US Concierge Medicine Market 2026 – 2035

The size of the US concierge medicine market is estimated at USD 7.35 billion in 2025 and is projected to grow from USD 8.11 billion in 2026 to a range of USD 19.84 billion in 2035 with a CAGR of 10.32%.

The market development is driven by the growing shortage of primary care physicians, increasing patient discontentment with the traditional healthcare waiting model, burnout and transition to the concierge model by primary care physicians, an increase in demand for personalized care and preventive care, growing corporate wellness programs, positive government policies such as the ability to open an HSA, and technological innovations in telemedicine.

Market Highlight

• The US has been estimated to occupy about 38% of the worldwide share of the concierge medicine market in 2025, which is the largest country market worldwide and the most developed concierge medicine ecosystem.

• By application, the primary care segment has taken up approximately 38.6% of the market share in 2025 which is the base of specialty in the provision of concierge medicine.

• By application, the cardiology segment is having the highest CAGR of 11.08 in 2026-2035, which is due to the prevalence of cardiovascular diseases and the benefits of continuous monitoring.

• Through ownership, group practices would have the largest market share of 64.2 in 2025 with standalone practices projected with a CAGR of 11.97 in the next five years between 2026 and 2035.

• By service model, the retainer-only segment has the highest market share of 52% in 2025, with the direct primary care models having the highest growth of 12.64% CAGR.

• The industry has a population of over 1,300 physicians under the big network, such as MDVIP that provides services to upwards of 400,000 patients, and the membership fee is usually USD 1,500 to USD 5,000 a year depending on the level of services.

Significant Growth Factors

The US Concierge Medicine Market Trends present significant growth opportunities due to several factors:

• Escalating Primary Care Physician Shortage and Healthcare Access Crisis:

The root cause of the growth of concierge medicine is the extreme and deteriorating shortage of primary care physicians, as a lack of physicians leads to long wait times, fewer appointments, and lack of access to primary care services, which concierge medicine provides by smaller patient panels and a guarantee. The Association of American Medical Colleges report 2024 offers projections of up to 86,000 physician deficits across the United States by 2036 with primary care projected to have a deficit of between 17,800 to 48,000 physicians, which generates sustained demand in alternative care delivery models such as concierge medicine with enhanced physician access. In 2024, just 24.4% of physicians in the US practice any form of primary care, such as family medicine, general internal medicine, and pediatrics, significantly lower than the estimated norm of 50%, which underlines the workforce imbalance that is pushing patients to concierge practices that ensure physician access.

In 2025 alone, the Health Resources and Services Administration has identified 7,488 Health Professional Shortage Areas in primary care alone that can impact nearly 74 million people attempting to use nonspecialty healthcare, indicating the geographic imbalance of physicians that concierge medicine partly fills in underserved markets. As of May 2025, AMN Healthcare released a Survey of Physician Appointment Wait Times in which the average wait time to book a new patient appointment in 15 major metropolitan areas increased to 31 days, nearly 19% higher than in 2022, with a maximum wait of 27-70 days, which provides a strong value proposition to concierge medicine with same-day or even next-day appointments.

In 2024, 252 of 3,139 total pediatric residency slots were not filled and family medicine programs had 636 empty positions out of 5,231 available slots as students sought more highly paid specialties, which shows that workforce pipeline issues continued to increase the shortage of primary care and serve as a boost to the growth of concierge medicine markets. In traditional primary care, doctors attend to 2,000 to 3,000 patients in the traditional practice and they are not able to offer as many patients as they can meet so they are not able to visit all of them, but they are able to spend a little time with each patient, about 15 to 60 minutes, acting as a good day, but they have to take care of them in a brief period of time and they cannot able to take proper care of their patients and they cannot offer that kind of care and they are also not able to attend to all the patients as they would like.

The shortage is not just a numerical problem but also a geographic one, with rural locations having the most acute problems of physician shortage and states such as Mississippi, Oklahoma, and Idaho having the lowest number of practicing patient care physicians, and urban-rural differences in healthcare continue to be 1:2,000 doctor/population ratio in many states, which is overcome through innovative delivery models such as concierge medicine with telehealth capabilities that would bridge geographic boundaries.

• Physician Burnout, Work-Life Balance, and Economic Motivations Driving Practice Model Transition:

The growing crisis of physician burnout and economic strains in the traditional fee-based model of medicine are critical stimuli to the growth of concierge medicine supply, with an increasing number of physicians moving to concierge medicine models to take on better work-life balance, larger earnings, professional autonomy, and long-term practice environments to resolve endemic healthcare delivery issues.

