You don't have to wait for anybody to build you something. It already exists.
A telemedicine concierge practice needs four things working together: a way for patients to reach you, a way to see them on video, a medical record that holds the visit, and a way to collect the membership every month. Below are four platforms that do all of that today — real companies, real products, in daily use by independent practices, each one signing a Business Associate Agreement. You could open on any of them this quarter.
We publish the prices. Every figure here comes from the company's own pricing page, checked in August 2026, including the add-ons that don't appear in the headline number. Nobody on this page pays us anything, and we don't take a referral fee from any of them.
Healthie
HIPAA · BAAThe least expensive real all-in-one.
$49–$129 per month
Charting, video visits, secure messaging, patient portal, scheduling and card payments in a single login. Built for virtual-first practices, which is exactly what you would be starting.
- Essentials $49/mo up to 250 active patients; Plus $129/mo unlimited; about 10% less paid annually
- Charting, one-to-one video telehealth, secure messaging, patient portal and mobile app on every tier
- Card payments through Stripe at 2.9% + $0.30
- Adding clinicians runs about $50/mo each on the group tier
Best fit: a solo physician who wants one login and the lowest monthly cost to open the doors.
Hint Health
HIPAA · BAABuilt around the membership itself.
from $290 per month
The only one here designed around the thing that actually makes concierge work — recurring membership billing — with a clinical record, member onboarding and self-scheduling built around it.
- Launch $290/mo — one clinician, unlimited members; each additional clinician +$290/mo
- Clinical EMR, membership management, member onboarding, self-scheduling, automated recurring billing
- Cards 3.00% + $0.30; ACH 1.00% + $0.25, capped at $5. The Pro tier lowers both
- Free until you launch — nothing charged before the practice opens
Best fit: the physician who wants the money side handled properly from the first member.
Cerbo
HIPAA · BAAThe concierge-native clinical record.
$281 per month, plus setup
Built by MD HQ specifically for direct-care and concierge practices, and the deepest clinical tool on this list. Read the add-ons before you compare it to the others on headline price.
- $281/mo full-time prescribing provider ($174 part-time); staff seats from $63/mo
- Setup $1,195 — or $595 for a practice under six months old with fewer than 30 patients
- Charting and portal messaging included. Patient portal +$79/mo. Video +$27/mo. AI scribe from $29/mo
- eRx, EPCS and e-fax for prescribing providers; 250 outbound fax pages a month included
Best fit: a physician who wants the strongest clinical record and will pay for it. Add the portal and video and the real figure is nearer $390 a month.
Atlas.md
HIPAA · BAAFlat, unlimited, written by a practising doctor.
$300 per provider, per month
Built by the founder of AtlasMD for his own direct-care practice. One flat price, unlimited patients, with billing and dispensing designed in rather than bolted on afterwards.
- $300/mo per registered provider, unlimited patients, no published setup fee
- Texts, phone calls and faxes fold into the chart; e-prescribing and in-house dispensing
- Billing built in with no third-party platform — cards 2.1% + $0.30, bank transfers $0.25
- The lowest card-processing rate of the four, which matters more than it looks
Watch this one: video visits are not in the published feature list. For a telemedicine practice you would pair it with a video tool.
If all you need this month is the conversation. You can start smaller than any of the above. Spruce Health is $24 per user per month for HIPAA-covered phone, text, video, fax and a shared inbox, with the BAA included and a one-time $19.50 SMS registration; the $49 tier adds call routing and after-hours triage. Doximity Dialer is free for verified physicians and gives you calls and browser-based video showing your practice number instead of your cell. Neither is a medical record — you would add one of the four above when you are ready. Plenty of physicians begin exactly here.
The software is the small line. Watch the processing fee.
This is the CPA talking, and it is the one piece of arithmetic on this page I would not want you to skip. Software runs somewhere between $50 and $400 a month, and it stops there. Payment processing does not stop — it grows with every member you add.
Take the suggested $200 monthly membership. A 3% card rate costs you $6 of it, every month, for as long as that patient stays. At three hundred members that is roughly $1,800 a month, which is more than any platform fee on this page — several of them put together. The same payment taken by bank transfer, on a plan that charges 1% capped at $5, costs a fraction of that.
