The author says an IRS proposal would eliminate 21 million people’s care payment arrangements.
By Jennifer Berman | September 23, 2020 at 01:42 PM
In fact, the proposed IRS regulations (REG-109755-19), drafted in response to that executive order, only purport to increase the availability and accessibility of direct primary care. Instead of helping, the proposed regulations actually include a poison pill that would take direct primary care off the table for millions of patients. Since direct primary care only covers, well, primary care, many patients (more than 21 million to be exact) choose to pair it with a high-deductible health care plan and a health savings account (HSA) to provide for additional expenses like specialists or tests. This model enhances their ability to easily access a physician who knows them and their medical needs while making fully informed decisions about additional health care costs in advance. Of course, it also allows for the tax-preferred savings that HSAs are known for.
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