The Medscape National Physician Burnout & Suicide Report 2020 noted that 48% of physicians who had suffered burnout were women and that female doctors experienced more burnout and stress than men, which led to a higher uptake of the concierge practice model, which provided more schedule flexibility, equal membership fees, more time with the family, and professional and personal interest engagement. In a survey commissioned by the Robert Wood Johnson Foundation, Harvard T.H. Chan School of Public Health in 2020 and NPR, it was revealed that about 22% of the upper 1% of income earners in the United States were in concierge medicine, which shows that the model is economically appealing to affluent patients, and physicians are driven to switch to the model. In 2024, the American Medical Association found that due to the pressure of consolidation, the administrative burden, the cost of regulatory compliance, and decreasing fee-for-service reimbursement, the number of physicians in private practice had declined to 42.2%, creating the opportunity of concierge medicine of providing independent practice sustainability by use of a direct patient payment model.

In January 2025, Specialdocs Consultants announced that they had moved a record 26 new physician clients to an independent concierge practice in 2024, showing that they are successful in recruitment and that they show physician interest in alternative practice models that provide professional autonomy, less administrative work, and improved compensation packages. Concierge doctors usually attend to 6-8 patients per day, which is 80 to 90% less than the regular medical practice of 20-25 patients per day of contact, but even with lower volumes, physicians working under the concierge business model make more money and make more profits than their counterparts in traditional medicine because of the membership fee model. In a survey of doctors regarding concierge medicine transitions, work-life balance was the highest motivation (79), followed by declining fee-for-service reimbursement (63), which is an indication of how dissatisfied physicians are with the current healthcare delivery systems and how interested they are in other practice models that focus more on physician satisfaction as well as quality of patient care.

The rates at which younger doctors and women are joining concierge practice are rising faster on the younger side, as the services are enticed by flexibility in their schedules, less administration paperwork, meaningful patient interactions, and financial stability with continuity of recurring incomes that avoid the uncertainties of fee-for-service reimbursement and contacts with insurance companies.

What are the Major Advances Changing the US Concierge Medicine Market Today?

• Corporate Wellness Partnerships and Employer-Sponsored Membership Models:

The greatest transformation of the concierge medicine model as an individual luxury service to an employer-sponsored benefit is a shift where corporations are now using retainer-based primary care as an employee benefit package, to manage healthcare costs, ensure better health of their workforce, lessen absenteeism, and increase staff retention through their differentiated wellness programs.

The drastic change in the demographics of memberships, where 58% of all direct primary care and concierge medicine memberships are currently being sponsored by employers as of the August 2025 Hint Health data, indicates corporate acceptance of the value proposition of concierge medicine due to its role in the health management of the workforce, its focus on preventive care, and its potential to yield savings by providing intervention at an early stage and by managing chronic diseases. With increasing concern over the cost of healthcare, employee turnover, and productivity loss due to preventable health conditions, employers are considering concierge medicine partnerships as strategic investments to help them cope with rising healthcare costs, as well as provide practices with a stable stream of revenue and corporations with quantifiable health improvement results, less Emergency department utilization, and decreased specialist referral rates.

The example of CrossoverHealth is the B2B concierge model which is based on-site and near-site health centers with major employers such as technology companies that offer employees easy access to primary care, mental health, physical therapy, and health coaching and is an example of how comprehensive wellness services can be integrated into concierge models targeting corporate clients. PartnerMD is also a company that concentrates on the corporate wellness and middle-income pricing, with a market share of 5-8% open concierge services to employer groups, and with this model no longer limited to individual high-net-worth consumers through group purchasing programs that spread the costs among employee groups.

The corporate partnership model solves scalability issues that are prevalent in the traditional concierge medicine business by acquiring large blocks of memberships on a single contract so that the practices continue to have sustainable patient panel and the employers can have turnkey solutions to primary care delivery, wellness program and population health management to support the health goals of the organization. The advantages of concierge medicine partnerships include increased employee satisfaction scores, increased recruitment and retention in competitive work environments, decreased overall healthcare expenditures due to preventive care focus and a decrease in hospitalization, and productivity due to healthier labor force with improved chronic disease management and mental health-related problems.

