• The Complexities and Hurdles of Integrating DPC into Health Plans

  • Apr 16 2024
  • Length: 19 mins
  • Podcast

The Complexities and Hurdles of Integrating DPC into Health Plans  By  cover art

The Complexities and Hurdles of Integrating DPC into Health Plans

  • Summary

  • In episode 19 of The Healthcare Hangover, David Contorno and Emma Fox delve into the complexities of the healthcare system, touching on issues such as access to care, the influence of lobbyists, and the future of healthcare entities.

    Tune in as they explore the challenges and nuances of the healthcare industry.

    TIMESTAMPS

    [00:01:25] Disappointing Experience with Direct Primary Care (DPC).

    [00:06:55] DPC Values and Healthcare Choices.

    [00:07:58] DPC in Health Plans.

    [00:13:33] Our Healthcare System's Financial Incentives.

    [00:16:39] Influence of Pharmaceutical Lobbying.

    In this episode, David Contorno and Emma Fox discuss the importance of strategically integrating Direct Primary Care (DPC) into health plans to maximize its benefits and avoid diluting its value. They highlight the need to carefully assess DPC providers before including them in health plans to ensure alignment with the values and needs of the employees or members.

    Furthermore, David and Emma underscore the complex interplay of financial interests, lobbying power, and resistance to change that continue to impede efforts to improve the healthcare system in the U.S. Addressing these challenges will require a concerted effort to prioritize the well-being of individuals over financial gains and to advocate for reforms that prioritize preventive care, transparency, and patient-centered approaches.

    QUOTES

    • "I think having a deeper relationship means that it gets a little more personal. I think it's okay to ask those things. So we try and get a broad spectrum of DPCs in the plans, at least as broad as we can so that people can find the one that they're most comfortable with." - David Contorno
    • "I think a lot of people think that DPC is really for individuals or small groups. But there are ways, especially when you're assessing the tolerance of the group that you're representing and the DPC's value proposition, that you can marry those together with what looks like a traditional health plan. but provides this direct care component right up front. And I would say those are our most successful plans." - Emma Fox
    • "For those of you that don't know, when you go to a DPC doctor, you never pay a copay, you never pay deductible, you never pay coinsurance. It doesn't matter if it's preventive or diagnostic. So there's zero barriers. There's no time barrier. There's no 3,000 other patient barrier, and there's no cost barrier to getting primary care. And one of the things that we've lost sight of is that primary care is called primary care because it's where we are supposed to go primarily." - David Contorno

    SOCIAL MEDIA LINKS

    David Contorno

    LinkedIn: https://www.linkedin.com/in/dcontorno/

    Emma Fox

    LinkedIn: https://www.linkedin.com/in/emmamariefox/

    WEBSITE

    E-Powered Benefits: https://www.epoweredbenefits.com/

    Emma Fox: https://emmamariefox.com/

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