Navigating Compliant Private Direct Practice Structuring

Private direct medical practices in the US (sometimes referred to as “concierge” or “DPC” or “cash” practices) charge their patients additional fees in exchange for services designed to exceed what healthcare insurance plans reimburse or cover. The additional fees — often described as “membership” or “subscription” fees — are not co-payment or deductible costs collected as required by various public or private healthcare insurance plans. Rather, they frame private fees as an additional direct consumer expense paid in exchange for delivering additional services that purely plan-reimbursed care does not deliver.