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Some DPC News in DPC News
By Douglas Farrago, MD,
2026-09-06The stories keep coming out about Direct Primary Care. We are always surveilling the media and want to share some recent DPC-centric stories with you, with AI summaries:. Direct primary care is expanding quickly in the United States—Health Affairs reported an 83% jump in DPC and concierge sites from 2018 to 2023, and DPC Frontier now counts more than 3,000 practices—as physicians seek smaller panels, less paperwork, and longer visits while patients look for same-day access and lower cash prices on labs and wholesale medications. Experts distinguish DPC from concierge care because DPC typically forgoes insurance entirely in favor of a $50–$150 monthly membership that employers increasingly sponsor; a new federal provision also lets some members pay those fees with HSA dollars. Supporters say the model can cut overall spending by preventing emergency and specialty use and restore physician autonomy, but they and critics alike stress it is not insurance, monthly fees can be prohibitive for lower-income patients, and a large shift of doctors into DPC could worsen access for those who remain in fee-for-service practices. Researchers add that corporate ownership of these models is rising and that rigorous evaluation is needed to see whether DPC expands primary-care capacity or merely reallocates it toward people who can pay.