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    Employer Evaluation Guide

    Evaluate Direct Primary Care before you price it.

    Start with workforce geography, active practice capacity, and plan design. Those inputs determine whether an employer arrangement is feasible and what must be defined next.

    Four workstreams

    Baseline, coverage fit, contract design, and employee implementation.
    Timing, pricing, access, and outcomes vary by arrangement and are not guaranteed.

    What should an employer evaluate before adding DPC?

    Evaluate employee geography, active practice capacity, covered services, plan design, expected participation, implementation responsibilities, and total cost. DPC addresses primary care; the surrounding medical plan and legal requirements still need qualified review.

    Evaluation sequence

    Four questions, in the right order.

    A useful evaluation moves from current-state facts to confirmed coverage before it reaches proposal terms.

    01

    Establish the baseline

    Review workforce geography, current plan design, eligible population, claims history, and the access problems employees are experiencing.

    • Employee locations and participation assumptions
    • Current primary and acute-care utilization
    • Renewal timing and decision owners
    02

    Confirm coverage fit

    Map the workforce against active practices, then confirm capacity, services, licensure, and participation with the practices that may be involved.

    • In-person practice proximity
    • Practice capacity and covered populations
    • Known geographic or service gaps
    03

    Define plan and contract terms

    Document how DPC works alongside the broader medical plan and define the commercial and operating responsibilities for the arrangement.

    • Covered services and exclusions
    • Eligibility, pricing, and term
    • Plan-design review with qualified advisers
    04

    Prepare employees to use it

    Build a practical onboarding plan that tells employees who can participate, what the service covers, and how to contact their practice.

    • Eligibility and enrollment process
    • Clear access instructions
    • Agreed implementation and reporting cadence

    Decision standard

    Model the whole arrangement.

    A monthly DPC fee is only one part of the decision. Employers also need to understand the surrounding medical plan, participation assumptions, implementation work, and any uncovered geography.

    Use the employer's own claims and census as the baseline. Treat utilization and savings estimates as scenarios, and document the assumptions behind them before comparing options.

    This guide is general information, not legal, tax, insurance, or benefits advice. Review the final arrangement with your own qualified advisers.

    Employer evaluation questions

    The variables that determine fit, scope, and implementation.

    Start with your workforce, not a generic estimate.

    Share employee locations, eligible population, and current priorities. Freedom will review practical network fit.