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

Cooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.

Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping  see the full picture and uncover root causes to deliver personalized care.

ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze. 

Hint AI helps you move faster through every stage of the patient visit. Hint AI Chat lets you ask questions about a patient's chart and instantly surface relevant notes, labs, and clinical history. Learn more at hint.com/ai.

Support the show

GET your FREE MONTHLY BUSINESS TOOL DOWNLOAD

Become A My DPC Story PATREON MEMBER!
SPONSOR THE POD
My DPC Story VOICEMAIL! DPC SWAG!
FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube