It comes with many names.
Some call it retainer medicine. Others call
it boutique medicine. Some call it an executive
health program. Others call it a platinum
practices. Others call it concierge medicine.
Whatever name is given to the concept, it
is something being given consideration by
increasing numbers of physicians. What the
concept basically entails is a situation whereby
patients pay a set annual fee for "special
Many physicians have felt compelled to put
in even more hours and see even more patients
in an attempt to "maintain" their
practice’s economics. Unfortunately,
many of them find that there are not enough
hours in the day to do that and that their
economic conditions are worsening.
Those who have done this have generally limited,
by a drastic amount, the number of patients
which they will service. We have generally
seen this concept make the most sense for
urgent care centers, primary care physicians
and those specialists who have an ongoing
and regular relationships with their patients.
As a general rule, for a fixed annual fee,
these practices offer a limited number of
patients special services and amenities that
are not now provided by most medical practices.
These services may include, but not
limited to, the following:
and less crowded reception areas.
day/ guaranteed next day/ extended/ Saturday
and Sunday appointments.
Access to the the provider.
care/ weight loss/ nutrition/ wellness advice
and email consultations.
Fitness Center membership.
and other normally uncovered services.
selling points to patients of these practices
are that they get better and more immediate
access to, and more undivided attention from,
The cost for such memberships could run as low
as $1,000 per year to $20,000 or more per year.
It all depends on what services are actually
provided and the age and health of the patient.