The Natural Evolution of DPC Practices

In short

Dr Boucher said a DPC practice can change as the doctor's limits and interests shift. Dr Capella said she had wanted a three-day work week. Dr Capella said her practice was slow to grow in its first year. Dr Capella said she now wanted to see adults and had raised her prices. Dr Boucher said his practice did not take insurance for primary care. Dr Boucher said that for PANS patients his practice now took most insurances. Dr Boucher said his practice could not charge those families $300 or more per month. Dr Boucher said specialist billing used only five to 10 codes. Dr Capella described a doctor who reopened as a telemedicine-only practice to keep boundaries.

Listen on Substack (19 min)

Key points

• Dr Boucher said that for PANS patients his practice now took most insurances, while primary care stayed outside insurance.
• Dr Boucher said most families could not afford $300 or more per month for this kind of care.
• Dr Boucher said billing insurance this way needs a team, or some way to outsource the work.

• Dr Capella said her practice was slow to grow in its first year.

  But that first year of my practice, very different. I struggled to grow in the beginning.

• Dr Capella said she now wanted to start seeing adults in her practice.

  And I want to open my practice to adults.

Chapters

1. 0:00 Welcome and the virtual summit
2. 0:57 Why DPC practices change over time
3. 2:05 How Dr Capella's practice took shape
4. 6:02 Dr Boucher's start and autism evaluations
5. 7:28 Taking on PANS and PANDAS patients
6. 8:59 Billing insurance for one patient group
7. 15:17 How other practices have changed
8. 18:32 Closing thoughts