Lay the groundwork for retainer practice

Contract Language. By Steven M. Harris, AMNews contributor. Dec. 1, 2003.

CONTRACT LANGUAGE

A column examining the ins and outs of contract issues

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No matter what they're called -- retainer practices, boutique medicine, executive health programs, concierge care or platinum practices -- those practices that feature a retainer fee for additional services and amenities appear to be attracting more physicians' interest.

While there is no evidence that retainer practices offer a higher level of quality, patients using retainer services perceive greater value and are willing to pay more in exchange for the higher value, perceived or real, that they feel they are getting.

However, there are many things to remember before launching a retainer practice. First, AMA policy dictates ethical guidelines for these practices, mainly to ensure that those who are paying the extra fee and those who aren't get an equal quality of care. Also, physicians have to comply with state licensure regulations.

And there are contract issues.

If you are considering setting up a retainer practice, send a letter to your patients first. This letter should explain the retainer-based practice concept and direct the patient to contact your office with any questions.

By giving notice to your patients before converting to a retainer practice, you will reduce the possibility that patients who decide not to sign a retainer contract will be left without a physician. Your patients must be able to seek the care of another physician as an alternative to paying the retainer fee.

You should address the following key issues in your retainer contracts: