Welcome to AID Direct, a gathering place for members who have direct-care or concierge practices, or who offer a cash-pay model, or would like to. Here you can find resources, industry updates, and a network of other members opting out of third-party payer arrangements to deliver health care their way. Created in response to member demand, AID Direct is a free member benefit that fills a gap in the market, and that is open to all specialties. If you are interested in joining this subgroup of AID, please contact us, and we will add you to the online directory, which lists direct-care doctors by state, and invite you to join the forum, where members can ask and answer questions.
AID DIRECT FORUM
Through our online forum, members can get advice and information from other members and access non-physician professionals who may assist with starting, converting, or maintaining a direct care medical practice. We have gotten the forum started with some important discussion points directly from our planning meeting. Join the conversations and/or add your own.
Steve Twedt - January 20, 2020
Kenneth Fisher - July 29, 2019
Seka Palikuca - March 13, 2019
Robert Lamberts, MD - August 1, 2018
January 14, 2020 - Legislative Update
Currently, bills in both the House and Senate address the tax treatment of Direct Primary Care as it relates to a patient’s ability to pay fees using his or her HSA account, while continuing to fund that HSA account. Both issues relate to the tax code--IRC 213(d) and IRC 223(c), respectively. The proposed and upcoming rule from the White House’s June 24, 2019, Executive Order on Improving Price and Quality Transparency will fix the 213(d) tax issue, but the 223 (c) tax code requires legislative action.
As of Jan. 14, 2020, 19 HSA reform-related bills were in Congress. Four are Senate bills; two address the DPC/HSA issue. Fifteen are House bills; five address the HSA/DPC issue. One Senate bill (S.2999) and one House bill (HR3708) are unfavorable to independent, private practice DPC/Direct Care physicians and offices.
Any legislation clarifying that DPC arrangements are not health insurance under IRC 223 (c) creates an important distinction and will continue to advance the growth of direct care. Neither S2999 nor HR 3708 do that. Our position is that if patients can use HSAs/FSAs/HRAs/MSAs to pay for Direct Care, it will help them get affordable health care that would otherwise cost them far more out-of-pocket costs, especially if they have High Deductible Health Plans.
Dr. Kimberly Corba
HR 3708 entitled "To amend the Internal Revenue Code of 1986 to allow individuals with direct primary care service arrangements to remain eligible individuals for purposes of health savings accounts, and for other purposes" is a poorly crafted bill that will impact the market-based strides that Direct Primary Care has worked so hard to establish. This example of needless government control over something that is working is indicative of why we are where we are today in healthcare.
Our coalition stands behind Direct Primary Care as well as other models that provide affordability and accessibility to the American people. We will be signing on to a letter that expresses our displeasure with the bill. I have provided the link to HR 3708 below for all to read. Please feel free to reach out if you have any questions.
Texas Public Policy Foundation
American College of Private Physicians
Concierge Medicine Today
Dedicated to promoting and advocating for improved access to affordable health care through independent Direct Primary Care practices
Direct Primary Care (DPC) Alliance
Direct Primary Care (DPC) Frontier
Free Market Medical Association
Offering health-conscious individuals and families an affordable way to share medical care expenses in a like-minded community. Liberty HealthShare is not insurance.
The Sedera Health medical cost sharing model boldly challenges the insurance status quo. Through an innovative layering of healthcare services, we enable individuals and families access to high quality healthcare that is affordable, flexible and effective. You share medical funds with like-minded people and receive premium care, through an organization run with compassion.
Surgery Center of Oklahoma