Same day visits. Visits when you need them without copays. Access to the doctor via cell, text, or email. Housecalls and worksite visits at no additional charge. And discounts on medications, labwork, and radiology. This is Direct Primary Care.
Is your business struggling with the rising costs of health insurance? If you're a small business, are you contemplating shifting more of the cost of health insurance to your employees, or even withdrawing a health insurance benefit altogether? Perhaps you've never offered a health benefit to your employees, and can't see how that's even possible in this day of rising premiums. And if you're self-employed, are you exploring options for more affordable healthcare?
CovenantMD is proud to partner with BCF Group in offering health insurance products that pair well with Direct Primary Care. Small, medium, and large businesses can take advantage of CovenantMD's primary care umbrella, paired with insurance products crafted by BCF. Begin the conversation by emailing or calling CovenantMD at 717-287-1983, or email or call BCF Group at 717-560-7730.
How can Direct Primary Care Benefit Employers?
Direct Primary Care, as with CovenantMD, can help your employees avoid office visits and long waits. We can help keep chronic conditions in check to help ensure they don't lose valuable work time and productivity. In Direct Primary Care (DPC), patients contract directly with their doctor (and not third parties like insurance companies) via low monthly fees. This arrangement effectively removes the inefficiency and expense of third party payers. As the fees provide a steady, predictable income for the doctor, he is then able to maintain a low volume of patients in the practice (from 600-800 on average, compared to an average panel of 2500 in the standard model). Thus, lower overhead, and a lower patient panel. The ultimate benefit of DPC, therefore, is to employees, who now enjoy a true medical home: care by a physician that can see them when they need him; the ability to utilize technology to access their doctor via cell-phone, text-messaging, or video conferencing; 24/7 access to their doctor for routine or urgent care; and much longer appointment times, which fosters the development of a relationship with the physician. And no insurance contracts means much lower prices for medications, bloodwork, and radiology. But DPC also offers value to employers, in that they are able to predictably cap the cost of primary care while providing their patients a superior primary care experience. Employers can then offer lower-premium, higher-deductible insurance plans, or craft a wrap-around insurance plan, for the 5-10% of care that is outside of primary care. In essence, insurance would be reserved for what it is meant for: unpredictable catastrophes and high-cost procedures.
DPC saves costs. Here's the evidence!
There is data that Direct Primary Care offers substantial savings to employers. MDVIP was formed in 2000 to assist physicians with transitioning to concierge medicine (a type of direct primary care in which fees are usually more expensive that standard DPC practices). It currently has 700 affiliated physicians around the country. In a retrospective evaluation, MDVIP demonstrated that their patients had: a 79% decline in hospitalizations (for Medicare beneficiaries); a 72% reduction in hospitalizations (ages 35-64); and reductions in the utilization of urgent and emergency care (1). In another review, MDVIP practices demonstrated superior control of their patients’ diabetes (as measured by hemoglobin A1c) and cholesterol (as measured by LDL-C), and had better utilization rates of preventive services like mammograms and colonoscopies (2).
Qliance is a small network of DPC practices in Washington State that contract directly with employers to provide primary care for their workers. They currently provide medical care for such companies as Expedia and Comcast. Qliance has demonstrated substantial savings for employers, versus traditional primary care practices (3):
(Qliance vs. other)
|primary care visits||3,109||1,965||+58%||-$251|
|savings per patient
(after Qliance fees)
|% saved per patient||19.6%|
In summary, direct primary care offers value and quality to workers, while offering substantial savings to employers.
We would be happy to talk further about how CovenantMD can offer primary care value and quality for your business. We are also happy to work with insurance brokers to craft wrap-around insurance products for the 5-10% of healthcare that takes place outside of a primary care doctor’s office. Contact us today!
EMPLOYEES SING THE PRAISES OF DIRECT PRIMARY CARE! (FROM NEXTERA HEALTHCARE, COLORADO)
1) “Personalized Preventive Care Leads to Significant Reductions in Hospital Utilization,” American Journal of Managed Care, December 18, 2012, http://www.ajmc.com/journals/issue/2012/2012-12-vol18-n12/Personalized-Preventive-Care-Leads-to-Significant-Reductions-in-Hospital-Utilization (accessed Nov 17, 2014)
2) “A Personalized Preventive Care Model Versus a Traditional Practice: Comparison of HEDIS Measures,” International Journal of Person Centered Medicine, Vol 2, No 12, 2004, http://www.ijpcm.org/index.php/IJPCM/article/view/305 (accessed May 26, 2015).
3) “New Primary Care Model Delivers 20 Percent Lower Overall Healthcare Costs, Increases Patient Satisfaction, and Delivers Better Care,” PR Newswire, January 15, 2015, http://www.prnewswire.com/news-releases/new-primary-care-model-delivers-20-percent-lower-overall-healthcare-costs-increases-patient-satisfaction-and-delivers-better-care-300021116.html (accessed May 4, 2015).