Direct Primary Care vs Concierge Medicine

BUSINESS: 2 New Infographics Explains SIMPLE Differences/Similarities Bet. DPC and Concierge Care

By DPC Journal Staff

SEPTEMBER 16, 2015 – Published and designed by Staff at Concierge Medicine Today and its research arm, the Concierge Medicine Research Collective, along with their sister publication, The Direct Primary Care Journal, have combined interviews, surveys and polling data to help describe the various nuances of each of these growing healthcare sectors in their own right.

Not every physician will choose Ideal Medical Practice environments, Direct Primary Care models or even choose to work within a Concierge Medical program. Over 60% of physicians polled in 2014 were so frustrated with today’s healthcare headaches that they are willing to leave the profession of medicine altogether … and start a new career entirely outside of healthcare, according to The Concierge Medicine Research Collective. Today (2015), there are more and more free market healthcare delivery solutions and buy-out options which physicians are evaluating.

While all Concierge Medicine and Direct Primary Care (DPC) practices do share some similarities, they vary widely in their staff employment, structure, payment requirements, insurance participation and form of operation. Both equally impressive and proven business/practice models, they differ in the level of service provided and the demographic using each. Additional characteristics of DPC include (Source: The DPC Journal):

  • DPC is primary and preventative care, urgent care, chronic disease management and wellness support through a monthly care fee patients (or an employer) pay to cover the specific primary care preventative care services.
  • DPC practices are distinguished from other retainer-based care models, such as concierge care, by lower retainer fees, which cover at least a portion of primary care services provided in the DPC practice.
  • Monthly fees at direct practices vary from $25-$85 per month or less. Patients prefer to pay monthly vs. quarterly or annually.
  • DPC patients typically come from the Generation X and Millennial population and earn a combined annual HH income of less than $100k.
  • A DPC health care provider charges a patient a set monthly fee for all primary care services provided in the office, regardless of the number of visits.
  • No insurance plan is involved, although patients may have separate insurance coverage for more costly medical services.
  • Because the insurance “middle man” is removed from the equation, all the overhead associated with claims, coding, claim refiling, write-offs, billing staff, and claims-centric EMR systems disappears.

About the author: Dr. Dino Ramzi