DIRECT PRIMARY CARE Putting Patients & Physicians Back In The - - PowerPoint PPT Presentation

DIRECT PRIMARY CARE

Putting Patients & Physicians Back In The Drivers Seat

Presented by:

Jay Kempton President & CEO The Kempton Group

A NEW TREND IN HEALTHCARE? A NEW WAY OF ACCESSING YOUR DOC... DIRECT PRIMARY CARE

Not Fee For Service.

• Instead of a cost/claim for each individual service, there is a monthly

subscription fee

• This subscription fee covers services in the aggregate--patient care

as a whole, not as a line item

• Fees can range from $50 - $100+ a month (often depending on age) for
• adults. Children are typically covered for less with an adult

subscription

• Not to be confused with concierge medicine which typically charges a

yearly or monthly access fee just to be allowed to see the doc, and then still charges you or your insurance fees per visit/service.

You are a Customer, Not Just a Patient...

• Focused on putting the personal relationship back into patient

care

• Unlimited access to the actual physician, including availability

to their patients outside of traditional office hours (not the nurse, not the PA)

• Access to the physician through email, texting, and cell phone
• Unrushed appointments
• Same day and next day appointment
• Some DPC’s make house calls
• Some DPC’s offer medications at wholesale costs which can be

far less than the Rx co-pay

THE PATIENT EXPERIENCE

Traditional Primary Care

• Your physician works for?

– Their hospital system employer...

• Average Panel 1,500-4,000 patients/

doctor

• 7 minute appointment
• Fees and service defined as ‘office

visit’

• Poor access
• Quotas for referrals for

tests/specialists? – Keeping you in the funnel is their goal

Direct Primary Care

• Your physician works for you and

what you need

• The patient/physician relationship is

restored

• Your health and well being is the top

priority

• Reduced number of total patients
• Appointments last as long as

necessary

• Preventive, acute, and chronic

medical care when you need them, as often as you need them

• 24/7/365 access by technology
• Same day/next day appointments
• Tests and specialists are reduced

DIRECT PRIMARY CARE

Information provided by: Dr. Fatima Jaffrey

WHAT THE EXPERTS SAY DIRECT PRIMARY CARE

Referral Type Qliance* Benchmark Difference Savings ER Visits 73 158

• 53%

$84 Hospital days 155 184

• 16%

$102 Specialist visits 850 2,000

• 58%

$345 Advanced radiology 273 800

• 66%

$1,054 Surgeries 28 124

• 77%

$960 Primary care visits 4,411 1,847 139% ($528) Savings (patient/year) $2,017

QUESTIONS