Concierge Medicine

Dan has seen a significant uptick in the number of providers breaking away from large health systems to form their own concierge medicine practices. Providers and patients alike are growing more and more frustrated with the challenges involved in dealing with large health systems and the shocking complexities associated with healthcare insurance. These issues, among others, have pushed providers to consider concierge medicine.

 The phrase “concierge medicine” encompasses many different practice models. In Dan’s experience, one of the most popular practice models revolves around building a limited panel of patients who pay a monthly or yearly fee in exchange for certain services. This model, in addition to other concierge medicine business models, raises important compliance-related questions about insurance, Medicare assignment, and covered and non-covered services.

 The interplay between the monthly or yearly fees and a patient’s insurance benefits can be complex, and it’s important for providers to get it right. In a worst-case scenario, violation of Medicare’s assignment rules can cause serious problems for a physician seeking to establish a concierge medicine practice. Dan is familiar with the rules and regulations governing concierge medicine. He represents providers who are starting such practices and operating them. If you are seeking to create a concierge practice, or have a compliance-related question related to an existing concierge practice, reach out to Dan to discuss.