Twenty-Six Percent Below the Benchmark
A Wisconsin shop in Stevens Point put direct primary care under their benefits four years ago. Anovia. Green Bay. Flat monthly fee. Thirty-minute visits. No RVU treadmill.
Phyx Innovation Labs pulled the claims. Gamber-Johnson's cost per member per year fell from $5,860 to $5,385. Down eight percent while the commercial benchmark climbed thirty-eight. They sit twenty-six percent below the market now. Last year the auditors counted $684,779 in verified savings across seven care lanes.
I am not shocked. When primary care is a membership instead of a claim, the rest of the system gets cheaper too. Surgery bundles forty-four percent under market. Imaging. Labs. Therapy. The doctor steers you to the good price because nobody is paying him to steer you to the expensive one.
I am not anti-insurance. Keep a policy for the wreck. Primary care is not a wreck. We take care of patients for a flat monthly fee. No claim. No network. You call. We see you. The number on the door is the number you pay.
Twenty-six percent is a price gap. It is also a doctor who had time.