This document provides an overview of concierge medicine. It discusses the history and models of concierge medicine, benefits for physicians and patients, growth in specialty concierge practices, and concludes by encouraging physicians to learn more about making the transition to concierge medicine.

1. Terrence L. Bauer, Specialdocs
J. Pat Tokarz, MD, Specialdocs
Teresa Iafolla, eVisit
Concierge Medicine:
A Guide for the Risk-Averse
Physician

2. Who We Are
Teresa Iafolla
Director of Content Marketing, eVisit
tiafolla@evisit.com
Terrence L. Bauer
CEO, Specialdocs
tbauer@specialdocs.com
@eVisit
@Specialdocs
J. Pat Tokarz, MD
Chief Medical Advisor, Specialdocs
ptokarzmd@specialdocs.com

3. Terrence L. Bauer
Chief Executive Officer, Specialdocs Consultants LLC
• For Specialdocs: accelerate growth and enhance the
portfolio of value-added services for physician-clients.
• Three decades of experience, including:
• Co-founder, president, CEO and director of Orion
HealthCorp
• CEO of Bauer Health, LLC
• Principal and strategy practice leader at healthcare
consulting firm Stroudwater Associates
specialdocs.com
tbauer@specialdocs.com
Connect

4. J. Pat Tokarz, MD
Chief Medical Advisor, Specialdocs
• More than three decades at Northern Virginia Family Practice
• Transitioned to concierge medicine in 2005, followed by three
other physicians in his group
• Undergrad at Stanford, MD at the University of Tennessee,
Center for Health Care Sciences in Memphis
• Family Practice residency and a teaching fellowship at Hershey
Medical Center
• Best Doctor in America (2005-2010) and Top Doctor (1995, 1997,
2010, 2011, 2012)
Connect specialdocs.com
ptokarzmd@specialdocs.com

5. A Short History of Concierge
Medicine
• First practice started by two Seattle physicians in the late 1990s
• Fee: almost $15,000 per person annually
• Patients included the Seattle Seahawks, among others
• Benefits included immediate same-day appointments,
24/7 direct access via their cell phones; accompaniment to
other medically related appointments, and other
personalized, unique amenities
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6. Today…
• Approximately 10,000-12,000 physicians actively
practice some form of concierge medicine
• Membership medicine is estimated to grow 3-6% a
year
Source: Concierge Medicine Today
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7. Concierge Medicine Model
Full concierge:
• Membership fee to patients, typically $1,800 - $2,000 a year
• 300 to 600 patients vs. 2,500 patients seen by typical physician
• Multiple benefits, including 24/7 access to personal physician,
house calls, annual physicals, a broad range of primary care
services
Direct primary care (DPC):
• No third party payer involvement - reduces overhead expenses
• Monthly fee (generally from $25 to $85) covers all primary care
services performed in office, regardless of number of visits
• Access to and relationship with personal physician
• Typically appeals to younger patients
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8. The Case for Concierge Medicine
• Changing healthcare environment leads to a different type of medical
practice:
• No time for personalized care
• No time to focus on prevention
• No time to treat the whole patient
• Demand for concierge medicine increases:
• Patients want to become more active participants in their own
healthcare
• Physicians want to remain autonomous and practice medicine the
way it used to be
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9. Physician Burnout
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Source: Medscape, Monday
April 11, 2016
Physician Burnout: It Just Keeps
Getting Worse.
“This year, 46% of all physicians
responded that they had
burnout, which is a substantial
increase since the Medscape
2013 Lifestyle Report, in which
burnout was reported in slightly
under 40% of respondents.”
The Medscape chart shows
physician burnout by specialty.

