The DocPreneur Leadership Podcast

The Business & Leadership of Medicine w/ Michael Tetreault, Editor-in-Chief
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The DocPreneur Leadership Podcast is the recorded history of membership medicine. Hosted by Michael Tetreault, Editor-in-Chief of Concierge Medicine Today — and a nearly 20-year student of this industry from the patient side of the exam room — this podcast explores concierge and membership-based medicine through candid conversations with physicians, healthcare executives, attorneys, practice management experts, and industry innovators. If you're a physician building, growing, or rethinking your practice — this is the conversation you didn't know you needed. Topics: Concierge Medicine · Membership Medicine · Physician Leadership · Practice Management & Growth · Healthcare Entrepreneurship · Patient Experience & Hospitality · Practice Design & Culture · Precision Medicine · Whole Genome Sequencing · Pharmacogenomics · Longevity Medicine · Functional & Integrative Medicine · Physician Burnout & Wellbeing · Succession Planning · Legal & Compliance · Accounting & Financial Planning · Insurance & Payor Strategy · Staffing & Team Culture · Technology & AI in Medicine · Telehealth · Branding & Marketing for Physicians · Interior Design & Practice Environment · Nursing & Allied Health · Direct Primary Care (DPC) Produced by Concierge Medicine Today (CMT) — the industry's independent trade publication since 2007. Host of the annual Concierge Medicine Forum. 🌐 www.ConciergeMedicineToday.com 👥 www.instagram.com/conciergemedicineforum/ For general informational purposes only. Not medical, legal, or financial advice. Views are the speaker's own. Full terms: conciergemedicinetoday.com/tcpp

  1. 22h ago

    What GLP-1 marketing built that most concierge practices haven't.

