In a wide-ranging discussion on the Medical Economics podcast, Grant outlines how mounting administrative burden, payer pressure, physician burnout, and shifting patient expectations are converging to make membership-based care an increasingly attractive—and viable—practice model.At the macro level, physicians are facing intensifying documentation demands, declining reimbursement, inflation-driven cost pressures, and persistent workforce shortages. At the same time, patients are becoming more willing to pay for personalized, accessible care, driven by broader consumer trends in health optimization, longevity, and service transparency. These parallel forces are pushing concierge medicine out of the margins and into the mainstream conversation across multiple specialties.
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