Direct Primary Care and Concierge Practice

2018 ◽  
pp. 391-400
Author(s):  
James O. Breen
Keyword(s):  
Primary Care ◽  
Direct Primary

Direct Primary Care: A Successful Financial Model for the Clinical Practice of Lifestyle Medicine

2021 ◽  
pp. 155982762110066
Author(s):  
Amy R. Mechley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Care Delivery ◽  
Health Care Systems ◽  
Well Being ◽  
The United States ◽  
Fee For Service ◽  
Financial Model ◽  
Lifestyle Medicine ◽  
Direct Primary

Primary care has been shown to significantly decrease the overall cost of a population’s health care while improving the quality of each person’s well-being. Lifestyle medicine (LM) is ideally positioned to be delivered via primary care and has been shown to improve short- and long-term health outcomes of patients and populations. Direct primary care (DPC) represents a viable alternative to the fee-for-service reimbursement model. It has been shown to be economically and financially sustainable. Furthermore, it has the potential to fulfill the Quadruple Aim of health care in the United States. LM practiced in a DPC model has the potential to transform health care delivery. This article will discuss the need for health care systems change, provide an overview of the DPC model, demonstrate a basic understanding of the benefits, and review the steps needed to de-risk the investment of time, money, and resources for our future DPC providers.

scholarly journals Direct Primary Care: Concierge Care For The Masses

2015 ◽  
Vol 34 (12) ◽  
pp. 2016-2019 ◽  
Author(s):  
Charlotte Huff
Keyword(s):  
Primary Care ◽  
The Masses ◽  
Direct Primary

Advantages and Disadvantages of Direct Primary Care

JAMA ◽  
2019 ◽  
Vol 321 (2) ◽  
pp. 207
Author(s):  
James O. Breen
Keyword(s):  
Primary Care ◽  
Advantages And Disadvantages ◽  
Direct Primary

Exploring Innovative, Alternative Healthcare Models in the US

2020 ◽  
pp. 21-42
Author(s):  
Raj Selladurai ◽  
Roshini Isabell Selladurai ◽  
George VandeWerken
Keyword(s):  
Primary Care ◽  
Healthcare Cost ◽  
Primary Care Physicians ◽  
Healthcare Services ◽  
Wellness Program ◽  
Faith Based ◽  
Partnership Model ◽  
The Us ◽  
Direct Primary ◽  
Patient Retention

This chapter explores, discusses, analyzes, and presents some recommendations for new, innovative alternative healthcare models to the traditional insurance and healthcare models that currently exist. These include a revised and enhanced hybrid model of healthcare; healthcare cost-sharing faith-based model; healthcare cost-reduction corporate partnership model (for example, Amazon, Berkshire Hathaway, and JPMorgan Chase partnership); direct primary care model; and wellness program model including subscription type payment services, concierge medicine services, networks of primary care physicians providing patient retention, personalized medicine, and preventive care (MD VIP for example). Significant outcomes such as lowering healthcare costs, enhancing the quality and delivery of healthcare services, improving patient satisfaction, and promoting overall sustainability are addressed, including their implications for various stakeholders.

Advantages and Disadvantages of Direct Primary Care—Reply

JAMA ◽  
2019 ◽  
Vol 321 (2) ◽  
pp. 208
Author(s):  
Eli Y. Adashi ◽  
Ryan P. Clodfelter ◽  
Paul George
Keyword(s):  
Primary Care ◽  
Advantages And Disadvantages ◽  
Direct Primary

scholarly journals Direct Primary Care: Family Physician Perceptions of a Growing Model

2021 ◽  
Author(s):  
Gayle Brekke ◽  
Jarron Saint Onge ◽  
Kim Kimminau ◽  
Shellie Ellis
Keyword(s):  
Primary Care ◽  
Online Survey ◽  
Care Delivery ◽  
Healthcare Spending ◽  
Care Practice ◽  
Practice Model ◽  
Administrative Burden ◽  
Patient Health ◽  
Survey Responses ◽  
Direct Primary

Purpose Direct Primary Care (DPC) is a relatively new primary care practice model in which patients receive unlimited access to a defined set of primary care services in exchange for a monthly practice-specific membership fee. DPC is a bottom-up physician-driven approach that contrasts to typical top-down insurer-centric health care delivery reform efforts. The degree to which physicians are aware of this practice model and whether they believe it addresses two key challenges facing primary care, access and administrative burden, are unclear. Methods An online survey distributed in July 2017 gauged family physicians' awareness of DPC and views about the model. Results Most respondents (85%) had heard of DPC and eight percent practiced in a DPC model at the time of the survey. In general, respondents reported that DPC can offer positive outcomes through lower administrative burden for physicians, improved doctor-patient relationships, and better access. Respondents also suggested DPC may result in improved patient health outcomes and lower overall healthcare spending. Respondents' concerns included inappropriateness of the model for vulnerable populations and physician shortages. Survey responses differed depending on whether the respondent practiced in a DPC model; DPC physicians had a more favorable view of the model and were focused on benefits to patients rather than benefits to physicians. Conclusions While some perceive challenges of DPC, others think that this model may benefit both patients and physicians.

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