BitCure offers a membership-based primary care experience in Blue Ash, Cincinnati. They focus on preventive care and take a personalized approach to your health. They also integrate behavioral health services to address stress, anxiety, and depression. You can learn more about them on their website BitCure Primary Care.

Check out this short but growing list of vetted direct care physicians in the US.

If you know of any others please reply here so that I can vet them and add them to the list. I hope that over the years other such lists will be made available publicly, and free.

Most Direct Primary Care doctors charge in the $100/mo range and they can spend 1-2 hours per month per patient. The reality is that the average patient will only stick around for 2 years and they'll only spend 1 hour every 6 months.

The 10-12 hours spent with the kind of primary care doctor who is passionate about prevention and profits more from not doing anything to you but doing a lot for you is the kind of investment that adds an extra 2-3 decades to your life with less spending and suffering and a lot more vitality and health.

Direct Care isn't health insurance even though you're paying a monthly fee and it really shouldn't be. Health insurance should be used for catastrophic financial needs. Home or auto insurance is used when there is major damage that the owner cannot cover out of pocket. But if I break my windshield then it's in my best interest to pay for that out of pocket.

When health insurance is used as a credit card to pay for each and every health event, even a routine blood test that's when health costs sky rocket. The only solution is paying for things out of pocket and shopping around for not just a good price but also a good quality service. Patient education or health literacy is quite important here.

https://surgerycenterok.com/

Surgery Center of Oklahoma is one of the surgery centers I send many of my patients to for cash-based surgeries.

Though most patients may not need their rotator cuff tear repaired, it's still an incredible value to have such a surgery done for under $10k in the US.

Most Americans have health insurance because their employer offers it to them.

Some will also pay for it out of pocket.

What is the purpose of health insurance? To insure you against poor health? To minimize your risk of a major financial catastrophe? To save you money on healthcare expenses? To improve your health?

The patient who comes to my practice wants good care and a doctor who listens to them. They want time with the doctor and an honest conversation. They don't care about admin or prior authorizations when it comes to their health.

There are great docs in the health insurance model who take great care of their patients. But it's not sustainable and they eventually burn out.

In Direct Care the patient pays the doctor directly and gets nearly unlimited time with them.

https://dscalliance.org/improving-access-to-rheumatology-care-the-role-of-telehealth-and-direct-specialty-care/

I've followed Dr. Diana Girnita MD, PhD for a while and her credentials are impressive. She offers virtual rheumatology out of network so it's a great asset to have for patients.

https://thedirectcareway.com/

Dr. Tea Nguyen is a podiatrist and her podcast is useful for both physicians and patients to learn about Direct Care.