Direct Primary Care (DPC) is an innovative alternative payment model in primary care that is being embraced by more and more patients, employers, payers and policymakers across the United States. The Defining element of DPC is a trusting relationship between a patient and their primary care provider.
In DPC unwanted insurance based service fees are replaced with a simple flat monthly fee established directly with the patient. Typically Included in that monthly fee is after-hours access, annual wellness exams, sick visits, basic vaccinations, basic lab work, and some procedures.
So this sounds too good to be true, right? Or the cost for such a service must be astronomical. Surprisingly this form of primary care is very affordable.
DPC removes insurance from the equation therefore eliminating “the middle man” in primary care. This in turn significantly simplifies and reduces the cost to operate. This saving is then passed down to the patient through a low monthly fee. In addition, medical decisions are made by the provider and patient without the impersonal intrusion that inevitably comes from insurance involvement which leads to move affordable and better overall care.
As a primary care provider for almost 10 years now I have seen co-pays and insurance deductibles increase exponentially. Even with the government mandate for individuals to carry insurance, more and more patients come to our clinic as self-pay with no insurance coverage.
Our organizations mission is to “partner with our patients to exceedingly meet their health care needs.” Prior to offering DPC through SimpleClinic Direct we were not offering care consistent with our mission for our patients with no insurance coverage or high deductible plans mainly because of the cost.
As we sign up new SimpleClinic Direct patients each week we can see the value offered by this model for primary care. We are offering highly personalized and comprehensive acute and chronic medical care at an affordable price for patients who typically did not see a provider regularly.