This is what DPC is to our clinic!! 

(A video link is below for what it means for a patient)

DPC vimeo video!!

This is an updated letter we have sent to our patients when we decided to go ahead and add a DPC clinic to our town.

I have been practicing in Collinsville now for over 12 years (Oct 2007).  I am truly grateful for all the support we have gotten in our clinic during those years.  We have worked hard to be part of our community and serve the health care needs to the best of our ability.  We have worked hard to improve our clinic flow, patient care and improvement on meeting the needs of all who come to us.  We all love taking care of all who walk through our door.  We plan to be around for a very long time!!  We hope to keep improving and serving all who seek care for many years to come.
I have thought long and hard about how to offer better health care at an affordable cost to all those who need us.  Many people have no insurance, have very high deductible insurance or have very high co-pays on office visits, tests and medicines.  Many may be following our senators and representatives as they try to fix our health care system.  It is a very daunting process and has been shown to be almost impossible.  We have seen as both democrats and republicans have had great difficulty coming up with something that helps us all be able to afford to go see a doctor when we need to.
On top of high costs for patients as I mentioned above it is getting harder and harder to keep up with the information that insurance companies want from most of us as primary care physicians.  It is getting harder and harder to keep up with the administration and paperwork in our clinic.  We would like to find a way to help both our patients and the staff in our clinic be able to take better care of everyone who comes in no matter your financial situation.

A friend from Mississippi told me of a new way to run a medical practice called DPC, direct primary care.  I liked what he said so the next summer I went to a conference in Atalanta on this new business model of medicine.  It was very interesting and I wanted to start practicing this way right then but I did not because I was very concerned about how I would take care of the 6000 patients who have come to my clinic over the last six years!

So to explain more about DPC.  The idea is to cut costs significantly to all those who participate in this model of medicine.  Our health care costs are out of control.  To participate in this model as we are setting it up, you would pay $50 a month to be a patient in the DPC clinic or you can still choose to come in as a regular insurance clinic patient as you do now.  If you choose to use the DPC part of our clinic this is what you would receive.

1. A five minute wait to be taken back to a room, not 15 minutes to 60 minutes.

2. An hour with the doctor if you want or need it, we will only book one patient per half hour or hour.

3. The cell phone of the doctor so you can personally call any time.

4. Many generic medications for as little as $1 a month and significant savings on other medications as well.  This will not include controlled substances.  Those types of medicines will have to come from a pharmacy.

5. All labs and testing that we perform in our clinic would be included such as urine tests, strep tests, flu tests, EKGs, etc.  Injections are also included in this price. Antibiotic shots and pain shots.

6. Outside labs, where we draw blood, will be very low cost. The lab draw fee will be included in your monthly fee of $50. Some routine labs can be as low as $3.00.

7. You will have the ability to text or call me and get treated for some illness over the phone or by text without having to come to the clinic.

8. I will be dispensing medications at cost to all DPC patients as long as they are available through our medication company.  Many medications are as low as $0.60 to $1.00 for a month supply.  Some may be $2 a month or more.  We will still be able to give a 90 day supply of many meds to save even more on your fees at a regular pharmacy. You will save on the trip to the pharmacy if it is a long distance away from your home.  I can give you the medication during your visit.

9. If you have no insurance we will be able to provide high quality health care for a lower cost.

10. If your deductibles are high we will also be able to give you high quality health care at a very low-cost.

The American Academy of Family Medicine is supporting this model of health care delivery.  I have again gone to more classes on how to run this type of clinic.  We will be keeping our current clinic intact, Wills Valley Family Medicine, so that if you cannot afford the monthly payment we will still be available to give you health care.  You will seeing our CRNPs who always have contact with me on a continual basis.
I will only be able to serve around 350 -400 people in this manner.  And remember, we will still be serving all those who cannot afford to participate in our regular Wills Family Medicine Clinic.  So we hope if this sounds appealing to you we can help you get started.  We want to give everyone the opportunity to research their cost savings so we will go over your medications to see if we are able to save you enough money to partially or full offset you DPC membership.

Thanks for your support and time.  I understand this is a very new concept and we hope to help people understand it well so that we as primary care doctors can change the face of medicine in our country and significantly bring down costs.

Below includes more on the DPC model.

DPC: An Alternative to Fee-for- Service

The Direct Primary Care Model The direct primary care (DPC) model gives family physicians a meaningful alternative to fee-for-services insurance billing, typically by changing patients a monthly, quarterly, or annual fee (i.e. a retainer) that covers all or most primary care services including clinical, laboratory, and consultative services and care coordination and comprehensive care management. Because some services are not covered by a retainer, DPC practices often suggest that patients acquire a high-deductible wraparound policy to cover emergencies. Direct primary care benefits patients by providing substantial savings and a greater degree of access to and time with physicians.

What’s Offered:
·         Experience – Dr. Koe is a certified family physician. She has provided high-quality medical care to residents of Collinsville for 12 years

·         Affordable – Prices are transparent and designed to be affordable based on age, not on prior medical history. One fee covers all services, and there are no copays or hidden charges

·         Accessibility – Dr. Koe can be contacted directly via phone, text or email and provides medical services for after hours and weekend urgent care matters that cannot wait.

·         Comprehensive Care – Dr. Koe provides all care for both routine and urgent matters.

·         Discounted Lab Services – Our patients reap the benefits of our quality and affordable lab services

·         Visiting Flexibility – Dr. Koe makes home and work place visits as well as assisted living/ nursing home rounds within DeKalb under special circumstances.

·         Wellness & Preventive Care – Wellness visits to maintain health are easier to justify as the membership fee covers these services. Dr. Koe has a special interest in preventative care, which has been shown in multiple studies to dramatically extend the life of patients who practice wellness strategies.

·         Timely Service – For patient convenience, appointments within 24 hours are always available. Visits are never rushed, giving you adequate time to relate all your medical concerns and have them addressed.

·         “Family” Focus – Our office staff is professional, knowledgeable, friendly and helpful. Because our practice is small, you will always talk to someone you know. No large, impersonal, production-based office here! Our small size allows us to bring the family back into family practice.What’s Not Included:
The following is a list of the services that are not included under our direct primary care payment of $50.

·         Services provided by other practitioners such as a sub-specialist to whom the patient is referred

·         Outpatient medication purchased at the pharmacy or through our office as well as supplies we cannot provide during a patients visits  So medications do add some expense to the visit but if we are able to provide them it will be at very lost costs.

·         Hospital Care, including inpatient admission, rounds and discharge.

·         Imaging studies ( i. e. X-rays, CT scans, MRIs, ultrasounds, etc.)  But we have agreements with local imaging centers to get these at very low-cost as well.

·         Lab studies done outside of the office.  But as we said above we will be able to get very low prices on labs sent out.

·         Any services rendered by the other facilities or by another providers in the rare event that Dr. Koe is unavailable or specialized care is needed such as cardiology.

·         Newborn circumcisions

·         Certain ancillary services (such as home health or Hospice orders for Medicare patients), as these may be limited by the patients insurance policy.

Would this fit your needs?
Thank you so much for allowing us to take care of your health care needs.
Dr. Frances Koe, MD

Video link done by Don Redman!
If you have any comments please joint our community and we are happy to hear from you!