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*Joel D. Meshulam, MD

ABOUT DR. MESHULAM, MD

Dr. Joel Meshulam has practiced internal and geriatric medicine in Baltimore for the over 25 years.

Dr. Meshulam completed his undergraduate degree at Rutgers University in 1982 and went directly to medical school at New York Medical College in Valhalla, New York. Upon graduating with his MD degree in June of 1986, he started his residency at North Shore University Hospital and Memorial Sloan Kettering Cancer Center. After 3 years he began in the private practice of medicine.

For three and a half years, Dr. Meshulam was an employed physician in a group practice. Although he enjoyed the experience, he decided he would be happier in a solo practice setting. He has been his own boss since 1993 and has never looked back.

Dr. Meshulam’s office is located at Mercy Medical Center in Baltimore City. He is actively engaged in the practice of internal medicine, and continues to care for his own patients when they are admitted to the hospital. He strongly feels that he should be present when his patients are at their sickest and has never felt comfortable turning their care over to a hospitalist. He is also the medical director of Mercy’s Transitional Care Unit, and has served in that capacity since it opened more than 10 years ago.

In addition to practicing medicine, Dr. Meshulam is active as a Health Coach with the Take Shape for Life program, and has been so for 2.5 years. Take Shape for Life focuses on achieving optimal health as well as a long and healthy life. The program involves personal coaching in the habits of health, as well as a method for reaching one’s healthy weight. When his patients are successful, they feel increased energy and fitness, and frequently require fewer medications.

Dr. Meshulam cherishes his wife, Jenny, who helps him to stay focused on the important things in life, and his children Avi and Hannah, who never miss a chance to keep him humble and are the pride and joy of his life.

A lifelong Baltimore Orioles fan, he was happy to see professional football return to Baltimore, and always looks forward to the fall, especially now that the Orioles are relevant and the Ravens are riding high. Dr. Meshulam is an avid runner, loves to exercise when he has the time, and enjoys music of all kinds, especially when listened to live and in person.

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We’ll be in touch to confirm your eligibility and schedule your webinar.

In the meantime, we wanted to provide you with the answers to several frequently asked questions, which we hope will give you additional insight into SignatureMD.


Why would I reconsider my traditional practice?

Reasons to Reconsider Practicing Medicine TraditionallyThe majority of Physicians provide us with the same response:  In order to keep up with the increasing costs that come along with your practice, you need to see more and more patients during your day. We can help you escape this hamster wheel.

For more information, we encourage you to take a look at our our interview with SignatureMD affiliated physician, Dr. Joel Meshulam.


Physician Burnout – What are your options?

Physician Burnout – What are your options?Physician burnout is at an all time high. This is bad for physicians and bad for patients. So, as a physician who may be feeling burnt out or defeated, what options are there?

Dr. Kadet, a primary care physician who experienced burnout and wanted to remain independent, describes: “Your options are somewhat limited right now. I did a lot of research on this. There are few venues left if you want to continue to practice medicine the way you always have. If you are feeling those feelings of frustration and burnout, concierge practice is a great way to go.”

For Dr. Kadet, with concierge medicine, he could spend more time with patients. Patients felt happier and that bounced back to him. Burnout faded away.

For more information, we encourage you to watch the full interview with SignatureMD affiliated physician, Dr. Alan B. Kadet.


Does concierge medicine offer a better work/life balance?

Concierge Medicine - Better Work-Life Balance for PhysiciansIf you’re a physician, we’re sure the increasing rate of doctor burnout doesn’t surprise you. However, there is a solution to this problem.

We spoke to SignatureMD Physician Dr. Joel Meshulam about how converting to a concierge practice has affected his work/life balance and found out that he’s now able to take a vacation, while feeling confident that his practice is taken care of in his absence. To hear about this in Joel’s words, watch his video.


How would you describe SignatureMD?

How would you describe SignatureMD?

Wondering what SignatureMD is like to work with?

Comparing SignatureMD with other conversion options?

Watch this video where our affiliate physician Dr. Alan B. Kadet answer how he would describe SignatureMD to friends and colleagues.


