S1E19 How to Build a Membership Based Private Practice That Still Takes Insurance with Rene Hermes

The New Healthcare by Adama Diarra, DO, FACP, DipABOM Guest: Rene Hermes Content Type: Interview Primary Goal: Educational Summary Most physicians enter independent practice with clinical confidence and financial blind spots. Rene Hermes entered with both — and built something different. In this episode, Rene shares how a background in corporate finance shaped her approach to running independent primary care practices, why she developed a hybrid insurance-plus-membership model, and what it actually takes to make concierge medicine accessible without sacrificing financial sustainability. Whether you're curious about leaving employed medicine or already making the leap, this conversation offers a grounded, practical roadmap. Key Topics Why corporate finance principles change how you see practice economics How a hybrid insurance + membership model works in real primary care Making concierge medicine accessible — and still viable The operational infrastructure independent practices often overlook What physicians consistently underestimate about building independence Sound Bites "Finance looks at the future, not just the past." "One emergency visit can pay for the entire year." "Living independently in medicine is achievable." Chapters 00:00 — Introduction: Who Is Rene Hermes? 03:48 — From Corporate Finance to Medical Management 06:46 — Building a Family Practice from the Ground Up 10:14 — What Finance Teaches You About Primary Care 13:53 — The Hybrid Practice Model, Explained 17:59 — Making Concierge Medicine Accessible 28:26 — Rethinking Concierge: A New Framework 32:33 — Operational Realities of Running a Private Practice 41:36 — Building Your Concierge Model: What to Consider First 47:56 — The Case for Independence in Medicine Resources Hermes Health American Academy of Professional Coders (AAPC) Certified Physician Practice Manager (CPPM) Certification Contact Rene: [email protected]