Growth In Number Of Practices And Clinicians Participating In Concierge And Direct Primary Care, 2018–23

Health Affairs December 1, 2025
Jane M. Zhu, Trisha Marsh, Daniel Polsky, Aine Huntington, Zirui Song

Abstract

Primary care clinicians have expressed growing interest in concierge and direct primary care practices, which often feature smaller patient panels and greater clinical autonomy compared with traditional primary care models. We assessed practice and workforce characteristics using a national sample of concierge and direct primary care practices identified through novel linkages of public and proprietary data. From 2018 to 2023, the number of direct primary care and concierge practice sites grew by 83.1 percent and the number of clinicians participating in them by 78.4 percent. The share of clinicians in concierge and direct primary care practices who were physicians declined from 67.3 percent...

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