    "Patients have already told the market what they're willing to pay for a health outcome," CMT Editor-in-Chief Michael Tetreault said in an interview for this article. "A GLP-1 subscription and a concierge medicine membership now cost about the same, roughly $3,000 a year. The question isn't whether patients will invest in their health. It's who earns that investment." By Editorial Staff, Concierge Medicine Today, August 2026 (See full list of citations and sources and disclaimers at end of article) Please note, this is market and editorial analysis, not medical, legal, financial, or accounting advice, and it does not evaluate the clinical merits of GLP-1 medications, which is a conversation between a patient and their physician. Concierge medicine is not, and should never be marketed as, a treatment alternative to any prescription medication, including GLP-1s. That distinction matters enough that we're stating it plainly here, before we go any further, and readers should keep it in mind throughout. That said, let's unpack the topic. FULL ARTICLE: https://conciergemedicinetoday.org/2026/08/24/what-glp-1-marketing-reveals-about-concierge-medicines-opportunity/ A patient on a compounded GLP-1 and a patient enrolled in a concierge medicine practice are now spending almost exactly the same amount each year. Roughly $3,000. We put the real numbers next to each other: GLP-1 telehealth pricing, our own 2026 concierge medicine benchmark survey, direct primary care spend, urgent care, etc. The overlap doesn't stop at price. The age group spending the most on GLP-1s, 50 to 64, is also the core of the concierge medicine patient base. Patients have already decided they'll pay out of pocket for a health outcome. That part isn't up for debate anymore. What's still open is who earns that trust, and why. To be clear about what we're saying and what we're not: concierge medicine is not a substitute for any medication a patient and their physician decide is right for them. What it can be is the unhurried relationship where that conversation actually happens, something a fifteen-minute visit rarely allows. Full research, sourcing, and what this means for how practices market themselves are in the article. Disclaimer: This article is for informational and editorial purposes. It does not constitute medical, legal, financial, or accounting advice, and it takes no position on the clinical use, safety, or efficacy of GLP-1 medications or any other prescription treatment. Concierge medicine as described here, is a healthcare membership business model. It is not a treatment, and it should not be marketed or described as an alternative or substitute for any medication a patient and their physician have determined is appropriate. Physicians and practices using any messaging from this article in their own marketing are responsible for ensuring compliance with FTC truth-in-advertising standards and their state medical board's advertising rules, including avoiding any claim, direct or implied, that concierge membership treats, replaces, or competes with a specific medication or clinical intervention. Figures labeled as estimates reflect Concierge Medicine Today's own analysis of published per-unit data and are identified as such throughout. Readers should consult a licensed physician, attorney, or financial advisor for guidance specific to their situation. Sources glpchart.com. "GLP-1 Telehealth Price Report 2026." 2026. GLP-1 Telemedicine. "The Real Cost of Telehealth GLP-1 Programs in 2026: Subscription Fees, Hidden Charges, and What You're Actually Paying For." 2026. Chronos Body Health & Wellness. "The Real Cost of GLP-1 Weight Loss Medications in 2026: What You Should Know Before You Start." April 14, 2026. Concierge Medicine Today. 2026 Industry Pricing Benchmark. 2026. (cited via Concierge MD Finder, "How Concierge Medicine Pricing Works in 2026: A Real Cost Breakdown," May 30, 2026) Connectedly Health. "DPC Pricing Index by State (2026): Direct Primary Care Costs." February 15, 2026. Medical Economics. "Five surprising findings about the state of direct primary care," citing the Direct Primary Care Alliance 2026 physician survey. 2026. Mira Health (talktomira.com). "Urgent Care Visit Cost With and Without Insurance (2026 Update)." July 8, 2026. ClinicAds. "Telehealth Marketing in 2026: The Complete Guide to Compliant, Profitable Patient Acquisition." July 17, 2026. EMARKETER. "GLP-1 drugs dominate prescription TV ad spend," citing iSpot.tv data. 2025. EMARKETER. "Pharma linear TV ad decline in H1 driven by steep GLP-1 spending cuts." July 16, 2026. Foley & Lardner LLP. "GLP-1 Compliance: FDA Targets Telehealth Marketing in 30 New Warning Letters." March 12, 2026. Sheppard Mullin. "FDA's Focus Returns to Compounding and Telehealth: Another Wave of Warning Letters." June 18, 2026. Target Patients MD. "GLP-1 Provider Marketing That Works Right Now." May 12, 2026. KFF. "Poll: 1 in 8 Adults Say They Are Currently Taking a GLP-1 Drug for Weight Loss, Diabetes or Another Condition, Even as Half Say the Drugs Are Difficult to Afford." November 14, 2025. RAND Corporation. "New Weight Loss Drugs: GLP-1 Agonist Use and Side Effects in the United States." August 6, 2025. Concierge MD Finder. "U.S. Concierge Medicine Market Report 2026: 2,601 Practices, DPC vs Traditional, Pricing," citing the Concierge Medicine 2026-2030 industry report. May 30, 2026. Straits Research. "Direct Primary Care Market Size, Top Share, Demand" industry report. July 21, 2025. Drexel News Blog. "Q+A: Is the Growth of Direct Primary Care Expanding Health Care Access Where It's Needed Most?," citing Goldstein et al., Annals of Family Medicine. November 26, 2024. Centers for Disease Control and Prevention, National Center for Health Statistics. "Urgent Care Center and Retail Health Clinic Use: United States, 2024." NCHS Data Brief No. 562. American Academy of Private Physicians (AAPP). 2026 concierge physician count estimate. (cited via Concierge MD Finder, "How Concierge Medicine Pricing Works in 2026," May 30, 2026)

