Concierge Medicine

Unlike traditional healthcare, which often reacts to illness after symptoms appear, our wellness-focused concierge program focuses on prevention, early intervention, and sustainable lifestyle strategies. The goal is not just to manage health concerns, but to help you thrive with proactive, individualized care.

What Is Concierge Medicine?

Concierge medicine is a membership-based approach to healthcare that prioritizes prevention, access, and personalization.

At Koch & Carlisle, our concierge medicine patients in Des Moines, Ames, Ankeny, Davenport, and surrounding areas of Iowa enjoy highly personalized care from Dr. Katie.

• Longevity-focused strategies
• Hormone balance
• Metabolic health support
• Lifestyle optimization

This integrated approach helps you address root causes, maintain resilience, and feel more confident during every stage of life.

Who’s a Good Candidate for Concierge Care?

You may be a good candidate for wellness concierge medicine with Dr. Katie if you want a proactive, prevention-focused approach to healthcare. Concierge care benefits people who:

• Feel limited by rushed appointments or fragmented care
• Are interested in longevity, healthspan, and sustainable wellness
• Value direct access and an ongoing relationship with your physician
• Want support optimizing energy, confidence, and overall well-being
• Want access to discounted aesthetic services and supplements

This program is ideal for our busy patients juggling work, family, and daily life who want personalized guidance rather than one-size-fits-all care.

How Is Concierge Medicine Different From Traditional Medicine?

Traditional medical care is often built around short appointments and reactive treatment, while concierge medicine is designed to be proactive, relationship-driven, and highly personalized.

Key differences include:

• Unrushed, in-depth visits focused on your whole health story
• 24/7 direct access to your physician and team via phone, text, or email
• Same-day or next business day availability when concerns arise
• Prevention-first care aimed at identifying concerns early
• Advanced testing and longevity evaluations
• Healthspan optimization (not just symptom management)
• Whole-person support that integrates physical health, mental well-being, and lifestyle factors

Wellness Concierge Care Led By Dr. Katie Kuehner, DO

Wellness concierge medicine at Koch & Carlisle is led by Katie Kuehner, DO, a physician specializing in personalized, prevention-focused care. She is board-certified in Family Medicine and Osteopathic Manipulative Medicine, with fellowship training in Primary Care Psychiatry. This advanced training allows her to address physical health, mental well-being, and lifestyle factors through a truly holistic lens.

By intentionally limiting her patient panel, Dr. Katie provides a higher level of access and continuity of care. Patients benefit from a collaborative relationship focused on prevention, lifestyle balance, and long-term vitality—all within the trusted environment of Koch & Carlisle.

What Does Wellness Concierge Medicine Support?

Wellness concierge care at Koch & Carlisle is designed to support how you feel and function over time. Primary areas of care include:

Hormone Optimization

Hormone optimization (hormone replacement therapy) addresses imbalances in estrogen, progesterone, testosterone, thyroid, cortisol, and other hormones that affect:

• Energy and stamina
• Weight regulation
• Mood and sleep
• Libido
• Mental clarity

Care is guided by evidence-based testing and individualized treatment strategies.

Weight Management & Metabolic Health

Rather than focusing on short-term weight loss, wellness concierge care supports long-term metabolic health, including:

• Root-cause metabolic and hormone assessment
• Lifestyle and nutrition strategy
• Peptide therapy (when appropriate)
• GLP-1 weight loss injections and medications
• Sustainable weight loss and metabolic support

The goal is better confidence, improved health, and lasting energy.

Hair Optimization

Hair optimization addresses internal factors that contribute to hair thinning and hair loss. Support may include:

• Hormone balancing and nutritional support
• Targeted supplements and peptide therapy
• Advanced hair restoration strategies
• Hair transplant surgery (when appropriate)

Care is designed to support your confidence inside and out.

Longevity Medicine

Longevity medicine focuses on extending your healthspan—the years you feel strong, capable, and energized. Support may include:

• Advanced lab testing and preventive screenings
• Inflammation reduction
• Mitochondrial and metabolic support
• Personalized supplement, stress, and sleep strategies

This approach helps support your vitality and quality of life at every stage.

How Does Concierge Care at Koch & Carlisle Work?

Patients begin with a comprehensive consultation to review health history, goals, and current concerns. From there, Dr. Katie creates a personalized care plan designed to support prevention, balance, and long-term vitality.

Membership provides access to these exclusive benefits:

• Discounted aesthetic services 
• Special pricing on supplements and peptides 
• Priority scheduling 
• Ongoing optimization strategies 

Specific benefits are reviewed during your complimentary meet-and-greet consultation. 

Often Asked