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Direct Primary Care Explained

Value for You and Your Business!

May 28th 2025

The Barristers Club�

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A Big Thank YOU

LVCPO & Banner Sponsors

Lesavoy Butz & Seitz LLC

and Rust Law LLC

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DPC - High-Quality, Affordable, and Trusted!

Chris Van Buren – How to integrate DPC to you Business Health Plan

Dr. Chaminie Wheeler – Introduction to DPC

Dr. Kimberly Legg Corba – Nuts and Bolts of DPC

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❌ The Problem with Traditional Health Insurance

Even though 92% of Americans had health insurance coverage in 2023:

  • Many employees still can’t afford to access care 
    • high deductibles and out-of-pocket costs
  • Access is limited—long waits, rushed visits, endless testing and referrals, and surprise bills
  • U.S. healthcare quality just dropped to a 24-year low in 2024 (Gallup, 2024)

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Meanwhile, your business costs keep rising (New City Insurance, 2024):

  • 📈 2023: Family premiums rose 7%
  • 📈 2024: Costs jumped 6.4%
  • 📈 2025: Expected to increase another 5.8%

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💸 You’re paying more—while employee care

and satisfaction decline.

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✅ DPC Is the Solution Your Business Needs

DPC is a membership-based model where patients pay a flat monthly fee for unlimited primary care—no insurance, copays, or surprise bills.

Like car insurance, health insurance should cover major events not routine care (Cover accidents but not oil changes).

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With DPC, your employees get:

  • 🕒 Same- or next-day appointments
  • 📞 24/7 direct access to their doctor (phone, text, email)
  • 💊 Medications at wholesale prices
  • 🩺 Discounted labs and imaging
  • ⏱️ Longer visits and a personalized, whole-person approach

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  • All for one low monthly fee—with no copays and no surprise bills.

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💼 What This Means for Your Business

Offer DPC and you'll…

  • ✅ Reduce overall healthcare spending
  • ✅ Lower insurance premiums by using insurance only for major care
  • ✅ Decrease absenteeism
  • ✅ Increase productivity
  • ✅ Boost retention by offering a meaningful, valued benefit
  • ✅ Improve employee health, satisfaction, and loyalty

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📊 Real Results

(Sources: Optimum Direct Care, [Hint Health], [New City Insurance])

DPC grew 241% between 2017–2021

Over 20,000 of the ~465,000 U.S. primary care physicians now use the DPC model

DPC practices often serve fewer patients (400–600) compared to traditional practices (2,500 average)—resulting in more personalized care

4,000+ employers today offer DPC as an employee benefit

91% of adults aged 25–34 and 85% of parents would choose DPC if offered through their employer (Hint Health Survey)

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📊 Real Results

DPC can lower down-stream health care costs through “improved patient outcomes and better management of chronic diseases such as obesity, hypertension, and diabetes…” https://bit.ly/4jm5Nf8

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📊 Real Results

“…DPC practices have reported reductions in per member per month (PMPM) spending across all major categories of total care costs. These savings encompass decreased (ER) visits, reduced inpatient expenses, lowered PMPM costs, and decreased home health and ambulance expenditures…” https://bit.ly/4juEAac

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✅What doesn’t DPC provide?

The Direct Primary Care subscription-based model does not replace the need for a comprehensive (“wrap around”) health insurance policy for medical needs or services that fall outside the scope of primary care.

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✅In Summary:�

Attention

ATTENTION-Prolonged visits: 30-60 minutes, longer if necessary to provide coordinated and comprehensive care/multiple issues addressed in a single visit.

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ACCESS – Same day/next day acute visits and after-hours direct access to the DPC physician, unrestricted visits.

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AFFORDABILITY – periodic membership fee for a defined list of discounted/value-based primary care services can be compatible to copays.

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🌟 DPC Is a Win-Win

✔ Better care for your employees�

✔ Lower cost for your business�

✔ A benefit that stands out in a competitive job market

Let’s build a healthier, more cost-effective future—together!

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Two Key Reasons Employers Consider Direct Primary Care

Benefit the Plan:�• Lower healthcare claims cost�• Improved financial performance (self-funded, level-funded, experience-rated)

Benefit the People:�• Enhanced employee healthcare experience�• Personalized physician relationship�• Improved accessibility (app, text, phone, in-person)�• Generally zero cost for visits

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How DPC Benefits the Health Plan

  • Reduces claims costs through proactive care
  • Lots of care in lower cost setting (e.g. decreases ER and urgent care visits)
  • Better chronic disease management
  • Predictable monthly membership fees

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Ways to Integrate DPC into Benefit Plans

  • Very Simple (No insurance): Employer directly pays DPC membership
  • Simple (ICHRA): DPC + pre-tax dollars via Individual Coverage HRA
  • Moderately Simple: Group health insurance + DPC membership
  • Complex: Self-funded plan with optional DPC enrollment
  • More Complex: Self-funded, tiered benefits (lower costs if using DPC-directed care)
  • Most Complex: Mandatory DPC enrollment for all employees

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🌟 Implementation and Next Steps

✔ Connect with local DPC physicians�

✔ Engage a knowledgeable benefits advisor�

✔ Review current health plan structure and explore DPC integration options

We're here to help—reach out to discuss further!