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Four Ways to Practice Medicine. Only One Aligns Payment with Care.
Fee-For-Service Concierge Direct Primary Care Cash Per Visit Most physicians work inside one of these structures. This guide helps you understand what each model actually is, what it actually feels like and who it actually serves. Every physician in practice operates inside a payment model, whether they chose it intentionally or inherited it by default. Most medical training offers no formal language for this. Residents absorb the culture of their program. Attendings model th
Maryal Concepcion
Feb 2413 min read
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Direct Primary Care Works Everywhere. Here Is Why.
A plain-language explainer for every physician and physician-in-training, now updated with the landmark HSA changes from the One Big Beautiful Bill Act (H.R. 1), signed into law July 4, 2025. 12 minute readUpdated February 2026 HSA Update Included In this guide What Direct Primary Care actually is The incentive problem, and why it matters What changes in daily practice life The business model, plainly explained The HSA breakthrough: H.R. 1 and what it means 2026 UPDATES! DPC
Maryal Concepcion
Feb 2414 min read
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What Is Direct Primary Care?
My DPC Story10 minute read for all training levels The Explainer by Maryal Concepcion, MD FAAFP A plain-language guide for physicians and physicians-in-training who want to understand a different way medicine can work, and why it is gaining momentum. Dr. Concepcion with a young patient at her DPC, Big Trees MD, in rural Northern CA 01 Start Here: The Problem This Solves If you have spent any time in a primary care clinic, you have probably sensed something that nobody says ou
Maryal Concepcion
Feb 239 min read
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Healthcare Access for DPC Doctors: Why Zion HealthShare Makes Sense
Zion HealthShare President Ashton Casper and DPC Practice Administrator Camilla Guerrero The Question Most DPC Doctors Don't Want to Ask What happens to your family if you get sick for six months? If you're a Direct Primary Care physician, this question probably keeps you up at night. You've left the security of a traditional system. You're building something better for your patients but what about your own family's healthcare coverage ? As we navigate 2026, with jobs disappe
Maryal Concepcion
Feb 75 min read
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From Burnout to Breakthrough: Dr. Gabrielle Williams and the Power of DPC Physicians of Color
Dr. Gabrielle Williams When Dr. Gabrielle Williams watched an episode of House during high school, she was captivated by a medical detective who had autonomy over his practice. Little did she know that years later, after completing her training at Emory University and Grady Memorial Hospital, she would be fighting to reclaim that very autonomy she first admired on screen. The Breaking Point Dr. Williams didn't just leave fee-for-service medicine. She fled from it. "I was anxi
Maryal Concepcion
Feb 16 min read
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