Concierge Medicine and the Law: Insights for Full and Hybrid Practices

Value-Based Care Insights New Episode NOW On-Demand

On this episode Dan is joined by Christina Kuta, a healthcare attorney specializing in regulatory and transactional healthcare law. Together, they explore the growing shift toward concierge medicine and dispel common misconceptions surrounding both full and hybrid concierge models.

They highlight key legal and contractual considerations—ranging from commercial insurance implications to the Medicare opt-out process and membership agreements—that providers must understand before transitioning to a concierge practice. Tune in to gain insights into how physicians can successfully navigate regulatory requirements, protect patients, and build sustainable concierge practices.

Key Takeaways:

  • There are important differences between full and hybrid concierge models in terms of structure, reimbursement, and patient expectations.
  • Patient membership agreements need to clearly outline key details such as fee structures, covered services, and Medicare requirements to maintain transparency and meet compliance standards.
  • Lack of awareness around legal and contractual requirements can lead to serious risks including legal penalties, reputational damage, and challenges to sustaining a successful concierge practice.

About The Show
Value-Based Care Insights is a radio show on Healthcare NOW Radio, that explores how to optimize the performance of programs to meet the demands of an increasing value-based care payment environment. It is hosted by Dan Marino (@DjmarinoHD) and highlights recognized experts in the field and within Lumina Health Partners (@LuminaHP).

Tune in weekdays at 5:00am, 1:00pm and 9:00pm ET.

Follow the Social Hashtag at #VBCInsights.