My GP doctor of 18 years and his practice, Chapel Hill Family Medicine, are converting to "concierge medicine", sometimes known as boutique medicine. What this means is that to stay with my doctor, whom I like, it will cost me $1500 per year, $1000 which goes to him and $500 which goes to MDVIP, the company which franchises this service. My doctor will reduce his patient load to a maximum of 600 patients. MDVIP limits its franchises to experienced established practices in high income areas.
What this buys is 24 hour access to your doctor, extended preventative medicine including expanded physical, all you records on a cd.. etc.. or to put it another way, high quality individual attention that should be available anyway.