Concierge Medicine Practices | Medicare Opt-Out
Attorney Fisher advises physicians and healthcare providers on the legal and operational issues involved in concierge medicine practices, cash-based medical practices, and Medicare and Medicaid opt-out decisions. With more than 30 years of experience in healthcare law, he helps clients evaluate, structure, and implement alternative practice models designed to support compliance, efficiency, Medicare opt-out decisions and long-term practice goals for concierge medicine practices.
About Concierge Medicine Practices and Concierge Medicine
As more providers explore innovative care delivery models, including health and wellness centers, concierge medicine practices, and functional medicine practices, concierge medicine Attorney Fisher provides strategic legal counsel on practice formation, regulatory compliance, and payer-related considerations. He regularly advises clients on whether opting out of Medicare or other government healthcare programs is appropriate and permissible, and he represents matters involving federal healthcare regulation, concierge medical practices structures, and direct-pay or cash-based provider models. Where required, he works with local counsel in jurisdictions in which he is not licensed.
Concierge Medicine Legal Services
Legal counsel for concierge practices, cash‑based clinics, and Medicare opt‑out
We advise physicians, practice owners, and health‑care entrepreneurs who run or plan to launch concierge medicine, direct primary care, and cash‑based clinics. Our practice combines deep regulatory knowledge with practical, operational solutions so clinicians can focus on patient care while minimizing federal and state compliance risk.
What we do in the Concierge Medicine Practice Area
Regulatory Counseling and Risk Assessment
We evaluate Medicare enrollment posture, analyze False Claims Act, Anti‑Kickback, and Stark Law exposure, and review state insurance and corporate practice rules that affect membership and cash‑pay models.
Contract Drafting and Review
We draft compliant membership agreements, Medicare private contracts, employment and management agreements, vendor contracts, and telehealth agreements tailored to direct‑care operations.
Medicare Opt‑Out Implementation
We guide physicians through the formal opt‑out process, prepare required affidavits and private contracts, implement signed‑before‑service workflows, and train staff to prevent inadvertent Medicare claims.
Operational Compliance and Policies
We design billing segregation policies, intake procedures, marketing review, HIPAA and telehealth compliance, and staff training programs to reduce audit risk and support sustainable growth.
Transactions and Growth
We advise on entity formation, investor deals, practice sales, and licensing or franchising of direct‑care models while avoiding fee‑splitting and referral pitfalls.
Defense and Audit Response
We represent clients in MAC, CMS, and OIG inquiries, prepare corrective action plans, and defend against administrative and civil claims.
Schedule a Consultation for Your Concierge Medicine Practices Project
For physicians, founders, and healthcare executives considering a concierge medicine model, a cash-based medical practice, or a Medicare opt-out strategy, Attorney Fisher provides strategic legal counsel shaped by discretion, experience, and sound business judgment. A private consultation is designed for leaders navigating complex healthcare law decisions involving practice structure, regulatory risk, reimbursement exposure, and direct-pay care models that require careful analysis and executive-level planning.
Schedule a Private Consultation for Your Concierge Medicine Practice Project
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