My DPC Story

How One DPC Practice Built a Financially Sustainable Model - Without Insurance


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Dr. Matthew Hitchcock of Hitchcock Medical Group in Chattanooga, TN has spent over a decade proving that direct primary care is not just better medicine, it's a smarter business. In this episode, he breaks down the layered economic model behind his DPC practice, in-house pharmacy, and cash-only imaging center.

What we cover:

  • Why primary care is a loss leader in the insurance world and how DPC fixes that
  • Health insurance ≠ healthcare access (and why that distinction matters)
  • How a fully licensed pharmacy and cash-only imaging center ($350 CT vs. $2,000+) create financial resilience
  • Why PE and VC-backed primary care keeps failing
  • How DPC can actually scale — and what kills it when it tries

🎙️ March on My DPC Story: Sustainable DPC Economics Every episode this month is dedicated to what it takes to build a DPC practice that lasts. Don't miss one.

🎧 Extended, commercial-free conversations on Patreon Get the full uncut version of every March episode at Patreon.com/MyDPCStoryfan

Resources:

  • CaringDirectly.com - Dr. Concepcion's physician-only DPC mapper. Add your practice today!
  • Hitchcock Medical Group | Chattanooga, TN

Keywords: direct primary care, DPC economics, cash-pay medicine, physician entrepreneurship, DPC pharmacy, healthcare business model, primary care sustainability


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My DPC StoryBy Maryal Concepcion, MD

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