[fgimenez]

I have seen a lot of startups coming out to "re-invent the clinic" essentially by re-inventing DPC. They generally focus on on a wealthy clientelle with the (tesla-like) promise of moving down market. They aren't small concierge physicians, though. It ends up looking a lot more like one medical on steroids.

Not sure if it is a reasonable model yet, since these firms are incentivized to minimize patient contact. In the positive view, it means they want to focus on preventative care. In the negative view, they will get suffocated with hypocondriacs and have to institute limits to care that invalidates the allure of an unlimited insurance-free provider. Plus, these places effectively have to underwrite like insurers to remain profitable which is not easy when competing woth sophisticated giants. Not to mention the risk pf dealing with a very unstable ACA that will likely change the landscape.