How much does it cost to convert to a Concierge Medicine Practice?

How much does it cost to convert to a concierge practiceWith SignatureMD, there are no upfront costs, as we we work with you to develop a custom program fit to your practice. If that sounds too good to be true, take a look at this video featuring SignatureMD Physician Dr. Joel Meshulam.

Physician Burnout – What are your options?

As a physician who may be feeling burnt out or defeated, what options are there?

Watch our affiliate physician Dr. Alan B. Kadet answer the question:
What advice would you give to other private practice physicians who are feeling burnt out or defeated? 

 

You might also be interested in: What Role Will Concierge Medicine Play in the Future of Healthcare?

Dr. Kadet, a primary care physician who experienced burnout and wanted to remain independent, describes:

Your options are somewhat limited right now. I did a lot of research on this. There are few venues left if you want to continue to practice medicine the way you always have. If you are feeling those feelings of frustration and burnout, concierge practice is a great way to go. 

With concierge medicine, you can spend more time with patients. Patients feel happier and that bounces back towards you. Burnout fades away.

If you’re interested in hearing another SignatureMD affiliated physician’s thoughts on this topic, we encourage you to take a look at our video on the role concierge medicine will play in the future of healthcare with Dr. Joel Meshulam. You may also be interested in learning .


Evaluating Your Eligibility For Concierge Medicine ConversionEvaluating Your Eligibility for a Concierge Medicine Conversion

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The Future of Concierge Medicine

Concierge medicine has quickly taken the medical world by storm, and for good reason: More and more doctors are feeling burned out, no longer enthusiastic about the traditional medical care model. If this describes you, you may be wondering, is concierge medicine the answer? Is it a viable long-term option?

Here’s what SignatureMD affiliated physician Dr. Joel Meshulam had to say about the future of concierge medicine:

You might also be interested in: What Role Will Concierge Medicine Play in the Future of Healthcare?

As Joel describes, as a care provider and business owner, he is optimistic about the future of concierge medicine:

So much of what we do in medicine is trying to anticipate the future and prepare for it. As a business owner, I think any self-employed person has to be thinking about, what next? How do I stay ahead of the curve? How do I ride the wave instead of getting drowned by the wave? In terms of concierge care, I feel very strongly that it is still a relatively new concept, and a young concept, but it is gaining momentum.

I think that the reason that concierge medicine is gaining momentum is there are certainly a cluster of physicians that are unhappy with the status quo

They realize, as I did, that it was unmanageable and untenable. Something had to give, and to those of us in medicine who aren’t ready to throw it all in and become employed or quit, this really does present a very viable alternative.

If you’re interested in hearing more of Joel’s thoughts on this topic, we encourage you to take a look at our video on the role concierge medicine will play in the future of healthcare. You may also be interested in learning .


Evaluating Your Eligibility For Concierge Medicine ConversionEvaluating Your Eligibility for a Concierge Medicine Conversion

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Why Consider SignatureMD?

If you’re a physician and you’re considering converting your traditional practice to a concierge medicine model, you may be comparing SignatureMD with another conversion option. However, the SignatureMD model has a number of components that set it apart, which is why many doctors choose to go with SignatureMD over the alternatives.

We spoke to SignatureMD affiliated physician Dr. Joel Meshulam, who elaborated on his decision process when he was trying to select the right company for his conversion. Here’s what he said:

You might also be interested in: What’s It Like Working With SignatureMD as a Physician?

As you saw, Joel put a lot of thought into making sure he chose the right conversion company, for him, and for his patients.

I spent some time thinking about concierge medicine before I actually went forward with SignatureMD. I liked the idea of a better work-life balance and having some more time with my patients, and maybe having a little bit of cushion of revenue. I looked at a couple of other options before I decided to go forward with SignatureMD.

The first company that I looked at was was a pay or leave model. Basically, if your patient could not afford the program, they would need to find another doctor.

I didn’t like that feeling.

When I joined SignatureMD, I had been practicing twenty-four years at that point, and a lot of the patients that I take care of have been my patients for twenty years.

