Virtual care—telehealth—is a significant component of concierge medicine

Critics of concierge medicine argue it's worsening physician shortages and expanding inequity

Some research suggests that the average wait time for a primary care visit in major US cities can be 21 days. Subscription-based medical practices offer faster in-person and virtual appointment options, but the price barrier to this type of service may worsen inequity in healthcare access. (Some users may experience a paywall.)

Older, medically complex patients are a high proportion of concierge practices, a membership-based model which is sometimes referred to as retainer medicine or VIP medicine.

Concierge care may account for more than 10% of primary care physicians

That's the rough estimate from Zirui Song, a Harvard Medical School professor who focuses on health care policy and studies the growth of concierge medicine. He and other researchers found that between 2018 and 2023 the number of concierge and direct primary care practices (concierge care without accepting insurance) grew by 83% and the number of clinicians in those practices increased by 78%.

Doctors report wanting more time to plan, provide care for patients

Many physicians experience aspects of burnout, and concierge medicine provides a slower, more relational approach to medicine, including consistent follow-up care for a smaller pool of patients. A concierge medicine clinician may talk with each patient frequently, perhaps every few weeks, instead of just once a year.

Primary care doctors are converting into membership-based concierge practices

Subscription-based practices sometimes don't accept insurance and they also require annual membership fees which can add up to thousands of dollars per year. In return, patients are promised more personalized care and round-the-clock access to medical providers. As doctors transition to concierge care, this retainer-based medicine model is forcing people to choose between searching for new primary care providers or paying hefty fees.

US concierge and direct primary care practices surged 83.1% between 2018 and 2023

Research published in December 2025 in the journal Health Affairs indicates that these retainer-fee care models are expanding across the country. Concierge medicine charges monthly or annual fees, as does direct primary care (which doesn't take insurance).

Concierge medicine practices typically have hundreds of patients, instead of thousands

A clinician describes how he's "one call away" from his patients in the concierge medicine system. His patients pay about $150 per month to be members in his practice on top of normal care visit costs. Doctors like him may only have hundreds of patients in their practice—instead of thousands.

The rise of telemedicine: A post-pandemic analysis

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Concierge medicine offerings are growing on college campuses, catering to students

Parents are interested in concierge and direct primary care services for their kids, including offerings with dorm visits, guaranteed same-day appointments, and medication access, so new practices have sprung up catering to college settings. (Some users may encounter a paywall.)

Concierge services are one of the top medical costs retirees fail to factor into their planning

One of the unexpected medical costs retirees are facing is thousands of dollars a year for concierge care membership fees. A typical annual fee can average $3,500. Concierge care is an option that's particularly popular among older adults with more complex health needs and in some areas of the country doctors are increasingly turning away Medicare patients and only accepting new patients willing to pay annual fees for concierge medicine. (Some users may experience a paywall.)

Roughly 45% of clinicians in 2023 reported at least one symptom of burnout

With that kind of statistic as a backdrop, proponents of concierge medicine practices argue that concierge services could help keep doctors in medicine and thus help to address physician shortages.

Amazon's One Medical, MDVIP, and SignatureMD are examples of concierge practices

Annual fees for concierge practices can range widely. At the lower end, Amazon's One Medical costs $199 (which can drop to $99 if you're a Prime member) and four figures for MDVIP and SignatureMD. Annual fees jump to $10,000 or more for options like Massachusetts General Hospital's concierge practice.

Annual memberships for concierge medicine can be $1,000 or as much as $50,000

Concierge medicine practices offer more opportunities for same-day visits and longer meeting times with doctors in exchange for annual membership fees on top of typical insurance payments, copays, and deductibles.

Concierge medicine officially began in 1996, with the first concierge practice

MD2 International, a concierge medical office that opened in Seattle, Washington, was founded based on the idea of unrushed, no-wait-time visits and personalized care offerings with strong relationships between patients and their providers.

By 2036, the US may face tens of thousands of primary care physician shortages

That's the estimate of the Association of American Medical Colleges, which contends that whenever physicians switch to concierge medical practices it exacerbates this projected shortage since each of those clinicians will see fewer patients and those patients must be able to afford that pricey care.

