Plum Health Blog
Direct Primary Care Doctor in Detroit with Concierge Service
Direct Primary Care Doctor in Detroit with Concierge Service
Over the weekend, I made a house call to Ford Field.
Most of our house calls are to help regular Detroiters with the type of affordable and accessible health care services that we are known for at Plum Health.
If you don’t know about our direct primary care service, we offer excellent medical services at a monthly membership. We have an in-house pharmacy and we dispense medications, we offer a wide variety of procedures (biopsies, pap smears, toe nail removal, BOTOX), and we are able to draw labs and have the lab results back for our patients next day.
Most people use our Plum Health service because we can cut out the middle man and deliver a seamless primary care experience for an affordable price.
Every once in a while, we help a visiting executive, athlete, artist, or performer who needs our medical care and attention.
We have taken care of CEOs who require PCR testing with a rapid turnaround, we have taken care of artists who are visiting and who need help before an important gallery opening, and we’ve taken care of performers who need treatment before their big show here in Detroit.
These VIPs use our Plum Health service because we have the time in our schedule to accommodate their needs, we bring our medical care to them, and we give them a seamless experience without hassles. They might call it concierge medicine, but we prefer Direct Primary Care!
Happy Thanksgiving and thank you for considering Plum Health DPC for your health care needs!
-Dr. Paul Thomas with Plum Health DPC
Dr. Paul Thomas Talks Direct Primary Care on the Powers Report Podcast
This week, Dr. Paul Thomas was featured on the Powers Report Podcast. In the podcast Dr. Thomas and Janis Powers talk about the pros and cons of Direct Primary Care.
Janis Powers talks in depth with one of direct primary care’s (DPC) most committed practitioners, Dr. Paul Thomas of Plum Health DPC. In this episode, Dr. Thomas gives some great examples of the benefits of DPC, describing his in-depth relationships with patients. Powers also probes some of the challenges of scaling DPC, given the exclusivity of both insurance and provider networks in America.
In our opinion, Direct Primary Care solves so many challenges in the primary care system. Direct primary care addresses long wait times to see the doctor and the inflated cost of care.
Direct primary care is different than concierge medicine. Direct primary care is a monthly membership for health care and it usually costs about $50 to $89 monthly. With DPC, patients are not required to carry insurance, although most members have some form of insurance coverage. Concierge Medicine is billed annually and usually costs $2,400 per year. Concierge doctors require a premium health insurance coverage to expedite referrals and minimize prior authorization requests. In the past, our blog has covered this in depth, here.
In the podcast, we discuss how we’re able to save our patients 50% to 90% on medications, lab work, and imaging services. We buy medications at wholesale and pass on the cost savings to our patients, we draw blood at cost and pass on the savings to our patients, and we have found local imaging centers with very affordable cash-pay rates for services. This cost savings can make a big impact on folks with a limited income and limited access to high quality health care resources. We were recently featured on Channel 7 Action News about how we save money on prescription meds.
Thanks for reading and listening, and have a great day,
-Dr. Paul Thomas with Plum Health DPC
Direct Primary Care versus Concierge Medicine
The phrases Direct Primary Care and Concierge Medicine are sometimes used interchangeably, but they are distinct entities.
The Concierge Medicine movement began around the year 2000 with doctors charging an access fee for their services while still billing insurance companies. The average membership cost for Concierge Medicine is roughly $2,000/year and up to $15,000/year.
Contrast that with Direct Primary Care or DPC. The DPC movement began around 2010 with doctors like Garrison Bliss in Seattle and Josh Umbehr in Wichita among others. Memberships cost roughly $10 - $100/month. There is an emphasis in DPC on a monthly membership structure - members are not locked in for a 1 year commitment.
In Concierge Medicine, the membership costs allows for access. Because the membership cost is relatively high, these types of practices attract the top 1% - 5% income earners. These high income earners are relatively price insensitive, so they are not as concerned about saving money on medications, labs or imaging. These patients are willing to pay for these ancillary services via their insurance even though the price may be inflated.
In Direct Primary Care, the membership includes more services. DPC doctors typically don't charge per visit fees and they try to move away from fee-for-service type transactions. Many ancillary services are included in DPC memberships, like EKGs, Spirometry, Wart Removal, etc... In addition, DPC docs get their patients wholesale medications, at-cost labs, and at-cost imaging services.
Concierge Medicine clinics attract members via programs like "Executive Physicals" or "Executive Health". These are tailored to high-income earners like people in the "C-Suite", aka CEOs, COOs, an CFOs.
Direct Primary Care doctors focus on health maintenance, wellness, and the bread and butter primary care services like preventive health, screening tests, chronic disease management, and acute care needs.
Concierge Medicine practices often mandate that you carry a high-end insurance policy - these practices often bill their patients' insurance companies for routine visits or services.
Direct Primary Care doctors do not bill insurance companies for the services they provide. That means that DPC doctors can take care of patients across a wide spectrum of coverage. For example, if you are uninsured, underinsured, or fully insured, you can be seen at Plum Health DPC. This is true for most DPC clinics.
I put together a short video to emphasize some of these differences. The audio got a little out of sync near the end, so I'm sorry about that! I'll try to re-shoot it later this week!
- Dr. Paul with Plum Health
One last thing, if you’re a Primary Care Doctor or Allied Health Professional that is looking to Start and Grow a Direct Primary Care practice, check out our sister site www.StartUpDPC.com. You’ll find more information and in-depth courses on building the Direct Primary Care practice of your dreams.