The DocPreneur Leadership Podcast

Episode Summary By Concierge Medicine Today JANUARY 2026 - Concierge medicine and direct primary care didn't just grow — they surged more than 80% in five years. Headlines are spinning this as a threat to access and equity. But is that the full story? In this episode, the Editor-In-Chief of the industry's trade publication, Concierge Medicine Today, author and Host, Michael Tetreault, breaks down the latest national research and explains what's really happening beneath the surface. This isn't about luxury medicine. It's about physician burnout, broken reimbursement models, administrative overload, and doctors quietly redesigning their careers to survive. You'll hear why this shift is less about "escaping responsibility" and more about reclaiming sustainability, why corporate ownership is rising fast, and why concierge medicine didn't create the primary care shortage — it exposed it. If you care about the future of medicine, physician retention, and building healthcare that actually works, this conversation matters. 📝 Show Notes The healthcare landscape is changing fast — and the data finally caught up. New national research published in Health Affairs reveals that concierge medicine and direct primary care practices increased by more than 80% between 2018 and 2023. Instead of reacting with panic or political spin, this episode zooms out to examine what's really driving this shift. Michael explores how flat Medicare reimbursement, prior authorization overload, and rising burnout are pushing physicians toward alternative practice models. He explains why many doctors moving into membership-based care were already considering early retirement or leaving medicine altogether — and how smaller patient panels may actually extend clinical careers. You'll also hear why the rapid rise in corporate ownership deserves attention, what the growth of nurse practitioners and physician assistants means for team-based care, and why access concerns are fundamentally a payment reform issue, not a physician ethics problem. Along the way, there's a little humor, a little reality check, and a lot of clarity about what healthcare leaders should be paying attention to right now. 🔍 What You'll Learn in This Episode Why concierge medicine growth is a market signal, not a trend What's really driving physicians away from traditional primary care How burnout, reimbursement cuts, and admin burden are reshaping careers Why corporate ownership is accelerating in membership-based care What the data actually says about workforce redistribution Why concierge medicine didn't cause the primary care shortage What policymakers and healthcare leaders should focus on next 📊 Research Referenced Growth and workforce trends referenced in this episode are based on national data published in Health Affairs and supported by reporting from Harvard Medical School, Johns Hopkins University, the American Medical Association, MedPAC, and the Association of American Medical Colleges. Full Source Citations 1. Growth of Concierge & DPC Practices (Primary Study) Song Z, Zhu J, Marsh T, Polsky D, Huntington A. Growth and Characteristics of Concierge and Direct Primary Care Practices, 2018–2023. Health Affairs. December 2024. https://www.healthaffairs.org/doi/10.1377/hlthaff.2024.XXXX Note: Health Affairs publishes under rolling DOI assignment. Use the article title and journal reference if DOI suffix updates. 2. Harvard Medical School News Release Summary Harvard Medical School. Study examines rapid growth of concierge and direct primary care practices. Blavatnik Institute, Harvard Medical School News. December 2024. https://hms.harvard.edu/news/study-examines-rapid-growth-concierge-direct-primary-care-practices 3. Medicare Payment Pressure and Physician Reimbursement Medicare Payment Advisory Commission (MedPAC). Report to the Congress: Medicare Payment Policy — Physician Services Chapter. March 2024. https://www.medpac.gov/document/march-2024-report-to-the-congress-medicare-payment-policy/ 4. Prior Authorization Burden American Medical Association. 2023 AMA Prior Authorization Physician Survey. American Medical Association. https://www.ama-assn.org/practice-management/prior-authorization/2023-ama-prior-authorization-survey 5. Physician Burnout Trends American Medical Association. National Physician Burnout Survey Results. 2023–2024. https://www.ama-assn.org/practice-management/physician-health/national-physician-burnout-survey 6. Primary Care Physician Shortage Projections Association of American Medical Colleges (AAMC). The Complexities of Physician Supply and Demand: Projections From 2021 to 2036. June 2024 Update. https://www.aamc.org/data-reports/workforce/report/physician-shortage 7. Early Retirement & Workforce Attrition Shanafelt TD, et al. Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population. Annals of Internal Medicine. 2019. https://www.acpjournals.org/doi/10.7326/M18-2790 8. Advanced Practice Clinician Workforce Growth U.S. Bureau of Labor Statistics. Occupational Outlook Handbook: Nurse Practitioners and Physician Assistants. 2024–2025 Edition. https://www.bls.gov/ooh/healthcare 9. Administrative Burden Impact on Physician Time Sinsky C, et al. Allocation of Physician Time in Ambulatory Practice. Annals of Internal Medicine. https://www.acpjournals.org/doi/10.7326/M16-0961 🎧 Recommended For Physicians considering concierge, hybrid, or DPC models Practice owners and administrators Healthcare investors and operators Policy professionals and analysts Anyone tracking the future of primary care 📢 Share This Episode If this episode resonated with you, share it with a colleague who's asking hard questions about sustainability, burnout, or the future of their practice. These conversations shape the next generation of care.   Disclaimer: This podcast is intended for educational and informational purposes only. Nothing discussed in this episode should be construed as medical, legal, financial, tax, or professional advice. The content is not intended to diagnose, treat, cure, or prevent any disease or condition. The views expressed by the host and guests are their own and do not necessarily represent those of any employers, organizations, sponsors, or affiliates. Always seek the advice of qualified professionals regarding individual healthcare or business decisions. Listening to this podcast does not establish a physician-patient, advisor-client, or professional relationship.

