Contents tagged with DPC
By Kissi Blackwell, MD
Recent events have shed light on the existing difficulties facing family physicians and have revealed the fragility of the current healthcare system. The SARS-CoV-2 pandemic has devastated our health care delivery process, and many family physicians are facing the difficult decision to close their doors or contend with salary reductions due to sharply decreased face-to-face visits. Now, more than ever, patients are valuing visits that can take place outside of the exam room, and, unfortunately, reimbursement has been severely lacking for virtual visits for traditional fee-for-service practices.
In the midst of all this uncertainty, there has been an inherent need to shift the way we approach primary care delivery and payment. In a time where we stand to lose thousands of primary care physicians to financial difficulties or retirement forced upon them by the current situation, we owe it to our profession to find a better way.more
By Jonathan Nelson
Direct primary care practices are cropping up across the country as physicians grow more frustrated by administrative burdens inherent in a fee-for-service third-party insurance market. But some regulatory obstacles block many people from joining DPC practices. The Direct Primary Care Coalition — of which TAFP is a steering committee member — has called on physicians to ask their representatives in Washington D.C. to sign on to federal legislation that would remove those obstacles.
In DPC practices, physicians charge patients a monthly, quarterly, or annual fee — like a retainer or membership fee — that covers a broad set of primary care services and patients typically enjoy greatly enhanced access to their physician. IRS rules interpret these DPC payments to be like paying premiums for health insurance rather than just a different way to purchase a set of services. Even though Texas and 17 other states have passed laws defining DPC arrangements to be outside of state insurance regulation, the IRS interpretation bars individuals with health savings accounts paired with high-deductible health plans from using their HSA funds to pay DPC fees.more