What is the Value of DPC?

Direct Primary Care (DPC) is a relatively new model of care where a physician directly cares for, communicates with, and bills a patient. I wrote about DPC on my blog earlier this year, and it would probably be good to read that before reading this. I won't get into the details of what DPC is in this as much as why I think it is a good investment for almost anyone, both for their health and financially. 

Full disclosure, I'm joining a DPC practice this summer because I truly believe in it! The DPC I am joining has the following features:

  • Physicians provide primary care to patients for a set monthly fee
  • Typical services
    • Unlimited visits with no co-pays or hidden fees
    • Annual screening labs are included
    • Imaging, labs, and medications are offered for near or at-cost cash prices 
    • Same day and next day availability
    • Patients have direct (text, call, email) access to their physician
    • Wide scope of care
      • General wellness: annual physical, lifestyle counseling
      • Women's health: birth control, pap smears, etc.
      • Infections: pneumonia, UTI's, strep throat, ear infections
      • Orthopedic: Minor fracture care, joint injections, gout 
      • Skin: lesion removals, eczema, toenail removals, suturing
      • Chronic disease: hypertension, diabetes, etc.
      • Mental illness: counseling and medications
      • And much more
  • DPC is not medical insurance (and insurance is not health care)

"Why Should I Pay MORE For Health Care?"

You shouldn't, and you don't have too. You can actually save money with DPC! Here's how: STOP PAYING SO MUCH FOR MEDICAL INSURANCE. Hey, don't get me wrong, insurance can be great. My family has gone through some real hairy stuff this year and insurance has saved our butt from financial ruin. 

And that is what insurance is for: surgeries and hospitalizations, the big unexpected bills. We are insuring ourselves that if something bad happens, someone will help us pick up the tab. But what about staying healthy? Insurance tells you what doctor you can see and makes you pay a fee to see them. If anything is ordered (labs, xrays, etc.) you are on the hook to pay for part of that until you've spent several thousand dollars and met your out-of-pocket maximum. 

Notice I haven't used the phrase "health insurance" as that is a silly thing if you think about it. You aren't insuring your health, you are insuring yourself for medical expenses. Medical insurance is not health care! It is access to the insurance driven medical world we have become accustomed to for all of our health care needs. 


So, back to the point. Stop paying so much for insurance. Opt for a lower monthly premium "high deductible" plan, and supplement this with DPC. In 2018, an un-subsidized bronze plan on healthcare.gov cost $163 less a month than a gold plan according to eHealth. Most patients have subsidized insurance through their employer, but can still save significant dollars on changing coverage. The Affordable Care Act requires bronze plans to cover 60% of medical costs, silver to cover 70%, and gold to cover 80%. So no matter your plan, you still pay a portion of your bill. For example, if you get into a car accident and break your femur, you're gonna pay a few thousand out-of-pocket. Yes, the gold plan will be less out of pocket at the time of the accident, but you paid $2000 more for it in monthly premiums in one year. And don't forget, medical debt has no interest and can therefore be paid off over a long periods.

DPC patients can still utilize their insurance, for instance:

  • If a woman wants an IUD like the Mirena, they can get it 100% covered by most insurance plans. Pap smears are also covered. 
  • Colonoscopies and other cancer screenings are covered by most insurance plans.
  • Patients can continue to see their specialists who bill the patient's insurance.
In other instances, a patient may choose not to use their insurance. For many scans like X-Ray and MRI, it may be cheaper for the patient to utilize the cash price offered by the DPC than to pay the insurance co-pay, especially if they are unlikely to reach their yearly deductible. 

DPC physicians can help you stay healthy, stay out of the ER, and keep you from getting a big bill at an urgent care. They can help you stay on top of your blood pressure and help you stop smoking. They give you access to deeply discounted medications and testing. Most importantly, you have a primary care physician who will care directly for you. 

As a colleague once told me, "you either see the value in DPC or you don't." So, let's stop talking about its financial merits. The real benefit to DPC is the relationship one can build with their physician. A typical primary care physician in the insurance model has a patient panel of 2000-3000 patients, whereas a DPC physician has a panel ~600 patients.  Visits are easy to schedule, with same day and next day availability. Patients have access to their physician's cell phone and email. A new patient's history and physical exam is usually an hour or more, office visits are usually 30 minutes. All of this allows your physician to get to know you well. Building trust and understanding with one another is key to successful health care. 

Thank you for reading this blog on the value of DPC. I hope to announce soon the DPC practice I am joining. Follow me on instagram and twitter for updates. 

Useful Links

For physicians interested in DPC, check out DPC Alliance, a physician organization devoted to the growth of DPC. Also check out the AAFP FAQ on DPC. 

If you have any comments or questions, please leave them below. You can find my Instagram, Twitter, and LinkedIn at il.ink/hazenshort

Hazen Short is a resident physician in Family Medicine, graduating in 2019. He plans to start practice in Kansas City in Direct Primary Care.


