How to Test the Waters of a Cash-Only Practice

Jeffrey J. Denning


UnCommon Sense 

In This Article

Similarities Between Cash-Only and Concierge

The cash-at-contact and concierge styles do share some characteristics. Both are, at the end of the day, strategies to charge more. Both require a special doctor-patient bond that creates patient loyalty allowing an increase in fees. And neither will work well for procedural specialists.

You may have more patients without health insurance because of job losses or employer cutbacks. That doesn't make them deadbeats. But a cash practice works best with people who have up to around $800 per year for primary doctor bills for the family.

Doctors shouldn't jump to conclusions about who those patients are. Even people out of work get sick and have access to some money, if only by giving up something else. Two movie tickets, popcorn, and Cokes equate to the average family practice office visit, and lots of folks do that every weekend.