Hi, I’m Michael H. Cohen. I’m founding attorney at Cohen Healthcare Law Group. We provide legal strategies and solutions to businesses that accelerate health and wellness.

In today’s video, we’ll talk about building a direct primary care practice, concierge medicine, tips on membership models and agreements.

Concierge and direct primary care practices have their own legal challenges.  Especially with membership models and insurance regulations, it’s a bit of a muddle for a lot of people. It’s always changing. So here’s some strategies to make your way through.

So first we want to structure a good membership model and we’ve done that for lots and lots of concierge medicine and direct practices and the agreement, what goes in the agreement is really important.

It’s pretty straightforward, but it has to be spelled out so people know what they’re getting into. We advised a concierge practice about how to give their offerings, you know, what services they could offer, which ones were covered by Medicare, and therefore couldn’t be offered since the practitioners were already Medicare par, so this all has to be looked at carefully, and you want to lock it down, so you don’t want a Medicare violation.

So operating a direct primary care practice without specialized legal support, it’s pretty risky. If you want to have a good membership agreement, you want to make sure that you don’t run follow Medicare rules, and you want to make sure that you’re not double billing and getting in trouble with your insurer.

And these are things that we’ve worked out with a variety of clients over the year. We got into concierge medicine in the early days. We’re still in it. It’s still a great way to build up an alternative model of practice and we’re here to help you.

If you’d like to dive deeper into any of the topics we’ve talked about today, reach out to us. Click below. We’d love to talk to you. We look forward to it.