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The Hybrid Approach to Concierge Medicine: A Quiet Evolution That Should be Making Some Noise1/12/2026 By Wayne Lipton, Managing Partner, Concierge Choice Physicians
In fact, one of the nation’s largest health insurance companies recently noted:
“We will allow our contracted network providers to charge concierge/boutique medicine fees with the following restrictions: You must give members the choice of paying the concierge membership fee.” Concierge care, which allows patients to pay a membership fee for enhanced services from their physicians, is becoming an increasingly popular care delivery option. Many large healthcare groups are adopting our hybrid model, which combines traditional and concierge approaches. This structure supports their strategy of vertical integration (the management of multiple stages of patient care) while retaining referral relationships. Unlike pure concierge practices that significantly limit the number of patients, the hybrid model allows doctors to maintain larger patient panels while still offering premium services to those who opt in. This ensures broader access for all patients and supports organizational growth and business objectives. Healthcare organizations are also using concierge models as a workforce tool. Concierge programs extend the careers of senior physicians. Rather than retiring early, physicians can continue practicing at a pace that suits them for all or part of the day—seeing patients, mentoring younger physicians, and maintaining revenue and productivity goals. They are also used to incentivize physicians, improve physician satisfaction and even recruit new physicians in competitive markets. Today, Concierge Choice Physicians works with some of the nation’s largest physician groups and health systems, helping them implement hybrid programs that meet current market demand. These programs generate substantial revenue with little or no additional expense. So why do so few conversations focus on the hybrid approach? Every day, more healthcare delivery systems are recognizing its value. It is a quiet evolution—one that should be making some noise.
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This is a thought-provoking read for anyone thinking about the future of medicine, physician burnout, and why so many doctors are reimagining how they practice.
The New York Times Ethicist frames concierge (or membership) medicine not as a moral failing, but as a symptom of a broken health care system. A system where time and thoughtful conversation are undervalued, procedures are rewarded over relationships, and primary care physicians are pushed into 15-minute visits just to keep the lights on. The result is not only frustrated patients, but widespread “moral injury” among doctors too — so much so that a 2023 report found one in four U.S. physicians consider leaving clinical medicine altogether. Concierge medicine, the Ethicist argues, is often a way for physicians to step off the hamster wheel and practice the kind of medicine they were trained to provide: attentive, cognitive, relationship-based care. And in many cases, it may keep experienced physicians in practice rather than losing them entirely. The real ethical challenge isn’t individual doctors or patients making personal choices. It’s a system that consistently devalues time, attention, and primary care — and one that ultimately demands policy-level solutions. Click here to read the full article on the NYT: https://www.nytimes.com/2025/12/20/magazine/concierge-medical-practice-ethics.html |
ABout CCPFor almost 20 years, Concierge Choice Physicians has served as the largest provider of the full range of concierge programs available today – including the Hybrid Choice™, Transitional and the FullFLEX™ models. Archives
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