• Specialty Expansion and Hybrid Service Model Innovation:

The expansion of concierge medicine beyond primary care (as a specialty) into specialties such as cardiology, endocrinology, geriatrics, psychiatry, and other subspecialties is a big area to expand the market with specialists having retainer models to offer comprehensive longitudinal care, better accessibility, and individualized management of complex chronic diseases that need continuous monitoring and coordination. The fastest growth rate across the entire market of concierge medicine was in the area of cardiology, which had a CAGR of 11.08% between 2025 and 2030; this was attributed to the increasing prevalence of cardiovascular disease, demonstrated benefits of continuous monitoring through wearables, yearning of cardiologists to avoid being compressed by fee-for-service reimbursement, and willingness of patients to invest in preventive cardiology whose purpose is to prevent heart attacks and strokes through continuous monitoring.

The cardiologists who have implemented concierge models mention increasing overhead in fee-based settings, administration overheads of insurance billing, and compression of reimbursement as the main drivers, plus that with retainer-based models, complex cases could have long consultations, home echocardiograms, wearable-based cardiac monitoring with real-time notifications, and extensive cardiovascular risk reduction programs that could not be achieved in traditional practice. In October 2024, Cleveland Clinic announced that it would expand care in Nevada by adding concierge medicine and executive health practices to start seeing patients in the third quarter of 2025 and throughout the year 2026, showing how reputable healthcare systems are venturing into the concierge market due to the perceived demand of premium services and risks of CPT difficulties emerging due to independent providers serving affluent patients.

Blended service models, where a conventional care system based on insurance and concierge models based on a membership fee, provide patients with flexibility, allow physicians to have a larger patient base than would be appropriate in pure concierge practices, provide better services to members, and generate multiple streams of revenue to sustain the practice, with about 48-percent of practices preferring blended payment models to both retainer fees and fee-for-service billing. Direct Primary Care (DPC) is a slightly different model of primary care without insurance billing, membership-based, and usually at lower prices (USD 50-150 monthly), specifically targeted at middle-income consumers, and which has encountered regulatory clarity with 42 US states having statutes expressly authorizing DPC arrangements to reduce barriers to entry. The DPC model is cheap and available to employers who want to find affordable solutions based on primary care, self-insured patients who are frustrated with high-deductible health plans, and young patients who prefer direct doctor relationships over insurance networks, forming a different market segment that can have different competitive dynamics to traditional high-end concierge practices.

Category Wise Insights

By Application

Why Primary Care Leads the Market?

Primary care is the biggest segment accounting to about 38.6% of the total market share in 2025. This hegemony indicates the core nature of primary care as the entry point of the patient, its universal nature covering a variety of health-related issues, its emphasis on prevention, and its ability to provide long-term care that fits the value proposal of concierge medicine of providing approachable, personalized, longitudinal care perfectly well. Concierge medicine is dominated by primary care since the primary care shortage is severe (only 24.4% of the US physicians in the major cities are in primary care specialties compared to the 50% benchmark), and primary care is central to the coordination of care, preventive care, and the management of chronic diseases, necessitating patients to maintain long-term relationships with physicians (the concierge models enable this to happen).

The lack of accessibility in traditional primary care, where physicians deal with 2,000-3,000 patients, which restricts access and consultation time to 15-minute average appointments, creates a powerful contrast between the concierge primary care with 600 or fewer patients per physician, 30-60 minute appointments on average, same-day scheduling, direct physician contact via phone/text/email, and 24/7 access to urgent needs, which justifies the high costs of the annual membership fee based on the dramatically improved level of service. Concierge primary care doctors offer extensive preventive care such as thorough physical evaluations, cardiovascular risk evaluation, cancer screening, metabolic profiles, health coaching, nutrition education, and specialist coordination care for numerous long-term illnesses, which could not be done in the traditional fee-for-service models with limited encounter time and follow-up ability.

The aging population demographic of 65+s and 75+s with ages increasing 34.1 and 54.7, respectively, poses a sustained primary care demand as the elderly patients need access to primary care on a regular basis, as well as managing various chronic conditions, pharmacological reconciliation, and coordinating care among the specialists, and concierge primary care approach is especially beneficial to the population aged by Medicare who is ready to pay more for primary care.

