#DPC Direct Primary Care in Madison, Wi

Direct primary care
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This article is part of a series on
Healthcare reform in the
United States of America

In the United States, direct primary care (DPC) is a type of primary care billing and payment arrangement made between patients and providers, without sending claims to insurance providers. It is an umbrella term, incorporating various health care delivery systems that involve direct financial relationships between patients and health care providers.
Background
Direct primary care has been promoted by certain groups of physicians as a means for patients to save money on their primary care services, as well as other ancillary-performed services such as laboratory testing, etc. Often, there are no insurance co-pays, deductibles or co-insurance fees thus avoiding the overhead and complexity of maintaining relationships with insurers.

Under this model, patients may pay a combination of visit fees and/or fixed monthly fees which grant them access to a set of medical services, including same and next-day appointments, which may take the form of office visits and/or house calls. The California Health Care Foundation completed the first overview of Direct Primary Care.

Typically a direct primary care arrangement is paired with either:

A high-deductible health plan, as DPC alone will not cover catastrophic health care such as most surgeries. A health savings account, or health reimbursement account as the associated tax-benefits can generally be applied to DPC and other medical expenses.
One of the lesser known provisions of the Patient Protection and Affordable Care Act can be found in Section 1301 (and amendment Section 10104). This provision allows for direct primary care to compete with traditional health insurance options in the mandated Health insurance exchange when combined with a low cost high deductible plan.

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