Alan L. Saperstein, MD, an orthopedic surgeon in Boca Raton, Fla., did not realize the patient referred to him was enrolled in a concierge medical practice until the referring primary care physician telephoned him to discuss the patient’s medical condition and history in detail.
It did not matter to Dr. Saperstein that he was dealing with a patient who paid an annual fee to receive additional services from the primary care physician (PCP), he said, because he does not