Physicians Practice January 21, 2026
Concierge and direct primary care models rapidly expand, raising questions about clinician autonomy, access, and the future of primary care in the U.S.
Concierge medicine and direct primary care have surged from the margins into a fast-growing slice of the primary care landscape, according to Oregon Health & Science University physician-researcher Jane Zhu, M.D., whose team used web-based directory data linked to national clinician records to track the expansion.
In an interview with Physicians Practice, Zhu describes rapid growth in the number of practices and clinicians participating in membership-based models alongside trends that complicate the “independent medicine” narrative, including a sharp rise in corporate ownership, a growing role for advanced practice clinicians, and a sizable share of practices that still...







