• Why Doctors Are Leaving Traditional Primary Care, Really.
    Jan 22 2026
    Episode Summary By Concierge Medicine Today JANUARY 2026 - Concierge medicine and direct primary care didn't just grow — they surged more than 80% in five years. Headlines are spinning this as a threat to access and equity. But is that the full story? In this episode, the Editor-In-Chief of the industry's trade publication, Concierge Medicine Today, author and Host, Michael Tetreault, breaks down the latest national research and explains what's really happening beneath the surface. This isn't about luxury medicine. It's about physician burnout, broken reimbursement models, administrative overload, and doctors quietly redesigning their careers to survive. You'll hear why this shift is less about "escaping responsibility" and more about reclaiming sustainability, why corporate ownership is rising fast, and why concierge medicine didn't create the primary care shortage — it exposed it. If you care about the future of medicine, physician retention, and building healthcare that actually works, this conversation matters. 📝 Show Notes The healthcare landscape is changing fast — and the data finally caught up. New national research published in Health Affairs reveals that concierge medicine and direct primary care practices increased by more than 80% between 2018 and 2023. Instead of reacting with panic or political spin, this episode zooms out to examine what's really driving this shift. Michael explores how flat Medicare reimbursement, prior authorization overload, and rising burnout are pushing physicians toward alternative practice models. He explains why many doctors moving into membership-based care were already considering early retirement or leaving medicine altogether — and how smaller patient panels may actually extend clinical careers. You'll also hear why the rapid rise in corporate ownership deserves attention, what the growth of nurse practitioners and physician assistants means for team-based care, and why access concerns are fundamentally a payment reform issue, not a physician ethics problem. Along the way, there's a little humor, a little reality check, and a lot of clarity about what healthcare leaders should be paying attention to right now. 🔍 What You'll Learn in This Episode Why concierge medicine growth is a market signal, not a trend What's really driving physicians away from traditional primary care How burnout, reimbursement cuts, and admin burden are reshaping careers Why corporate ownership is accelerating in membership-based care What the data actually says about workforce redistribution Why concierge medicine didn't cause the primary care shortage What policymakers and healthcare leaders should focus on next 📊 Research Referenced Growth and workforce trends referenced in this episode are based on national data published in Health Affairs and supported by reporting from Harvard Medical School, Johns Hopkins University, the American Medical Association, MedPAC, and the Association of American Medical Colleges. Full Source Citations 1. Growth of Concierge & DPC Practices (Primary Study) Song Z, Zhu J, Marsh T, Polsky D, Huntington A. Growth and Characteristics of Concierge and Direct Primary Care Practices, 2018–2023. Health Affairs. December 2024. https://www.healthaffairs.org/doi/10.1377/hlthaff.2024.XXXX Note: Health Affairs publishes under rolling DOI assignment. Use the article title and journal reference if DOI suffix updates. 2. Harvard Medical School News Release Summary Harvard Medical School. Study examines rapid growth of concierge and direct primary care practices. Blavatnik Institute, Harvard Medical School News. December 2024. https://hms.harvard.edu/news/study-examines-rapid-growth-concierge-direct-primary-care-practices 3. Medicare Payment Pressure and Physician Reimbursement Medicare Payment Advisory Commission (MedPAC). Report to the Congress: Medicare Payment Policy — Physician Services Chapter. March 2024. https://www.medpac.gov/document/march-2024-report-to-the-congress-medicare-payment-policy/ 4. Prior Authorization Burden American Medical Association. 2023 AMA Prior Authorization Physician Survey. American Medical Association. https://www.ama-assn.org/practice-management/prior-authorization/2023-ama-prior-authorization-survey 5. Physician Burnout Trends American Medical Association. National Physician Burnout Survey Results. 2023–2024. https://www.ama-assn.org/practice-management/physician-health/national-physician-burnout-survey 6. Primary Care Physician Shortage Projections Association of American Medical Colleges (AAMC). The Complexities of Physician Supply and Demand: Projections From 2021 to 2036. June 2024 Update. https://www.aamc.org/data-reports/workforce/report/physician-shortage 7. Early Retirement & Workforce Attrition Shanafelt TD, et al. Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population. Annals of Internal Medicine. 2019. https://www.acpjournals.org/...
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    24 Min.
  • 🩺 PRACTICE BRANDING | The Part No One Mentions About Growing Your Brand (But Should) 👀
    18 Min.
  • 🎙️ Why Your Body Knows Before Your Mind — The Mind-Body Rebellion
    Jan 5 2026