One estimate values concierge services at $38.9B by 2032

Data Horizons Research put the value of this global market at $18.9B in 2021, but anticipates massive growth by 2032, with North America comprising the majority of the market. Chronic health conditions, their analysis suggests, will be a contributing factor to this growth as medically complex individuals seek more personalized care.

The Government Accountability Office in 2005 concluded concierge medicine didn't threaten Medicare

This congressionally mandated analysis concluded that the number of concierge physicians nationwide was too small for concierge practices to undermine Medicare patients' access to affordable health care and it was "unlikely that the approach has contributed to widespread access problems." Medicare is the federal health insurance program for the aged and some disabled individuals.

Telehealth demand for GLP-1s is on the rise as people seek it out for myriad reasons—the proportion of non-obesity and non-diabetes-related prescriptions for the drug soared from 4.5% in 2018 to 17% in 2023.

The medical uses of VR

Virtual healthcare simulations are bridging the gap between traditional classroom learning and real clinical experience, improving the safety, effectiveness and efficiency of healthcare services.

Virtual platform lets surgeons train remotely and in real time

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Flexible spending accounts can't be used to pay for concierge membership fees

FSAs, used by roughly half of Americans, can only cover qualified medical services—so actual care—and cannot be used to cover membership fees for a concierge medicine practice. These fees must be paid out of pocket by clients.

Digital healthcare is helping emerging economies

In a world that is rapidly becoming more digitized, low and middle-income countries (LMICs) are trailblazing a path to cohesive digital healthcare ecosystems. This article from McKinsey & Company analyzes the different digital healthcare strategies...

The potential of virtual reality in healthcare

Virtual reality (VR) is carving new frontiers in healthcare, from aiding in stroke recovery to training medical professionals. This article in Time Magazine highlights the innovative uses of VR in medical settings, including its potential and current limitations.

Rural vs. urban: Exploring the digital health divide

Though digital health tools (DHT) hold potential to transform healthcare accessibility, their adoption varies across urban and rural landscapes. This comprehensive study, drawing from the 2019 Health Information National Trends Survey, evaluates the...

Private equity's expansion into healthcare has been criticized for raising patient medical costs

Between 2000 and 2018, PE's total investment in healthcare ballooned from $5B to $100B. While healthcare systems originally began consolidating as a solution to navigating complex regulations (and to make working with insurance companies easier), research suggests that private equity has both increased patient costs and decreased the quality of care in hospitals and doctors' offices.

Urgent care is one step up from primary care

If a patient needs to see a provider today, urgent care can be a good solution. It has shorter wait times and a more affordable price tag than heading to the emergency room. Typically, an emergency department will have more specialists available for a serious and complicated issue, as well as advanced testing capabilities.

USA Television Network fictional series Royal Pains spotlights concierge medicine

This fictional television series, that aired from 2009-16, chronicles the adventures of a doctor who transitioned into offering concierge medicine for a big-spender clientele. As a private physician-for-hire he is on call to provide care 24/7.

Meeting someone with common healthcare challenges can be life-changing

The understanding that comes from meeting others who have similar experiences can provide hope that life can get better, the solace of affirmation, and make navigating a new diagnosis or a rare illness, in particular, much easier.

Fintech could help democratize access to banking

More than 1.3 billion adults worldwide do not have access to basic banking services as of this writing—but some experts believe that the fintech industry can help with that by targeting groups of people who have historically been underserved by traditional banks.

How is precision medicine is transforming healthcare?

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Medical professionals have experimented with using mixed reality headsets

Devices like the Apple Vision Pro have helped doctors develop surgical plans for hip and knee replacements using software that provides 3D models and other tools. Virtual screens displayed by mixed reality devices can provide information related to surgical progress, a patient's vitals, and more.

Patients are messaging their doctors online more than ever—recent research suggests portal messages have risen by 157% since 2020.

Patient portals offer a good opportunity to track your healthcare records and communicate with doctors, but they also allow patients to see test results without context, which can cause unnecessary concern.

The lack of diversity in clinical trials is undermining the future of precision medicine

Medicine works better when the treatments are tailored to fit each individual person’s biology and history. Homogeneous patient selection in clinical trials means treatments and care are being refined based on only a small range of variables, some of which may not apply to you. This 40-minute podcast episode discusses the historical and current reasons for the lack of clinical trial diversity and what this means for the future of personalized medicine.

