Direct Primary Care, Roger Stanmore

Health law has apparently “inspired” concierge medicine to access new markets, namely primary care physicians via direct primary care.

According to recent news, there’s been a firm rise in primary care doctors opting to select “health care for billionaires” as a career option. Primary care physicians named frustrations with insurance requirements and federal health law companies as the reason they’re stepping away from Medicaid, Medicare, and middle-income populations.

The direct primary care mimics “concierge” practices, which increased in popularity over the last two decades. The particular law that sparked discontent is the 2010 health law requiring that most patients have insurance. That discontent is paired with an apparent desire to give more care that’s more convenient for them, which has drawn physicians away from traditional practices. There are now more than 400 group practices, while there just a handful existed prior to 2010. Many regard the law as an “open-for-business’ sign for direct primary care industry’s, leading doctors to join this movement.

The American College of Physicians has encouraged doctors to consider how poorer patients may be affected by the individualized work while direct primary care doctors insist that they see patient across incomes. Advocates are popping up. all over the United States.

New Jersey state employees, such as teachers and firefighters, will participate in a pilot plan that will utilize direct primary care, allowing participants to select a primary care physician as well as a primary care-style, granting around-the-clock access to primary and preventative care services. Aetna and Horizon will administer the plan, making it available to the 800,000 eligible residents.

There’s a lot to be said about health care, health insurance and the network of doctors, primary care physicians, and specialists that work within that realm. Many of these doctors are resistant to standing practices because they feel the current policies place hours of troublesome insurance paperwork in the path of health advocacy. They also feel that this leads to additional cost spent on overhead, leading to increased costs. In the mind of many, the cost of comprehensive primary care and basic medication made available through direct primary care is far less expensive than the use of insurance.

Nonetheless, while participants will benefit from same-day appointments for non-emergency visits, the direct care model isn’t perfect. It’s still in development, individualized care may be too expensive for many patients, and there will be challenges when attempting to integrate direct care into existing payment systems. Additionally, Medicaid and Medicare deadlines will likely deter physicians. Direct primary care and concierge medicine differ from the urgent care model, where patient receive expedient, affordable care in a center equipped with updated medical tech. Check out additional information on the matter.