25A. Concierge Integrative Medicine Primary Care—Nuts and Bolts

Patients desire personalized patient-centered healthcare and face-to-face time with their primary care clinician during their appointments. Integrative medicine clinical care mirrors the patient desire for longer appointment times and a more comprehensive approach to patients’ overall healthcare needs. Observational studies confirm primary care access can have a great impact on patient outcomes within a community. Concierge medicine, which routinely charges a fee outside insurance reimbursement for participation, has grown rapidly throughout the United States over the past decade distinct from integrative medicine as an option for patients with disposable income who wish to receive a highly personalized form of primary care. Aside from the necessity of paying “extra,” concierge integrative medicine primary care provides the perfect combination of the desired skills patients are seeking in a primary care clinician and the financial model to allow the time to care for the patient in an integrative and holistic patient-centered way. This presentation, led by Annie Nedrow, MD, MBA, describes her specific experience including detailed “how to IP” in designing, implementing, and leading such a program in two different academic settings, Oregon Health & Science University (OHSU) from 2005 to 2011 and Duke Integrative Medicine from 2012 to the present.