My son's pediatrician operates her practice in a "direct primary care" model, which is sort of concierge-light with a significantly lower monthly fee. There are some catches, and it doesn't replace proper insurance so I'm still paying for that on top of the monthly office fee. But on the other hand, our appointments aren't a rush-job where we get like five minutes of face-time with the pediatrician and then shuttled out the door, and we can message her any time of the day to ask "yo what's this rash" and usually get an answer (and occasionally a script for an ointment) within a half-hour, without having to go through the rigamarole of trying to get an appointment that's usually so far out you're better off waiting and hoping the problem resolves itself.