Reply to Doctor's office switching to "concierge" (additional cost outside of insurance)

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[quote=Anonymous]My friend is an internist whose practice transitioned to concierge over a 18 month period.  I'm sure they sent out a letter like the one in OP. As well, she would have a conversation with every patient at each appointment about the upcoming changes and invited MOST* of them to continue as her patient by paying $2000 annually.

Her business model was that she needed to sign up 150 patients in the concierge practice to be comfortable ($300k before liability ins. and overhead) and the optimal number in their model was 200 patients ($400k annual). Note that they DO get payment from insurance as well -- not sure where people are getting that "concierge" = "doesn't accept insurance."  Most do.

My friend used this transition as an opportunity to drop patients who were notably annoying.  Not notably sick -- she actually LIKES sick or complex people and sees them as a challenge to help and solve.  She wants to spend much more time with complex, appropriate demeanor patients and oversee and coordinate all their care.

OTOH, she was excited to kick out the bad personalities and get them off the rolls. Entitled, demanding DC people who typically tried to treat her as just another service person with no particular expertise. Kind of like the guy you hire to shovel snow.

She sees about 4-6 patients a day now and spends an hour or so at each appointment. She loves it. Writes really long notes, texts and takes calls into the evening IF WARRANTED. Works on Saturday and Sunday morning writing follow ups.  Rounds on people in hospitals if they're admitted.  She's very happy and makes a lot more money than when she had to see 20 people a day for 10 minute appointments and depend on insurance payouts exclusively.[/quote]

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