Everything you need to know about converting your practice—whether you choose our Full Model, Hybrid Model or a Transitional path from Hybrid to Full.
Concierge medicine, also called membership medicine, is a model in which patients pay a membership or retainer fee directly to you in exchange for enhanced services—such as longer visits, same- or next-day appointments, 24/7 reachability and a more comprehensive wellness program.
Because you intentionally reduce the number of patients you carry, you can spend more time with each one instead of the 10–15 minute visits typical of a high-volume practice. Insurance and Medicare generally continue to be billed separately for covered medical services; the membership fee covers services that are not reimbursable.
Every physician approaches concierge medicine differently. We offer three paths so you can choose the one that fits your practice, patients and risk tolerance today—and revisit that choice later if your goals change.
The decision depends primarily on how much income you want connected to membership fees versus continued fee-for-service revenue, how comfortable you are reducing or restructuring your panel now versus gradually, and how your patient base is likely to respond.
Our proprietary analytics suite evaluates your panel size, patient socioeconomics, NPS scores and other practice metrics. We walk through the specific economics before you commit to a direction. Solo or small practices without substantial financial cushion often start Hybrid, while physicians ready for a full lifestyle and workload change often choose Full.
No. Under all three models, you continue to own and operate your practice. MyCare Concierge serves as your management and support partner, helping with membership administration, patient communications, marketing, membership billing support and conversion logistics.
This differs from arrangements in which a physician becomes employed by an existing concierge organization.
No, although it is most common in internal medicine, family medicine and geriatrics. Cardiologists, gynecologists, gastroenterologists and other specialists have also adopted concierge and hybrid models, typically using an episodic or advocacy-based version tailored to their specialty’s care pattern.
Generally, yes; however, results depend on the model and how you structure fees relative to your reduced panel and workload.
Full Model physicians typically accept some short-term transition risk in exchange for significantly higher income potential once the panel is established. Hybrid physicians add a new revenue stream alongside existing practice income, offering a potentially more modest increase with less disruption.
We model realistic revenue scenarios using your practice’s actual numbers rather than relying on industry averages.
For most physicians, the process takes approximately three to six months from the decision to move forward through launch. This typically includes patient notification requirements, staff training, marketing and membership enrollment.
Notification periods vary by state and practice and may require several months of advance notice. Hybrid conversions can often move more quickly because the existing panel and day-to-day operations remain largely intact.
Not sure which path fits?
Our concierge team can assist with membership payments, billing questions, contact information updates, Membership Agreement questions and other non-medical membership needs.
In the Full Model, every patient who continues in your practice becomes a paying member. There is no split panel—you are no longer running a traditional practice.
This is the central trade-off of a Full Model conversion. Patients who do not become members will need to transition to another provider.
During implementation, we notify patients several times and assist you and your patients in identifying alternate care. This model can involve patient attrition of 70–90% from a large traditional panel, depending on the market and membership pricing.
Most Full Model panels have roughly 300–450 members, with some reaching a cap of 600 patients per physician, compared with 2,000–3,000 or more in a typical primary care practice.
Some ultra-premium or boutique programs cap panels much lower and charge a correspondingly higher membership fee.
The membership fee covers services insurance does not reimburse, such as extended time, 24/7 access, an enhanced annual wellness exam and care coordination.
You continue billing Medicare and commercial insurance for covered visits, labs and procedures. The membership fee is a separate charge for services outside that scope.
A smaller number of physicians opt out of insurance billing entirely and rely solely on membership revenue. We can help evaluate whether that approach fits your patient base.
The primary risk is a revenue gap during ramp-up: your panel is smaller from day one, and it may take time to fill your membership roster to its target capacity.
Full Model physicians typically have an existing patient base likely to convert and operate in a market that can support concierge care. Our practice analytics help determine whether your panel and community are ready for a full conversion. The Hybrid and Transitional Models are designed to reduce this risk.
