What is concierge medicine?
Concierge medicine, also called membership or retainer medicine, is a way of practising in which patients pay a membership fee and the doctor keeps a smaller panel. The result is more time in each visit and a doctor who is easier to reach. This guide is written for physicians thinking about the change.
The membership pays for your time
The fee is not insurance and it does not replace insurance. Members keep using their existing cover for admissions, scans and hospital bills. What the membership covers is access to you: longer visits, quicker appointments, a phone that gets answered and follow-up that actually happens.
Practices differ in what they include and what they charge, so each physician sets the fee and the service level with us, based on their city and their panel.
The medicine is the same. The panel is smaller, so you have time to practise it well.
A concierge physician does what any primary physician does: examinations, screening, investigations and long-term follow-up, with the same training and registration. What changes is how many people you carry, and so how well you can know each of them.
A usual OPD practice and a membership panel
What changes in the working day when the panel is small.
| Topic | Usual OPD practice | Membership panel |
|---|---|---|
| Patients you look after | A large, changing OPD list | A small panel you know by name |
| Time in a visit | Set by the queue outside | Set by what the patient needs |
| After-hours questions | Covering doctor or the clinic desk | You, or a coordinator who has the chart |
| Hospital admissions | Handed over to whoever is on duty | You stay involved |
| Patient records | Spread across clinics and labs | One running chart that you keep |
| How the practice is funded | Per consultation | Membership fee, plus your existing billing |
Where ROSKYRO fits in
We are the operations and membership layer. The practice remains yours.
We run the operations
Membership billing, patient communication, your public profile and appointment intake.
You keep clinical independence
Your patients, your decisions. You remain the owner of the relationship.
The panel stays small
We will not let it grow past the number of people you can actually know.
Colleagues who have done it
Talk to physicians who already made the change, before you decide anything.
Moving over, step by step
You do not need to leave your patients behind. Those we cannot take into the panel stay in your existing practice or are referred honestly. Plan for about a hundred days, and expect us to slow down rather than skip the hard conversations.
See the full transition- 1A conversation about your practice, your city and your goals
- 2Choosing a first panel you can stand behind
- 3Setting up phones, records, membership language and your profile
- 4Reducing volume and finding the right visit length
- 5Reviewing the panel with us until it feels right
Is it right for you?
It may suit you if
- You still like the medicine but not the queue.
- You want to know each patient and their family well.
- You are comfortable with a smaller income in return for a better working life.
- You want to keep clinical independence and admitting rights.
It is probably not for you if
- You are mainly looking for a quick route to a bigger income.
- You would rather grow the panel than know it.
- You want a lifestyle brand, not a practice.
Why more physicians are looking at this
Crowded clinics, burnout and long-term conditions that need regular follow-up are pushing more doctors to think about a smaller panel. Membership practice is one way to keep the work and change how it is organised.
Talk to us before you decide
Tell us your city and specialty. We will say plainly whether a panel makes sense and what it would involve.