The BEST Healthcare Practice Building Advice I Can Give

Meet Dr. Kelley

I’m going to break a cardinal rule of online content marketing today. What rule is that, you ask? I’m going to share – in my very first blog – the single best piece of small business marketing advice I could give to a healthcare professional. I’m not going to make you pay for it. I’m not even going to make you wait for it. Are you ready? Here it is: The absolute best piece of relationship marketing advice I can give to a healthcare professional looking to grow their practice is to connect with your community. Sound simple enough? Let me explain. Best Practice Blue

Chances are, if you’ve found your way to my website, you’re a healthcare professional who’s looking to build their practice. Perhaps you’re about to graduate or are new in practice. Maybe you’ve been in practice for years but continue to struggle. Or, perhaps you’ve had a successful practice but you’re getting bored with your same old marketing events. No matter which category describes you, connecting with your community can help to ramp up and reinvigorate your practice. But what does connecting with your community mean?

The best way to build a successful private healthcare practice is to become involved in the local community, build genuine relationships, and leverage those relationships to the benefit of all involved. In other words, connect with your community, and allow those community connections to help you build the practice and life of your dreams.

Community building is a key component of success. The health and well-being of your community should be in the forefront every day, which means that you need to connect with them on all levels: physically (through office hours), emotionally (by caring for their needs) and intellectually as they are not just patients but friends too. Connecting with those who support my healthcare practice has been one invaluable resource I’ve used to grow my business!

Dr. Kelley 5k Community Event

When I was new in practice, I had lots of time on my hands. I decided to give back to my community by hosting free health workshops for the local Fire Department. I donated thousands of hours to participate in ride-alongs, to create and deliver the workshops, and to create and sponsor 5 K runs to benefit specific Fire Fighters. The 9 workshops became part of a “curriculum” which all First Responders had to go through and covered physical health, nutrition, and stress management. I created a lasting relationship with this Fire Department focused on their needs. But guess what? Over time, as they got to know and trust me, when they required the services of a chiropractor, many of them turned to me.

Dr. Kelley Pendleton Connecting with her Community

Dr. Kelley Mulhern Connecting with her Community

Connecting with your community doesn’t need to take a lot of time, nor does it need to cost you a lot of money. Find a cause or a population you’re passionate about and figure out a way you can make a meaningful difference for them. Remember – it’s not about you…it’s about your community. But if you take care of them, they’ll take care of you! How can you connect with your community?

Membership Practices, Concierge Practices, and Direct Primary Care: Similarities and Differences

by Dr. Kelley Mulhern Leave a Comment

The terms “membership practice”,”concierge medicine,” and “direct primary care” are sometimes used interchangeably. While they have similarities, they have distinct differences too. It’s important to be familiar with the differences so you can help your patients understand them and be more comfortable with your new practice model.

If you’re among the many doctors seeking a better way to serve your patients, you may be considering a membership, concierge, or direct primary care practice model. To help you make the best decision for you and your patients, this post will outline what these practice models have in common and how they differ.

Membership Practice Model

A “membership practice” refers to any practice model that charges an annual or monthly fee or retainer to its’ patients. This umbrella term can be used to refer to several different practice models, including direct primary care, concierge, or boutique practices. The membership fee frequently covers a variety of services, procedures, or treatments, delineated by each office. Thus, a membership model is highly flexible and can be structured to suit the needs of the doctor, patients, and community.

Concierge Care Model

concierge medicine dr kelley pendleton The mid-1990’s saw a rise of wealthy patients who wanted VIP care without the interference of insurance companies, and “Concierge Medicine” was born. The defining feature of concierge medicine is that it gives the patient nearly limitless access to the doctor, often including same day appointments, round the clock telephone access, and even house calls in some practices. While many concierge practices do accept insurance to pay for services or procedures not covered by the retainer fee, they’ve often negotiated better pricing, further reducing patient expense.

Direct Primary Care Model

In the mid-2000’s, the frustrations of patients and providers converged to create a “new” model of practice. Direct Primary Care, or DPC, seems to be a throwback to the bygone era of small town doctors who developed direct relationships with their patients without the involvement of a third party. DPC practices offer primary, preventative, urgent, and wellness care in addition to disease management. The defining feature of the DPC model is that the provider does not accept nor bill insurance. Payment is arranged solely between the doctor and his or her patient. Eliminating insurance allows doctors to spend more time caring for patients, and less time dealing with the hassles of insurance.

