How One DPC Practice Built a Financially Sustainable Model - Without Insurance

How One DPC Practice Built a Financially Sustainable Model - Without Insurance

From My DPC Story by Maryal Concepcion, MD

March 1, 2026 · 56 min · Season 6 · Episode 256

About this episode

Dr. Matthew Hitchcock discusses how his DPC practice operates a financially sustainable model without relying on insurance.

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 thatHealth insurance ≠ healthcare access (and why that distinction matters)How a fully licensed...

People in this episode

Host: Maryal Concepcion, MD

Guest: Dr. Matthew Hitchcock

Topics covered

  • direct primary care
  • financial sustainability
  • healthcare access
  • insurance
  • business model

Keywords

  • direct primary care
  • financial model
  • in-house pharmacy
  • cash-only imaging
  • health insurance

Mentioned in this episode

Organizations: Hitchcock Medical Group

Places: Chattanooga, TN

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