• Halle Tecco, Faraan Owais Rahim, Pooja Lalwani, and Sandeep Palakodeti.
• Columbia Business School, New York, NY, USA.
• J Gen Intern Med. 2024 Sep 25.

AbstractAs the United States faces a looming shortage of primary care physicians and escalating rates of clinician burnout, there is a pressing need to explore alternative models of primary care delivery. Direct Primary Care (DPC) is an emerging primary care model in which patients enroll in a membership plan and make direct monthly or yearly payments to a DPC practice for specific primary care services. Although DPC holds the potential to enhance patient care and mitigate clinician burnout, no published studies provide a financial analysis of DPC practices or compare them to traditional fee-for-service (FFS) primary care models. In this article, we present an evidence-based analysis of theoretical DPC and FFS primary care practices. We demonstrate that the DPC practice can yield upwards of $25,000 in annual cost savings over the FFS practice while also providing more personalized patient care. Thus, we argue that the cost-effectiveness and value-based approach of DPC positions the model as a transformative force in reshaping the American healthcare landscape towards a more patient-centric, accessible, and resilient future.© 2024. The Author(s), under exclusive licence to Society of General Internal Medicine.

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