Marketplace All-in-One

The rise of cash-only care

Dec 16, 2025
Join David Kelly, Chief Global Strategist at JPMorgan Funds, and reporters Nancy Marshall-Genzer and Alex Olgin as they explore the rise of cash-only primary care in response to soaring health insurance costs. David discusses federal layoffs and market implications. Nancy updates on Ford's strategic pivot from electric vehicles to hybrids. Alex shares how patients, like Brittany Pollard, are finding better care through direct primary care models, revealing surprising insights into the patient experience and the growing popularity of this affordable healthcare alternative.
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ANECDOTE

Patient Finds Better Care With Membership

  • Brittany Pollard switched from marketplace insurance to a direct primary care membership and saw faster progress on chronic pain within six weeks.
  • She pays $90/month for unlimited access and values being listened to by Dr. Amy Schrader.
INSIGHT

Insurance Incentives Can Undermine Care

  • Doctors report insurance pressures push them to rush patients and prioritize billing codes over care.
  • Direct primary care lets physicians spend more time and offer discounted cash rates for tests.
ADVICE

Evaluate Memberships If Deductibles Are Too High

  • Consider dropping unaffordable marketplace plans with high deductibles if you rarely use them and instead evaluate direct primary care options.
  • Seek cash-rate labs and membership plans if you need frequent primary care and lower out-of-pocket routine costs.
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