I’ve grown to really care about them, and they care about me. They ask about my wife, my kids, so it’s a nice feeling, and the idea of sending them off to another doctor or telling them that our relationship was now based only on money was uncomfortable for me. I just couldn’t ethically bring myself to do that.

The other idea that I looked at was a do-it-myself concept.

I met with a lawyer who had started a couple of doctors in this practice by themselves without an organization, and it would’ve involved a lot of legal work. There was also no real infrastructure to help me with it. I would’ve had to create my own marketing pieces and be that guy that did the conversion myself. This option was basically just helping me to create documents to protect me from the insurance commission and make sure I was doing it properly, but then I would be doing it myself.

Frankly, I didn’t feel like I had the time to do that. I’m busy seeing patients all day long. I don’t have the technical abilities to create a website, do marketing materials, create contracts to enroll patients, and I just knew that I couldn’t do that. If I wanted to go that route, I would’ve then had to contract all these services out. I would’ve had to find a web designer to give me a web presence. The lawyer probably could’ve created the patient contracts. I would’ve had to deal with insurance carriers. It was just a lot of stuff that I just didn’t feel like I was qualified or had the time to do.

Those were the main options that I looked at, and then with the SignatureMD model, it just was a lot more comfortable for me on a lot of levels.

The idea that I had support, that they were going to do the conversion with me and help me do that, that they had resources to help me with a website, things like that all made it a lot more comfortable for me.

If you’re interested in learning more about the your conversion options with SignatureMD, we encourage you to get in touch.

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What's It Like Working With SignatureMD as a PhysicianWhat’s It Like Working With SignatureMD as a Physician?

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What Role Will Concierge Medicine Play in the Future of Healthcare?

In the rapidly-changing field of healthcare, doctors, especially those who operate their own practices, constantly need to think about the future and even try to anticipate it. If you’re considering a concierge conversion, you may be asking yourself: In terms of the future, where does concierge medicine fit in?

We spoke to SignatureMD affiliated physician Dr. Joel Meshulam to get his thoughts on the role concierge medicine will play in the future of healthcare. Here’s what he had to say:

You might also be interested in: Evaluating Your Eligibility for a Concierge Medicine Conversion

As Joel described, he thinks concierge medicine will always have a role in healthcare.

Program-wise, as far as the future is concerned, I know for a fact that there will always be a need for this.

There are more and more people who need care who do not have to it. Doctors are going to get more and more demand on their time. They’re going to need to make time or work even faster than they’re already working, and there are going to be patients, consumers, if you will, that aren’t happy sitting in a waiting room for an hour to see a doctor, and they’re not going to be happy going to the emergency room, and they’re not going to be happy going to Patient First to get the wrong medication.

That group of patients that I’m describing isn’t necessarily wealthy people. They could be hardworking people – not that wealthy people aren’t hardworking. They could be people that aren’t making a ton of money, but maybe they have a high deductible insurance policy. If they’re going to be in for a ton of cost on the front end, they may want to just have a concierge physician. If they’re going to pay, they might as well have a good health experience than have to pay and have a lousy health experience, and more and more people are buying these high deductible plans because they can’t afford the low deductible plans.

There’s a lot of movement in medicine right now that might not be what you would anticipate working in an office, and the future, I think, will definitely have to include this model of medicine.

Like anything in the world, whether it’s shoe stores or plumbers, you’re going to have people who don’t care and you’re going to have people who do care. The people who do care are not just people with fat bank accounts and tons of money in their wallets. Let the future take care of itself. You take care of you. You be a doctor, do the things that are right for you and your world, and believe in yourself, and the future will take care of you. Don’t worry about it. That’s my belief.

If you’re interested in learning more about how concierge medicine could be in the future for your practice, we encourage you to contact us.

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Evaluating Your Eligibility For Concierge Medicine ConversionEvaluating Your Eligibility for a Concierge Medicine Conversion

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Concierge Medicine Return On Investment (ROI)

While converting from a traditional practice to a concierge model can be a great way for a physician to improve patient care and get back to the core values of practicing medicine, it’s also a business decision. As such, you may be wondering what the return on investment (ROI) looks like for a concierge medical practice. However, it can be difficult to provide exact “one-size-fits-all” numbers, because ROI will depend on a variety of factors.

