Physicians in retainer ("concierge") practice: A national survey of physician, patient, and practice characteristics

George Caleb Alexander, Jacob Kurlander, Matthew K. Wynia

Research output: Contribution to journalArticle


BACKGROUND: Retainer practices represent a new model of care whereby physicians charge an up-front fee for services that may not be covered by health insurance. The characteristics of these practices are largely unknown. DESIGN, SETTING, AND PARTICIPANTS: We conducted a cross-sectional mail survey of 144 retainer physicians (58% response rate) and a national random sample of 463 nonretainer physicians (50% response rate) to compare retainer and nonretainer practices. Outcomes of interest included physician demographics, size and case-mix of patient panel, services offered and, for retainer practices, characteristics of practice development. RESULTS: Retainer physicians have much smaller patient panels (mean 898 vs 2303 patients, P

Original languageEnglish (US)
Pages (from-to)1079-1083
Number of pages5
JournalJournal of General Internal Medicine
Issue number12
StatePublished - Dec 2005
Externally publishedYes



  • Access to care
  • Boutique
  • Concierge
  • Ethics
  • Retainer

ASJC Scopus subject areas

  • Internal Medicine

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