The Similarities

Both concierge and direct primary care practices charge a membership or retainer fee.

Each practice model has much smaller patient loads than a traditional practice, thus allowing for longer patient visits and a higher level of care. These types of practices typically limit their patient panel to several hundred while a traditional practice can have as many as 2,500 patients.

Both models provide greater access to doctors, including telephone and e-mail consultations.

Concierge and DPC practices provide much faster access to the doctor including same or next day appointments, and little to no wait time upon arriving for an appointment.

In a traditional model, doctors are only paid for office visits. Because membership practices don’t rely entirely (or at all) on insurance payments, follow up care can often be handled via telephone or e-mail. (How convenient is that?)

Another thing both models have in common is how little they are understood by patients. That’s why patient education is so vital to making either model a success.

The Differences

The major difference is that while direct primary care practices don’t bill insurance at all, many concierge practices do.

Direct primary care practices tend to attract younger patients, those in their 20’s-40’s who are middle class. Concierge practices attract an older and wealthier clientele, those in their 50’s-80’s who are considered upper middle class.

Overhead between the two models is another key difference. Because DPC cuts out insurance companies, there’s less need for billing staff, software, EMR, and the other expenses typically incurred when a practice accepts insurance. Concierge practices often have higher overhead because they still bill insurance and because the patients may expect fancy extras for their annual fee like plush offices and private waiting rooms.

DPC’s charge a lower fee, on average, $50-150 per month. While the average concierge practice’s monthly fee is higher, it’s surprisingly not that much higher, at $200 per month.

While DPC offers faster access to doctors than traditional practices, many concierge practices offer 24/7 access every day of the year via the doctor’s personal cell phone number.

Which Model Is Best?

The answer will heavily rely on your patient demographic. Younger, middle-class, Gen X and millennials will favor the DPC model. Even with the advent of the Affordable Care Act, many people’s medical coverage is still tied to their employer, and it’s comforting for patients to know they can remain under your care with or without insurance.

If your patients are older and more affluent, they may be willing and able to pay for concierge medicine. For those in this demographic, health has become a matter of prime importance and they want to build a close relationship with a doctor they can trust.

Whichever model you choose, you can look forward to better serving your patients, improving their quality of life and your own, while reducing your own insurance-related frustrations.

For more information on building community connections, I encourage you to read my new book Community Connections! Relationship Marketing for Healthcare Professionals. If you want more valuable information about how to Connect with YOUR Community, you can find FREE healthcare practice marketing content, PowerPoint Presentation Jumpstart Kits, workbooks, blog articles, and my FREE “Practice Marketing Planner” Now!

Marketing a Membership, Direct Primary Care (DPC), or Concierge Practice

by Dr. Kelley Mulhern Leave a Comment

More and more physicians are transitioning from a traditional practice to a membership, DPC, or concierge practice. The three terms are often (mistakenly) used interchangeably. (The various ways to structure this type of practice will be discussed in future blogs, so stay tuned!)

If you’re thinking about making the leap, you’ve probably done enough research to know that one of the biggest issues for these practices is marketing.

Perhaps “marketing” is the wrong thing to focus on. Focus, instead, on patient education to help your current patients become comfortable and excited about the new practice model. This can smooth the transition and alleviate some of your patient-retention fears. (Plus it can also save you time and money since you won’t have to focus so much effort on constantly attracting new patients.)

Advantage #1: Affordability

When your patients hear the terms “membership, DPC, or concierge practice,” often the first thing they think is that it’ll be expensive.

For example, concierge medicine didn’t start in small towns populated by middle-class people; it started in large urban areas populated by high earners who were willing and able to pay top dollar for private medical care. That’s the way many people still view it.

Help your patients to understand they won’t be paying hundreds of dollars more for visits with you than they pay now. A membership, DPC, or concierge practice can be an especially great deal for patients who have HSA and FSA programs through their insurance providers.

Patient education and clarity are the best ways to overcome this misconception. Communicate to your patients that your transition has nothing to do with money, but a desire to deliver a higher quality of care. (Research has shown that traditional providers make about the same as concierge providers1.) For clarity, show them your new fee structure, as well as their potential financial obligations under a few common scenarios.

