The Playbook

How to OperateA Concierge Practice.

The architectural decisions, failure modes, and frameworks that determine whether a concierge practice scales — or stalls. Written from the inside of the work.

  1. 01

    The Concierge Practice Operations Playbook

    A concierge practice runs differently from any other small business. Most physicians figure that out the hard way, somewhere between month eight and month eighteen. This is the playbook for not learning it the hard way.

    Read the Pillar →
  2. 02

    Pricing and Membership Economics for Concierge Practices

    Most physicians get pricing wrong twice — once at launch, once when they try to fix the first mistake. Both errors are predictable. Both are expensive. This pillar is the long version of the conversation we have about each.

    Read the Pillar →
  3. 03

    The Operator–Physician Split

    The physician's name is on the door. The operator runs everything else. The role almost every concierge practice gets wrong is the second one — and the cost of that wrong-ness, played out over thirty-six months, is the difference between a practice that scales and one that quietly stalls at two-fifty patients.

    Read the Pillar →