Conventional insurance-based medical practices have become unwieldy, with more staff, time and money being spent just on billing and collections. Insurance companies dictate the type of care they will pay for, directly affecting the type of care doctors can actually give.
Patients and insurance companies pay the doctor on a visit-to-visit basis and most insurance companies will not pay a doctor unless they see you in the clinic. This causes the doctors to have you come into the office and bill you every time you want to speak with them or ask a question.
When a doctor bills your insurance for a visit, they are forced to submit an itemized list of each and every medical service they provided; the bigger the list, the more they are paid.
These same doctors have to see 25-35 patients a day to keep the lights on, and many times, the cost of billing is more than the fee itself.
Direct primary care is not just a better version of what is already there. Rather, DPC physicians are taking medicine BACK from insurers, administrators and the government by providing truly patient-centered, proactive, accessible & affordable care that is otherwise unavailable in the traditional insurance-based system. DPC allows physicians the freedom to have dialogue with and serve their patients whenever, wherever, and however the patient needs it. By not billing insurance companies, medicine can be practiced as it was meant to be practiced – with doctors spending all of their time with patients. This allows patients to experience better service while having better health – namely fewer surgeries, specialist visits, hospitalizations, and medications. According to Qliance Medical Management, Inc., the use of services rendered outside of a primary care facility drops precipitously once DPC is introduced. Patients enrolled in a DPC program:
- have 59% fewer ER visits
- spend 30% fewer days admitted to a hospital
- are referred to specialists 62% less
- have 80% fewer surgeries.
I have chosen this membership model going forward because it defines high-value care, finally allowing me to provide unfettered high-quality, safe, highly-satisfying, affordable care to my deserving community.