Comments

  1. Really nice article and I agree with DPC being a "good investment". I do disagree with the solution of pairing it together with a high deductible (Bronze) health insurance plan for many people. Those that are in need of pre-existing condition coverage or receive a financial subsidy this makes sense. For those that do not qualify and are considered healthy can do this much more affordable with medical cost sharing + DPC.
    I feel its important for DPC practices to make this recommendation to its members not only for the benefit of the DPC, but also their member. A lower expense and better solution for catastrophic coverage benefits both sides. This particular one does a great job of pairing and working together with DPC practices https://zionhealth.org/direct-primary-care/
    Good luck in your new venture!

    ReplyDelete
    Replies
    1. Thank you for reading! Yes, I agree with cost-sharing plans being a great option. I will likely write another blog specifically about these plans, and I will update this post to point them out as a great option.

      Delete


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    ReplyDelete
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    I just experience the wonders of Dr Ohunyom herbs. God will continue to bless you Dr Ohunyom more abundantly for the good work you are doing in peoples life by curing them from different type of diseases. I will keep on testifying about your good work. I was diagnosed of herpes 6 months ago and my doctor told me that there is no cure. I did not believe him and i keep my faith up hoping that one day i will be cured from this horrible disease. One day i saw a post on HIV forum about a herbal doctor called Dr Ohunyom on how he cure people from diseases with his herbs and i quickly contact Dr Ohunyom on his email and explain my problem to him and he told me not to worry that he is going to cure me and truly he prepared the cure and send it to me through UPS and gave me instructions on how to take it. After two weeks of taken the herbal cure, i went to my doctor for checkup and my result show Negative and my doctor told me that there is no trace of herpes in my body and the virus is completely gone from my body. Everybody at the clinic rejoice with me and they all ask for Dr Ohunyom contact. You can contact Dr Ohunyom on his email:drohunyom@gmail.com or WhatsApp him on +2349060579973.and He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer  ETC

    ReplyDelete
  17. I'm 59 years old and female. I was diagnosed a couple of years ago with COPD and I was beyond scared! My lung function test indicated 49% capacity. After having had flu a year ago, the shortness of breath, coughing and chest pains continued even after being treated with antibiotics. I've been smoking two packs a day for 36 years. Being born without a sternum caused my ribs to be curled in just one inch away from my spine, resulting to underdeveloped lungs. At age 34 I had surgery and it was fixed. Unfortunately my smoking just caused more damage to my already under developed lungs. The problem was having is that I enjoy smoking and don't want to give up! Have tried twice before and nearly went crazy and don't want to go through that again. I saw the fear in my husband and children's eyes when I told them about my condition then they start to find solution on their own to help my condition.I am an 59 now who was diagnose COPD emphysema which I know was from my years of smoking. I started smoking in school when smoking was socially acceptable. I remember when smoking was permitted in hospitals. It was not known then how dangerous cigarettes were for us, and it seemed everybody smoked but i was able to get rid of my COPD lung condition through the help of total cure herbal foundation my husband bought, totalcureherbsfoundation.com has the right herbal formula to help you get rid and repair any lung conditions and cure you totally with their natural organic herbs,it class products at affordable prices. Purchase these medicines and get the generic medicines delivered in USA, UK & Australia,I wish anybody who starts smoking at a young age would realize what will eventually happen to their bodies if they continue that vile habit throughout their life.

    ReplyDelete
  18. Hello,my name is hustonzihad this message is to everyone out there with a health challenge, because i know there are alot of people looking for solution to their health conditions as a rightly did till i came in contact with Dr. oshogbo . I bring you Good news. There is this herbal Doctor called Dr. Oshogbo a herbal practitioner who helped cure me from genital Herpes 2months ago, i had suffered from this outbreak for the past 3years. I spent so much money trying to survive from it, to cut my story short, a friend told me about a man called Oshogbo,she described him as a great healer because he has restored joy back in the live of her yunger sister who was once HIV POSITIVE, even when i didn't believe her, it didn't stop the fact that i needed help with my predicament so i contacted him with faith and i also got my healing miraculously by taking the herbal products he sent to me to take for about 15 days and also applying the herpes herbal cream too.few days after completion of the dosage, I went for a medical checkup and I was tested HERPES NEGATIVE to the glory of God and with gratitude to Dr. oshogbo. I'm sharing this so that other people can know of this great healer called oshogbo because i have witness his great works in my live. I want this message to get every sick person in the world. I was made to understand that he can cure several other deadly diseases and infections. don't let that illness take your life. you can reach him
    thru: droshogboherblahome@gmail.com or his whatsapp 07054547814

