Staying Independent...Together

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   RE: Direct Primary Care
 From: Michael Barron
 To: Member Forum
 Posted: 11-22-2017 09:58

That is a very interesting question.  Essentially you are taking on risk without data to know where to set the payments which would both moderate your risk and provide something affordable to your prospective patients.  If you set it too low, you lose money by provide services for free.  And if you set it too high, you lose business because the number of patients will be low.  This is what actuaries do for health plans.

I think most of the DPC community as tried to err on the side of making the prices high enough to insure they don't lose too much money and go crazy/bankrupt.  There are several ways to do this:
1) co-pays with each visit
2) separate changes for items like phone calls, filling out forms
3) pricing based on risk, eg the older you are the more you pay

Good luck and keep up posted with how it goes.

Michael Barron MD

------Original Message------


With the current ACA enrollment period in process and the significant rate hikes that patients are experiencing, we have decided to offer our uninsured patients DPC. Would anyone be willing to share how they structure this in a way that is beneficial for patients without the practice loosing their shirt? I know there will be 'super-users' but also those that really don't abuse the service.

Thank you!

Tracy Baum
Mountain Sage Family Clinic
Dubois, WY

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