Direct Primary Care

Our team members have been helping doctors build alternative practice models like Direct Primary Care for over two decades.  In fact, our founder wrote one of the laws on it!

Whether you're DPC curious, or already have both feet on the DPC diving board and are ready to take the plunge, we have strategies for success tailored to your professional philosophy.

What is Direct Primary Care (DPC)

Direct Primary Care is a cost-based subscription model of primary health care delivery.  DPC eliminates the overhead and opportunity costs of billing insurance while smoothing cash flow.  The result is a decompressed environment conducive to a positive physician-patient relationship.  DPC practices typically incorporate elements of telehealth to maximize efficiency and satisfy patient expectations of convenience.

Is DPC right for me?

Our Advisor Team uses a four-prong approach for helping you determine whether DPC is the right fit, not just for you, but for your target market too.  DPC laws vary from state to state, as do market trends and patient buying profiles.  Any new practice should always have a solid Plan B in the wings and our Advisors can help you craft an escape hatch that best meets your personal and professional goals.  This kind of careful analysis and planning can help take the fear our of trying something new.

How much does it cost to start a DPC practice?

DPC is a cost-based model, so start-up costs are directly related to your practice location.  We have helped dozens of DPC practices across the nation and start up costs range from $12,000 to $60,000.

What kind of income can I earn in a DPC practice?

Incomes vary from market to market as do ramp-up periods.  Typically we budget DPC physician salaries to be $200,000 within two years, though this metric changes in response to staffing requirements and capital investments in equipment or technology.

How much should my DPC patient fees be?

Your DPC fees are directly correlated to your costs and what your market will bear.  DPC fees typically range between $50 to $150 per month per patient depending on the type of practice and various market factors.

Are DPC and Concierge Care the same thing?

Emphatically no!  DPC is a cost-based subscription model of healthcare delivery while Concierge Care is a membership fee that is charged in addition to fee-for-service billing.  No model is inherently "better" than any other model.  The key is aligning your market realities with your professional philosophy.  Many of our practices are "hybrids" that incorporate more than one model in order to best meet the needs of their patients.

Do I have to opt-out of Medicare to have a DPC practice?

Whether or not you participate in Medicare should be primarily based on your professional philosophy.  Our Advisors help walk you through this somewhat thorny process to find the right choice for you.

Pro: Opting out of Medicare allows you to privately contract with Beneficiaries in a DPC capacity.

Con: Opt-out status is a rolling 2-year period that automatically renews unless terminated within specific deadlines.  Opting out of Medicare can make it very difficult to get a job.  If your Plan B is to get a job, then opting out of Medicare may not be a viable option for you. 

Links to further DPC information

Check out a couple presentations our founder, Appalenia, gave at this years Hint Summit conference!





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