  2. Aug 17

    How Are You Iterating? Dr. Kyra Bobinet on Why Compliance Fails

    The Story Your Patients Keep Telling Themselves (and How to Rewrite It) with Dr. Kyra Bobinet Why do patients who genuinely want to get healthier so often fail to follow through? On this episode of the DocPreneur Leadership Podcast, host Michael Tetreault talks with Kyra Bobinet, MD, MPH, about the "know-do gap" and the neuroscience behind it. Dr. Bobinet earned her MD from UCSF and her MPH from Harvard, teaches health behavior change at the Stanford Medicine AIM Lab, and is CEO and founder of Fresh Tri, a clinician-facing behavior-change platform built on the neuroscience of habit formation. She is the author of the bestselling Well-Designed Life and the newly released Unstoppable Brain, and co-developed the Iterative Mindset Inventory with mindset researcher Dr. Jeni Burnette of NC State University. She is an enrolled member of the Leech Lake Band of Ojibwe. In this conversation, Dr. Bobinet and Michael discuss the habenula and its role in motivation and setbacks, why the traditional compliance model works against how the brain actually changes, the Iterative Mindset as an alternative framework for physicians and patients, and how this thinking should shape the physician-patient relationship in concierge and membership-based practices. They also preview Fresh Tri Pro, ahead of Dr. Bobinet's appearance at the Concierge Medicine Forum this October. This episode is educational and informational. It is not medical, legal, or financial advice. Links: Fresh Tri: https://freshtri.com Iterative Mindset Quiz: https://freshtri.com/iterative-mindset-quiz/ Dr. Kyra Bobinet: https://drkyrabobinet.com Contact Dr. Kyra Bobinet: https://drkyrabobinet.com/contact/ Unstoppable Brain Podcast (YouTube): https://www.youtube.com/@unstoppablebrainpod Fresh Tri on LinkedIn: https://www.linkedin.com/company/freshtri/posts/?feedView=all Fresh Tri on Instagram: https://www.instagram.com/fresh_tri/

  3. Aug 7

    A New Category in Cancer Care, Built by the People Who Saw It Fail

    Moving Cancer Upstream: Dr. Jose Barreau on Prevention, Prime Time, and the Fight to Detect Cancer Earlier Dr. Jose Barreau spent decades on the wrong side of a timeline every oncologist knows too well, treating cancer after it was found, often at a stage when the window for real intervention had already closed. That experience became the founding premise behind PreOncology, the company he built to move cancer care upstream from treatment to prevention. Barreau's work recently reached a much bigger audience. He's featured in The Chase: Inside the Race to Cure Cancer, a documentary now streaming on Amazon Prime Video that follows real patient experiences and the healthcare teams navigating one of life's hardest journeys. In this conversation, we talk about what it was like being part of that project, why the film's message about early detection lines up so closely with PreOncology's mission, and what he wants viewers to take away from it. We also get into the founding story behind PreOncology itself: why conventional screening was never built for the individual, why the technology to detect cancer earlier already exists but has never been properly integrated, and how an oncologist-led model is trying to close that gap. Barreau also shares lessons from his earlier work founding Doc Halo and Halo Health, healthcare communication platforms used by over 300,000 physicians nationwide. Dr. Barreau will be speaking live at the 2026 Concierge Medicine Forum this October in Atlanta, GA, where he'll go deeper into what personalized cancer surveillance actually looks like in practice. If this conversation resonates, that session is one worth planning your schedule around. Learn more about Dr. Barreau and PreOncology: https://preoncology.com/our-story/ Watch The Chase: Inside the Race to Cure Cancer on Amazon Prime Video. This episode is educational and informational. Nothing discussed should be considered medical advice.

  4. Aug 1

    Meet Peds MD -- Ten years of knowing families by name.