    The Mind-Body Rebellion 💥🧠💪 — Reclaiming Alignment, Energy, and the Self You've Been Missing

    🎙️ Guest Description:


    The Mind-Body Rebellion isn't about fixing what's broken—it's about remembering who you are. Built for high-functioning humans who look "fine" on the outside but feel misaligned beneath the surface, this six-month experience blends intentional movement, mindset recalibration, and nervous-system regulation to create deep, identity-level transformation.

    LEARN MORE AND CONNECT: https://www.rebelliousstudio.com/the-mind-body-podcast

    Through The Angelova Method 🔥, a rebellious alternative to conventional fitness and mindset work, our guest guides people into embodied self-mastery—cultivating grounded confidence, magnetic presence, and unapologetic inner power. This conversation explores what happens when personal growth stops living in your head and finally takes root in your body.

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    57 Min.
  • 🧬 Beyond Testing 🩺 How Whole Genome Sequencing Is Changing Personalized Women's Healthcare
    Dec 18 2025
    Grand Rapids, Michigan, October 15, 2025 ⎯ Today, Sequencing.com (Sequencing), a biotech company offering the world's largest platform for whole genome sequencing and personalized health insights, announces a partnership with true. Women's Health, a concierge medical practice providing personalized care to women of all ages. true. Women's Health focuses on midlife, menopause, sexual health, and weight management through a membership-based model. Now with Sequencing, their patients can gain insights into ~100% of their DNA test data and screen for almost all known health conditions, traits, and medication responses. Then, they can work with true. providers to translate that knowledge into clear, actionable steps for managing risks, optimizing wellness, and extending longevity. Whole genome sequencing offers women deeper insight into their risk for heart disease, cancer, and metabolic conditions. For the first time, true. Women's Health will integrate DNA insights directly into personalized care plans for women navigating perimenopause and menopause. true. patients can take a test with one of Sequencing's custom kit bundles, which requires a simple cheek swab, and within weeks, they will have their results. Dr. Celia Egan, MD, MSCP, DABOM, true. Women's Health Director of Obesity Medicine & Metabolic Health says, "Our vision is to offer a comprehensive framework for lifelong wellness through our programs. Many of our patients are interested in genetic tests but are rightfully nervous about choosing the appropriate one and understanding the results. As a clinician, I shared that challenge. I needed a genetics test that could fit directly into our programs, but struggled to find reports that aligned with our pillars for easier patient understanding. Sequencing is the perfect solution." Allyn Lebster, true. Women's Health President & Co-founder says, "Sequencing is working with us to provide a customized report bundle that maps directly to our wellness pillars, from metabolic health and cancer to bone density and emotional coping. This integration is the key. It finally allows us to guide patients in both test selection and result interpretation, turning complex genetic data into a clear, actionable part of their personalized health journey." Dr. Brandon Colby, MD, Sequencing Founder & CEO, says, "true. Women's Health patients only need to be sequenced once, and from that single, definitive dataset, our platform becomes a permanent health resource, evolving alongside new scientific discoveries, medical research, and personal health goals. We're honored to partner with true. to better serve women and to tailor our sequencing service to align with their wellness programs." This week, true. Women's Health hosted a public event for women to learn more about the new Sequencing partnership and to engage in whole genome sequencing themselves. Dr. Celia Egan shared how genomics fits into personalized healthcare, Sequencing walked patients through the science and the reports they will receive, and true. providers answered questions about how genetic testing can support midlife, menopause, and long-term health. Importantly, Sequencing offers the most private DNA test on the market with HIPAA and US-EU-UK-Swiss Data Privacy Framework compliance. Testing is also performed in CLIA-certified, CAP-accredited clinical sequencing laboratories in the United States. Learn more about this partnership at https://truewomenshealth.com/sequencing/. About Sequencing.com Founded by Dr. Brandon Colby, MD, Sequencing.com (Sequencing) is a U.S. biotech company offering whole genome sequencing that unlocks the most complete view of DNA. Most DNA tests allow users to gain insight into less than 0.1% of their DNA data, but Sequencing allows users to obtain ~100%. The company screens for almost all known health conditions, traits, and medication responses, then translates that knowledge into clear, actionable steps for managing risks, optimizing wellness, and extending longevity. The platform continuously reanalyzes information throughout a person's life, evolving alongside new scientific discoveries, medical research, and personal health goals. Sequencing offers the most private DNA test on the market with HIPAA and US-EU-UK-Swiss Data Privacy Framework compliance. Their whole genome sequencing is performed in CLIA-certified, CAP-accredited clinical sequencing laboratories in the U.S. To learn more about Sequencing, please visit Sequencing.com and LinkedIn. About true. Women's Health About True Women's Health (true.) true. Women's Health® is a Grand Rapids-based concierge medicine practice dedicated to women's health across all stages of life. Specializing in midlife, menopause, sexual health, lifestyle medicine, and weight management, true. delivers personalized care that emphasizes prevention, education, and patient goals. Founded by nationally recognized menopause expert Dr. Diana Bitner, MD, MSCP, ...
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    49 Min.
  • Why Business Clarity Matters for Today's Clinician
    Dec 7 2025

