Direct Primary Care Disruption

Family physician Clint Flanagan, M.D., standing next to wrecked

The AAFP did a nice piece about a doctor in Colorado who is making waves with his DPC business.  I give the AAFP credit for doing this.  They better watch out or others will start to jump on this bandwagon and askew the AAFP like I did.  I recommend you read this doc’s story but until you do, here are the highlights:


  • Nextera Healthcare boasts 18 health care professionals (physicians, nurse practitioners and physician assistants), including those located in its affiliated practices, plus roughly 40 support staff.
  • When Nextera Healthcare added Left Hand Brewing Co. as a client in 2012, the brewery’s health insurance broker was able to negotiate a 4 percent reduction in its major medical insurance policy premium.
  • Flanagan decided to offer his patients and employer groups the option to pay for their health care directly for less than a monthly phone bill. And like that, in 2011, Nextera Healthcare was born.
  • Nextera offers month-to-month DPC contracts, so if individuals, families or employees decide to pursue other health care options, they can leave without penalty.
  • “You are going to pay less than the cost of a latté every day to have connectivity to your doctor, so in case the ‘stuff’ does hit the fan or you want to talk about your sleep problems, your weight problems or your challenges with high blood pressure, you have a primary care provider who is there for you,” Flanagan said.
  • Connectivity is a big selling point for DPC and Nextera, and Flanagan gives each of his patients his cell phone number and encourages them to contact him with any health questions. He said he typically gets a text or a call from a patient at least once a day.
  • Another selling point, according to Flanagan: For burned-out physicians looking to rekindle their passion for caring for patients, DPC offers a compelling escape route.
  • “There are a lot of doctors out there who are throwing in the towel and selling their practices to big hospital systems and going to work for them,” he said. “But a lot of these physicians have done this now for a year or two or three, and they want to get out of these systems. “Direct primary care is a way for them to get out … and we’re hiring.”

Now it is time to wait for the comments on the site and watch the bitter and jealous docs complain.   Trust me, it’s coming.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “Direct Primary Care Disruption

  1. DrG
    December 23, 2015 at 10:48 am

    This may be a start in the right direction. You can’t solve a problem with the same thinking that created it. Think different and stop playing dead to stay under the radar.

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