Tag: dpc difference

WBUR Interview with Martha Bebinger

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Thank you Katie Couric for the photobomb

 

Thank you to Martha Bebinger from WBUR for interviewing me and publishing this great piece today on Gold Direct Care and how Direct Primary Care in general can work to improve the healthcare system as a whole. Also thank you to Mr. Bird who agreed to be interviewed that day while he was here. To reinforce why I feel the arguments against Direct Primary Care presented in the article today are weak at best:

 

1. DPC worsens the primary care shortage:

I ask these questions in response. What is the current system doing to fix it? Bogging down primary care doctors with more paperwork and more patients to see a day? “Value-base payments” that are based on how complex a physician “codes” their patient and visits rather than how complex the patient actually is as a human being?

By making primary care attractive to medical students from a professional and financial standpoint- including the ones I teach from Tufts Medical School- we can further supply this system with high quality, passionate students that want to do primary care for the right reason which is caring for patients. Most medical students graduate with around 150,000-250,000 dollars worth of debt. It is very challenging to offer them primary care as it currently is and currently pays. So lets fix that with Direct Primary Care.

 

2. DPC is “insurance”:

Without getting into legalities, the Affordable Care Act states in Section 1301 (a) (3) that Direct Primary Care combined with a catastrophic or high deductible insurance plan qualifies a patient as meeting the ACA standards of full “insurance”.  However, having DPC alone would result in the patient paying the Obamacare fine. Therefore, it seems clear that DPC alone is not “insurance” or an “insurance-type product”.  If you are interested in reading about this further please read this article by Dave Chase from Forbes. Mr. Chase is a great proponent of Direct Primary Care and very knowledgable on the topic.

Forbes Article on DPC Regulation by Dave Chase

What Makes a DPC Office Special?

One of the key differences between a conventional insurance-based primary care practice and a Direct Primary Care practice is the overall structure of the office space. (see the latest update on new location)

When you first walk in, you’ll immediately notice a difference:

  • Instead of a large waiting area, we will have a cozy “lounge” area. I do not call it a waiting room because patients will not actually WAIT to see me or my nurse Meghann.
  • There will not be a crowded waiting room with contagious patients. There will be no front desk staff of 5-10 employees. Instead, patients who enter the door will be greeted by Meghann at the reception desk, checked in without the need to verify “insurance”, and brought back into an exam room.

The exam rooms are different, too:

  • The exam room as well as the rest of the space will be a warm, homey environ with lots of soft colors and natural light so patients feel relaxed.
  • The space will be sterile and immaculate without feeling like a a cold and impersonal conventional office.

Your visit with me will be thorough and personalized:

  • Instead of visits that last 15 minute or less, patients will be in the exam room or my office for no less than 30 minutes (or even more if needed).
  • There are no rushed visits with patients being filed in and out of exam rooms.
  • There will be no computers or kiosks in the exam room. Attention will be given to the conversation being had with the patient. Laptops may be brought in on occasion to demonstrate medical education or show anatomical pictures, but never at the expense of patient-physician interaction.

The whole focus of a DPC office is to make our patients feel relaxed and comfortable, whether they are there for a routine checkup or a sick visit.

We want our office to feel like our patients’ true medical home!