The dysfunctional healthcare system must be changed, and It will be forward-thinking healthcare clinics and organizations, and employers utilizing Health Care 3.0 (HC3) that will lead the way.

HC3 is the solution that will provide a meaningful alternative to high-cost-fee-for-service insurance. It is made up of:

• Provider Direct Primary Care Concierge Program.
• Pharmacy Concierge Program.
• Employer-Based Health and Wellness Programs offering direct access to pharmacy care, clinical consultations, and provider services for employees.Health Sharing (coming soon).
• Health Sharing (coming soon)
• Health Savings Accounts (coming soon).
• And More.

HC3 is both innovative and improves access to high functioning health care at a much lower cost and removes the fallacy that health insurance equals health care. HC3 creates price transparency at all levels; from the emergency room, hospital bed, elective surgery, emergency/after-hours surgery, doctor’s office, physician services, physician extender services, radiology center, to reduced pricing of generic and name brand medications.

The result will inevitably be a forced downward pressure on prices of overall health care costs.

Employers are upending the $4.5 trillion American healthcare industry.

Big employers such as Amazon, Walmart, General Motors, and others are reinventing their companies’ healthcare programs instead of relying on an outdated system guided by traditional insurers and benefits advisers. Increasingly, these employers, in partnership with new healthcare providers, are leveraging their positions as payers to offer new benefit designs, engaging in direct contracting and put care delivery providers on notice about high-value, best-outcome care.

HC3 provides a model/method for allowing designated health/personal care benefits. 

Instead of spending thousands of dollars on health insurance patients do not use, they get a tangible benefit in the form of a great relationship with, and direct access to, their primary care doctor, along with improved health.

And for employers, the cost savings seen can trickle down to their employees in the form of higher wages and/or bigger bonuses.

The third-party payer system is broken beyond repair. The Direct Primary Care (DPC) model provides a meaningful alternative to fee-for-service insurance billing, typically by charging patients a monthly, quarterly, or annual fee (i.e., a retainer) that covers all or most primary care services including clinical, laboratory, consultative services, care coordination, and comprehensive care management services

It is innovative and improves access to high functioning healthcare. While most primary care services are typically covered, practices often suggest a supplemental, high-deductible plan to cover services that do not fall under the umbrella of primary care.

DPC benefits patients by providing substantial savings and a greater degree of access to, and time with, physicians.

DPC Is the Future of Healthcare

The DPC model is appealing to a growing number of doctors. Many are burned out and dissatisfied working in traditional primary care practices, where the administrative hassles are high and they do not get to spend enough time with their patients. Many want to return to a time when the doctor-patient relationship was more central to the delivery of primary care. In addition, many want greater predictability and control in their work lives.

For patients, becoming a member of a DPC clinic/organization reduces stress because it eliminates the worry about coverage and bills. They can comfortably rely on their DCP doctor for quality and prompt care and won’t be surprised with a bill since their retainer covers it all. The best part is it helps them save money.

Introducing a new Program that is not insurance but does have some of the same benefits with more options for participants and providers.

The Direct Primary Care Concierge Program enables physicians and advanced practitioners to offer direct primary care memberships to patients, providing predictable monthly revenue and simplified care delivery without insurance constraints. But most important, it allows providers to build stronger patient relationships through a subscription-based model that eliminates claim denials, prior authorizations, and administrative delays.

The Direct Pharmacy Concierge Program is a national pharmacy-driven clinical network that partners directly with independent pharmacies and healthcare providers to deliver local, membership-based care for patients. This model supports programs such as Continuous Glucose Monitoring (CGM), Remote Therapeutic Monitoring (RTM), and Remote Patient Monitoring (RPM) all available for qualified patients. Initial pharmacy participation can quickly expand into these additional programs as eligibility grows.

Both programs operate in collaboration within an inclusive network, which serves as the inclusive payer and plan administrator for provider-based care and pharmacy programs. Together, these platforms simplify access, reimbursement, and program expansion across all participating providers and pharmacies.

There is no cost to participate, and enrollment is established through a simple participation agreement. Billing is handled for all qualified clinical encounters, with BIN-based billing coming soon to further streamline reimbursement directly through provider and pharmacy systems.

Live Well A.P.S. facilitates and directs all aspects of guiding clients through the process and provides all the assistance required to execute a seamless transition.

We are here to help providers and patients stop being the ‘enablers and goats’ of the dysfunctional healthcare system, and help clinics/organizations be proud of the medical profession once more.

We also help clinics/organizations rapidly build their patient memberships through our HC3 initiative when we approach businesses within their community with our Employer-Based Health and Wellness Programs, which is welcomed warmly by those who are desperately trying to reduce their healthcare costs, which continues to suck-up the revenue of their businesses.

We would like to discuss how the direct alignment with these programs can expand your reach, simplify operations, and create sustainable recurring revenue through local care delivery.

Would you be open to a quick Zoom Call Meeting to discuss the details?

Click Here to go to our Calendly page to reserve a Zoom Call Meeting with us. Complete the required fields and when asked “purpose of call” click: HC3