The Journal
Field notes on running a high-touch practice.
Short, practical essays on concierge practice design, membership operations, and the quiet standards that separate a good practice from an unforgettable one.
Strategy
Hybrid membership models that actually work
Adding a premium tier to an insurance-based practice is not a pricing exercise — it is an operations decision. A field guide for practices considering the transition.
February 18, 2026 · 9 min read
Operations
The five KPIs concierge practices should watch every week
Most premium practices are drowning in reports and starved for signal. These are the five numbers we recommend leadership review together, every Monday.
January 22, 2026 · 6 min read
Strategy
How concierge medicine works with insurance: an operational blueprint for hybrid practices
Most physicians exploring concierge medicine do not want to leave insurance behind — they want to layer a membership on top of it. Here is how to structure it cleanly, and where the compliance lines actually sit.
April 8, 2026 · 10 min read
Patient Experience
Designing the physical space of a concierge practice
Patients decide how a practice feels before they speak to anyone. These are the spatial details that signal a premium concierge experience.
May 12, 2026 · 7 min read
Operations
The technology stack for a high-touch practice
Technology should make concierge care feel more personal, not more automated. Here is the lean stack we recommend for high-touch practices.
May 27, 2026 · 8 min read