    Dr. Charles "Trey" Williams didn't set out to disrupt pediatrics. He set out to be the kind of doctor his own kids deserved. After a decade in corporate, insurance-driven practice and a stint inside a health-tech startup, Williams reached the same conclusion many physicians on this podcast have reached: the system was built for throughput, not relationships, and pediatrics runs on relationships. In this conversation, Williams walks through the founding of The Peds MD, a concierge house-call pediatric practice built around what he calls Adaptive Primary Care, a model shaped by five pillars: environmental flexibility, true 24/7 access, root-cause methodology, direct communication, and removing the barriers that keep families from reaching their physician. We discuss what it actually took to leave a corporate practice, how an MBA changed the way he designed the business, and why he believes the future of pediatrics depends on doctors willing to rebuild the relationship model from the ground up. This is a conversation for any physician asking whether there's a better way to practice, and for any parent wondering what pediatric care could look like when the doctor picks up. Learn more about Dr. Williams and The Peds MD: https://www.thepedsmd.com/about This episode is educational and informational. Nothing discussed should be considered medical, legal, or financial advice.

  5. Jul 28

    The day "Personalized" stopped working.

    Every concierge website on the internet says it. Your patients aren't looking for "personalized." They're looking for a specific person they can trust with their family's health. You ARE that person. The work is showing them — before the first phone call. ABOUT OUR GUEST, GRAHAM KUHN, FOUNDER, FOCUS FILMS LEARN MORE: https://focusfilms.com/ I came to this work the long way. I studied opera in college but never became an opera singer — I moved to Atlanta after graduation to join a professional a cappella group, then spent twenty-plus years as a professional singer doing everything except opera. Along the way I started working in music and video at churches, and discovered I liked telling visual stories more than performing them. The shift to personalized medicine wasn't a marketing decision. It was personal. My wife and I have always believed in medicine that uses pharmaceuticals when truly necessary and holistic, lifestyle, and integrative care when those actually move the needle. What I've found doing this work is that direct care physicians are the doctors most willing to prescribe what actually helps the patient in front of them — not just what insurance will pay for. Those stories deserve to be told well.  I also know what these doctors are walking into when they leave the system. They didn't quit because they wanted to run businesses. They quit because they were burning out trying to practice medicine the way they were trained to. Now they're business owners anyway, and most of them weren't taught that part. The marketing, the systems, the strategy — none of that was in medical school. Our team's job is to handle the parts they weren't trained for so they can focus on the parts they were.  Based in Atlanta. Available for engagements across Georgia, with selective travel for the right practices nationwide. GET CONNECTED WITH FOCUS FILMS LEARN MORE: https://focusfilms.com/

