Supporting Direct Primary Care, Self-Pay, and Concierge Models
As healthcare delivery continues to evolve, many practices now operate hybrid care models—combining Direct Primary Care (DPC), self-pay services, concierge medicine, and traditional insurance participation.
Patient Options DMCO is designed specifically to support this modern reality by providing a structured, third-party framework for cash discounts or practice membership plans while allowing providers to maintain existing payer relationships, if they choose.
Built for Hybrid and DPC Healthcare Practice Models
Patient Options complements direct care and concierge medicine by addressing self-pay services inside and outside memberships or retainers, including but not limited to:
Ancillary services
Referral-based care
Non-covered or excluded services
Episodic self-pay care
All discounts are administered independently through Patient Options, maintaining clear separation from insurance billing, claims submission, and reimbursement activity.
This allows providers to expand access to care while preserving operational clarity.
A Compliant Cash Discount Framework for Modern Practices
Patient Options DMCO offers a non-insurance, membership-based cash discount program built for providers operating in self-pay and mixed-pay environments.
Instead of informal or inconsistent discounting, the program establishes:
Clearly defined, contractual discount structures
Transparent pricing methodologies
Uniform access for eligible patients
This framework supports pricing consistency and helps reduce exposure to common compliance risks, including dual fee schedule allegations, while allowing practices to serve insured, uninsured, and membership-based patients under one unified operational model.
Key Benefits of Patient Options for Participating Providers
Providers who participate in Patient Options gain a practical way to expand self-pay and direct care offerings without increasing administrative or regulatory burden.
1. Operational and Compliance Advantages
A documented, standardized approach to offering cash discounts
Reduced reliance on discretionary or ad-hoc pricing
Improved pricing transparency and consistency
2. Compatibility With Alternative Care Models
Fully compatible with Direct Primary Care (DPC)
Supports concierge and membership-based practices
Works alongside traditional insurance participation
3. Administrative Simplicity
No claims processing or reimbursement involvement
No assumption of financial or insurance risk
Providers retain full control over clinical decisions and fee schedules
Designed to Support How Care Is Delivered Today
By aligning with real-world care delivery, Patient Options DMCO helps providers:
Grow direct care and self-pay services
Serve insured and uninsured patients within the same practice
Maintain clarity between insurance billing and discounted care
Support compliance-focused growth strategies
Patient Options enables practices to expand access and affordability without compromising structure, consistency, or compliance.