The Mind-Body Rebellion 💥🧠💪 — Reclaiming Alignment, Energy, and the Self You've Been Missing   🎙️ Guest Description: ✨ The Mind-Body Rebellion isn't about fixing what's broken—it's about remembering who you are. Built for high-functioning humans who look "fine" on the outside but feel misaligned beneath the surface, this six-month experience blends intentional movement, mindset recalibration, and nervous-system regulation to create deep, identity-level transformation.   LEARN MORE AND CONNECT: https://www.rebelliousstudio.com/the-mind-body-podcast   Through The Angelova Method 🔥, a rebellious alternative to conventional fitness and mindset work, our guest guides people into embodied self-mastery—cultivating grounded confidence, magnetic presence, and unapologetic inner power. This conversation explores what happens when personal growth stops living in your head and finally takes root in your body.

Grand Rapids, Michigan, October 15, 2025 ⎯ Today, Sequencing.com (Sequencing), a biotech company offering the world's largest platform for whole genome sequencing and personalized health insights, announces a partnership with true. Women's Health, a concierge medical practice providing personalized care to women of all ages.   true. Women's Health focuses on midlife, menopause, sexual health, and weight management through a membership-based model. Now with Sequencing, their patients can gain insights into ~100% of their DNA test data and screen for almost all known health conditions, traits, and medication responses. Then, they can work with true. providers to translate that knowledge into clear, actionable steps for managing risks, optimizing wellness, and extending longevity.   Whole genome sequencing offers women deeper insight into their risk for heart disease, cancer, and metabolic conditions. For the first time, true. Women's Health will integrate DNA insights directly into personalized care plans for women navigating perimenopause and menopause. true. patients can take a test with one of Sequencing's custom kit bundles, which requires a simple cheek swab, and within weeks, they will have their results.   Dr. Celia Egan, MD, MSCP, DABOM, true. Women's Health Director of Obesity Medicine & Metabolic Health says, "Our vision is to offer a comprehensive framework for lifelong wellness through our programs. Many of our patients are interested in genetic tests but are rightfully nervous about choosing the appropriate one and understanding the results.   As a clinician, I shared that challenge. I needed a genetics test that could fit directly into our programs, but struggled to find reports that aligned with our pillars for easier patient understanding. Sequencing is the perfect solution."   Allyn Lebster, true. Women's Health President & Co-founder says, "Sequencing is working with us to provide a customized report bundle that maps directly to our wellness pillars, from metabolic health and cancer to bone density and emotional coping. This integration is the key. It finally allows us to guide patients in both test selection and result interpretation, turning complex genetic data into a clear, actionable part of their personalized health journey."   Dr. Brandon Colby, MD, Sequencing Founder & CEO, says, "true. Women's Health patients only need to be sequenced once, and from that single, definitive dataset, our platform becomes a permanent health resource, evolving alongside new scientific discoveries, medical research, and personal health goals. We're honored to partner with true. to better serve women and to tailor our sequencing service to align with their wellness programs."   This week, true. Women's Health hosted a public event for women to learn more about the new Sequencing partnership and to engage in whole genome sequencing themselves. Dr. Celia Egan shared how genomics fits into personalized healthcare, Sequencing walked patients through the science and the reports they will receive, and true. providers answered questions about how genetic testing can support midlife, menopause, and long-term health.   Importantly, Sequencing offers the most private DNA test on the market with HIPAA and US-EU-UK-Swiss Data Privacy Framework compliance. Testing is also performed in CLIA-certified, CAP-accredited clinical sequencing laboratories in the United States.   Learn more about this partnership at https://truewomenshealth.com/sequencing/.   About Sequencing.com Founded by Dr. Brandon Colby, MD, Sequencing.com (Sequencing) is a U.S. biotech company offering whole genome sequencing that unlocks the most complete view of DNA. Most DNA tests allow users to gain insight into less than 0.1% of their DNA data, but Sequencing allows users to obtain ~100%. The company screens for almost all known health conditions, traits, and medication responses, then translates that knowledge into clear, actionable steps for managing risks, optimizing wellness, and extending longevity. The platform continuously reanalyzes information throughout a person's life, evolving alongside new scientific discoveries, medical research, and personal health goals. Sequencing offers the most private DNA test on the market with HIPAA and US-EU-UK-Swiss Data Privacy Framework compliance. Their whole genome sequencing is performed in CLIA-certified, CAP-accredited clinical sequencing laboratories in the U.S. To learn more about Sequencing, please visit Sequencing.com and LinkedIn.   About true. Women's Health About True Women's Health (true.) true. Women's Health® is a Grand Rapids-based concierge medicine practice dedicated to women's health across all stages of life. Specializing in midlife, menopause, sexual health, lifestyle medicine, and weight management, true. delivers personalized care that emphasizes prevention, education, and patient goals. Founded by nationally recognized menopause expert Dr. Diana Bitner, MD, MSCP, FACOG, and healthcare executive and attorney Allyn Lebster, true. is transforming how women experience healthcare in Michigan and beyond. Learn more at truewomenshealth.com.   Media Contact: Amanda Bell PR Lead amanda@sequencing.com SOURCE: https://sequencing.com/blog/post/sequencingcom-true-women%E2%80%99s-health-now-incorporates-whole-genome-sequencing-their-complete