  6. Jul 5

    MDVIP's New CMO Dr. Jeffrey Lin on What Sustainable Practice Actually Looks Like

    We're delighted today to sit down with MDVIP Chief Medical Officer, Dr. Jeffrey Lin to talk about so building a sustainable practice, finding joy in the practice of medicine, and what's happening what the next chapter of Primary Care looks like. Dr. Jeffrey Lin is a board-certified cardiologist, internist, and the newly appointed Chief Medical Officer of MDVIP, the nation's leading network supporting physicians in personalized, preventive, and relationship-driven primary care. A Harvard Medical School graduate and Yale summa cum laude, Dr. Lin completed advanced fellowship training at Massachusetts General Hospital and Columbia University before building a distinguished career that spans academic medicine, elite sports cardiology as a consultant to the NFL Players Association, and executive leadership at Devoted Health, where he was the company's first physician hire and helped build a patient-centered care model serving over 400,000 members across 29 states. He joins MDVIP at a pivotal moment in the organization's growth, bringing with him a career-long conviction that prevention is a long game, that physician joy is inseparable from patient outcomes, and that the future of primary care depends on giving doctors the time and the tools to actually know their patients. --- MDVIP Appoints Jeffrey Lin, MD, FACC, as Chief Medical Officer     BOCA RATON, Fla. – April 22, 2026 – MDVIP, the national leader in supporting physicians to provide personalized, preventive, and primary care, today announced the appointment of Dr. Jeffrey Lin as Chief Medical Officer. A board-certified cardiologist and accomplished healthcare executive, Dr. Lin will lead MDVIP's clinical strategy and delivery as the company continues to expand its preventive and relationship-driven primary care model nationwide. Dr. Lin will also collaborate with the network's Medical Advisory Board on MDVIP's current and future offerings. The appointment reflects MDVIP's investment in physician leadership that deeply understands both the patient and provider experience, reinforcing the company's commitment to long-term health outcomes, proactive prevention, and a care model that gives doctors the time and tools to deliver truly personalized care. A cardiologist and internist by training, Dr. Lin has a longstanding commitment to prevention and optimizing health through data-driven, lifestyle-oriented approaches. He joins MDVIP from Devoted Health, where he served as National Medical Director and was the company's first physician hire, responsible for building its clinical care platform from the ground up. Since 2019, he helped lead the development and scaling of a comprehensive, patient-centered care model integrating preventive care, chronic disease management, and longitudinal wellness for primary care patients across the country, growing the clinical team to serve over 400,000 members across 29 states. As Chief Medical Officer, Dr. Lin will work closely with affiliated physicians and the MDVIP team to enhance the MDVIP experience for patients and providers alike. His priorities include strengthening MDVIP's preventive and wellness programs, supporting physicians transitioning into more manageable practice sizes, and expanding the MDVIP model to new physician segments and patient populations across different life stages. "MDVIP was built on the belief that primary care should be proactive, personal and sustainable for physicians," said Larry Kutscher, CEO and Board Chairman of MDVIP. "Dr. Lin has devoted his career to those same principles, designing care models that prioritize prevention, meaningful time with patients and better long-term health. He will be a powerful advocate for our physician community and a key partner in shaping the future of MDVIP." Dr. Lin's passion for MDVIP's mission is rooted in his early years in practice, when he saw firsthand how fragmented, specialist-heavy care consumed patients' lives and made it difficult to focus on prevention and long-term health. "As a cardiologist, I've always viewed health as a long game," said Dr. Jeffrey Lin, Chief Medical Officer of MDVIP. "The choices we make in our 40s and 60s shape the next 30 years of our lives. MDVIP has spent more than 25 years building a model that gives physicians the time and tools to focus on prevention and real relationships with patients. I'm excited to help bring that kind of care to more doctors and patients across the country." Dr. Lin also emphasized the importance of elevating the physician experience. "You can't deliver great long-term outcomes if the people providing care are burnt out," he added. "I'm looking forward to partnering with our affiliated clinicians to bring more joy back into their practice and help patients live longer, healthier lives." With the appointment of Dr. Lin, MDVIP is beginning a new chapter in its growth story, doubling down on personalized, relationship-centered care and expanding its influence among patients and physicians nationwide. About Dr. Jeffrey Lin Dr. Jeffrey Lin is a board-certified cardiologist, internist, and an accomplished physician executive dedicated to advancing personalized, preventive, and relationship-driven care. He previously served as National Medical Director at Devoted Health, a tech-enabled Medicare Advantage organization, where he's helped lead the development and scaling of a comprehensive, patient-centered care model nationwide since 2019. A cardiologist by training, Dr. Lin has a longstanding commitment to prevention and optimizing cardiovascular health through data-driven, lifestyle-oriented approaches. Earlier in his career, he served as Assistant Professor of Medicine at Mount Sinai Medical Center in Miami Beach and Co-Director of Cardiac Rehabilitation, where he built a thriving ambulatory cardiology practice and developed programs that enabled patients to achieve meaningful, sustained improvements in heart health. Dr. Lin's experience also includes caring for elite and professional athletes as a cardiology consultant to the National Football League Players Association, as well as leading clinical research on cardiovascular performance and endurance. His work has been published in leading medical journals, including the Journal of the American College of Cardiology and Circulation. He is also a Fellow of the American College of Cardiology. Dr. Lin earned his medical degree from Harvard Medical School and graduated summa cum laude from Yale University. He completed his residency in internal medicine at Columbia University Medical Center, followed by advanced fellowship training in cardiovascular medicine, sports cardiology, and cardiac imaging at Massachusetts General Hospital and Columbia University.