Advantage #2: Time

Patients are tired of waiting hours for an appointment or being told to schedule different appointments for every health concern. And they don’t appreciate being rushed through an office visit any more than you like being rushed.

1 Pearson, D. 2015. ‘Direct primary care’ shown to please patients and reduce costs, including for imaging. Available at: http://www.imagingbiz.com/topics/healthcare-economics/‘direct- primary-care’-shown-please-patients-and-reduce-costs-including-imaging.

The average medical appointment lasts just over 15 minutes. Describe how an office visit under the new model is different than what they’re used to. The reality is that by transitioning to a membership, DPC, or concierge practice, you’ll be able to devote much more time and attention to their care.

Advantage #3: Service

Membership, DPC, and concierge practices can provide better service than the traditional model. It’s frustrating for patients when they have to wait days or weeks for an appointment or when they arrive on time for an appointment only to be kept waiting because you’re running behind.

Outline the new customer service patients can expect from your office. Will they have access to the doctor via E-mail or cell phone? Will they be guaranteed same-day appointments? What tests, procedures, or services are included in their monthly or annual fee?

Don’t Forget:

You and your patients often share the same frustrations. Things like long wait times, short or rushed appointment times, and insurance companies refusing to pay for needed care top the list. Those aggravations may be due to the “middle-man” (insurance companies) standing between the doctor and patient. By removing this obstacle, you’ll be removing these frustrations. For more information on how to explain the membership, DPC, or concierge model to patients, watch this brief video of me in a recent panel discussion! (See my entire DPC Panel discussion here.)

One Last Tip:

Take the time to ask patients what they want (and don’t want) from a membership, DPC, or concierge practice before making the change. For example, do they expect unlimited phone access, same day appointments, house calls, or a fancy waiting area that serves tea? This way, when you make the transition, you’ll know where to spend time and money so you can provide the services people want and are willing to pay for.

Educating patients about what your membership, DPC, or concierge practice will and won’t be can help you retain patients so your primary focus remains providing high-quality care. This is a key reason you want to become a membership, DPC, or concierge provider!

Healthcare Marketing Mindset I

by Dr. Kelley Mulhern Leave a Comment

Healthcare Marketing Mindset I

If you spend any amount of time speaking with healthcare professionals in private practice, it’ll quickly become clear as to their healthcare marketing mindset. In other words, what do they think about the concept of marketing their healthcare practice? I find this topic so interesting that I decided to write a series of blogs on the subject of practice marketing mindsets. This first installation will discuss the two main mental perceptions regarding the financial aspect of healthcare marketing.

We all know marketing takes time and money. The question is, how do you view that expenditure of resources? Some healthcare professionals focus on the expense involved, while others accept the cost as an investment into their practice. Have you ever had this conversation with a patient? Where they saw the cost of care in your practice as an expense and you tried to help them see it as an investment into their health and future?

When you view something as an expense – in this case, your marketing efforts – the tendency is to want to minimize the expense. Every decision becomes about the bottom line – dollars and cents – instead of how it could impact your practice or community in multiple ways. An expense is part of the cost of maintaining a business, but doesn’t necessarily help it to grow and thrive.

Conversely, when you view something as an investment, there’s a willingness to commit the necessary resources to make sure it’s successful. The hope is that the investment will pay off in some form in the end. An investment seeks a long-term outcome such as practice growth.

It can be easy to fall into the habit of seeing marketing as just another expense…dollars flowing out of your accounts, never to be seen again. And actually, that can be the reality if you aren’t monitoring, measuring, tracking, and modifying your marketing activities to implement the ones that work best for you.

A better approach is to look at your healthcare practice marketing from the perspective of an investment. Do your research. Determine your goals (what are you hoping to achieve with your healthcare marketing?). Consider your options carefully. Obtain expert guidance when necessary. Have a plan. Invest in the future growth of your practice and your life by financing those activities that successfully grow your practice.

A word of caution – not every marketing activity will produce spectacular results in terms of new patients or revenue. In fact, not every healthcare marketing activity is intended to produce patients or revenue, so be clear on your goals. (For example, perhaps you host an event simply to raise awareness of a serious health condition.)

I’d like to hear from you! How do you perceive the commitment of time and resources necessary to market your healthcare practice? Have you recently switched from seeing healthcare practice marketing as an expense to an investment? How did that happen for you? Please share your thoughts and experiences in the comments section below!