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Understanding Direct Primary Care – How DPC Differs from Traditional Healthcare


Patient room at Gem State DPC featuring a comfortable examination table, essential medical equipment, and a touch of greenery for a calming atmosphere.
Patient room at Gem State DPC featuring a comfortable examination table, essential medical equipment, and a touch of greenery for a calming atmosphere.

Healthcare in the United States has long been dominated by a system of insurance-based models, where primary care physicians work within networks that require copays, deductibles, and extensive paperwork. But over the past decade, a new approach has gained traction—Direct Primary Care (DPC).


Gem State DPC is a membership-based healthcare model that prioritizes direct, transparent relationships between patients and primary care physician, Valerie Rounds, FNP-C, eliminating third-party insurance interference. This approach offers patients more affordable and accessible care while allowing Valerie Rounds to focus on patient wellness rather than navigating insurance complexities.


How Direct Primary Care Works


Instead of billing insurance for each visit, Gem State Direct Primary Care operates on a subscription-based model. Patients pay a flat monthly to access primary care services, including:



  • Unlimited office visits

  • Telemedicine consultations

  • Comprehensive preventive care

  • Chronic disease management

  • Minor urgent care procedures

  • Wholesale pricing on medications and labs

   ...and so much more!


This simplified financial arrangement removes the burden of copays, deductibles, and surprise medical bills, allowing patients to budget their healthcare expenses predictably.


Key Differences Between DPC and Traditional Healthcare


1. Payment Model


  • Traditional Healthcare: Patients rely on insurance to cover primary care visits, often facing high deductibles, complex billing, and limited time with the provider based on billable units of time.

  • Gem State DPC: Patients pay a fixed membership fee, eliminating the need for insurance in routine healthcare.


2. Doctor-Patient Relationship


  • Traditional Healthcare: Physicians often handle large patient volumes, spending less time with each individual.

  • Gem State DPC: Valerie Rounds, FNP-C limits the number of patients she serves, allowing for extended, personalized appointments.


3. Access to Care


  • Traditional Healthcare: Scheduling can be challenging, leading to long wait times for appointments.

  • Gem State DPC: Patients typically enjoy same-day or next-day appointments with direct communication access to their provider.


4. Administrative Burden


  • Traditional Healthcare: Physicians must navigate insurance approvals, coding, and billing paperwork.

  • Gem State DPC: The administrative and provider team bypasses insurance hassles, focusing entirely on patient care.


5. Cost Transparency


  • Traditional Healthcare: Many costs remain unpredictable, especially with insurance variations.

  • Gem State DPC: Pricing is straightforward, with no hidden fees or unexpected charges.


Why Patients and Valerie Rounds, FNP-C Choose Gem State DPC


For patients, Gem State DPC offers an affordable, accessible, and personalized healthcare experience. Those with high-deductible insurance plans or without insurance benefit from this transparent model, which provides essential primary care services at a fraction of traditional costs.


Gem State DPC enables greater autonomy over patient care and alleviates administrative burdens. With fewer patients to manage, Valerie Rounds can build stronger relationships, practice preventative medicine more effectively, and avoid burnout.


Is Gem State Direct Primary Care Right for You?


While Gem State DPC is an excellent option for primary care, it does not replace insurance for emergency care, hospitalizations, or specialist visits. Patients may still need catastrophic insurance for major medical events.


However, for everyday healthcare needs, Gem State DPC is revolutionizing how providers and patients interact—providing high-quality, affordable care in a way that empowers both parties.

 
 
 

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Tel. 208-213-2433

Fax. 208-415-4805

8152 North Wayne Dr,

Hayden, Idaho 83835

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