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Recently our own Kelly Madison moderated a panel for the Southern Idaho Compensation and Benefits Association ( to discuss with local employers Direct Primary Care (DPC) sometimes called Concierge Medicine.

Panel Participants included:

Andrea Axtell, MD, Alliance Concierge Care

Richard Johnson, COO of Pingman Tools

Dr. Mark Grajcar, Assured Direct Care

Direct Primary Care – What is it?

Direct Primary Care (DPC) is a relatively new concept in health care that is gaining traction in the Treasure Valley. DPC restores the time-honored patient-physician relationship. Physicians spend more time with each patient, communicate directly with their patients, and may offer weekend appointments. The patient or employer pays an annual fee to the doctor in return for more personalized care, typically combining much of the primary care services into one affordable, flat-fee package. DPC is not a substitute for health insurance, but rather a complement to major medical plans, particularly HSAs. It can lower utilization costs in an employer medical plan, while providing comprehensive and personalized healthcare to the employee. 

The DPC model gives family physicians an alternative to fee-for-service insurance billing, they typically charge a monthly fee (retainer) that covers all or most of the patient’s primary care services including clinical, laboratory, and consultative services… some even offer prescriptions “in-house”. The DPC doctor typically does not bill insurance saving significant time and money spent on those administrative costs.

“I have been working with several DPC docs in the valley regarding their services to employer groups. I am also utilizing this model on a personal basis and have been extremely happy with the concept and my provider, Dr. Andrea Axtell. (Her website, as well as other local DPC docs are listed at the bottom.)  I can email or text her with a medical question or concern, or if I call, she picks up the phone. If we need a weekend appointment, or even a house-call, she can accommodate… With the HSAs plan I pay all costs below my high deductible (except for wellness visits). If she recommends a test she can’t perform in her office, she has typically negotiated steep discounts for imaging and diagnostic tests, far below the discounts most insurance companies provide. For example, one test suggested would have been $800+ through the normal channels, but with her referral it was $150, so we saved more than $650 with this one incident! And I still have the option of submitting the claim to my insurance carrier and applying it toward the deductible."

Below are a few excerpts from news stories with a link to the original article if you want to do a deep dive – or give us a call to discuss!

Everyone Should Have a Concierge Doctor

Forbes – Aug 2014

Have you ever wondered why you doctor doesn’t talk to you by phone? Lawyers, accountants, engineers and just about every other professional you can think of discovered that phones are a handy way of communicating with clients almost a century ago. More recently, they turned to email. Why haven’t doctors made these discoveries?

One exception to this rule is what is sometimes called “concierge medicine” or “direct care.” This is practiced by doctors who step outside the traditional health insurance system. In most cases, they give their patients same day or next day service. They talk to their patients by phone and email. If their patients have to go to the emergency room, they are likely to meet them there. They serve as agents for their patients in dealing with the rest of the system: ordering tests, getting appointments with specialists, etc.

Heritage Foundation scholar (this link is long but worth the read if interested) Daniel McCorry Daniel McCorry has produced an excellent summary of what researchers know about concierge medicine. 

The economic savings are so great that concierge medicine arguably more than pays for itself… Full Article here:

Want More Time with Your Doctor? Hire one for $70 or less a month.

Idaho Statesman March 15, 2016

Your health should not depend on your ability to game out the risk of waiting to see a doctor, hoping the $150 you save today won’t set you up for a $15,000 hospital bill in a week.

But for many in Idaho — even those with health insurance — taking such risks is reality. And that is prompting patients and doctors to get creative about making basic medical care affordable… Full article here:

Direct primary care, a no-insurance healthcare model - Business Insider

Mar 19, 2017 - It's called direct primary care, and it works like this: Instead of accepting insurance for routine visits and drugs, these practices charge a monthly membership fee that covers most of what the average patient needs, including visits and drugs at much lower prices.

With Direct Primary Care, It's Just Doctor and Patient - WSJ

Feb 27, 2017 - Dr. Meyer is part of a small but growing cadre of doctors practicing “direct primary care,” which bypasses insurance and charges patients a monthly membership fee that covers everything from office visits to basic lab tests.

Local Doctors practicing DPC in Treasure Valley:


Dr. Andrea Axtell (this is my personal doctor – Kelly M.)

Dr. Mark Garjcar

Dr. Julie Gunther

Shandro Group, Inc., (The) BBB Business Review