Physicians Practice December 19, 2025
American physicians are embracing alternative practice models, like concierge and direct primary care, to enhance autonomy and improve patient relationships.
The landscape of American medicine is undergoing a fundamental shift as physicians increasingly move toward alternative practice models to reclaim their autonomy. According to a study published in Health Affairs, the number of concierge and direct primary care (DPC) practice sites in the U.S. surged by 83.1% between 2018 and 2023. During this same period, the number of clinicians participating in these models grew by 78.4%.
This growth comes as independent physicians face an unlevel playing field characterized by flat reimbursements, escalating administrative demands, and the growing dominance of large hospital systems.
Understanding the differences between concierge and DPC
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