ROSKYROROSKYRO

Why concierge medicine

Patients pretend a short visit was enough. Doctors pretend they remember the last one. Hospitals pretend a duty doctor is continuity. Membership practice is for physicians who want to stop pretending and get the medical relationship back.

Time to think

A visit long enough to examine, explain and decide, instead of working out what can wait until next time.

Continuity

You remember the last visit because there were fewer of them, and because you kept the chart.

A working life you can sustain

Fewer patients a day and after-hours calls you can plan for, rather than a queue that never ends.

The relationship back

Patients who chose you, and who tell you when something changes.

The work is still medicine. It is just allowed to take the time it takes.

What you give up, and what you get

A smaller panel usually means a different income, not necessarily a bigger one, and it takes time to build. In return you get a working life that is still a profession. We would rather say this now than have you find out in month three.

  • You will see fewer patients and know each of them better.
  • Your income depends on the size of the panel and the fee, so plan it with us early.
  • The first months are operational: records, phones and conversations with patients.
  • It works best for physicians who want to keep the work, not leave it.

Three ways to make the change

Companies build their offer around one of these. Know which one you are being sold.

Full conversion

Everyone in your practice becomes a member, or leaves.

What works
The biggest change in how you work.
What to watch
Patients who decline have to go elsewhere, and you need enough members to keep the practice running from the first day.

Two tiers in one practice

Members and non-members are seen by you, at different levels of service.

What works
Nobody is turned away.
What to watch
Your workload can grow rather than shrink, because you are running two kinds of practice at once.

A separate panel

A small panel of members gets your time. Other patients stay in your existing practice, or are referred honestly.

What works
You do not abandon anyone, and the change is gradual.
What to watch
It needs clear boundaries, and someone reliable to look after the patients outside the panel.

This is how ROSKYRO works.

Six questions to ask any company, including us

Whoever you choose, get these answered in writing before you commit.

  1. 1

    Who does the work of setting up?

    Records, phones, patient communication and staff training should be part of the offer, not left to you.

  2. 2

    What happens after the launch?

    Ask who handles billing, patient queries and support in month six, not just in week one.

  3. 3

    Do you get on with the people?

    You will be in touch for years. Meet the team who will actually answer your calls.

  4. 4

    How long have they done this?

    Ask how many practices they have supported, and whether you can speak to a few of those doctors.

  5. 5

    What happens to the practice over time?

    Ask what became of panels a year or two on. A good partner will show you honest examples, including the ones that shrank.

  6. 6

    What does the contract say about leaving?

    Read the exit terms. Be careful of clauses that stop you from practising nearby, or that keep your patient records.

Start with a conversation

Tell us your city and specialty. We will answer these six questions for your case, and say plainly if a panel is not right for you.

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