  7. Jun 30

    Meet Dr. Una: The Profitable Private Practice Playbook

    Thousands of physician-owned private practices go out of business every single year. This does not mean it is impossible to thrive but you do need to play by different rules. Decreasing reimbursements and the higher costs of delivering healthcare services have made it difficult for many private practices to be profitable but you can thrive. LEARN MORE: https://entremd.com/method-book/ The Profitable Private Practice Playbook is the blueprint that will get you there. This step-by-step guide to profits in your private practice will show you: Simple mistakes that cost you thousands of dollars every month How to make the transition to savvy physician entrepreneur How to attract the right number of patients How to empower your team to become revenue generators themselves How to get paid for the work you already do The result will be a practice that helps a lot more patients, creates financial freedom for you, and gives you back your time so you can live life on your terms. Buy the Book About the author Dr. Nneka Unachukwu is a board-certified pediatrician and the founder and CEO of Ivy League Pediatrics outside of Atlanta, Georgia. She graduated from the University of Nigeria College of Medicine and completed her residency in New Jersey before opening her own practice. After honing her entrepreneurial skills, Dr. Una created the EntreMD business school, podcast, and community to help physicians build personal brands around their expertise, open practices, and develop product lines. Featured in Forbes and a member of the Forbes Business Council, she has helped doctors all over the world leverage entrepreneurship to build lives they love.