Modernizing health data privacy: A call for comprehensive reform

Despite the advancements in medical technology and data collection, securing personal health data remains a pressing issue in the 21st century. This Forbes article analyzes the state of health data privacy, sheds light on the current shortcomings,...

A new schizophrenia healthcare model is giving patients more of a role in shaping their own treatments, with good results.

The pandemic saw Zoom overtake Skype as the default video conferencing tool

When millions of people needed to become work-from-home experts overnight, ease of use for video conferencing tools became especially important. Zoom's success was partly because the company made it easier to join meetings than Skype did—with Zoom, users only needed a URL to join a meeting, rather than downloading a fully separate app as they did on Skype. (Some users may experience a paywall.)

Consulting encompasses a wide range of expertise—from management and tech, to finance and PR

At their core, consultants—whether independent or part of firms—help organizations solve problems, refine processes, and achieve goals.

Most Americans are now dying at home, reversing 20th century trends

For most of the 21st and 20th centuries most Americans died in hospital settings. But in 2016, home-based deaths overtook hospitals; most Americans are now dying at home, likely fueled by individual preferences to die at home or to receive at-home palliative care.

Men are flocking to hundreds of new online testosterone clinics for low T prescriptions.

Precision medicine, offering the right treatment at the right time for individuals, integrates genomics, data analytics, and AI to predict risks, personalize treatments, and improve patient outcomes.

The matchmakers serving the elite of Silicon Valley

If members of the wealthy elite want to find romance, they often choose expensive match-making services rather than dating apps. These services can cost $150,000 for each match, and providers are experts in dealing with the unique social dynamics caused by being wealthy and the unusual egos such wealth can bring. This article explores this hidden cultural phenomenon.

Personal computers became more common in the late 1970s, making working from home more viable

As the internet and email became more popular in the 1990s, more infrastructure that would eventually support remote work was created. But the practice was still relatively uncommon until the COVID-19 pandemic, when white-collar workers first took to working from home en masse.

HSAs are frequently criticized for exacerbating inequality in healthcare access

Health savings accounts offer large tax advantages, but require personal contributions. Some argue that the tax advantages benefit wealthy individuals more than anyone else and that HSAs don't do much to help people who can't afford to regularly contribute to one. As a result, HSAs only decrease costs for those who can comfortably invest in them, and health inequalities between high-income and low-income individuals are exacerbated.

How dentistry evolved from carnival sideshow to respected medicine

The field, which has remained siloed from other medical care, also has a separate insurance system. This podcast walks through how and why dental insurance often remains capped at $1,500 primarily to cover cleanings, and it wouldn't cover catastrophes—unlike many other medical or housing insurance models.

Emergency room evaluations may be improved with AI algorithms

Emergency room care teams must make fast and crucial decisions. They must determine if patients need to be admitted or discharged and when to order more tests or not. Researchers have been exploring how often patients died in the week after they were sent home and evaluating how this and other aspects of emergency care decision-making could be improved with AI algorithms to assist decision-makers.

The potential promises and pitfalls of AI in medicine

Artificial intelligence (AI) is increasingly being integrated into healthcare, offering the potential to aid in diagnoses, answer patient queries, and streamline administrative processes. In a recent PBS interview, Dr. Isaac Kohane, editor-in-chief of the New England Journal of Medicine AI and chair of Harvard’s department of biomedical informatics, discusses the current state and future of AI in medicine.

About 63% of employees making $100K+ salaries can work from home sometimes or always

However, only 38% of those making $50K to $100K can do the same. Some have pointed out that working from home is increasingly inaccessible to blue-collar workers and those who did not attend elite higher education institutions, furthering America's class divide.

WellHub is a startup serving roughly 4 million people in 11 countries, providing broad wellness benefits to employees

Valued at $2.4B in 2025, the company helps workers get gym access and meditation apps, in addition to basic healthcare. Listen to the founder of the company, Cesar Cevalho, explain how he scaled the company with Jeff Berman.

The WEF’s Edison Alliance connected more than 1 billion people to digital services

By 2024, the World Economic Forum-backed Edison Alliance had delivered digital connectivity and access to financial, healthcare, and education services to more than 1 billion people, using public-private partnerships across Africa, Asia, Latin America, and the US.