'Concierge' Medicine ; Are Doctors Selling Special Access - or Special Care?

Summary


Alan Sheff, a Bethesda-based internist, thought about leaving medicine. The pressure to see two dozen patients in a day, the mounds of paperwork and the hassles with insurance companies and Medicare left the doctor of more than 20 years wholly dissatisfied.

"Medicine changed to the point I felt I wasn't living up to the standards of care," Dr. Sheff says. "Especially when it came to prevention and wellness. It was not the kind of medicine I wanted to practice."

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Extract


'Concierge' Medicine ; Are Doctors Selling Special Access - or Special Care?

That was nearly seven years ago. Instead of leaving medicine, Dr. Sheff made the transition to a retainer practice. Often called a "boutique practice" or said to provide "concierge medicine," retainer practices charge a patient an upfront fee. That enables them to reduce the number of patients and depen...

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