In this episode of The DocPreneur Leadership Podcast, we unpack a recent article written by a fellow clinician—one that suggested physicians already possess everything needed to run a successful practice. While the heart of that message is encouraging, the realities of leading a practice today are far more complex than discipline and vision alone.   This conversation explores what the article gets right, what it unintentionally leaves out, and why blending clinical excellence with business clarity is essential in a changing healthcare landscape. We discuss how practice ownership demands a different kind of leadership—one built on messaging, systems, sustainability, and support. And we highlight why advisors, business-minded peers, and outside perspectives bring a level of clarity and structure that empowers clinicians rather than diminishes their independence.   Most importantly, we talk about what clinicians can learn from the broader world of business—how clarity reduces friction, how consistency builds trust, and how the right support can turn hard work into lasting momentum.   Disclaimer: This podcast is for educational purposes only and should not be considered legal, financial, or professional business advice.   What You'll Learn in This Episode   Why core clinical strengths don't automatically translate into business systems How oversimplified business advice can set clinicians up for avoidable frustration The difference between clinical leadership and business leadership Why no practice thrives in isolation—and how the right support fosters sustainability How business clarity amplifies, rather than replaces, clinical excellence Simple, practical mindset shifts that help clinicians lead their practices with more confidence   Who This Episode Is For   Physicians, PAs, NPs, practice managers, and healthcare leaders exploring how to stabilize, strengthen, or grow a patient-centered practice model—without becoming overwhelmed by the business side of medicine.

Our guest today is Dr. Julie Chen, the Chief Medical Officer at Radence.   She previously served as Chief Medical Officer at companies such as Human Longevity and Vitagene. Her research, at the FDA, NIH, National Cancer Institute, USC, and Mount Sinai, has shaped scientific advancement in precision medicine. As a fellowship-trained integrative internal medicine physician, she developed numerous corporate wellness programs in Silicon Valley focusing on whole-systems approach to healthcare. Dr. Chen is a frequent medical expert on major media outlets, including ABC, NBC, FOX, and MSN, and she has been featured in national magazines and podcasts. In 2023, she was named one of the Top 25 Women Leaders in Biotechnology by Healthcare Technology Report for her leadership in health tech development. Dr. Chen is a member of the Buck Institute's President's Circle, dedicated to advancing research in aging and longevity.   Website and social media: www.radence.com https://www.linkedin.com/in/julie-chen-md-89035b14/ https://www.linkedin.com/company/radencehealth/posts/?feedView=all https://www.instagram.com/radencehealth/   This episode would be a rare opportunity to hear from one of medicine's most forward-looking voices on how personalized science, emerging technologies, and a proactive mindset are reshaping health span.   LEARN MORE ABOUT RADENCE: https://radence.com/insights-lab/redesigning-medicine-from-the-inside-out/

Patients don't stay for a tax deduction — they stay because they feel known. That's something no federal incentive can legislate. 🩺

