Concierge Medicine in New York

Why are patients in New York choosing to switch to concierge medicine? Concierge doctors charge an annual fee or retainer for their services. For the small fee of around $1000 to $2500 you and your family can obtain concierge like care from your primary physician. The practice of this boutique medicine business model was started in the 90’s but has since risen dramatically in popularity. Why are more patients growing increasingly unhappy with their primary care physicians and making the switch to concierge doctors?

Patients who have made the switch to concierge medicine often express dissatisfaction with their primary care physicians. This dissatisfaction more often than not is the result of impersonalized care including long waits for appointments, shorter doctor visits and shuffling of midlevel caregivers like nurses and physical assistants.

Some patients require a slightly different and sometimes higher demand from their doctors. Many primary care physicians are unable to handle the amount of patients they have. Concierge doctors limit the amount of patients they take so they can spend more time caring for each patient individually.

Common and basic preventative services in traditional primary care are often missed or delayed because of time constraints that limit compliance with currently acknowledged clinical guidelines. Concierge medicine would result in comprehensive outpatient visits and enhanced physician compliance with these suggested guidelines.

There haven’t yet been any evidence-based studies done yet that would determine the effectiveness of concierge medicine over more traditional managed health care. However, one could assume that with proper preventive care, that concierge medicine is supposed to provide, the average patient would generally be healthier.

The overall response to concierge medicine has been varied. Some healthcare providers, medical centers and economists would say that concierge medicine is creating a two-tier health system that further separates the rich and the poor. The practice of concierge medicine has been described as both an effort by physicians to sustain a high-income ratio and an effort to offer patient higher quality healthcare services.

Concierge medicine is expected to grow over the coming years with the development of the healthcare reform bill.

8 COMMENTS

  1. Growth Analysis by Concierge Medicine Today – http://conciergemedicinetoday.com/growth.html

    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.

  2. Growth Analysis by Concierge Medicine Today – http://conciergemedicinetoday.com/growth.html

    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.

  3. 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.

    Source: http://conciergemedicinetoday.com/specialties.htm

  4. 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.

    Source: http://conciergemedicinetoday.com/specialties.htm

  5. According to Concierge Medicine Today (http://conciergemedicinetoday.com/rproof.html) recent 'recession' poll, when we asked currently practicing 'concierge physicians'…'Financially, how is your practice doing compared to one year ago?'

    * 100% of physicians surveyed said Better or No Change
    o 75% responded saying their concierge medicine practice was actually doing better than this time last year
    o less than 25% indicated 'no change'

    References

    http://conciergemedicinetoday.com/rproof.html

  6. According to Concierge Medicine Today (http://conciergemedicinetoday.com/rproof.html) recent 'recession' poll, when we asked currently practicing 'concierge physicians'…'Financially, how is your practice doing compared to one year ago?'

    * 100% of physicians surveyed said Better or No Change
    o 75% responded saying their concierge medicine practice was actually doing better than this time last year
    o less than 25% indicated 'no change'

    References

    http://conciergemedicinetoday.com/rproof.html

  7. Concierge medicine is most certainly growing. As a concierge pediatrician in New York City, I am able to spend over an hour with each patient, do house calls, and be available for my patients directly by cell phone 24/7. Problems are detected early, and exams are more thorough because I do not have time constraints. Edward Kulich MD FAAP http://www.KidsHousecalls.com 917-617-2194

Leave a Reply