The Evolving Concierge Medicine Business Model in the United States

ABSTRACT Aim This dissertation examines the rise of concierge medicine within the United States healthcare system. It seeks to question whether or not concierge medicine business models are superior, in regard to both the U.S. private physician and the patient. Background Although currently small in number, the rapid growth of concierge physicians in the U.S. is an example of innovation in response to industry regulation. Significance The significance of the superiority of this business model is that it is representative of a return to the original healthcare business model and the most common relationship between solely the service provider and their client, the patient. A controversial and young business, the rationale for research on concierge medicine is notable, especially at a time when U.S. healthcare will soon experience significant reform. Method The methodology for this dissertation will be semi-structured interviewing. Twelve private practice physicians, established in the Northeast United States, will be asked to discuss the current U.S. healthcare environment, its effect on private physician practice, and the practice of concierge medicine. Findings The data were classified into four major themes: 1. The United States medical system modifications: bureaucracy and regulations 2. Reimbursement decrease: A result of the system and 3rd parties 3. Less career satisfaction: Less primary care physicians in the U.S. 4. Concierge based business model as an option: A viable response to the system for some Conclusions Concierge medicine can be a superior healthcare model for physicians and patients who demand it and can afford it. From a utilitarian perspective however, the potential broad effects of the model’s growth and its effect on non-concierge patients renders this claim inconclusive