    In this episode of The DocPreneur Leadership Podcast, we unpack a recent article written by a fellow clinician—one that suggested physicians already possess everything needed to run a successful practice. While the heart of that message is encouraging, the realities of leading a practice today are far more complex than discipline and vision alone.

    This conversation explores what the article gets right, what it unintentionally leaves out, and why blending clinical excellence with business clarity is essential in a changing healthcare landscape. We discuss how practice ownership demands a different kind of leadership—one built on messaging, systems, sustainability, and support. And we highlight why advisors, business-minded peers, and outside perspectives bring a level of clarity and structure that empowers clinicians rather than diminishes their independence.

    Most importantly, we talk about what clinicians can learn from the broader world of business—how clarity reduces friction, how consistency builds trust, and how the right support can turn hard work into lasting momentum.

    Disclaimer: This podcast is for educational purposes only and should not be considered legal, financial, or professional business advice.

    What You'll Learn in This Episode

    • Why core clinical strengths don't automatically translate into business systems

    • How oversimplified business advice can set clinicians up for avoidable frustration

    • The difference between clinical leadership and business leadership

    • Why no practice thrives in isolation—and how the right support fosters sustainability

    • How business clarity amplifies, rather than replaces, clinical excellence

    • Simple, practical mindset shifts that help clinicians lead their practices with more confidence

    Who This Episode Is For

    Physicians, PAs, NPs, practice managers, and healthcare leaders exploring how to stabilize, strengthen, or grow a patient-centered practice model—without becoming overwhelmed by the business side of medicine.

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    25 Min.
  • New Ep! 🎙️ Meet Dr. Julie Chen: Concierge Science and the Future of Health Span
    Nov 30 2025

    Our guest today is Dr. Julie Chen, the Chief Medical Officer at Radence.

    She previously served as Chief Medical Officer at companies such as Human Longevity and Vitagene. Her research, at the FDA, NIH, National Cancer Institute, USC, and Mount Sinai, has shaped scientific advancement in precision medicine. As a fellowship-trained integrative internal medicine physician, she developed numerous corporate wellness programs in Silicon Valley focusing on whole-systems approach to healthcare. Dr. Chen is a frequent medical expert on major media outlets, including ABC, NBC, FOX, and MSN, and she has been featured in national magazines and podcasts. In 2023, she was named one of the Top 25 Women Leaders in Biotechnology by Healthcare Technology Report for her leadership in health tech development. Dr. Chen is a member of the Buck Institute's President's Circle, dedicated to advancing research in aging and longevity.

    Website and social media:

    www.radence.com

    https://www.linkedin.com/in/julie-chen-md-89035b14/

    https://www.linkedin.com/company/radencehealth/posts/?feedView=all

    https://www.instagram.com/radencehealth/

    This episode would be a rare opportunity to hear from one of medicine's most forward-looking voices on how personalized science, emerging technologies, and a proactive mindset are reshaping health span.

    LEARN MORE ABOUT RADENCE: https://radence.com/insights-lab/redesigning-medicine-from-the-inside-out/

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    55 Min.
  • (New) Exit Planning🎙️ Podcast "This season is not the end of your impact — it's the evolution of it."
    32 Min.
  • An Invitation to Slow Down before 2026
    19 Min.