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Background note
Reference no. HMSCPC08.0
Subject category: Entrepreneurship
Published by:
Harvard Medical School, Center for Primary Care (2017)
Revision date:
23 pages
Data source:
Published sources


This background note explores an emerging and innovative model of primary care: Direct Primary Care (DPC). Given that quality primary care delivery is often thwarted by complications, including payment schemes, coordination, and coding, DPC was developed as a strategy to circumvent the barriers experienced under traditional fee-for-service medicine. The note explores how this subscription based model operates outside the insurance system, as well as variations within the model, and the associated regulatory and legal challenges involved.


Direct primary care; Payment models; Primary care; Finance; Policy; Insurance; Regulation

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