Published by at March 26, 2022 CASESTUDIES 1.MovetoaConciergeModeloraDirectPrimaryCare–MedicineBusinessModel? MichaelGlenrunstheGeneralMedicalClinic,agroupof22primarycarephysiciansinaprosperoussuburbofPhiladelphia,Pennsylvania.Hehasheldthispositionforjustovertenyearsandhasseenmanychangestothehealthcaresector.Theclinicincludesaspectrumofprimarycareproviders,withsixgeneralinternalmedicine,sixpediatricians,andtenfamilypractitioners.Theclinichasprospered,andalmostallthephysicianshavefullornear-fullpractices. However, in the past five years, expenses have continued to increase, whilerevenuesremainedstagnant.Althoughcomparedtonationalstandardsthephysiciansappeartomakegoodsalaries,theirtake-homepayhasbeenflatoverthepastthreeyears,andtheyareconcernedthatitmaydecreaseifhealthcarereformproceeds.Currently,GeneralMedicalClinic'sprimarycarepractitionersmakeabout$190,000peryear,withsomevariationforage,practiceintensity,andotherfactors. Theclinichasbilledinsuranceandsoughttocollectthedifferencefromthepatientor,ifthepatientwasuninsured,wouldseektosetupapaymentplan.Itspatientloadconsistsof25percent Medicaid, 40 percent Medicare, 5 percent bad debt, and 30 […]