We spoke with SignatureMD-affiliated physician Dr. Joel Meshulam about how things have worked out for him, and he also provided some perspective on the SignatureMD model as a whole:

You might also be interested in: How Much Does it Cost to Convert to a Concierge Medical Practice?

As Joel describes, he’s happy with the return he’s seen, for more than just financial reasons:

The concierge program is nice because you get your portion of the premiums quarterly. That’s how it works. Here are some rough numbers: Let’s say that your two-thirds of the premium is $1000, and you enroll 100 patients. That’s $100,000, and the way that SignatureMD does this is they distribute that quarterly. For me, in mid-February, mid-May, mid-August, and mid-November I get a check for a quarter of that total. You get your first check one and a half months into the process for a quarter of the total premium. That’s a nice check to get. It’s nice to see that, and it makes you realize this actually may work.

I really believe strongly that, if you’re committed to good medical practice, that commitment will transcend everything.

Patients will find you, your existing patients will refer to you, and you will grow. The nice thing about the SignatureMD model is that you don’t have to get rid of a large segment of your patients because they can’t afford the premium.

It’s a virtuous cycle, as opposed to a vicious cycle.

You’re no longer stuck working harder and harder, seeing more and more patients, making less and less money, getting less and less sleep, and having less and less time to plan your next move. You have to really consider the long view of getting some life balance back and being able to actually grow a practice that is a practice you want to be working in instead of a practice that you somehow have been forced to be working in.

If you would like to know more about the business aspect and the potential ROI of a concierge medicine conversion, we encourage you to contact us, so we can learn more about your situation.

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how-much-does-it-cost-to-convert-to-a-concierge-medicine-practiceHow Much Does it Cost to Convert to a Concierge Medical Practice?

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What’s It Like Working With SignatureMD as a Physician?

If you have decided to convert your traditional medical practice to a concierge model and are considering companies to help you with this process, you may be wondering what it’s like working with SignatureMD. Rather than sing our own praises, we reached out to SignatureMD affiliated physician Dr. Joel Meshulam, who described his experience:

You might also be interested in: How Long Does it Take to Convert to a Concierge Medicine Practice?

As Joel explains, SignatureMD played a crucial role in ensuring he made a smooth transition, and has been there for him ever since:

SignatureMD has evolved for me, and their service to me has evolved over time as well.

At the time of my conversion, SignatureMD provided a large number of tangible and obvious services that were critical.

This included the help with the conversion, setting up of the website, developing marketing materials for my office, presenting packets for patients who were interested in the program, helping me set up the events that were held where I gave my lectures to my patients, and so forth.

Since I’ve gone live, their main function has been to be sure that money is collected on my behalf, that it’s being appropriately deposited into my account, and they’ve been great about that. Other than that, I think them staying out of my way, being there if I need them, is pretty much all I would want to ask for, and they do that.

We hope that Joel’s experience helps provide some insight into what it’s like working with SignatureMD. We love working with physicians like him, who are passionate about providing medical care.

If that describes you, we encourage you to contact us. If you would like to learn more about the conversion process with SignatureMD, you may be interested in finding out how much it costs to convert to a concierge medical practice.


how-much-does-it-cost-to-convert-to-a-concierge-medicine-practiceHow Much Does it Cost to Convert to a Concierge Medical Practice?

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Number One Reason for Transitioning to a Concierge Medical Practice

If you’re a physician considering a conversion to a concierge medical practice, you’re probably weighing a number of factors in your decision. When it comes to the number one reason for converting, we’ve found that it really depends on the doctor and what he or she values.

