Can Direct Primary Care be a good benefit for your company and employees?
Benefits for the Employer:
With the Direct Primary Care (DPC) model, the employer pays a monthly membership for his employees to have
access to DPC doctors.
What makes this so great?
· Employers can put together more robust health insurance options that work well with DPC. This can lower the amount of money spent on health insurance and provides the employees and the business with better value for the money spent on benefits with lower out of pocket exposure.
· Employees have easy access to health care with the DPC model. Same day office visits if needed, text, email, video
consultations. All at no cost to the employee and very efficient.
· They don't have to take a long time off from work to see their doctor. In the DPC model, employees can schedule
appointments around their work schedule so that they don't lose revenue from wages etc. This also makes it more likely that an employee will see the doctor and not let something that could have been taken care of easily to escalate.
So, less time off work and lower out of pocket costs for employees when they need convenient access to healthcare.
· Because employees have easy access to primary care, it lowers ER visits and urgent care visits.
· Better access to primary care for employees lowers health care costs for employer groups. This could result in lower
health insurance renewals and save money in the claims pool for self-funded employers.
· Happier, healthier and more productive employees.
· Possibly lower workers compensation insurance premiums at renewals because many minor work injuries could be handled by the DPC doctor and there are no medical claims filed for DPC treatments.
Benefits for the Employee:
With the Direct Primary Care (DPC) model, employees have easy access to their doctor at no cost to them.
What makes this so great?
· Employees have a relationship with their doctors, who knows exactly who they are and what their health history and
· Employees have easy access to their doctors when they need to see or talk to them.
· Employees can be proactive about their health instead of reactive.
· Because this is not a fee for service model, Employees can call, text, email or do a video consultation with their doctor
when they have questions or concerns. This saves everyone a lot of time. Most of the time; someone does not have to go
in to see the doctor to get help. In the fee for service model, the doctor does not get paid if the patient does not go in to
see them, so the doctor can't and won't help the patient unless they go in for an appointment.
· Better access to primary care prevents unnecessary hospitalizations and urgent care visits.
· Employees can have a high deductible health plan, saving them a lot of money on their health insurance premiums.
· Since Employees have full access to primary care with their DPC membership, they keep their insurance for expensive
medical emergencies or illnesses. This way they only pay for insurance that covers what they can't afford to pay and does not use it for inexpensive medical services like primary care.
· Employees’ doctors can get them better pricing on labs, drugs and radiology as needed.
· Employees’ doctors have time to be their advocate should someone develop a serious medical condition and needs to
be hospitalized or undergo treatment.
· Employees can get same day appointments if necessary.
· When an employee goes to see their doctor, they are met by friendly staff in what is in most cases an empty waiting room with almost no waiting time. The employee isn’t questioned about their insurance, they don't have a copay and will not get billed for the consultation.
What are the benefits of the DPC model to the Doctor?
With the Direct Primary Care (DPC) model, the primary care doctors charge a monthly membership fee per patient that are enrolled at their practice.
What makes this so great?
· The doctor has a smaller panel of patients, so they can spend more time with their patients.
· Many chronic conditions can be treated by the DPC doctors instead of referring them out to specialists.
· The doctor has time to develop a real relationship with their patients and be very accessible to their patients.
· Because there are no third parties involved, like insurance carriers, the doctors spend most of their time treating patients. No need for coding or billing and other administrative work.
· The DPC model has much lower overheads so the doctors get to keep a much higher amount collected from memberships. Compare this to the fee for service primary care model which comes in at 26% of money billed that the doctor gets to keep. This way the doctor can keep monthly membership fees low and very reasonable while providing
excellent care and attention to patients.
· DPC doctors are happier with their careers and lives because they spend most of their time doing what they love to do.
· More time with patients means better health outcomes.
It all starts with a conversation. Let's see if this can work for your company and your employees.