The Full Model often fits physicians who want a complete lifestyle and workload change now, have an affluent or older patient demographic receptive to membership medicine, or are launching or joining a de novo concierge practice instead of converting a large traditional panel.
A concierge membership option within your existing practice.
In the Hybrid Model, you keep your entire existing patient panel. A subset—typically 75–150 patients, depending on practice size—joins a concierge membership for enhanced access while everyone else continues under your current practice structure. No patient is dismissed.
This lower-risk entry model was pioneered by our Senior Vice President.
This is the most common operational question about Hybrid. Without the right structure, a hybrid model can add work instead of reducing it.
Two workable approaches are: dedicating specific time blocks to members and non-members, or having you or a physician extender continue serving the traditional panel while you focus more time on members. MyCare Concierge helps design staffing and scheduling so membership duties are not simply added to your existing full-time workload.
Hybrid enrollment is typically much lower than a full conversion—often 5–10% of an existing panel and sometimes less.
That is expected. Hybrid is designed to serve the subset of patients who want more from the relationship while leaving core practice revenue intact. It can be especially useful for practices with Medicare Advantage or ACO participation and meaningful value-based care income.
Hybrid membership fees are usually lower than Full Model fees, commonly ranging from approximately $2,000 to $3,000.
Both are common. Some physicians operate Hybrid indefinitely because it suits a smaller practice or because they prefer to keep their entire patient base. Others use Hybrid as a deliberate first phase, which is what our Transitional Model formalizes.
Neither path is more correct; the right choice depends on your goals.
Not by itself. Because you maintain your traditional panel while adding concierge-level service for a subset, Hybrid can modestly increase workload unless staffing is restructured—for example, by adding a physician extender to absorb non-member volume.
The Full Model and well-structured segmented or transitional approaches generally produce a greater workload reduction than a straight hybrid split.
Hybrid can fit physicians in smaller practices without the volume to sustain a Full Model panel, physicians who want to test concierge medicine with minimal risk, and physicians who do not want to formally discharge existing patients.
Hybrid today, with the option to move to Full later.
The Transitional Model lets you launch as Hybrid—keeping your entire panel while adding a concierge membership tier—with a defined path to convert to Full once membership, revenue and staffing can support it.
You receive the lower risk of Hybrid at launch and the option, not the obligation, to pursue the greater income and lifestyle benefits of Full later.
It removes the false choice between lower risk with lower upside and higher upside with higher risk. You do not have to predict how patients or finances will respond to a full conversion.
Instead, you build real data—enrollment rates, membership revenue and workload changes—while your existing income continues. You can then make the Full Model decision from a position of information rather than speculation.
There is no single trigger. Together, we evaluate whether your membership panel can sustainably replace fee-for-service and/or value-based care income at your target level, whether non-member workload is limiting time and care quality, and whether you have a transition plan for non-members.
We establish specific financial benchmarks at launch so “ready” is not a guess.
As with a direct Full Model conversion, patients who do not become members will need to transition to another provider with appropriate notice.
The advantage of beginning from a Transitional base is that you already have a proven membership program, established member relationships and real revenue data, making the final conversion more informed and lower risk.
Both are common. Some physicians operate Hybrid indefinitely because it suits a smaller practice or because they prefer to keep their entire patient base. Others use Hybrid as a deliberate first phase, which is what our Transitional Model formalizes.
Neither path is more correct; the right choice depends on your goals.
Not by itself. Because you maintain your traditional panel while adding concierge-level service for a subset, Hybrid can modestly increase workload unless staffing is restructured—for example, by adding a physician extender to absorb non-member volume.
The Full Model and well-structured segmented or transitional approaches generally produce a greater workload reduction than a straight hybrid split.
Hybrid can fit physicians in smaller practices without the volume to sustain a Full Model panel, physicians who want to test concierge medicine with minimal risk, and physicians who do not want to formally discharge existing patients.
We structure the messaging to avoid confusion. At launch, patients hear about the membership option available today.
If and when you decide to convert fully, that change is communicated as a separate transition with its own notice period, just as it would be for a direct Full Model conversion.