As such, we spoke to SignatureMD-affiliated physician Dr. Joel Meshulam about his number one reason for converting to a concierge medical practice:

You might also be interested in: Practicing Concierge Medicine: Doctor Eligibility and Fit

As Joel explains, for him, it was really about being able to connect more with his patients:

I have a story for you: I’m sitting with a friend of mine, he’s a doc, we’re in a bar – and now, by the way, I have a drink because I feel like having a drink, not because I feel I need to have a drink.  I’m sitting with this buddy of mine, and he says, “What do you think?  Should I do this?”  Why would you not do this?  What possible reason would you have for not doing this?  He went through the typical things that I thought about before I started: “What if my patients all leave?”  He works in a different city, but a city environment like me.  “My patients don’t make any money.”  I said, “First of all, don’t worry about the patients that are going to leave because if they leave, you don’t want them anyway.  Second of all, think about how you’re going to do it.  Don’t just say, pay me $2000 or you have to find another doctor.  Say, hey, I want to spend more time with my patients.  That’s why you want to do it.”  

You want to do it because you want to get back to being the kind of doctor you were when you first started.

He and I graduated the same year, but he went to a different city.  I said, “Remember how it was when we graduated?  We were just starting out.  We had time in our schedule.  We saw patients.  We actually did a complete history and did a complete exam.”  And he said, “Yeah, sure, I remember that.”  I said, “Are you doing that now?”  He said, “No.”  “Do you like what you’re doing now?”  “No, I don’t.”  And I said,

“That’s why you do it.  The reason to do it is to get back to being the doctor that you were when you left school and left residency.  It’s to be able to actually make a connection with your patients, actually know them, know about their children, know about their job, know who they are.  How are we supposed to help patients unless we really know who they are and what they’re going through and dealing with?”  

He said, “I’m going to buy your next drink.”   I said, “Cool.  Buy my next drink.”

If you’re unhappy with the grind of traditional medicine and want to get back to being the doctor you want to be, concierge medicine may be a good fit for you. Are you a good fit for concierge medicine? To find out, learn more about physician eligibility and fit for concierge medicine.


Practicing Concierge Medicine: Doctor Eligibility and FitPracticing Concierge Medicine: Doctor Eligibility and Fit

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Concierge Medicine 24/7 Availability: Is It Ever Abused?

Concierge Medicine 24/7 availability is one of the biggest perks for patients who are thinking about joining a concierge practice. However, as a physician, you may be wondering whether this availability is ever abused. While there’s no guarantee that it wouldn’t ever be a problem, many physicians experience very few issues when it comes to concierge medicine 24/7 availability.

As a real-world example, we spoke to SignatureMD-affiliated physician Dr. Joel Meshulam about his experiences with the increased availability. Here’s what he had to say:

You might also be interested in: In Concierge Medicine, How Does Physician Availability Affect Patients?

As Joel describes, when he looks at the big picture, he doesn’t feel there has really been any significant abuse of his 24/7 availability:

In terms of the whole picture of my practice, no, there has really been no abuse.

Because patients have time, and they’re able to be seen when they want to be seen, it’s far less likely that they’re going to have an emergency when I’m away on vacation or when I’m out for the evening.  It just doesn’t happen that often at all.  

When it comes to managing your availability, it can be helpful to set some initial guidelines with your patients during your conversion process. If you’re interested in learning more, we encourage you to take a look at our article on a what it’s like to be a patient during a concierge conversion.


Converting To Concierge Medicine - A Patient’s Point Of ViewConverting To Concierge Medicine: A Patient’s Point Of View

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  • My patients say, “If I had known it would be this good, I would have helped you set up this practice years ago!”
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    SignatureMD Physician | Dr. Jim Williams, MD
  • I’m finishing my fourth year with SignatureMD. Everybody’s happy. My staff is happy. All of my patients are happy. I’m happy.
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    SignatureMD Physician | Dr. Cathy Grellet, MD
  • With concierge medicine, you get to practice medicine the way it was meant to be practiced.
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    SignatureMD Physician | Dr. Bob Saltman, MD
  • Everything that’s frustrating about traditonal medicine ceases to exist.
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    SignatureMD Physician | Dr. Christina Skale, MD
  • This is the way medicine should be practiced. It’s a better lifestyle day-to-day.
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    SignatureMD Physician | Dr. Bill Benedict, MD
  • I did not enter concierge medicine for the money. I did it to save my soul as a physician. I wanted to bring back some joy in my practice. That is exactly what SignatureMD has given me.
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    SignatureMD Physician | Dr. John Verheul, MD

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