  8. May 20

    The Missed Opportunity Nobody in Primary Care Is Talking About

    Hosted by Michael Tetreault | Editor-in-Chief, Concierge Medicine Today Episode Overview In one of the most comprehensive episodes in DocPreneur Leadership Podcast history, host Michael Tetreault takes an honest, evidence-based, and encouraging look at the cash-pay and subscription-based primary care landscape — who it serves, how it works, where it's heading, and what every physician and advanced practice clinician needs to understand before making a career-defining decision. This episode doesn't take sides. It takes a clear-eyed look at the full picture — including the parts that don't always make it into the conference keynote. What's Covered in This Episode The Foundation Not all subscription-based primary care models are the same. Two models operating in this space share surface-level similarities but are structurally distinct businesses with different economic logic, different patient populations, and different long-term trajectories. Understanding which one you're considering — and why — changes everything about how you plan. A Lesson From Healthcare History Before committing to any practice model, it helps to understand what happened to the movements that came before it. This episode traces three instructive parallels: the micropractice and ideal medical practice movement of the early 2000s; the decades-long fight for healthcare price transparency and what happened when physicians finally got it; and the rise and reality check of retail health — what scaled, what didn't, and why. The common thread in every model that has achieved durable scale in American healthcare is the same: structural fit with the economic environment, not ideological purity. Two Pathways, One Brand Name The episode walks through both economic models in the cash-pay primary care space — the purist, cash-only, no-insurance model and the employer-integrated model — explaining how each works, who each serves, and what the financial picture actually looks like for physicians considering either path. The revenue math is done out loud. The sustainability data from peer-reviewed research is cited. The patient demographic fit for each model is examined honestly and specifically. Who Each Model Serves — and Where Other Models Fit Better A detailed breakdown of the patient populations each model genuinely serves well — and an honest, evidence-based look at the patient populations where other models may be a better structural fit. Including Medicare-eligible patients, patients with complex chronic disease, lower-income households, and employees of small and mid-sized businesses. The Overlooked Opportunity — NPs, PAs, and Advanced Practice Clinicians One of the most significant and underexplored opportunities in subscription-based healthcare delivery today is the direct-care model as a pathway for nurse practitioners, physician assistants, and other advanced practice clinicians. The evidence on NP and PA-led primary care outcomes is strong and peer-reviewed. The physician shortage projections make the need urgent. And the organizational infrastructure for advanced practice clinician-led direct-care practices is largely unbuilt — which means the opportunity belongs to whoever moves first. The Organizational Landscape An honest look at what the multiplicity of organizations, coalitions, and alliances in the cash-pay primary care space tells us — and what research on professional association dynamics says about the long-term implications of organizational fragmentation for legislative effectiveness and individual practice planning. One Brand, Two Directions Drawing on four documented historical parallels from the history of American medicine — the AMA and managed care, osteopathic medicine's identity divide, family medicine's emergence as a separate specialty, and the micropractice movement — the episode makes the case that two communities with genuinely different economic interests and regulatory priorities currently sharing a brand name may, consistent with historical precedent, find their own distinct professional homes over time. This is presented as pattern recognition grounded in verified historical evidence — and as practical planning context for physicians building practices today. The Tax and Structuring Update A clear, practical summary of the 2025 "One Big Beautiful Bill" Act changes — effective January 2026 — and what they mean for HSA eligibility of cash-pay membership fees. What qualifies, what doesn't, and why legal counsel is essential before making any representations to patients about tax-advantaged payment options. Eight Questions Before You Commit A practical pre-decision checklist — eight specific questions every physician or advanced practice clinician should be able to answer clearly before committing to any cash-pay practice pathway. Key Takeaways Cash-pay primary care and concierge medicine are not the same model, do not serve the same patient populations, and should not be evaluated as interchangeable alternatives. The purist cash-pay model has grown from approximately 100 practices in 2009 to over 2,100 by 2023 — real and meaningful growth. The financial sustainability data, however, reflects consistent challenges that peer-reviewed research has documented specifically in lower-income markets and solo practice settings. The employer-integrated pathway has stronger structural sustainability — multiple revenue streams, embedded benefit relationships, and documented employer cost reductions of 12 to 20 percent over three to five years. A December 2025 Johns Hopkins study found concierge and cash-pay primary care practices combined grew 83.1 percent between 2018 and 2023. The employer-integrated model is the primary driver of that growth trajectory. Concierge medicine — particularly the PCM model — is not retreating. The global concierge medicine market is projected to surpass $34 billion by 2032 and is growing at a compound annual rate that outpaces most healthcare market segments. The National Academy of Medicine's 2021 Future of Nursing report, AAMC physician shortage projections, and peer-reviewed NP/PA outcomes research collectively point to advanced practice clinician-led direct-care models as one of the most significant underexplored opportunities in subscription-based healthcare delivery. Pattern recognition from healthcare history — price transparency, retail health, the micropractice movement — consistently shows that the distance between a compelling healthcare idea and durable scaled impact is longer and more complicated than early advocacy suggests. Models that have achieved durable scale in American primary care share one characteristic: structural fit with the economic environment, not independence from it. Sources and Citations All claims in this episode are supported by published, verifiable sources. Full citations below. Micropractice and Practice Model History Moore, G. (2002). "Accountability and Improvement in Physician Practice." Family Medicine. Moore, G. & Showstack, J. (2003). "Primary Care Medicine in Crisis." Health Affairs. healthaffairs.org AAFP TransforMED Initiative. (2006). aafp.org Nutting, P.A. et al. (2010). "Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home." Annals of Family Medicine. Rittenhouse, D.R. et al. (2009). "Primary Care and Accountable Care." New England Journal of Medicine. Rittenhouse, D.R. & Shortell, S.M. (2009). "The Patient-Centered Medical Home." JAMA. Price Transparency Research Pathak, Y. & Muhlestein, D. (2024). "Public Awareness and Use of Price Transparency: Report From a National Survey." West Health Institute / Gallup. pmc.ncbi.nlm.nih.gov Parente, S.T. (2023). "Estimating the Impact of New Health Price Transparency Policies." Inquiry.pmc.ncbi.nlm.nih.gov ScienceDirect. (2025). "Outcomes of Price Transparency Policies for Healthcare Services in the United States: A Systematic Review." sciencedirect.com Retail Health Fein, A.J. (2017). "Retail Clinic Check Up: CVS Retrenches, Walgreens Outsources, Kroger Expands." Drug Channels. drugchannels.net CNBC. (2024). "Why Walmart, Walgreens, CVS Retail Health Clinic Experiment Is Struggling." cnbc.com Healthcare Finance News. (2023). "Retail Clinics Seeing Utilization Soar, Popularity Grow." healthcarefinancenews.com MedCity News. (2023). "Retail Clinics Are Gaining Momentum." medcitynews.com Cash-Pay and Subscription Primary Care Market Data MedCity News. (March 2026). "DPC Is Scaling — The Financing Architecture Isn't Ready." medcitynews.com Johns Hopkins. (December 2025). Study on concierge and cash-pay practice growth 2018–2023. As cited in MedCity News, March 2026. Liaw, W. et al. (2024). "Direct Primary Care: Financial Analysis and Potential to Reshape the U.S. Healthcare Landscape." Journal of General Internal Medicine. springer.com Lujan, D.Y. (2025). "Why Direct Primary Care Models Fail." KevinMD. kevinmd.com Doan, L. et al. (2019). "Physician Perspectives on Direct Primary Care." Family Medicine. Eskew, P.M. & Klink, K. (2015). "Direct Primary Care: Practice Distribution and Cost Across the Nation." Health Affairs. healthaffairs.org Tseng, P. et al. (2018). "Administrative Costs Associated With Physician Billing and Insurance-Related Activities." JAMA Internal Medicine. Medscape Physician Compensation Report. (2023). medscape.com Employer-Integrated Model Spann, S.J. et al. (2020). "Employer-Sponsored Direct Primary Care." Journal of Occupational and Environmental Medicine. National Alliance of Healthcare Purchaser Coalitions. (2021). purchaseralliance.org Kaiser Family Foundation. (2023). Employer Health Benefits Annual Survey. kff.org National Business Group on Health. (2022). businessgrouphealth.org Employers Health Coalition. (2022). employershealthcoalition.org Patient Demograp

