the cornerstone: Advanced Direct Primary care

Embedded Advanced Direct Primary Care serves as the engine that drives our high performing health plan. It serves as the first line of defense against costly and unnecessary interventions, unmanaged and latent chronic conditions, all while delivering personalized, continuous care that improves overall health outcomes and reduces plan-wide expenses. 

Early Detection and Prevention

• Identifies health issues before they become serious
• Reduces long-term healthcare costs
• Enables proactive health management

Comprehensive Patient Care

• Provides continuous, coordinated healthcare
• Manages multiple health conditions holistically
• Develops personalized treatment strategies

  Cost Effectiveness

• Reduces expensive specialist and emergency interventions
• Decreases hospital readmissions
• Minimizes unnecessary medical procedures
• Membership based model that incentivizes better relationships and care vs. Fee for Service model that incentivizes "turn and burn" visits and unnecessary or wasteful procedures.

  Patient-Centered Approach

• Builds long-term patient-provider relationships
• Small patient panels
• Same day care
• Increases patient trust and engagement
• Supports patient health education and self-management

Don't just take our word for it. An independent study from Milliman commissioned by the Society of Actuaries in 2020 showed that compared to employees in a traditional health plan, employees enrolled in Direct Primary Care had: 

• 40% fewer ER visits 
• 53% lower ER spend 
• 20% fewer hospitalizations
•  8% lower inpatient spend 
• 5% lower outpatient surgery costs
• 12.6% lower overall claims cost 

Our embedded Advanced Direct Primary Care has achieved savings of $120 per member, per month for clients. High value health care oversight at the primary care level is not just a "want". It is a "must have" for maximizing plan savings over time. 

Further proof can be seen at the international level. Strong investment in primary care has led other countries to lower their overall health care expenditure in comparison to the United States.  

•  United Kingdom 
  •  Total healthcare spending: ~$4,600 per capita 
  •  Primary care spending: ~15-20% of total healthcare expenditure
  •  Source: OECD Health Statistics 2023 
•  Australia 
  •  Total healthcare spending: ~$4,900 per capita 
  •  Primary care spending: ~17-22% of total healthcare expenditure 
  •  Source: Australian Institute of Health and Welfare 2023 
• United States
  •  Total healthcare spending: ~ $12,900 per capita
  •  Primary care spending:  ~5-7% of total healthcare expenditure
  •  Source: CMS National Health Expenditure Accounts (NHEA) 2022 Report