Compare the models using your numbers.
It is your practice, and we want you to retain the majority of the revenue. MyCare Concierge is compensated for analytics, marketing, administration and the other support services we provide.
We review the exact numbers during your practice assessment so there are no surprises.
Most practices retain existing staff, although roles may shift. Front-desk and clinical team members may take on membership services, patient education or wellness-coaching responsibilities.
In segmented or hybrid structures, a physician extender may be added to support non-member care. We help plan any staffing changes as part of the conversion process.
Not necessarily, although it sometimes makes sense in Hybrid and Transitional programs. A nurse practitioner or associate physician can manage day-to-day non-member care while you focus more time on the membership panel.
This is less common in the Full Model because the total panel is already reduced, but it can still be advantageous in certain situations.
Practice marketing, patient communications, technology or portal setup and staff training all carry costs; however, these services are included in your program fee. You do not write an upfront check to MyCare Medical for these individual services.
Our agreement runs for five years, significantly shorter than the eight- to ten-year terms common among other concierge organizations.
We believe a shorter commitment reflects confidence in the value we deliver instead of relying on a lengthy lock-in.
No. We do not use restrictive covenants that broadly limit your ability to practice medicine. During the active contract term, you agree not to provide concierge services independently or through another MSO.
Outside concierge medicine, you remain free to practice as you choose.
No. Once the five-year term concludes, there are no lingering non-compete or non-solicitation obligations. You may continue your concierge practice independently or explore other options immediately.
At the end of the term, we offer one-year extensions so you can continue with us year to year for as long as the relationship remains the right fit.
You are free to do so. Beyond the requirement not to offer concierge services independently or through another MSO during the contract term, we do not impose restrictions that prevent you from returning to traditional practice.
Ready to explore concierge medicine?
Yes, when structured correctly. The membership fee is for non-covered services. You cannot charge a membership fee for services Medicare or insurance already covers, and Medicare patients cannot be required to pay a fee as a condition of receiving covered services.
MyCare Concierge program agreements and patient communications are designed to keep this distinction clear.
Many states require advance written notice before a panel-size or fee-model change, sometimes with a minimum notice period—commonly 60 days—and specific disclosures about medical records or alternate care.
Requirements vary by state, so we help tailor the patient-notification process to your state’s rules.
Yes, under all three models. Medicare patients cannot be required to pay a membership fee as a condition of receiving covered services, and the membership fee must be limited to non-covered items.
Many Full and Hybrid programs serve substantial Medicare-age populations who value the amenities and access provided in addition to covered care.
A properly structured management-services arrangement compensates the MSO for defined services—such as administration, marketing, technology and billing support—with fees that are not tied to referrals or medical decision-making. That distinction is important to regulators.
MyCare Concierge agreements are structured with this in mind. As with any MSO relationship, we encourage you to have your own healthcare attorney review the agreement before signing.
Have a state- or payer-specific question?
We begin with a confidential practice assessment covering your current panel size, payer mix, patient demographics and financial goals. We then model realistic outcomes under each of the three approaches and recommend a starting model. The final decision is always yours.
Depending on your program tier, support typically includes membership billing and administration, patient communications and marketing, compliance guidance, wellness-program infrastructure, staff training and ongoing performance reviews.
We also support you if you decide to move from Hybrid to Full through the Transitional path.
Yes. We can connect you with current MyCare Concierge physicians operating under Full, Hybrid and Transitional models so you can hear directly about their experience, revenue outcomes and patient response before making your decision.
Schedule a confidential practice consultation with our team. We will learn about your practice, answer your questions and outline what each model could look like for you.
Ready to explore concierge medicine?
We will review your panel, payer mix, patient demographics and financial goals, then help you compare realistic paths forward.
This FAQ is intended for general informational purposes and does not constitute legal, financial or regulatory advice.
Physicians considering a concierge medicine conversion should consult their own healthcare attorney and financial advisor regarding requirements in their state and specialty.
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