September 2016

Revolutionize health insurance, save states billions and render Obamacare obsolete – that’s the message from the 2016 Direct Primary Care Summit.

Under a DPC model, patients pay a monthly membership fee directly to a physician in exchange for preventive care services, consultation by e-mail or phone and in-office procedures and diagnostics. Estimates range from $50 to $125 pending several factors, i.e. services, geography, etc. Contracts are between patients and insurers. Members will need to purchase “wraparound” insurance to cover non-primary medical needs. (EBA believes this will be most effective inside the employer market where buying power and health advocacy can be leveraged.)

It’ll be interesting to see how the government reacts to DPC. The DPC proponents are touting it as an avenue for physician’s being able to afford to opt out as a Medicare provider. Doctors reduce their overhead 20 to 40 percent with reduced paperwork, compliance and staff needs.

(Summit hosts are the American Academy of Family Physicians (AAFP), the Family Medicine Education Consortium, and the American College of Osteopathic Family Physicians.)

Employee Benefit Advisors provides employee benefits, tax-advantaged healthcare, compliance guidance for ACA and Health & Welfare DOL Audits, and PEO Advisory & Consulting Services. We can customize a wellness plan for your budget and culture.