Concierge Care Model case study
Value-Based Care Case Studies
Abstract
The Headache Center of Hope (HCOH), founded in 2021, is a medical practice in Cincinnati, OH, that specializes in headache and migraine care and offers two cash-based options: a fee-for-service/a la carte option or membership option. The HCOH model allows for immediate access to a neurologist and may bypass many of the inefficiencies of the traditional system. The model has yielded high patient satisfaction and improved patient outcomes due to a dynamic care team and the access to novel approaches and treatments while increasing flexibility with enhancing practice due to payment system and positive work-life balance implications for members of the care team.
Introduction
Concierge medicine, similar to direct care, is a unique model for providing medical care where patients pay a one-time annual fee that can be divided monthly to receive direct care from their physician. This “retainer” method is usually cash-based and bypasses the traditional insurance and fee-for-service reimbursement system. Concierge practices in neurology are rarer than primary care and other specialties but neurologists are increasingly interested in exploring a practice model that may diversify revenue through additional complementary services, allow for more autonomy, and offer a structure that fosters deeper, collaborative patient-provider relationships.
The AAN continues to seek out and better understand different and complex care delivery models, their core functions, and features, as well as the professional and personal advantages and disadvantages of these models for neurologists and neurology APPs. Hope O’Brien, MD, MBA, FAAN, shared information about her concierge neurology practice, specializing in headache and migraine care.
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