicians and patients understand the long term benefits of the concierge type practice. Ms. Robinson is uniquely talented and is an integral part of the Cypress Executive team.

Julie Robinson, CEO at Cypress Concierge Medicine. Julie’s professional passion is concierge medicine and truly enjoys helping both physicians and patients understand the long term benefits of the concierge type practice. Ms. Robinson is uniquely talented and is an integral part of the Cypress Executive team.

“We have many physicians just outside the major metropolitan areas; including some in smaller, more rural towns,” notes Julie Robinson, CEO at Cypress Concierge Medicine, a healthcare company based out of Nashville, TN specializing in providing direction and support for physicians who have a desire to convert their traditional practice to personalized healthcare. “Concierge Medicine isn’t just for ‘big city’ folks that have a lot of disposable income. Patients all over the country are looking for they type of care a concierge physician offers – more time, individualized proactive care, and an alternative to the less personal, hurried, reactive care that physicians are being forced to provide.”

Concierge Medicine Isn’t For Everyone. In fact, it might not be for you at all.

At this point in the story today, I would be remiss if I didn’t note that Concierge Medicine, Mobile Care Settings, a mass market variant to Concierge Medicine titled Direct Primary Care, Micro Clinics (regardless of their business form) and others are not always the right career path for every doctor out there and that’s okay.

Many physicians view work as an adult “time out corner” they have to enter every Monday morning.

Worse yet, many younger medical school graduates view their future career path as one long bumpy road on the pathway to paying off debt and someday saying goodbye to Sally Mae.

Many people spend over 30% their lives at a job. Think about that for a moment. Reflect on it. 30% of your life and your time will be spent ‘doing’ your career.

Great docs report, ‘YOU have to define what “exceptional” means …’

cropped-docpreneur2017.jpgThat statistic was from Gallup. Gallup also notes that almost 80% of us are dissatisfied while we’re there. That’s rather depressing isn’t it? We’ll spend almost a third of our lives on something that creates dissatisfaction. The business of medicine is probably even greater if we were to unpack even more layers of this study. Are we okay with this?

For thousands of physicians out there, Concierge Medicine offers an option, a safety net for your business or an encore career for your life.

I wish this story today wasn’t so gloomy … but the future depends on good doctors being good at what they do, operating in their gifts and strengths.

So let’s unpack a solution. And note, this isn’t THE solution, it’s just ‘a’ path many ‘Docpreneurs’ have taken before you over the past 20 years.

This question might sound similar to a question we all were all asked as kids, “What do you want to be when you grow up?”

For many of us, this question seems juvenile to us at this point in our lifetime.


Because you are now years into a career you thought was going to be rewarding financially, emotionally, psychologically, socially and possibly spiritually. But according to Concierge Medicine Today’s think tank, The Concierge Medicine Research Collective, for the 59% of doctors polled in the past four years (2010-2015), this is a question they are wrestling with every day on their way to work, at the dinner table with their spouse and as their head hits the pillow every night.

The country needs doctors leaning into their giftedness and enjoying their work each day. Not more of the same.

More often than not, when I talk to physicians who are stuck in their career each week, they have no idea what they are good at anymore. Worse yet, the young physicians have loads of enthusiasm and are pessimistic about their future. They are stuck in the deep, dark gap of their day job and awaiting the day that the light of their dream job will soon appear. But for now, there is no way out of this valley.


Michael Murray, M.D., Medical Director Cypress Concierge Medicine. Dr. Murray’s Concierge Medicine practice is located in Birmingham, AL.

“Before making the switch to a concierge medicine model I truly didn’t look forward to Monday mornings,” says Michael Murray, M.D., Medical Director Cypress Concierge Medicine. “In fact, it was my wife that insisted  I look into it. We both knew that between the stress and increasing level of dread, I wouldn’t be able to stay at it for much more than a few years. That was over 5 years ago and I’m happier and more satisfied with my work than I have been in decades. I’ve easily got 10 more years before I’d consider leaving medicine. Becoming a concierge physician was absolutely the right choice for me.”

So how do you discover your chosen career path? How do you know if a Concierge Care is a business model created for you?

Before you spend your savings, sell a piece of property or leverage a mortgage to find startup capital for your concierge practice, ask yourself these questions. Note, according to Concierge Medicine Today 2015 Poll, the majority of physicians use Personal Assets (savings, house, 401 K, etc) to finance and fund their entry into Concierge Care or its distant relative, Direct Primary Care.

What would you do if you know you would not fail?

Author and business consultant Marcus Buckingham wrote a book about this topic titled ‘Now, Discover Your Strengths.’ In it he writes … Unfortunately, most of us have little sense of our talents and strengths, much less the ability to build our lives around them. Instead, guided by our parents, by our teachers, by our managers, and by psychology’s fascination with pathology, we become experts in our weaknesses and spend our lives trying to repair these flaws, while our strengths lie dormant and neglected.

Too often we focus on the bad thing(s) that went wrong in our past and this stops us dead in our tracks.

While this is necessary to discuss these missed opportunities at times in your business, we need to learn as managers of a Concierge Medicine practice to do things that encourage us to grow our business and use their strengths at work, every single day. Buckingham adds“The best way to find out whether you are on the right path? Stop looking at the path.”


Concierge Medicine FORUM in Atlanta, October 2018 — Click Here to Learn More about October 2019 …

Otherwise, you will lose your right to complain any longer and more employers around you will soon not listen to you, insurance companies won’t care about your financial woes and it will impact your quality of life.

