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AAFP Resolution 504: What a Partial Medicare Opt-Out Could Mean for Direct Primary Care Doctors
By Maryal Concepcion, MD, FAAFP | Updated September 25, 2026 | 8 min read Dr. Shannon Connolly discusses the AAFP Resolution 504 on Medicare Opt-Outs If you are a Direct Primary Care doctor who has ever had to choose between your DPC practice and the hospitalist shifts, SNF rounds or hospice work you love, this one is for you. Right now, Medicare opt-out is all or nothing. Once you opt out for your DPC practice, you cannot bill Medicare anywhere else, outside of emergency and
Maryal Concepcion
Sep 2712 min read


Dueling Pianos to Direct Primary Care: What It Actually Took for Dr. Brian Juan to Open Metronome Family Medicine
By Maryal Concepcion, MD, FAAFP | Published September 19, 2026 | Updated September 19, 2026 | 8 min read Dr. Brian Juan of Metronome Family Medicine Dr. Brian Juan toured with rock bands and played dueling piano bars for more than a decade before he became a family doctor. Three months into Metronome Family Medicine, his solo Direct Primary Care practice in Longmont, Colorado, he talks about what it actually took to make the leap. He opened on June 1, 2026. When we first sat
Maryal Concepcion
Sep 2014 min read


What Should a DPC Physician Pay Themselves? 10 Numbers Every Direct Primary Care Owner Should Know
Nate Goodman, CPA of Goodman CPA on the My DPC Story podcast: 10 numbers every DPC owner needs to know. Most Direct Primary Care physicians can tell you their panel size, their EHR, and what went wrong in year one. Far fewer can tell you what they should be paying themselves. That gap is the reason this episode of My DPC Story exists. Nate Goodman, CPA, is the founder of Goodman CPA, an accounting firm that has worked only with Direct Primary Care and Direct Specialty Care pr
Maryal Concepcion
Sep 196 min read


Growing a Rural DPC Practice in Year 8: How Dr. Jillian Klaucke Built Patient Trust, Avoided Burnout, and Scaled Team-Driven Care
How an Eight-Year Rural Family Medicine Direct Primary Care Practice Actually Works - 8 min read Teamwork in action at Sandpoint Premier Direct Primary Care. Dr. Klaucke and her team coordinate patient care together, closing every loop on referrals, follow-ups, and outcomes, the foundation of Direct Primary Care Dr. Jillian Klaucke has been practicing Direct Primary Care for eight years. She is a board-certified family physician and Fellow of the Academy of Wilderness Medicin
Maryal Concepcion
Sep 139 min read


How to Vet an EHR for Direct Primary Care: Dr. Sarai Ambert-Pompey's First Year Owning Libelula Primary Care
Before she looked at a single feature, Dr. Sarai Ambert-Pompey timed how fast each EHR vendor answered her email. That one test eliminated most of them. One year into owning Libelula Primary Care in Boise, Idaho, she shares how to vet an EHR, what salespeople will not show you in a demo, and the three telehealth skills most physicians were never taught.
Maryal Concepcion
Sep 68 min read








