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Re:Direct Primary Care by codingdave on Monday January 09, 2017 @12:59PM (#13358217)
Except that if you have a HDHP, your costs towards routine care also go towards your deductible, so if you have emergency care that year, you only get hit with your max out-of-pocket for the year. Instead of paying your max for the year AND whatever your paid directly to your direct pay provider.

So these types of services are a gamble - you come out ahead if you have no emergencies. And come out behind if you do. For a family with kids, I'll pass. If you are young and healthy and do not have kids, and do not do a lot of outdoor activities that risk injuries, this might make more sense.

Re:Direct Primary Care by atlasmd on Monday January 09, 2017 @08:30PM (#13361732)
i've been a direct care doc since 9/2010 and happy to answer any questions.

To answer your questions: yes, we have ins companies that will accept our fees toward your deductible automatically.

As an example, 80% of visits to the ER are for non emergency conditions, yet charge often >$1000. Most of those same things, i can do in the office for little or no additional fee. Stitches are free. labs are $2-3/test.

To (quickly) define the model: $10-100/patient/month for unlimited home/work/office/technology visits, no copays, any procedure we can do in the office is included free, and wholesale savings on medicines, labs, imaging, pathology of up to 95% (yes!)

We can then take all of this value and go back to an employer and help decrease insurance costs by 30-60%.

Re:Direct Primary Care by lotsofpulp on Monday January 09, 2017 @01:16PM (#13358379)
Wouldn't you hit the out of pocket max if you have an emergency? As long as you have that much cash, HDHP makes sense to me.
Re:Direct Primary Care by atlasmd on Monday January 09, 2017 @08:32PM (#13361749)
That is a fair point - any major hospitalization and you're over your deductible anyways. But the insurance statistic is that about 87% of people with a 3k deductible will reach that in a given year and <95% of people with a 5k deductible will reach that in a given year.

Which means, families are paying more than $1000/mo or 12k/year for a risk thats rarely over 5k. Which means they can decrease their insurance coverage, save $500/mo on their premiums, and save more money each year than their increased deductibles would be.

Plus, our direct care models saves them on the majority of care most people need in a year.

i've been a direct care doc since 9/2010 and happy to answer any questions. to (quickly) define the model: $10-100/patient/month for unlimited home/work/office/technology visits, no copays, any procedure we can do in the office is included free, and wholesale savings on medicines, labs, imaging, pathology of up to 95% (yes!)

We can then take all of this value and go back to an employer and help decrease insurance costs by 30-60%.

Re:Direct Primary Care by codingdave on Monday January 09, 2017 @02:24PM (#13358991)
Yes, but direct pay to another doctor doesn't apply towards your out of pocket max - so if you are doing a direct play place, you end up paying your max for your emergency care PLUS anything you paid directly to another provider.