Monday, December 7, 2009

Concierge Poll

As of right now (9:21 PST) the EverythingHealth poll on concierge medicine shows:
59% of readers agree with the principle of concierge and would pay the retainer if they could. Twenty-one% think it is "elitist" and unfair and 18% don't have a clue what "concierge medicine" is. For that 18%....please scroll down and read yesterday's post. You can't vote a 2nd time but you can comment here, if you now have an opinion.


Anonymous said...

To the people who voted and didn't know what Concierge medicine was if you want to after reading Dr.Brayer's post on what concierge is you can change your vote to what you think about it.

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Dr. Val said...

I think the concierge model doesn't accomplish what we need in health reform - expanding the primary care base. It actually just decreases the common person's access to physicians.

My practice uses a "pay-as-you-go" model with time-based billing. That means that I charge for my time only - I can do house calls, office visits, small procedures, webcam visits, email, phone calls, texting... Whatever is both appropriate and convenient for the patient.

They end up paying for 10 minutes of my time in most cases - and spend $300/year on their primary care needs. This allows me to see more patients, save people money, and have fun in the process.

I predict that my model will eventually overtake the concierge model in popularity because it's less expensive and solves the access problem. Of course, it is cash-only... if patients want to submit claims to their insurers for reimbursement they can go right ahead. But when a visit with me costs about the same as some copays... why bother? :) People should just switch to high deductible plans and pay cash for primary care.

Anonymous said...

According to Concierge Medicine Today's recently released research which analyzed concierge medicine specialties across the country for the past 12 months, over 66% of current concierge physician practices operating today across the U.S. are primarily 'internal medicine.'

Another surprising finding by Concierge Medicine Today is the quickly increasing rise of concierge 'dental' and 'pediatric' practices arising since February of 2009.


Anonymous said...

According to a post on Concierge Medicine Today's web site (

Concierge medical practices have increased tenfold over the past four years, resulting in at least 5,000 such practices now, compared with just 500 in 2005, according to the Society for Innovative Medical Practice Design, which projects that by 2012 there will be 17,000 concierge practices.

The society’s chairman, Dr. T.homas LaGrelius, said those numbers are a “guesstimate,” based on a 2008 Physicians’ Foundation-sponsored survey of 300,000 primary care doctors. In that survey, nearly half the respondents said that in the next three years they plan to reduce the number of patients they see or stop practicing entirely.

Anonymous said...


Critics of 'concierge' medicine and its various practice models always seem to refer to 'concierge' care as elitist or not affordable. Concierge Medicine Today is now asking concierge doctors across the country [and in various specialties], what MONTHLY price do you charge for your 'concierge' services?'


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