News, DPC Business Insight, Patient & Physician Edu. | t: (770) 455-1650 | editor@directprimarycare.com

Q: What services should we include in the subscription fee?

DP Journal .EDU | SHOP

The DocPreneur Institute, an educational industry resource -- offers a wide-array of mp3's, recommended reading guides, professional access to DPC industry mentors and coaches and more ... without a sales pitch from a consultancy. Click here to learn more ...

New Book! Avail Oct 1st

Atlanta | Oct. 27-28 2017

Join Physicians from around the US to learn about free market healthcare delivery models and more ... ATLANTA, GA | OCT 27-28, 2017

Insights | Analysis | 2017-’18

Book Your Hotel | Atlanta

Join Physicians from around the US to learn about free market healthcare delivery models and more ... ATLANTA, GA | OCT 27-28, 2017

DPC EDU. Resources

Join 2,620 other followers

Our Podcast | Learn | Edu.

Click here to listen to DPC Podcast, Innovations in the Delivery of Medicine and More Interviews ...

Books, Resources, Shop

slide8Q: What services should we include in the subscription fee?

By The National Advisory Board; February 9, 2015 by William Hudec and Cassie Dormond

According to the guidelines of the Affordable Care Act, direct primary care constitutes compliant insurance coverage, but it must be bundled with “wraparound” catastrophic medical policy for emergencies. Depending on the model, subscription fees may cover most primary care procedures, from physicals and EKGs to strep tests and stitches, but medical groups should clearly articulate what services are and are not included within its concierge offering.

RELATED STORY

CMT: The Pricing Conundrum — Figuring Out the Best Strategy For Your Practice

Are you considering concierge medicine for your medical group? Do you have other concerns or operational hurdles you need to overcome?

Source: The National Advisory Board; February 9, 2015 by William Hudec and Cassie Dormond

Advertisements

Categorised in: Business, Direct Care Doctors, DPC News, FAQs

4 Responses »

  1. Can you please share how you know “According to the guidelines of the Affordable Care Act, direct primary care constitutes compliant insurance coverage” I haven’t seen this anywhere. Did the government rule on DPC’s? The high deductible “wraparound” policy is about all the ACA is offering anymore, but DPC’s aren’t usually included in this, as we not considered insurance of any kind (and this is a super important distinction, as we don’t want to have to worry about governance by the insurance commission and it’s ugly laws). I know that the IRS has allowed DPC fees/membership dues to be included in HSA’s which is wonderful.

    DPC pairs wonderfully well with these high deductible policies, as it helps people get the actual care they need for significantly less than their high deductible.

    • Direct Primary Care does not constitute compliant insurance coverage, and there is no such guideline in the Affordable Care Act. Section 1301, the amendment within the ACA that houses the DPC model, only states that DPC Medical Homes can compete on exchanges when paired with a catastrophic wrap plan.

      To my knowledge, the IRS has not yet ruled on whether DPC fees can be applied to HSAs.

  2. I wasn’t aware DPC membership fees were an allowable/reimbursable expense under HSAs, yet.

  3. I thought I had seen that ruling by the IRS on one of these articles. I know the State of Missouri and the State of Kansas have legislation on their agendas right now to consider these ideas. It’s about time.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: