Interview with Dr. Paul Thomas – 416

In this week’s episode, Dr. Paul Thomas explains how to embrace direct primary care and rediscover your purpose.

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DPC is a return to relationship-based medicine where physicians can spend meaningful time with patients without insurance barriers. Preparing to open his  DPC practice during residency, Dr. Thomas grew Plum Health from simple house calls to five clinic locations while maintaining the personal touch that drew him to medicine.


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Building a DPC Practice from Scratch

Dr. Thomas started with house calls and 30 patients, subletting office space in a former police precinct. He built the practice incrementally, adding at-cost medications and labs in month one, purchasing an EKG machine by month three, and growing to 575 patients over 2-1/2 years.

His approach focuses on the “minimum viable product”, starting lean and adding services as the practice grows. Key elements include:

  • monthly memberships ($10 for kids, $50 for adults),
  • unlimited access to physicians via text, email, phone, and face-to-face visits, and,
  • 90% savings on labs, medications, and imaging through direct relationships with vendors.

Scaling DPC Through Employer Partnerships

Dr. Thomas expanded by partnering with school districts and employer groups facing unsustainable insurance cost increases. His consortium of Michigan school districts saved $1.2 million in 2024 while improving service quality and physician satisfaction.

The employer model works particularly well for self-funded groups with 200+ employees or organizations with budget constraints. At $85 per month per employee, employers can provide comprehensive primary care while dramatically reducing overall healthcare costs and eliminating urgent care visits.

Summary

Dr. Paul Thomas offers guidance through his books Direct Primary Care: The Cure for Our Broken Healthcare System* and Startup DPC: How To Start And Grow Your Direct Primary Care Practice,* both available on Amazon and Audible. His website provides courses and resources for physicians interested in starting DPC practices.


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*Disclaimers:

Many of the links that I refer you to, and that you’ll find in the show notes, are affiliate links. That means that I receive a payment from the seller if you purchase the affiliate item using my link. Doing so has no effect on the price you are charged. And I only promote products and services that I believe are of high quality and will be useful to you, that I have personally used or am very familiar with.

The opinions expressed here are mine and my guest’s. While the information provided on the podcast is true and accurate to the best of my knowledge, there is no express or implied guarantee that using the methods discussed here will lead to success in your career, life, or business.

The information presented on this blog and related podcast is for entertainment and/or informational purposes only. It should not be construed as medical, legal, tax, or emotional advice. If you take action on the information provided on the blog or podcast, it is at your own risk. Always consult an attorney, accountant, career counselor, or other professional before making any major decisions about your career.