It's Time to Start a Direct Primary Care Practice

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On the podcast this week, John discusses the concept of Direct Primary Care (DPC). First appearing in the early 2000's, this type of practice is characterized by the elimination of third party payers. In most cases, insurance billing is replaced by a subscription or "membership" model in which patients prepay for their care on a monthly or quarterly basis.

The typical DPC practice agrees to provide a comprehensive set of outpatient services that meet the needs of most patients. Hospitalizations and high-cost surgeries are generally covered by traditional insurance.

Under this model, the elimination of insurance billing results in lower overhead, less paperwork, fewer employees, and better access by expanding the use of texting, phone calls, email, and telemedicine. Office visits are generally longer and more comprehensive with less time spent on paperwork. While originally designed for primary care, there are examples of specialty-based DPC-style payment arrangements.

John describes why this can be the solution to burnout and a way to recover the joy of practicing medicine while earning a very good income. He also explains that creating a DPC practice requires extensive planning and significant financial resources, but less than opening a traditional practice. And he offers his thoughts on transitioning from employment to your own DPC practice.

You'll find links mentioned in the episode at nonclinicalphysicians.com/direct-primary-care-practice/