Exceptional Care - by Design
Most Meet & Greets start the same way: “I used to have a great primary care doctor. Now I barely ever see my actual doctor, the visits are rushed, and I feel like I am managing everything myself.”
That is not your imagination. It is the predictable result of how insurance-based primary care is designed.
Many primary care physicians are responsible for patient panels of 2,000 to 3,000 people. If you do the math, there is barely enough physician time for each patient to be seen once a year, let alone enough time to provide comprehensive, thoughtful, longitudinal care.
The problem is not that your doctor does not care. The problem is that the system is not designed to provide the access, time, continuity, and clinical thoughtfulness that many women need, especially in midlife.
Amy Boutwell MD is designed differently.
An Independent Physician Practice for Women 40+
Amy Boutwell MD is an independent, retainer-based internal medicine practice for women 40+.
I specialize in comprehensive, whole-person care that brings together internal medicine, lifestyle medicine, and updated menopause care.
The purpose of the practice is simple: to give you a physician partner who knows you, is available and unrushed, and maintains the big-picture and long-term perspective on your health and healthspan.
A Simple, Structured Service Model
The service model is simple yet unique.
We begin with a comprehensive annual assessment that generates a whole-person care plan. Together, we clarify your concerns, goals, risks, priorities, and opportunities to improve your health.
We then mutually prioritize the care plan and work through it on a quarterly basis, creating practical 1-month and 3-month action plans.
Most patients use approximately 4–5 hours of physician service in Quarter 1, followed by a stable cadence of continued effort, usually 1–2 hours per quarter thereafter, depending on individual circumstances.
This structure gives us the time and continuity to address what matters most, while maintaining a clear, practical plan over time.
Why This Model Is Different
In my practice, the relationship comes first. We are partners, working together over time in service to your optimal health.
The retainer model allows me to work directly for you. It gives us the time and structure to understand your health comprehensively, identify what matters most, and address your care in a thoughtful, coordinated, and practical way.
That changes the experience of care.
You are not rushed. You are not starting over each time. You are not left to interpret labs, symptoms, specialist recommendations, or next steps on your own.
You have a physician who knows you and is available to help you make sense of what is happening and what to do next.
What My Practice Provides
My practice is designed to provide high-touch, comprehensive physician care, including:
Internal medicine care for women 40+
Perimenopause and menopause care
Lifestyle medicine and prevention
Review and interpretation of labs, imaging, and medical records
Medication management and prescriptions when clinically appropriate
Referrals to trusted specialists
Coordination with your existing physicians and healthcare team
Guidance through urgent issues, emergency department visits, or hospitalizations
Ongoing strategy to restore health, improve function, and optimize long-term wellbeing
This is not rushed, transactional care.
This is a physician relationship designed for women who want thoughtful medical judgment, direct communication, practical guidance, and a clear plan.
Concierge Medicine vs. Amy Boutwell MD
Concierge practices are not all the same.
Many concierge practices remain embedded within large health systems. They charge an annual membership fee and continue to bill insurance for visits. That model may improve access, but it does not fully separate the doctor-patient relationship from health system priorities and insurance-based workflows.
My practice is different.
Amy Boutwell MD is independent, retainer-based, and designed around what serves you best. The retainer secures my time and availability for your care. Service time may include visits, emails, medical record review, lab and test review, care coordination, prescriptions, referrals, documentation, and communication with others involved in your care.
The model is straightforward: you secure 10 hours of physician service at a time. When those 10 hours are used, we decide together whether to renew.
Simple. Transparent.
Who This Practice Is For
My practice is designed for women 40+ who want a different kind of physician relationship.
It is for women who:
Do not feel fully served by rushed, fragmented, insurance-based care
Want a trusted physician who understands midlife health
Value comprehensive internal medicine, lifestyle medicine, and menopause care
Want help understanding symptoms, labs, risks, options, and next steps
Want a physician to coordinate and guide the big picture
A Trusted Physician Partner
The result is simple: you have a physician partner who knows you, who is available and unrushed, and who maintains the big-picture and long-term perspective on your health and healthspan.
If you are interested, please schedule a meet and greet.