Direct Payments from Employer to Physician
Direct Pay Health Care uses a first-party payer model that increases professional fees, accelerates payment, and eliminates transactional friction.
The Direct Pay Health Care framework provides independent physicians with complete technical support to participating in the direct pay model and leverages a national network of Clinically aware health care benefits consultants, connecting physicians with employers to build direct-pay patient panels and drive direct-pay patient volume.
The Direct Pay Health Care framework creates exceptional direct-pay opportunities for primary care physicians, specialists, and surgeons.
Click on an option to request a no-obligation consultation to learn more.
Get experienced technical support to add a Direct Primary Care (DPC) practice to your existing fee-for-service practice without giving up the security of the traditional practice model. Add a new, lucrative, direct-pay revenue stream with less stress and increased patient consultation time and without the bureaucracy and transactional friction of government or insurance companies. Greatly improve profitability with two-thirds less cost to service DPC revenue.
Whether you handle the DPC patients or assign a junior member of your practice, a DPC component in your practice helps diversify your practice and increase profitability. Proven marketing support from progressive health care benefit delivers patient volume from local employers.
Get experienced technical support to add Direct Pay Surgical Bundles practice to your existing fee-for-service practice. Add a new, lucrative, direct-pay revenue stream without the bureaucracy and transactional friction of government or insurance companies. Direct Pay Surgical Bundles help diversify your revenue and can generate 150% to 200% of your professional fees from hospital procedures with payment within 15 days or even at point of service.
ASC scheduling efficiency can allow for multiple cases in a morning, versus the usual single surgery possible in a hospital setting. Proven marketing support from progressive health care benefit delivers patient volume from local employers.
Whether you handle the DPC patients or assign a junior member of your practice, a DPC component in your practice helps diversify your practice and increase profitability. Proven marketing support from progressive health care benefit delivers patient volume from local employers.
Get experienced technical support to add Direct Pay Specialty Consults to your existing fee-for-service practice. Add a new, lucrative, direct-pay revenue stream without the bureaucracy and transactional friction of government or insurance companies. Direct Pay Specialty Consults help diversify your income and provides instant payment that eliminates the back office hassles – No coding, billing, denials, or collections.
Expand your neighborhood, by effortlessly marketing your practice to a nationwide network of direct-pay patients who access you outside of insurance plans and networks. Both in-person and telehealth appointment booking provides proven marketing support from progressive health care benefit that delivers patient volume from local employers.
Get experienced technical support to outsource CMS-mandated “Standard of Care” Compliance for your Medicare patients to maximize revenue (in the hundreds of thousands of dollars) while minimizing the risk of CMS compliance penalties. Every Medicare patient requires annually three "Bundles" consisting of 7-10 assessments that reimburse a total of $679.02 total. If you don't complete these on your patients, you are penalized. By the end of 2022, failure to comply will mean you may no longer be a Medicare provider.
A Medicare provider is first and foremost responsible for meeting Standard of Care for their patients. A large component of ensuring this is incorporated within the CMS Medical Necessity rules, as well as other non-CMS-derived quality standards is that this outsourced solution can easily help manage for your patients. EVERYTHING required of your practice by Medicare is done in the background away from the workflow of your office and staff with a national staff of over 20,000 PAs and NPs.
In short, this outsourced solution maximizes Medicare compliance and revenue in the fee-for-service space. By the end of 2022 providers must be value-based compliant or face increasing penalties and the possibility of being phased out as a Medicare providers. Presently less than 6% of providers are minimally compliant to avoid penalties. With this solution, you can engage your entire Medicare patient population with one click rather than waiting for them to appear on your office schedule. There is no upfront cost, and nothing is owed until after insurance pays.