The Direct Primary Care Model, The New Face of Healthcare.

The Direct Primary Care Model, The New Face of Healthcare.

The Direct primary care (DPC) model, is proposed as giving family physicians an insightful alternative to fee-for-service insurance billing, typically by charging patients a monthly, quarterly, or annual fee that can cover all or most of primary care services including clinical, laboratory, and consultative services, and care coordination and comprehensive care management.

The Difference Between DPC and Traditional Primary Care

The DPC wants to provide the opportunity to spend more time interacting with patients and providing ongoing follow-up services is at the heart of the patient-centered care provided in DPC practice settings. Overthrowing the traditional FFS payment system, the regular and recurring revenue are to be generated through the practice retainer fees, which can allow physicians to overcome the pressures of the traditional payment system.

Additionally, this will allow DPC physicians a larger array of non-face-to-face services, such as tele-visits or e-visits, for their patients. This system is being made for the convenience of the patients and their families. Eliminating annoying co-pays every time you need to get something checked out, or other hidden fees, which would be replaced with an annual retainer fee, so instead of going straight an urgent care or emergency room, having your doctor on call to help get a better solution then just going in could save you time, and as well as a couple of bucks.

The Advantages                                                Limitations

  1. Better health outcomes through better access to physicians

5. DPC agreements do not cover specialists or hospital stays

  1. Lower, transparent costs based on a flat rate

6. Primary care physicians see fewer patients under the DPC model, making access limited

  1. Available access regardless of age, pre-existing conditions, insurance coverage or nature of illness

7. Patients with Medicare, Medicaid or ACA plans will have limited fund

  1. Less administrative burden, generally allowing for longer interactions

8. Practices exclusively offering DPC, their only source of revenue are the patients who receive this care

SOURCE: https://www.aafp.org/practice-management/payment/dpc/faq.html

With every healthcare model, there are always going to be glittering gold advantages, along with possible negative outcomes. Whether it may everyone not being fully covered, hidden fees, etc. It’s more about now how can we get almost everyone covered? This may be a necessary step in doing so. Preventing hospital visits as much as possible can save families, and individuals a lot of money.

Many people may not even need specialists as often, if they weren’t so worried about co-pays and the potential cost of needing a surgery, so something such as the DPC model can act as an effective preventative care.

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