Mon. Apr 29th, 2024

The healthcare industry often finds doctors at a crossroads between their ethical obligations and the systemic pressures of insurance-based models. In Episode158 of the My DPC Story Podcast, Dr. Amy Capoocia shares her transformative journey from a high-volume HMO practice to the patient-oriented world of Direct Primary Care (DPC), where she could finally put her patients at the forefront of her work.

The Challenge of Traditional Practices

Overseeing a Mid-Level Practice

Dr. Capoocia began her narrative discussing the challenges faced when managing a mid-level practice with 3,000 patients under her care. The sheer volume resulted in rushed visits and an unsatisfactory patient-doctor relationship. This environment ultimately led to her experiencing professional burnout.

Pressure of Metrics over Medicine

In her past clinics, the connection between healthier patients and reduced hospital visits created a bonus structure, leading Dr. Capoocia to question the ethical stance of such incentives. The focus skewed towards financial gain rather than quality care, driving her towards a change.

Personal and Patient Benefits

Dr. Capoocia’s shift to DPC was not only a professional pivot but also a personal revolution, enhancing her family life and allowing her to nurture her role as a parent. Direct Primary Care gave her the freedom to practice medicine ethically, focusing on patient relationships without the interference of insurance mandates.

Community Engagement and Operating a Clinic

DPC enabled Dr. Capoocia to connect with her community deeply, including addressing the reluctance of certain groups towards routine health measures. By focusing on flexibility and understanding, she built trust with her patients, encouraging them to partake in preventative care.

Patient-Focused Clinic Operations

Dr. Capoocia’s day-to-day operations are a testament to her focus on patient care. From a structured EMR system to maintaining workflows for consistent follow-ups, she highlights the importance of having an organized system in place. Family involvement in her clinic operations brings a unique touch, showcasing the versatility and warmth of the DPC model.

Strategic Decision-Making and Growth: Selecting the Right Location

Choosing the location for Lovely Village Family Medicine was driven by accessibility and the need for a comforting environment. Despite the risks involved, Dr. Capoocia strategically set an initial lower price point to attract patients, gradually increasing it as the practice grew.


Embracing Imperfection

Both Dr. Capoocia and host Dr. Maryal Concepcion share the philosophy of “starting imperfectly”. They believe in the potential for growth and evolution, signaling that a practice can flourish over time as it interacts with its patient base.

Community Involvement and Networking

The DPC community is pivotal for physicians like Dr. Capoocia, offering significant support for new and established practices alike. Her active participation in the Exton Chamber and networking with local healthcare professionals has reinforced her ties within the medical community, highlighting the collective power of practitioners.

The Fulfillment of DPC

Dr. Capoocia’s story on My DPC Story Podcast underscores the profound impact of switching to a Direct Primary Care model, both professionally and personally. The challenges of traditional healthcare settings led her to seek out a model that prioritizes patient care above all. In DPC, Dr. Capoocia found not only a sustainable business model but also a more fulfilling way to practice medicine. Her experience is a beacon for healthcare professionals who aspire to nurture their practice in a way that aligns with their values and enhances their patients’ lives.

Join us at My DPC Story Podcast for more enriching conversations like Dr. Capoocia’s, and to gain deeper insights into the heart of primary care—where the doctor-patient relationship takes center stage.

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182250cookie-checkDr. Amy Capoocia’s Journey from HMO Constraints to DPC Freedoms
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By Maryal Concepcion, MD

A Sacramento native, Dr. Maryal Concepcion is a Filipinx creator and connector. She attended the University of California at Davis where she graduated in 2005 with a double major in Anthropology (BS) and Evolution & Ecology (BA). She had an unforgettable time as a California transplant when she got her MD at Creighton University in Omaha, NE. It was there she discovered hayrack rides, found her Husband, Dr. Jeremiah Fillo, and discovered her love of rural family medicine. Her residency training was in the unopposed family medicine program at Doctors Medical Center, Modesto, a training extension through the UC Davis Medical School. During her time in training, she returned to rural Superior Nebraska to complete proficiency training in performing colonoscopies as part of her rural family medicine concentration. After residency, she moved to Arnold, CA where she worked under the fee for service model with her Husband doing full-scope care for over five years. Though grateful for her experience in this role, she was driven to seek a better way of life and a desire to practice insurance-free medicine and that was when she discovered DPC. She is the founder and host of the podcast My DPC Story, a weekly podcast that educates and inspires by featuring DPC and direct care physicians. Find it at mydpcstory.com and on all major podcasting platforms. Most recently, she became the CEO and wearer-of-all-the-other-hats at Big Trees MD, the first Direct Primary Care in Arnold, a rural town of 4,000 in the Stanislaus National Forest located in Northern California. Her clinic was created as a telemedicine and home visit model without a brick and mortar space. But, the title she is most proud of is being a Mama to Asher & Nolan, her two ridiculously awesome and cuddly boys!

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