Concierge medicine: Adoption, design, and management

Concierge Medicine is a relatively new development in the U.S. Healthcare system and is designed and implemented, mostly by primary care physicians, to provide comprehensive care in a timely manner. Physicians often struggle with the decisions associated with adoption (implement or not), design (pricing and membership), and management (day-to-day execution) of these systems. The patients also struggle with decisions associated with signing up (or not) as it is predicated on the performance measures of complex service systems. We develop a simulation model that could be used by both the physicians and the patients to help them with these decisions. We demonstrate the effectiveness of this tool using data from a primary care physician in the Louisville, KY area.