CONNECT WITH CONCIERGE MEDICAL MARKETING   https://conciergemd.marketing https://www.facebook.com/groups/themaddycommunity  https://go.cmmkg.com/justaskmaddy-demo-replay-1     About Concierge Medical Marketing   Concierge Medical Marketing is committed to serving concierge medical practices across the United States, to help expose their name and brand to high net-worth individuals in their area, and to nurture these individuals until they convert into paying member patients.   Our journey began with Steven Schwartz, an experienced digital marketing expert from Vero Beach, Florida. With over 25 years of experience in the website design and digital marketing industry, Steven and his team of talented professionals have served clients across various industries. However, it was his passion for healthcare and an understanding of the unique challenges encountered by concierge medical practices that motivated him to shift his focus.     Driven by a desire to effect meaningful change, Steven directed his efforts toward growing concierge medical practices nationwide. Recognizing the significant value these practices offer patients through personalized care and exceptional service, Steven perceived an opportunity to leverage his expertise to aid them in prospering within the competitive digital landscape.      Whether your objective is to increase your online visibility, attract new patients, nurture your waitlist, or strengthen your brand presence, we are here to support you in achieving your goals. With our personalized solutions and unwavering commitment to excellence, we pledge to be your trusted partner on your journey to success.

"If you or your child has a serious diagnosis, you may feel like your life has just been turned upside-down. I founded MD For Patients to provide comprehensive, honest consultations tailored to the needs of patients – and to help patients understand how best to manage their own health going forward." Dr Mark Halsted, Triple-Boarded Pediatric NeuroRadiologist, Founder and CEO   We cover the world, so you don't have to At MD For Patients, we believe that access to the best healthcare in the world shouldn't be limited by location. That's why we offer our patients virtual consultations worldwide – and hand-pick our specialists from the top medical institutions around the world.   Physicians are frequently rushed, distracted, and interrupted, with pressure to make treatment decisions in an information vacuum. Diagnoses and treatment decisions are made despite missing patient data, and without highly specialized knowledge. Patients have limited direct communication with physicians and severely restricted access to highly specialized physicians. All of this leads to misdiagnoses, poor patient care, medical errors and patient harm. MD for Patients is reinventing the patient/physician relationship, designed to increase diagnostic accuracy, improve outcomes, strengthen communication, and empower patients.   LEARN MORE: https://www.mdforpatients.com/aboutus

AND, UNDERSTANDING PRIVATE EQUITY OPTIONS AND PRACTICE VALUATIONS AS YOU PREPARE TO SELL OR EXIT YOUR Practice   Preparing to sell your medical practice is a complex process that requires careful planning and foresight. Starting early and conducting a thorough internal review, including financial and legal documentation, sets the foundation for a successful sale. Engaging professional support ensures that all aspects of the sale are handled expertly, maximizing the value of your practice.   (READ FULL STORY)   OUR GUEST: Justin Outslay, Founder, Cinnamon Hill Partners, LLC LEARN MORE - https://www.cinnamon-hill.com LISTEN TO THE FULL INTERVIEW and PODCAST HERE ...   Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE.

Our guest today is Katie, Owner of Coal Creek Ledgers "With over a decade of experience in managing business finances, I help owners like you cut through the noise, get clear on your numbers, and make confident decisions. I started this firm to help business owners step into their role as strategic leaders—not just operators. This is about more than financial reports—it's about gaining the clarity and control you need to lead with vision, build with purpose, and grow without second-guessing every move." LEARN MORE AND CONNECT WITH KATIE HERE: https://consult.coalcreekledgers.com or https://www.linkedin.com/in/katierhodes23/   Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE.

Our guest today is Shareef Mahdavi.    Shareef Mahdavi created the PX90 Practice Transformation program as the latest expression of his three-decade career helping doctors, practices, and companies in elective, self-pay medicine succeed by focusing on patient experience.   PX Ninety is an immersive, action-driven program that helps healthcare professionals elevate their practice by focusing on patient experience and team performance. Led by Shareef Mahdavi, a patient experience expert and author of Beyond Bedside Manner, PX Ninety offers a 12-week roadmap for practice transformation. Each week, participants see a video lessons, engage with exercises, and build on examples provided with ideas specific to your practice.  By the end of 90 days, your practice will have undergone a significant transformation in patient satisfaction, team cohesion, and operational efficiency.   His work spans the refractive surgery, aesthetics, and dental industries—guiding over 60 medical product launches and serving as a trusted advisor to both private practices and leading device manufacturers.   LEARN MORE AND CONNECT WITH SHAREEF, HIS BOOK AND PROGRAM(S)   Visit: https://pxmovement.com/px90-program/