So ask every vendor one question before you sign: what does it cost me when a member pays by bank transfer rather than card, and can I make that the default? It is a dull question. Over a few hundred members and a few years it is worth more than most of the features you will be shown in the demo.
An illustration using the suggested membership price, not a projection of your revenue, your panel, or your costs. Processing rates vary by plan, by card type and by negotiation.
And eventually, ours — but we are not going to put a date on it.
We are building our own, designed around this practice specifically. It could be three months. It could be three years. You can never tell. So until it exists, this page is the honest answer: these are real products you can buy today, and any of them will let you open. When ours is ready, you will hear it from us. Until then we would rather you started than waited.
These are independent, third-party companies, described from their own published materials and pricing pages as checked in August 2026 — not endorsements or paid placements. We are not affiliated with any of them, we receive no commission or referral fee from any of them, and none of them has any relationship with us. Software pricing, feature sets and Business Associate Agreement terms change frequently and often are not what a headline number suggests; confirm current pricing, the current BAA, and what is included versus billed as an add-on directly with the vendor before you rely on any of it. Our role is to help you compare and set up the right fit for how you want to practise.
The other thing that already exists is people who will do it for you.
Software is only half of what is available today. The other half is firms — some that will convert your whole practice and bring you members, others that will simply run the marketing while you keep everything. You don't have to do this with us. Here are the main players, shown honestly, with what they charge where they publish it.
Turnkey conversion partners
They convert your practice and market it to bring members — a hands-off path where an established firm handles the switch and the patient acquisition for you. These are independent companies, listed for comparison.
MDVIP
Conversion partnerFranchise / revenue share
The largest membership-primary-care network — reported 1,400+ affiliated physicians across about 45 states. Handles the conversion, national and local marketing, and member acquisition; panels are capped around 600.
Pricing: partnership model; MDVIP shares in membership revenue. Patient fee reported ~$1,800–$5,000/yr by market. Visit →
SignatureMD
Conversion partnerRoyalty share
Helps independent physicians add a membership tier while continuing to bill insurance. Provides marketing, technology, and training to launch and grow the panel.
Pricing: takes a royalty share of membership revenue; patient fee ~$1,500–$2,000/yr. Visit →
Specialdocs Consultants
Conversion partnerCustom engagement
Practice-management consultants offering a turnkey conversion playbook plus ongoing operational and marketing support for independent physicians going membership-based.
Pricing: custom per-physician engagement; not published. Visit →
Castle Connolly Private Health Partners
Conversion partnerCustom engagement
Positions itself as a physician-equity conversion specialist — you own and build equity in a concierge practice, with launch support and marketing.
Pricing: custom per-physician engagement; not published. Visit →
Hire an established marketing firm
Unlike the turnkey partners above, these firms don't convert or take a share of your practice — you keep and own it, and they run the marketing for a fee. A straightforward snapshot of agencies operating in this space today; pricing is shown where a company publishes it.
Healthcare Success
Marketing agencyCustom proposal
Full-service concierge and membership-medicine marketing: brand strategy, web design, SEO, paid media, content, and analytics.
Pricing: custom — request a proposal. Visit →
PatientGain
Marketing agencyFrom ~$999 / month
Digital marketing for DPC and concierge practices: AI-driven patient engagement, local SEO, Google and Facebook advertising, reputation management, and texting/chat tools.
Pricing: advertised from ~$999/month; tiered. Visit →
Direction.com
Marketing agencyCustom
Concierge-focused SEO, PPC, AI-search visibility, and website design; reporting built around consultation requests and enrollments rather than just clicks.
Pricing: custom — book a consultation. Visit →
Hint Health
Platform + marketingCustom
A DPC platform — membership billing and EHR — paired with DPC-specific marketing services to help practices grow their membership.
Pricing: custom — contact for a quote. Visit →
These are independent, third-party companies, listed for comparison from their own public materials — not endorsements, and we are not affiliated with any of them. Pricing shown is what the company advertises or what public sources report, and it varies widely by market, specialty, and package; confirm current pricing, terms, and business-model details directly with each company before relying on them.