I have helped primary care physicians transition to Direct Primary Care practices all over the country and many of them provide inpatient services. They do not have to worry about proper billing or coding and taking care of their patients in the hospital is just part of what is included in the monthly medical home membership fee. This reduces bureaucratic burdens and allows the physicians to concentrate their mental effort on patient care and optimizing inpatient/outpatient transitions. Also, in locations where DPC PCPs do not follow their patients inpatient, they can still optimize transitions of care by facilitating communication with the hospitalist teams. In traditional practice there is no real reimbursement for this service and no reimbursed time for doing it. In DPC, it has already been paid for in the monthly fee. Therefore, DPC docs with patients in the hospital might call the patient and their hospitalist each day for an update and work together on discharge planning.
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