Why Concierge and Direct Primary Care Models Are Reshaping U.S. Primary Care and What It Means for You
Over the past several years, concierge and direct primary care (DPC) models have moved from niche alternative practices to major forces in the American healthcare landscape. A new study published in Health Affairs demonstrates that these models are growing at unprecedented rates. This reflects a major shift in the way physicians choose to practice and how patients seek care.
Rapid Growth, Real Results
Between 2018 and 2023, the number of concierge and direct primary care practices grew by 83.1% in the U.S., while the number of clinicians working in these models increased by 78.4%.
And it’s not surprising. This growth reflects physicians’ and advanced practice clinicians’ desire for:
Greater clinical autonomy
Smaller patient panels
More meaningful patient relationships
Reduced administrative burden from insurance systems
These factors make concierge and DPC models especially attractive in a healthcare environment where burnout and administrative overload are increasing.
Changing Clinician Mix
The composition of the workforce within these models is also shifting:
The share of physicians has declined (from ~67% to ~60%)
The participation of advanced practice clinicians (e.g., nurse practitioners, PAs) has increased substantially.
This shift suggests that these models are becoming more team-based and flexible, which can support sustainability as demand grows.
Why This Matters for Patients and the Healthcare System
Concierge and DPC models are quickly attracting both clinicians and patients for good reason:
Improved access: same-day or next-day appointments, longer visits, and deeper relationships with physicians.
Less administrative burden: doctors spend more time practicing medicine and less time on insurance paperwork.
Predictable revenue streams: membership or retainer fees provide financial stability and reduce dependence on insurance reimbursements.
Implications for Medical Practices Considering Conversion
If you’re considering a move into concierge or direct primary care, here’s what the data suggests:
✔ These models are here to stay. They are a growing segment of U.S. healthcare.
✔ They can improve clinician satisfaction, reduce burnout, and strengthen patient relationships.
✔ Understanding market dynamics, patient demographics, and operational planning is key to successful conversion.
Thinking About Moving Your Practice to Concierge or DPC? Let’s Talk.
At Concierge Medical Consultants, Brian Colbert and William Wayland guide physicians and practice leaders through every step of the conversion to a concierge or direct primary care model from financial feasibility and pricing strategy to patient communication and operational design.
Contact us today if you’re curious how this transformative model could work for your practice and patients.