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About

The DocPreneur Leadership Podcast is the recorded history of membership medicine. Hosted by Michael Tetreault, Editor-in-Chief of Concierge Medicine Today — and a nearly 20-year student of this industry from the patient side of the exam room — this podcast explores concierge and membership-based medicine through candid conversations with physicians, healthcare executives, attorneys, practice management experts, and industry innovators. If you're a physician building, growing, or rethinking your practice — this is the conversation you didn't know you needed. Topics: Concierge Medicine · Membership Medicine · Physician Leadership · Practice Management & Growth · Healthcare Entrepreneurship · Patient Experience & Hospitality · Practice Design & Culture · Precision Medicine · Whole Genome Sequencing · Pharmacogenomics · Longevity Medicine · Functional & Integrative Medicine · Physician Burnout & Wellbeing · Succession Planning · Legal & Compliance · Accounting & Financial Planning · Insurance & Payor Strategy · Staffing & Team Culture · Technology & AI in Medicine · Telehealth · Branding & Marketing for Physicians · Interior Design & Practice Environment · Nursing & Allied Health · Direct Primary Care (DPC) Produced by Concierge Medicine Today (CMT) — the industry's independent trade publication since 2007. Host of the annual Concierge Medicine Forum. 🌐 www.ConciergeMedicineToday.com 👥 www.instagram.com/conciergemedicineforum/ For general informational purposes only. Not medical, legal, or financial advice. Views are the speaker's own. Full terms: conciergemedicinetoday.com/tcpp

Information

  • Creator
    The Business & Leadership of Medicine w/ Michael Tetreault, Editor-in-Chief
  • Years Active
    2018 - 2026
  • Episodes
    401
  • Rating
    Clean
  • Copyright
    © 2026
  • Show Website
    The DocPreneur Leadership Podcast

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