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MCO Mag. | Direct Primary Care Is About To Take Off–or Maybe Not

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Nextera studied seven months of DPC enrollment for 205 employees and dependents seen by Nextera physicians. In the DPC group, monthly claims declined by 25.4%, from $284 to $212 per enrollee. In the comparison group, claims costs declined by 4.1%, from $408 to $388, according to the case study analysis by a third-party vendor.

September 16, 2017 | By Charlotte Huff | Managed Care Online

Direct primary care, sometimes described as concierge care for the masses, is still a relative newcomer to the health system. But despite its currently small footprint and the recent closure of one of the larger providers of direct primary care, several political and insurance trends appear to be shifting to the model’s advantage. Direct primary care, which enthusiasts like to shorten to DPC, is not insurance. Instead patients pay participating doctors a monthly fee—typically less than $100—for a range of primary care services. As of 2017, nearly 3% of family physicians operated DPC practices, according to survey data from the American Academy of Family Physicians (AAFP). This summer’s closure of Seattle-based Qliance—one of the earliest providers with a chain of DPC clinics—reignited the debate over whether DPC is the coming thing or just a boutique item with a rather uncertain future.




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