decisionhealth Newsletters, Part B News - 2023 Issue 11 (November)
Direct primary care remains a slow build, but big players are interested
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Article Overview
This article examines direct primary care as a subscription-based primary care model and discusses why interest remains strong even as adoption data are limited. It is relevant to primary care physicians, health system leaders, payer policy readers, and health technology vendors who want a broad view of market trends, physician sentiment, operational barriers, and federal demonstrations that reflect similar care-delivery concepts. The article also touches on practice-level experiences and the role of larger companies in supporting or emulating the model.
Why This Topic Matters
Direct primary care is increasingly discussed as a response to administrative burden, patient access concerns, and physician burnout. Understanding where the model is gaining attention, and how related federal and health system programs are evolving, helps readers evaluate strategic direction in primary care delivery.
Article Sections
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Direct primary care interest and adoption
Introduces the direct primary care model and summarizes physician and market interest in membership-based primary care. It also notes the limited visibility into how widely the model has spread.
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Business considerations and practice economics
Discusses operational themes for independent practices, including subscription-model challenges, patient retention, and the economics of primary care within different business settings.
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The feds step in
Covers federal and large-scale payer interest in care models that reflect parts of direct primary care. It references CMS demonstrations, care delivery experiments, and related policy direction.
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Be your own boss
Profiles an independent direct primary care practice and describes how one physician manages scope, patient flow, and practice autonomy.
What You Will Learn
- How direct primary care is described as a patient-pay or subscription-based primary care model
- Why physician and patient interest in membership-based primary care remains strong
- What broad business and operational issues affect independent direct primary care practices
- How large organizations and federal programs are incorporating similar primary care concepts
- What a small independent direct primary care practice may look like in day-to-day operation
Who Should Read This
- Primary care physicians
- Practice managers
- Health system executives
- Health policy analysts
- Health technology vendors
- Payer strategy teams
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