Concierge medicine in large not-for-profit health systems is relatively rare because the service is generally offered in the context of a physician’s private practice. John Paat, a physician for Duke Signature Care, started the program at Duke after witnessing it in action at the Mayo Clinic.
For patients looking for a more personal relationship with their doctors or struggling to navigate the complicated Duke health system, Duke Signature Care may be the right health care option—if you are able to pay the annual retention fee.
The medical care model—in its sixth year of practice at Duke—focuses on “value care,” aiming to provide its patients with a greater continuity of care. The concierge medicine model greatly reduces the number of patients a primary-care doctor sees. By paying the annual retainer of $2,500, patients at the clinic receive highly personalized care, with perks including same-day appointments and all-day accessibility to their physicians by text message.