Don’t Squander Your Gifts and Talents. Be Diligent and Intentional With Your Time.

Some of the smartest people I know work in Concierge Medicine. Yet the one thing they all have in common is they look outside of their knowledgebase and INSIDE of their sphere of influence for the best answers.

Use These Proven Tools and Tests To Help You Understand Your Next Step(s) On the Path of Average to Awesome.

Over the years, Docpreneur Press, our publishing company, has assembled some of the healthcare and business industry’s best books, business events, leadership and giftedness tests for you. Let me be the first to tell you this isn’t THE way to do it … this is simply ‘A’ way to do it. When we discover the purpose of work, we discover that there is no such thing as a job without purpose.  This means that all of us can experience something remarkable – a job with purpose, meaning and satisfaction. In other words, a dream job. As your friends in business, healthcare or other fields will tell you, there is no such thing as a job without purpose. It doesn’t exist. Doing something now to find your purpose at work is an important first step toward finding your dream job and ultimately, career satisfaction.

“It’s a big decision for any physician to make the switch to concierge medicine,” adds Robinson. “We recognize and honor that. Fortunately, as more physicians adopt this model and popularity grows, there are some great resources to help you navigate the path. It’s critical to determine if this is the right decision for your practice and then choose the best option – the one that matches both your short and long term goals. We frequently direct our prospective physicians to, informational books like the new Doctor’s Guide to Concierge Medicine and Direct Primary Care, and get them on the phone with other concierge doctors for a peer to peer conversation. It’s a step by step process… and each situation is as unique as each doctor. That’s why it’s critical to find the right partners to help you get there.”

So, what’s your first step? Maybe exploring a form of Concierge Medicine is for you. Possibly, opting out of insurance and simply charging patients a fee like many doctors do in Direct Primary Care sounds more appealing. Both business models offer a variety of positive options for you in healthcare.

But, sadly, as we’ve learned over the years from countless discussions and personal one-on-one interviews with Concierge Doctors and Direct Primary Care physicians, there is only one absolutely, unequivocally wrong step everyone can make that will keep them in that valley of ‘average’ – so to speak. And that is, staying where you are and ‘doing nothing.’


THE “STORY WALL” was unveiled FOR DOCTORS in Atlanta, GA last October 2017 for two full days at the CMT 2017 and again in October 2018 Concierge Medicine FORUM. It contains over 1,000 real patient comments telling Physicians WHY they are switching to Membership Medicine practices and programs across the country. LEARN MORE ABOUT the 2019 CONCIERGE MEDICINE FORUM HERE …

1. Create Your Life Plan

concierge service medicineCONVERSATIONAL COMMERCEI have met very few people who have a plan for their lives. Most are passive spectators, watching their lives unfold a day at a time. They may plan their careers, the building of a new home, or even a vacation. But it never occurs to them to plan their lives. As a result, many end up discouraged and disillusioned, wondering where they went wrong. But it doesn’t have to be this way. You can live your life on purpose. It begins by creating a “Life Plan.” This won’t insulate you from life’s many adversities and unexpected twists and turns, but it will help you become an active participant in your life, intentionally shaping your own future.” – Michael Hyatt, Creating a Life

When you initially create your Life Plan, I recommend that you set aside a full day to do so. It’s not the writing that takes this long. It’s the thinking. In fact, this is the most important aspect of Life Planning: thinking long and hard about your life and where it is going.

To get started, download the document here.

2. *Personality Assessment Tools:

* Copyright ©2001 Andrew P Kulp

3. How do you identify your gifts and strengths?

cmt recommend 2015Years ago I was challenged years ago to do this … email seven of your closest friends and ask them ‘What do you think I’m good at?’ or ‘What do you think my strengths are?’ Will this tell you what your supposed to do? No. But it provides context clues. It will reveals those things in your life and thumbprints you’ve been given in life. Let this be a revealing activity … not a negative exercise.

My hunch is that most of you won’t do this at all because this is an important, not urgent matter. And its probably because your just too busy. But here’s a thought … ‘If you won’t take the time to do this (or something at all), you forfeit the right to complain about your job any longer.’ Is it okay to be frustrated with your job? Absolutely. But is it okay to be frustrated with your job and not do anything about it? Absolutely not. There is no other way to shrink the gap between you day job and your dream job if your not trying to discover your strengths and do something about them.

Let me give you an example.

I’ll use a personal story. I had a toothache recently and as you know, if it goes untreated it typically gets more painful. In turn, my choice, my attitude, and my schedule started to impact those around me. Until one day, my lovely wife said ‘Mike, I love you … but if you don’t go see the dentist, you are no longer allowed to complain about your pain in this house.’

Perhaps you need to hit the reset button and rediscover what ‘work’ is all about and where it came from. When you do, you discover something remarkable – the idea that work can be fulfilling again.  And when we understand work from this personal perspective, we discover the real meaning and purpose behind it.

4. Find Career Fulfillment

To know what to expect before you start, you must understand that choosing a career in Concierge Medicine is not for the faint-hearted. It requires vision and hopefully, that is where you are today. Doctors tell us every day at Concierge Medicine Today that this chosen career path is one of the most challenging they have ever faced, especially the first 18-months. The reward however, is completely worth it. But don’t take my word for it … read what hundreds of doctors have said about their experience in our new book, “The Doctor’s Guide To Concierge Medicine and Direct Primary Care.”



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