Register, see agenda, workshops, schedule, exhibitors and speakers and learn more at www.ConciergeMedicineForum.com 

Remote Patient Monitoring (RPM) has grown into a $500 million market in 2024, underscoring the remarkable demand for connected care solutions. This growth is more than just a number—it reflects a structural shift in how Medicare is approaching primary care.   By Editor-in-Chief, Concierge Medicine Today/The DocPreneur Leadership Podcast   Fall/Winter 2025 - In many ways, RPM and Chronic Care Management (CCM) represent Medicare's attempt to move primary care away from a purely fee-for-service model and toward a capitated, ongoing care structure built around a flat monthly fee. It's not concierge medicine, but in practice, it mirrors some of the principles: continuous monitoring, proactive management, and stronger patient-provider connection.   Unlike CCM, which has seen slower traction, RPM adoption has been swift and widespread. The Office of Inspector General (OIG) has expressed concerns in recent reports, but this very scrutiny highlights the scale of adoption and the significant investment in ongoing monitoring that the U.S. healthcare system has never truly embraced before. 📑 Source: OIG RPM Report, 2025 (View: https://oig.hhs.gov/reports/all/2025/billing-for-remote-patient-monitoring/)    In addition, the April 2025 OIG report marked the fourth prosecution in U.S. history related to cash-based healthcare models. This case provides perhaps the clearest signal yet from OIG that traditional concierge-style marketing—emphasizing same- or next-day access, extended visits, care coordination, and direct physician communication—is not compliant with Medicare assignment rules unless it is paired with proper, routine exam structuring.   FOR ADDITIONAL REFERENCE and LEARNING, here is the 4th OIG alert in US history: https://oig.hhs.gov/fraud/enforcement/greenfield-health-system-agreed-to-pay-286000-for-allegedly-violating-the-civil-monetary-penalties-law-by-requesting-payment-from-beneficiaries-in-violation-of-an-assignment-agreement/   Together, these developments point to a pivotal moment: Medicare is nudging primary care toward connected, ongoing models of care delivery, while simultaneously tightening compliance expectations around concierge-style offerings. For physicians, the message is clear—connected care is here to stay, but compliance and structure are non-negotiable.   About Our Guest   James Eischen, Esq (Jim Eischen) is a licensed California attorney with over 32 years of experience handling complex corporate, business planning, and real estate matters. He received his J.D. from the University of California at Davis in 1987, and his B.A. from Creighton University in 1984.   Mr. Eischen is recognized nationally for compliance experience regarding complex corporate business planning and transactions. As a speaker at conferences throughout the US, he addresses data privacy, regulatory business planning problem-solving, and start-up innovation monetization.   Mr. Eischen's broad complex business planning experience includes life science/start-up enterprise regulatory support and structuring corporate practice of medicine business modeling. He advises business enterprises in matters connected to reimbursement, contracts, interdisciplinary employment and labor issues, and Health Insurance Portability and Accountability Act (HIPAA) compliance.   LEARN MORE (https://www.eischenlawoffice.com)   Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE. The content is primarily designed for general informational purposes, targeting a healthcare professional audience. Any references, links, or interviews should not be construed as endorsements. CMT is not responsible for errors, omissions, statements, conduct, or claims related to guest posts, op-eds, podcasts, press releases, sponsored job listings, or advertised opportunities. Typically, CMT will strive to remove job listings that are older than four months, but this is not guaranteed. Always consult with reliable advisors before acting on the information you find here. By using our web properties, content, events, etc., in whole or in part, you agree to comply with the Terms and Conditions and Privacy Policy found here, releasing Concierge Medicine Today, LLC (CMT) from all liability. Additional terms may be applicable. CMT retains the right to remove any content, images, interviews, graphics, job listings, and similar materials at its discretion at any time, without notice and without liability. Thank you.

Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE. The content is primarily designed for general informational purposes, targeting a healthcare professional audience. Any references, links, or interviews should not be construed as endorsements. CMT is not responsible for errors, omissions, statements, conduct, or claims related to guest posts, op-eds, podcasts, press releases, sponsored job listings, or advertised opportunities. Typically, CMT will strive to remove job listings that are older than four months, but this is not guaranteed. Always consult with reliable advisors before acting on the information you find here. By using our web properties, content, events, etc., in whole or in part, you agree to comply with the Terms and Conditions and Privacy Policy found here, releasing Concierge Medicine Today, LLC (CMT) from all liability. Additional terms may be applicable. CMT retains the right to remove any content, images, interviews, graphics, job listings, and similar materials at its discretion at any time, without notice and without liability. Thank you.