    ReplyDelete
  19. I have been suffering from (HERPES) disease for the last four years and had constant pain, especially in my knees. During the first year, I had faith in God that I would be healed someday.This disease started to circulate all over my body and I have been taking treatment from my doctor, a few weeks ago I came on search on the internet if I could get any information concerning the prevention of this disease, on my search I saw a testimony of someone who has been healed from (Hepatitis B and Cancer) by this Man Dr. Silver and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so I wrote to Dr. Silver telling him about my (HERPES Virus) he told me not to worry that I was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later I started experiencing changes all over me as the Dr. assured me that I have cured, after some time i went to my doctor to confirmed if I have been finally healed behold it was TRUE, So friends my advice is if you have such sickness or any other at all you can email Dr. Silver (drsilverhealingtemple@gmail.com) sir I am indeed grateful for the help I will forever recommend you to my friends!!! with your lovely Email Address ( drsilverhealingtemple@gmail.com or whatsapp him on +2348123877102

    ReplyDelete
  20. i want to inform the public how i was cured of HERPES Simplex Virus by a Doctor called Dr.EBHOTA. i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Doctor EBHOTA cured them. I Was scared because i never believed in the Internet but i was convince to give him a try because i was having no hope of been cured of HERPES so i decided to contact him on his email, i searched his email on net and i saw a lot of people testifying about his goodness. when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, am a free person now without problem, my HERPES result came out negative. You can contact him on
    his Email: drebhotasolution@gmail.com or whatsapp him on +2348089535482 and get all your problem solved.
    1Sickness of any kind
    2 Help to CURE Hepatitis B, HIV/AIDs CANCER and BIPOLAR
    3 Divorce, Breakup problem and To Re-unit
    4 Pregnancy problem
    5 Financial problem and Job promotion
    6 To get a good and rich life partner
    7 To Lose your wath
    8 to enlargement of pennis
    9. CANCER
    10. ALS (Lou Gehrig's disease)
    11 Hepatitis B
    12 chronic pancreatic
    13 emphysema
    14 COPD (chronic obstructive pulmonary disease)   

    ReplyDelete
  21. i want to inform the public how i was cured of HERPES Simplex Virus by a Doctor called Dr.EBHOTA. i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Doctor EBHOTA cured them. I Was scared because i never believed in the Internet but i was convince to give him a try because i was having no hope of been cured of HERPES so i decided to contact him on his email, i searched his email on net and i saw a lot of people testifying about his goodness. when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, am a free person now without problem, my HERPES result came out negative. You can contact him on
    his Email: drebhotasolution@gmail.com or whatsapp him on +2348089535482 and get all your problem solved.
    1Sickness of any kind
    2 Help to CURE Hepatitis B, HIV/AIDs CANCER and BIPOLAR
    3 Divorce, Breakup problem and To Re-unit
    4 Pregnancy problem
    5 Financial problem and Job promotion
    6 To get a good and rich life partner
    7 To Lose your wath
    8 to enlargement of pennis
    9. CANCER
    10. ALS (Lou Gehrig's disease)
    11 Hepatitis B
    12 chronic pancreatic
    13 emphysema
    14 COPD (chronic obstructive pulmonary disease)   

    ReplyDelete
  22. FINALLY FREE FROM HERPES VIRUS
    I thought my life had nothing to offer anymore because life became meaningless to me because I had Herpes virus, the symptoms became very severe and bold and made my family run from and abandoned me so they won't get infected. I gave up everything, my hope, dreams,vision and job because the doctor told me there's no cure. I consumed so many drugs but they never cured me but hid the symptoms inside me making it worse. I was doing some research online someday when I came across testimonies of some people of how Dr ehiaguna cured them from Herpes, I never believed at first and thought it was a joke but later decided to contact him on the details provided and when I messaged him we talked and he sent me his herbal medicine and told me to go for a test after two weeks. Within 7 days of medication the symptoms disappeared and when I went for a test Lo and behold I was NEGATIVE by the Doctor Who tested me earlier. Thank you Dr ehiaguna because I forever owe you my life and I'll keep on telling the world about you. If you are going through same situation worry no more and contact Dr ehiaguna via drehiaguna@gmail.com or WhatsApp him via +2348073908953 he is good too to cure all type of disease and virus.1 HIV cure
    2 cancer
    3 diabetes
    4 hepatitis
    5 herpes.
    You can contact if you are having any problem...

    ReplyDelete
  23. hello viewers all over the globe am very happy today to share my testimony
    on how i was cure from HERPES disease, i have been suffering from herpes
    for the pass 9 months which makes me had constant pain all over my body, i
    have went to several hospitals taking treatment from doctors, but still
    know improvement till i meet a old friend of mine who direct me to a great
    traditional herbalist called Dr Akioya which i contacted by email so
    luckily he reply back i explain my problem to him and he told me not to
    worry that his going to prepare the herbal medicine and send to me which
    will cure me forever, i believed in him, after all the procedures given to
    me by Dr Akioya few weeks later i went to see my doctor to confirm if i was
    finally cure, the result was positive am totally cured by this great
    herbalist my life is more important now am free and happy if you have such
    sickness or any kind of disease like HIV And AIDS, Diabetes, Epilepsy,
    Blood Cancer, HPV, ALS, Hepatitis A/B, pregnancy issues etc contact Dr
    Akioya details: drakioya17spellhome@gmail.com
    or call +2348105257464 i will forever be
    grateful

    ReplyDelete

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