Episode 38 Direct Primary Care: Unlocking Cost Savings and Improving Patient Experience for Self-Funded Plans

2025-08-25

In this episode of Voices of Self-Funding, host Ramesh sits down with Jeffrey Bloom, a 25+ year veteran in healthcare and employee benefits, to unpack the power of Direct Primary Care (DPC) for self-funded employers. Jeff brings deep expertise spanning underwriting, care delivery, and affinity markets — and a passion for reshaping member experiences. Together, they explore how DPC: Delivers hard savings: 12–18% reduction in year one healthcare spend (net of fees), plus an additional 8% stop-loss discount by def...

In this episode of Voices of Self-Funding, host Ramesh sits down with Jeffrey Bloom, a 25+ year veteran in healthcare and employee benefits, to unpack the power of Direct Primary Care (DPC) for self-funded employers.

Jeff brings deep expertise spanning underwriting, care delivery, and affinity markets — and a passion for reshaping member experiences. Together, they explore how DPC:

Delivers hard savings: 12–18% reduction in year one healthcare spend (net of fees), plus an additional 8% stop-loss discount by deflecting high-cost claims.
Transforms access: Members get appointments in 24–48 hours—far faster than traditional systems.
Drives satisfaction & productivity: A scalable, capitated model that eliminates balance billing, improves engagement, and enhances workforce health.

This conversation reframes primary care not just as a benefit, but as a strategic cost-containment lever for employers committed to optimizing spend and boosting employee well-being.

This episode was sponsored by WLT Software. For more information, visit HCAA.org.

Comments (3)