The cardiology industry is registering the highest growth with a predicted CAGR of 11.08% between 2026 and 2035 owing to the prevalence of cardiovascular disease as the leading cause of mortality in the US, the benefits of continuous monitoring using wearable cardiac devices as a part of the time-honored concierge practices, the ability of these settings to yield manifest results such as fewer hospitalizations and better management of chronic diseases, and the economic incentives of cardiologists to avoid the compression of fee-for-service reimbursement.

Heart diseases result in about 27% of all deaths in the United States, with millions of Americans suffering heart disease, hypertension, heart failure, and arrhythmias that need continuous management, adjustment of medications, modification of risk factors, and frequent monitoring, which concierge cardiology offers through the increased access, increased consultation time on complicated cases, and the incorporation of remote monitoring devices that recognize the problems at an early stage before they lead to complications. Wearable cardiac monitors, home echocardiogram services, in-depth cardiovascular risk assessments, individually designed exercise and nutritional regimens, medication optimization sessions, and direct communication links where patients can report symptoms and receive prompt clinical feedback to preclude emergency department visits and hospitalization can all be found in concierge cardiology practices, all with demonstrated clinical value that justifies the premiums.

By Ownership

Why Group Practices Dominate the Market?

The biggest market segment is group practices, which will have about 64.2% of the market share in 2025. This preeminence is indicative of the operational strengths of group models such as shared resource minimizing per-patient spending, centralized administration and billing functions enhancing efficiency, uniform care protocols that guarantee quality, collaborative practice designs contributing to physician work-life balance, and economies of scale that allow investment in technology and remuneration of talented physicians. Concierge practices in groups have structural benefits over solo practices, such as sharing of office space and equipment reducing costs of facilities, centralized marketing and patient acquisition resulting in reduced individual physician workload, administrative support staff handling membership billing and patient communication, standardized care protocols and technology platforms ensuring steady and consistent service, and collective bargaining power to negotiate favorable terms with diagnostic laboratories, imaging centers, and specialist referral networks.

Major networks exhibit group practice scalability, with MDVIP with over 1,150 physicians in the US serving in excess of 400,000 patients, being the largest concierge network; SignatureMD, with physician networks and litigation protecting the conversion pipeline and defending market position, and CrossoverHealth, with employer-sponsored health centers of primary care, mental health, physical therapy, and health coaching operating under integrated group delivery models. Group practices allow physicians to share call coverage, backup vacation and illness, maintain uniform patient access even when individual physicians are unavailable, and provide subspecialty expertise in practice groups with expanded scope of services than individual physicians would, contributing to an improved value proposition to patients seeking the coordination of care and access to specialists in a concierge membership structure. Technology investments such as electronic health records, telemedicine platforms, AI-based clinical decision support, and patient engagement tools need significant capital investments that group practices can invest in more easily than individual physicians, which gives competitive advantages in service quality, operational efficiency, and scalable growth to expand market shares and defendable positioning against new entrants.

Standalone practices are also growing the fastest with a projected CAGR of 11.97% between 2026 and 2035 with physician entrepreneurship and enticing independence, low start-up costs, and overhead operation eliminating franchise fees and corporate profit-sharing, flexibility and ability to adapt services to local market preferences and individual physician inclinations; direct patient relationships and no corporate intermediaries; and economic opportunity that the full membership will accrue all the revenue of the practice and not share with parent organizations. Independent concierge physicians value practice independence such as freedom of design and flexibility in pricing based on the local market environment, choice of the particular population that they prefer to serve, direct control of practice culture and patient experience, and entrepreneurialism to build a personal brand and reputation without corporate restrictions against innovation or compliance with standardized protocols inappropriate in the local environment.

The independent house-call concierge practice of Dr. Khalid Saeed, with a patient count of 250, monthly payments of USD 150-800, shows standalone viability, as the insurance-free operation can cut overhead costs on billing, flexible service delivery through home visits and telehealth would save facilities money, and minimal administrative load will allow the adoption of a patient-focused approach, which can be profitable enough to meet the physician's income goals without overwhelming patient volumes and irreducible work schedules. Specialdocs Consultants were converting records of 26 physicians to independent concierge practices in 2024 showing a continuing supply of physicians seeking standalone practices, business consulting, and operational support to allow independent physicians to open practices successfully without group affiliation, and market demand for independent concierge practices in communities where an existing network is not present or where physicians are not attracted to the corporate structure.

By Service Model

Why Retainer-Only Dominates the Market?

