A West Des Moines family physician has opened Concierge Medicine Iowa, which is among one of the first retainer-based practices in the state. The practice operated by Dr. Trae Ingram will serve a limited number of patients, who will pay a direct retainer fee rather than filing health insurance claims. In return, Ingram's patients will get direct access to him by cellphone, email or by same-day or next-day appointments. Also known as private or concierge physicians, the trend is growing across the country as a means of reducing expenses, paperwork and the influence of insurers over medical care. The practice is located at 5909 Westown Parkway, Suite 230. More information is available on its website,www.ConciergeMedicineIowa.com, or by calling 515-333-5595.