In Episode 87, Dr Roussel discussed staffing in a DPC practice. In the episode, Dr Roussel reviews what kind of employees a direct primary care practice needs to provide high quality patient care. In particular, he compares DPC practices to traditional fee-for-service practices and reviews some of the key differences as well as particular pointers for hiring/staffing when it comes to a doctor who is looking to convert/start a DPC practice.

In Episode 85, Dr Roussel interviews Dr Garrison Bliss, founder of Qliance Medical and regarded by many as the founder of Direct Primary Care. In the interview, recounts his experience working for Qliance Medical while the company participated in a Medicaid initiative to provide comprehensive primary care to Medicaid beneficiaries, an initiative which failed in terms of fiscal sustainability. Dr Bliss further discusses his perspective on the similarities and differences between that initiative and the Primary Care First initiative proposed by CMS.

In Episode 84, Dr Roussel interviews Jay Keese of the Direct Primary Care Coalition about the new Primary Care First Initiative announced by CMS earlier this year. In the interview they discuss the background of the initiative in terms of Medicare’s goal to engage primary care doctors as well as the aims of the program based on his extensive discussions with the agency throughout the course of the initiative’s development.

In Episode 83, Dr Roussel discusses the CMS Primary Care First Initiative and how it could or could not work with his own primary care practice. In particular, he further elaborates on some potential challenges of incorporating a value based initiative into an existing DPC practice.

In Episode 82, Dr Roussel discusses the Primary Care First Initiative, a new alternative payment model introduced by Medicare to promote value and reduce cost in healthcare. In the episode, Dr Roussel gives an overview of the PCF Initiative before delving into the nuts and bolts of what this model is about, how it is similar and different to Medicare fee-for-service and how it may affect DPC practices.

In Episode 81 Dr Roussel discusses how much it costs to start a direct primary care practice from scratch. In particular he not only delves into the start up expenses needed to start a practice but also goes through a hypothetical scenario of funds needed to keep a practice afloat until it breaks even.

In Episode 80, Dr Roussel interviews Bethany Burk, Quality Specialist at the AAFP, and Amy Mechley, DPC Doctor  in Ohio, about the 2019 DPC Summit. In the interview they not only discuss the details of the summit but the focus of this year’s summit compared to previous ones and the role of the summit in the context of the growing DPC movement.

In Episode 79, Dr Roussel breaks discusses how much overhead costs to run a DPC practice. In particular he breaks down the major factors involved in keeping a DPC practice open and how these are similar and/or different from a traditional, insurance-based medical practice.

In Episode 78, Dr Roussel discusses income potential for direct primary care doctors. In particular, he delves into how much direct primary care doctors can earn compared to fee-for-service or employed doctors.

In Episode 77, Dr Roussel interviews Mike Lubin, VP of growth at Hint Health, to talk about the third annual Hint Summit. Taking place in April 2019 in San Francisco, the Hint Summit brings together people from the healthcare space and the employee benefits space to explore, discover and grow the direct care movement. In the interview they discuss the agenda of the Hint Summit, new features of this year’s Hint Summit, and most importantly how the Hint Summit can help catalyze growth for the direct primary care movement.