The biggest segment is retainer-only models which have a market share of about 52 in 2025. This is the pure concierge medicine model where the patients annually, quarterly or monthly pay membership fees to have increased access to the physicians, longer appointments, more preventive services and individualized care coordination that is completely independent of the work of the insurance company and delivers reduced practice operation, predictable revenue and better patient care without the involvement of the insurance company. Retainer-only models remove insurance billing completely and relieve physicians of administrative tasks such as prior authorization requirements, claims submissions, handling of denials, and billing code documentation which consume a tremendous amount of time and resources in traditional practice and allow physicians to concentrate solely on patient care and achieve long-term economics because of membership revenue.

Two-thirds (64% of practices) of the practices favored annual memberships because of predictable revenue, improved patient retention due to commitment at the outset, decreased rates of billing and accompanying administrative expenses, and psychological dedication of the patients making annual lump payments more committed to adherence to practice recommendations on preventive care and active participation in the practice than because of a monthly payment structure that is easily canceled. Premium retainer-only services billed at USD 5,000 or higher a year provide full executive health services such as detailed physicals of 2-4 hours, larger-scale diagnostic tests beyond the usual insurance coverage limits, immediate access to appointments, 24/7 direct physician care, organizing care among specialist networks, designing wellness plans, and at-the-concierge level services like comfortable office settings and little or no wait times attractive to well-to-do populations with health optimization in mind. Mid-tier retainer agreements at USD 2,000-5,000 per year include basic concierge offerings such as easier access to physicians, longer appointments, a preventive care focus, and direct contact without ultra-high-net-worth offerings, which is the fastest-growing price category as concierge medicine enters the middle class of consumers having higher primary care needs.

Direct Primary Care is registered the quickest growing category, with a projected CAGR of 12.64% between 2026 and 2035 due to a combination of affordability with a typical monthly fee of USD 50-150 that makes membership-based care more economical to middle-income consumers, regulatory stability as 42 states currently possess explicit DPC statutes that decrease legal uncertainty, employer acceptance given that the costs of conventional care are high enough to make membership of the DPC a financially viable choice, and conformity to high-deductible health care. Direct Primary Care is a separate category of the concierge medicine ecosystem, which does not utilize insurance billing, which has lower monthly fees than other concierge practices, and which is targeted at a broader demographic of working-class consumers, young families with limited healthcare needs, and people with high-deductible insurance seeking more affordable access to primary care, providing a mass-market potential expanding addressable market not limited to affluent populations dominant in other traditional concierge medicine.

The 58% of DPC and concierge memberships being employer-sponsored now is proving the scalability of DPC in corporate wellness plans, companies are finding USD 50-150 a month easier to bear as opposed to continuing to use traditional primary care services, emergency department visits, and specialist referrals, which put insurance claims and emergency department charges on the companies' purse, and with employees receiving primary care services and extensive preventive care options at their fingertips.

Report Scope

Top Players in the Market

• MDVIP

• SignatureMD

• CrossoverHealth

• PartnerMD

• Specialdocs Consultants LLC

• Priority Physicians Inc.

• Castle Connolly Private Health Partners

• One Medical (Amazon)

• Concierge Choice Physicians

• Privia Health

• Others

Key Developments

The market has undergone significant developments as industry participants seek to expand capabilities and enhance service offerings.

• In January 2025: Congressman Chip Roy resubmitted the Personalized Care Act that aimed at ensuring that healthcare became more affordable and portable. It tries to provide Americans with more liberty in their medical choices and shows legislative backing to consumer directed models like direct primary care and concierge medicine.

• In January 2025: Tempus AI launched Olivia, an innovative personal health concierge app designed to revolutionize patient engagement through AI-powered health management, providing personalized health insights, medication reminders, symptom tracking, and direct physician communication channels, integrating technology with concierge medicine delivery.

These strategic activities have allowed companies to strengthen market positions, expand geographic presence, enhance technological capabilities, and capitalize on growth opportunities within the rapidly expanding market.

The US Concierge Medicine Market is segmented as follows:

By Application

• Primary Care

• Cardiology

• Pediatrics

• Internal Medicine

• Osteopathy

• Psychiatry

• Other Applications

By Ownership

• Group Practices

• Standalone Practices

By Service Model

• Retainer-Only

• Hybrid (Retainer + Insurance)

• Direct Primary Care

By Membership Fee Tier

• Premium (USD 5,000+)

• Mid-Tier (USD 2,000-5,000)

• Affordable (Under USD 2,000)