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 Mastermind Group

by Dr. Kelley Mulhern Leave a Comment

Mastermind groups have been around for several decades, but have you ever thought of creating or joining a healthcare marketing mastermind group? A mastermind is a group that meets on a regular basis (typically monthly or quarterly) to share challenges, successes, and ask for feedback. The participants can be from the same profession or from a variety of professions. For a healthcare marketing mastermind, I’d recommend working with practitioners from various healthcare disciplines.

In its simplest form, the mastermind meeting allows each participant to introduce themselves, share a win, and share a challenge. The group is then able to offer advice or feedback regarding the challenges. However, the meeting format can be changed to suit the needs of the people involved. For example, the content discussed can be very general, concerning anything to do with business. Or, the discussion content can be narrowed down to a specific area such as goals/goal-setting, practice marketing, leadership, or practice procedures.

Topics for discussion in a healthcare marketing mastermind group could include wins, challenges, collaborative opportunities to educate the local community, evaluation of prospective marketing events, evaluation of completed marketing efforts, development of marketing plans (marketing calendars, “Connections CalendarsTM”), and so on.

One key piece to the success of such a mastermind group is the intent of the people involved. Each person must approach the group in a spirit of helpfulness and cooperation. This is not about competition. It’s about helping each healthcare practice to showcase itself in the community. This enhances local health awareness and increases the potential success of everyone involved. It’s been said that “a rising tide raises all ships in the harbor.”

Think of the local market as a pie. Each slice of the pie represents a “market share.” The bigger your slice of pie, the more patients you have and the more successful your practice becomes. A healthcare marketing mastermind group could help all healthcare providers. As the community becomes more educated about health and their healthcare options, the metaphorical pie (and your slice) gets bigger. As you help your peers, you also help yourself!

If the term “mastermind” doesn’t appeal to you, try another such as “Healthcare Marketing Forum,” or have the members collaborate on a name during the first meeting. A new meeting type that is gaining in popularity is the “accountability group.” These groups may be smaller than a mastermind group and meet more frequently as their goal is to help hold each member accountable to reach their goals.

What do you think? Would you be interested in creating or joining a healthcare marketing mastermind group? How have masterminds worked for you in the past? Leave your comments in the section below and help us create our own virtual mastermind group!

External Marketing for Healthcare Practices [Easy Definition]

by Dr. Kelley Mulhern Leave a Comment

We examined the concept of internal marketing for healthcare practices in a previous blog. Let’s turn our attention now to the concept of external marketing for healthcare practices. Simply stated, [external marketing] for healthcare practices is any activity or event done outside the walls of your office to promote your practice. The most effective marketing strategies utilize a combination of internal and external marketing for practice success.

What are some examples of external marketing for healthcare practices? Effective and attractive business cards and brochures you give to prospective patients at events…a healthcare talk or series of healthcare talks hosted off-site…providing services at an athletic event…sponsoring a 5K…and so on. (Remember, don’t get caught up in the labeling because it is possible for an item or activity to be used for internal and external marketing.)

When establishing your marketing calendar each year, start by scheduling one external and one internal marketing event or activity each month. You may be tempted to schedule more than one of each, but resist the temptation. Consequently, you may overwhelm yourself, your staff, or your available resources. Then when the event occurs, you’ll likely be exhausted and unable to project the best image of your practice. You can always add more activities and events to your calendar throughout the year as your resources and energy permit.

Once the events are scheduled you can begin the planning process. Create a system to organize all your event information and materials. Try a 3-ring binder or a digital folder structure, depending on your preference. This way, the next time you host the same (or similar) event, you don’t have to start from scratch! Establish reasonable goals for what you hope to accomplish with your marketing activity (i.e.: New patients, increased awareness, raise money for a charity, etc.). Determine how you’ll track the progress of those goals. Research, collaborate, delegate, and modify as needed.

Finally, with proper preparation, you can relax and enjoy the event when the day arrives. Afterwards, debrief with staff and volunteers. (If you can get feedback from participants that’s even better!) Discuss what went well, what could have gone better, and what to change for next time.

I’d love to hear from you! What types of events and activities does your practice do for external marketing? Share your most creative and successful ideas in the comments section below!