Direct Primary Care (DPC) is the primary care doctor's answer to the traditional fee-for-service insurance-based healthcare model that predominates today’s healthcare system. 

Healthcare can be confusing, especially when it comes to understanding the different models of care. In this post, I will break down the concept of Direct Primary Care (DPC) in simple terms, contrasting it with the traditional fee-for-service, insurance-based healthcare model. By the end, you'll have a better grasp of how DPC works and how it can benefit you as a patient.

Traditional Healthcare: The Fee-for-Service Model

The traditional healthcare system operates on a fee-for-service model. In this system, you visit a doctor or healthcare provider for sick/well care and they bill your insurance company or you directly for each service or procedure they perform. This includes office visits, tests, medications, and more. If you have insurance, your insurance company is billed and then you are billed for whatever costs they didn’t cover - copayments, deductibles, and any costs outside of your coverage plan (like an out-of-network provider or test that was not approved by our insurance or did not receive prior authorization). It could be months before you get a bill, your bill may be incorrect, or you may have paid a copay when you didn’t need to. 

The Challenges with Traditional Healthcare

• Lack of price transparency: You seldom ever know what a visit will cost you ahead of time and bills take forever to show up.

• Limited time with doctors: Doctors may have limited time to spend with each patient due to the volume of patients they are REQUIRED to see. The average appointment length is about 17 minutes. 

• High administrative costs: A significant portion of healthcare spending goes toward administrative overhead, further inflating the costs.

Direct Primary Care (DPC): A better choice for most

Direct Primary Care is a healthcare model designed to provide more accessible, affordable, and personalized care to patients. It operates on a different premise:

• You pay a fixed monthly fee directly to your DPC provider, often called a "membership" or "subscription" fee.

• In return, you gain access to various primary care services, including office visits, preventive care, and even some basic tests.

• You can see your DPC doctor as often as you need without worrying about additional costs, copayments, or deductibles.

• DPC doctors focus on building long-term patient relationships, allowing for more personalized and comprehensive care.

The Advantages of Direct Primary Care:

• Price transparency: With a predictable monthly fee, you know exactly what you'll pay each month, eliminating surprise bills.

• More time with your doctor: DPC physicians can spend more time with each patient (30 to 60 minutes) addressing their concerns and providing personalized care.

• Increased Access: You can easily get same-day or next-day appointments with your DPC doctor.  Sometimes an appointment isn’t needed, so you can communicate with her directly instead

• Affordable: DPC can be more cost-effective, especially for those with high-deductible insurance plans or no insurance at all.

The Bottom Line

DPC is characterized by its simplicity, price transparency, and patient-centered care, while the traditional model involves complex billing systems and often higher costs for patients. Not only is DPC better for patients, it is better for doctors.  We get to spend time doing the things we trained and love to do…take care of you!

Interested in learning more? Visit seedsofhealthdpc.com to sign up for my email list or join our practice waitlist today.  Our practice opens its doors in February 2024!