10. Why Dr. Tokarz Made the Change
• Dysfunctional system, approaching burnout
• Patient requests for more time with the physician
who knows them best
• Change to concierge: provide services such as
comprehensive health risk assessment and
development of a personal wellness plan
• Practice became patient-centered, not insurance-
centered
• Reduced costs, improved outcomes and patient
satisfaction
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11. 12
• Key to attracting more students to
primary care
• Best hope for independent primary care
to survive and thrive
Long Term

12. The Value of Concierge Care
The concierge model works on every level, providing
doctors with income that is not driven by volume, as
well as providing time to treat their patients for an
entire range of complex issues.
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13. Hallmarks of Concierge Medicine
Patient-centered
• A powerful focus on long term health and wellness
• A strong physician-patient relationship
– A better understanding of patient and family medical history
and concerns
• More time for physician to research and provide treatment options for
unique health issues
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14. Hallmarks of Concierge Medicine
Patient-Centered
• Extended office visits: 30 minutes
• Appointments: within 24 hours of a patient’s call
• The doctor is always in: not a physician’s assistant or nurse practitioner
• Calls to the office answered promptly by real people with a real concern
for patients’ health and well being
• Direct access to physician during office hours, and extended office hours
• Physician’s personal cell phone number, email access after office hours
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15. Enhancing the Patient Experience
• Specialdocs survey of thousands of patients
• 98% very satisfied with care they receive from their
concierge physician
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16. Enhancing Outcomes
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Good medicine: better outcomes reported for concierge patients in
numerous studies
• The healing power of a strong physician-patient relationship is evidence-
based
• Research shows:
• Patients in concierge practices experienced significantly reduced
utilization rates for emergency department visits and inpatient
admissions.
• Personalized medicine models achieve positive outcomes in terms of
health care expenditures and improved health.

17. Enhancing Physician Satisfaction
• Fewer patients than those in conventional practices allows for more
time with each patient
• Put patients at the center of care, not medical managers or
institutions
• Less stress
• Increased opportunity for maintaining and enhancing the physician-
patient relationship
• Reduced time needed for paperwork/EMR requirements
• More time to focus on preventative care for patients
• Practice sustainability and increased revenues opportunities
• A remarkable transformation of professional and personal life
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18. Concierge Medicine Continues to
Grow…Beyond Primary Care
• Primary care and family medicine account for most concierge
practices, but…
• Sub-specialty concierge practices continue to grow as
reimbursements shrink for:
• Cardiology
• Endocrinology
• Pulmonology
• Pediatrics
• OB/GYN
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19. Cardiology
• Leading cardiologist and “Special Doc” John R.
Levinson, MD, PhD, founder of the country’s
first concierge subspecialty practice, AllCare
Medical, LLC, in Boston
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20. Endocrinology
Endocrinology, with its focus on complex metabolic issues,
also fits well within the concierge medicine model.
“Personalized medicine provides the best opportunity to combine my
expertise in endocrinology with internal medicine and primary care.
My practice gives me more time to ‘think outside the box’ and care
for patients without onerous financial disincentives.”
- “Special Doc” David A. Chappell, MD
21

21. Functional and Integrated
Medicine
• “Special Doc” Uday Jani, MD, board-certified
internist, has a fellowship in integrated
medicine and advanced training in functional
medicine
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22. Pediatrics
• Michael Friedlander, principal at Specialdocs
Consultants
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23. Why Specialdocs?
• Independence
• Your name at the forefront
• A proven record of success
• A trusted alliance
24

24. Learn More about Concierge
Medicine:
• Call us: 847-432-4502
• Email us:
– Terry: tbauer@specialdocs.com
– Pat: ptokarzmd@specialdocs.com
• Take the next STEP – Specialdocs Test for Evaluating Physicians
https://specialdocs.com/welcome
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25. Questions?
Teresa Iafolla
Director of Content Marketing, eVisit
tiafolla@evisit.com
Terrence L. Bauer
CEO, Specialdocs
tbauer@specialdocs.com
@eVisit
@Specialdocs
J. Pat Tokarz, MD
Chief Medical Advisor, Specialdocs
ptokarzmd@specialdocs.com