Direct Primary Care and Concierge Practice

  • James O. BreenEmail author


In the United States, primary care has been undermined by a delivery and payment model that leads to decreased accessibility and cost-effectiveness, as well as increased administrative complexity and overhead. Patient and physician dissatisfaction with the third-party payer-dependent model has led to the emergence of concierge and direct primary care practices, which shift practices’ financial dependence from third parties to the patients themselves. By sidestepping administrative and financial burdens of third-party contracting, direct pay practices instead have focused their efforts on streamlining and reinventing the patient experience by enhancing access and continuity, with particular benefits for patients with chronic health conditions.


Direct primary care (DPC) Direct care Concierge medicine Private medicine Micropractice Insurance-free medicine Alternative payment models Chronic disease management Quality Physician workforce 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Moses H. Cone Memorial Hospital, Department of Family MedicineUniversity of North Carolina at Chapel HillGreensboroUSA

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