Inside the “Adaptive Primary Care” framework and the thinking behind it. (Podcast)

This week's podcast is about a doctor who decided the system was wrong, not him. Come hear how it turned out.

FOR DOCTORS. FOR PRACTICE LEADERS. FOR MODERN MEMBERSHIP-BASED CARE. Concierge Medicine Today THE INDUSTRY'S WEEKLY LEADERSHIP BRIEF.  WEEK OF AUGUST 17, 2026 Home  |  About  |  CMF 2026 Conference  |  Schedule  |  Top Docs  |  Podcast  |  National Stats  |  News  |  Shop  |  Contact IN THIS ISSUE CMF 2026 Keynote, Speakers, Workshops & Breakouts Announced - October 15-17 in Atlanta, GA USA Hot TOPIC: Why pushback might mean you're doing it right: What to Say When Someone Calls Your Practice "Elitist" (Read More) The real reason patients get upset (Read More) The one danger more dangerous than opposition (Read More) A story about a Saturday nobody asked her to give (Read More) What Chick-fil-A and In-N-Out can teach us (Read More) Latest Job Opportunities (Summer 2026) Legal & Op Ed Commentary  Marketing Workshops, October 15-17 Membership Medicine 101 Workshop, October 15-17 Annual industry conference, Atlanta, GA USA - Get tickets Become a Sponsor at CMF 2026 - Pricing & Application CONCIERGE MEDICINE TODAY · PHYSICIAN SPOTLIGHT Inside the “Adaptive Primary Care” framework and the thinking behind it. (Podcast) Dr. Charles “Trey” Williams didn’t set out to disrupt pediatrics. He set out to be the kind of doctor his own kids deserved. After a decade in corporate, insurance-driven practice and a stint inside a health-tech startup, Williams reached the same conclusion many physicians on this podcast have reached: the system was built for throughput, not relationships, and pediatrics runs on relationships. Read this week's featured article | LISTEN TO FULL INTERVIEW HOT TOPIC · EDITOR'S TAKE A Patient’s Honest Take on Why the Concierge Practice Used to Get Called “Elitist” "That’s the thing about holding the line. It’s rarely won in an argument. It’s won in the quiet, repeated decisions nobody sees at first." (Editor-In-Chief, CMT) Read this week's featured article LATEST NATIONAL STATS & VISUALS CONCIERGE MEDICINE TODAY · RESEARCH BRIEFS · PUBLISHED SINCE 2007 · OBJECTIVE Peer-cited briefs on the business, economics, workforce, and policy dimensions of concierge and membership-based medicine. The Future of Membership-Based Healthcare — CMT Research Brief "Everyone assumes concierge medicine is exploding. It's not. It's under 2%. 8,000 to 12,000 practices out of 1.1 million doctors. That's the truth. Here's the other truth: a quarter of those practices are now specialists, cardiology, endo, OB-GYN, even oncology. Small numbers. Massive signal. That's how you know a model is becoming the standard, not the size of it, the direction of it."   — Michael Tetreault, Editor-in-Chief, Concierge Medicine Today Research Brief 2026 State of Concierge & Membership Medicine:   Market Size, Physician Workforce, and Practice Economics "Stop measuring concierge medicine by market share. Wrong metric. Measure it by who's borrowing from it. Specialists are building subscription models off it. Hospital systems are launching premium-access programs modeled on it. Even inside Direct Primary Care, physicians are reaching for the same core idea: a direct relationship with the patient, no insurance company in between. Fewer than 2% of U.S. physicians practice concierge medicine today. And the rest of healthcare is quietly getting graded against a model that small. That's not a niche. That's a reference point."   — Michael Tetreault, Editor-in-Chief, Concierge Medicine Today Research Brief The Physician’s Guide to Understanding Concierge Medicine Inside a Health System Research Brief A Field Guide to Professional Organizations in Membership Medicine Research Brief What Makes a Concierge Medical Practice Successful?  — CMT Research Brief Research Brief Concierge Medicine vs Direct Primary Care: A Structural Comparison Listen to Episode Helpful Legal Questions Concierge Physicians Can’t Afford to Skip Read full story Editor's Perspective “The physicians who thrive in concierge medicine share four traits: curiosity about patients, humility as leaders, gratitude for those they serve, and a heart for their community. At the end of the day, healthcare isn’t just about medicine—it’s about people. Patients may forget the procedure, the paperwork or what the doctor actually said earlier that day in the exam room, but they’ll never forget how you made them feel.” “We’ve seen concierge medicine succeed in every career stage—early-career doctors building a foundation is usually the toughest but it has worked for some, mid-career physicians who want to reclaim balance and go deeper into specific conditions with their patients, and late-career doctors choosing to finish well, find a sustainable pace and yet still want to dive deeper into healthcare's more complex questions with their patients. One concierge medicine physician said to me years ago, 'I still work long hours and into the night, I just use my time differently now and I'm a lot happier ... and so are my patients, team and family members.” “The real threat to medicine isn’t concierge care—or any other membership or subscription-based practice model. It’s the normalization of physician burnout, and the quiet acceptance of systems that expect physicians to endure it as a cost of doing business. Reversing that trajectory requires less finger-pointing and more leadership. And leadership, by definition, begins with reflection—and action—within the healthcare profession at-large.” Latest Positions Available MISSOURI Concierge Physician, Family or Internal Medicine – St. Louis, MO Learn More FLORIDA Jacksonville, FL - Join Mayo Clinic’s Concierge Team as a Physician Leader in Personalized Care Learn More View All Jobs Missing

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