Continued Growth of Boutique Medical Practices Today [By Dr. David Edward Marcinko; MBA CMP™] The boutique, or direct reimbursement, or cash based medicine, or concierge medical practice business model requires an annual fee for personalized treatment that includes amenities far beyond those offered in the typical practice, or suggested by physician medical unions. Patients pay … Continue reading Concierge Medicine and the “Zombie” Medical Practices