1. Concierge Medicine IN PRIMARY CARE CONSTANTINE GEORGE, M.D.
BOARD CERTIFIED INTERNAL MEDICINE / PEDIATRICS
CHIEF MEDICAL OFFICER & FOUNDER
EPITOMEDICAL & THE VĒDIUS APP
epitomedical.com | vediusapp.com

2. Traditional Medicine System is based on a fee-for-service system
Doctor(s) must be in network to see patients
Insurance company fee schedule is followed
Current system prioritizes volume

3. Traditional Medicine Usual appointment time averages 15 minutes
2,500-3,000 patients per year on a primary care panel
Appointments may not be available same day
Longer waiting room waits

4. Concierge Medicine Doctor(s) charge an annual fee
Have fewer time constraints with patients
Same day appointments
Accessibility of doctor via text / phone call or 24/7
House call availability

5. Concierge Medicine Physicians have less volume of patients
Able to provide more attentive care
Better able to discuss and address preventative care and lifestyle changes
Concierge vs Direct Primary Care ????

6. Retainer Based Medicine
Physician charges an annual retainer fee
This is not a substitute for health insurance
Fee is not reimbursable by private health insurance, Medicare and / or health savings accounts
Fee is variable as are the “benefits” of the fee

7. Retainer Based Medicine
Annual fee may cover for primary care services not customarily covered by their health insurance plan such as annual comprehensive / executive physicals and labs and physician continues to bill health insurance plan for covered medical services and patient is responsible for copays and / or deductibles
Some physicians have an annual fee that covers all primary care services therefore eliminating health insurance

8. Retainer Based Medicine
Annual fees will not cover hospitalizations, surgeries, radiographic examinations such as MRI or CT scan, emergency room visits
Retainer fee offices statistically have higher rates of house calls, 24/7 physician access, same day appointments, better coordination of care, quicker access to specialists

9. Direct Primary Care Have lower monthly fees
Physicians charge this fee and it does cover all primary care services in the office and does not limit the number of visits
No health insurance plan is involved in this set up
Monthly fee may be paid by an employer or the patient
“Concierge” services are not always provided

10. Differences Between the Two?
DIRECT PRIMARY CARE
CONCIERGE MEDICINE
Monthly fee < $100
Generation X / Millennial
< $100,000 / year income
No insurance involved
Fee paid by employer or patient
Monthly fee > $100
Baby boomers
> $125,000 / year income
Insurance may be involved
Fee paid by patient

11. Similarities Between the Two?
DIRECT PRIMARY CARE
CONCIERGE MEDICINE
Decreased patient panel
Longer office visits
Monthly fee
Insurance is not involved
Decreased patient panel
Longer office visits
Monthly fee
Insurance may or may not be involved

12. Concierge Patient Advantages
Longer office visits
Shorter waiting room times
Preventative care
Physician availability
Same day appointments
House calls
Coordination of care

13. Concierge Patient Disadvantages
Priced out
Physician no longer takes insurance
Patients are used to the standard fee for service health care model and resistant to change

14. Concierge Physician Pros
Smaller patient panel
Longer appointments
Less waiting room time
Less overhead
Customization

15. Concierge Physician Cons
Loss of your base of patients
More demanding patients with higher expectations
Pricing yourself too high or too low
Perception to the community

16. Concierge Medicine Statistics
Better outcomes and cheaper overall expenditure for health care
Primary care more so than specialists
As of % of physicians are in concierge medicine with another 13% planning on transitioning
Younger physicians more likely to consider concierge medicine
Retention rate of patients from traditional medical practice to concierge is about 25%

17. Thank You CONSTANTINE GEORGE, M.D. EPITOMEDICAL
8859 West Flamingo Road Las Vegas, Nevada 89147
epitomedical.com | vediusapp.com