Thinking About Starting a Direct Patient Care Practice?

The Manual of Policies and Procedures for Direct Primary Care may be all you need to get back to practicing medicine by really connecting with your patients.

I recently wrote about the benefits to physicians and patients of a direct patient care practice.  If you’re not familiar with that concept, it generally means opting out of all insurance, and charging a fixed monthly fee for “all you need” care from the practice.

The idea of setting up a direct patient care (“DPC”) practice is probably appealing to many physicians. But, as you can imagine, the administrative aspects of setting up a medical practice can be very daunting. For  a physician thinking about taking the plunge, a great deal of angst is natural. Do you hire consultants to set up appropriate policies for HIPAA, OSHA, CLIA, etc. or do you rely solely on a physicians’ lawyer to handle these aspects? Where do you even start? How do you know if you’ve covered everything?

Plenty of physicians have done it, so you know it is possible. Still, wouldn’t it be nice if somebody came up with a road map, including samples of policies for employees and all the regulatory issues? As you may have guessed, that was a rhetorical question.

Kim Corba, D.O. has set up her own DPC practice in the Lehigh Valley, and has been an active contributor to many forums about DPC practices.  She has (with a little help from yours truly) developed what she believes is a comprehensive manual containing all the policies and forms used in her DPC practice. She even has marketing materials included. I can’t imagine the time she spent pulling together all these materials!

Luckily for anybody who wants to set up a DPC practice (or is thinking about setting up a DPC practice), Dr. Corba has made this manual available to physicians. I would encourage anybody who thinks they might be interested in setting up a DPC practice to seriously consider purchasing the manual. It’s even possible to purchase individual chapters, if you have started down the road but don’t have everything complete yet (or would like some reassurance that your forms and policies are complete).

Please look at the manual of policies and procedures for direct patient care. It may be all you need to get away from being employed by the (not so friendly) local health conglomerate, and get back to practicing medicine through really connecting with your patients.

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Dennis Hursh

Dennis Hursh

Dennis Hursh has been providing healthcare legal services in Pennsylvania since 1982. Since 1992, he has been a physician's lawyer serving as Managing Partner of Physician Agreements Health Law, the first law firm in the country to focus exclusively on physician employment agreements. Dennis has devoted his life to serving physicians and medical practices. He is the author of the definitive book on physician contracts "The Final Hurdle - a Physician's Guide to Negotiating a Fair Employment Agreement, and a frequent lecturer on physician employment agreements.

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Physician Prosperity Program

How It Works

After purchasing the physician contract review, you will receive an email asking you to transmit the agreement and any concerns you have to me. Many physicians do this by email, but I will be available by phone, too. In three business days from the time you purchase the Physician Prosperity Program® and transmit the draft physician employment agreement along with any concerns you have about the agreement and the information I will need to perform the MGMA analysis, you will receive a detailed physician contract review letter from me.

After you receive my physician contract review letter, you will have the opportunity to discuss it with me, to make sure all of your concerns were met, and to correct any factual inaccuracies, or to point out things that were verbally promised but didn’t make it into the physician employment agreement. These discussions, and revisions of the letter following these discussions, are included in the initial fixed fee.

Once you are completely comfortable with the physician contract review letter, you transmit the letter to your potential employer.