Navigating Compliant Private Direct Practice Structuring
Working with, rather than leaving, Medicare and private plans
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.
Jim Eischen started to lecture on private direct healthcare compliance solutions in 2010, and has since become a featured private direct healthcare conference speaker for a wide range of physician and healthcare innovation topics. Since 2019 Jim has served on the board of WMD Foundation, a San Diego non-profit dedicated to creating community-based and social media projects to provide healing and reconciliation as alternatives to conflict.