Question / Intervention Goal / Objectives
Proactive MD works with self-funded employers to offer onsite Advanced Primary Care. Proactive MD’s Health Centers focus on assessing and responding to patients’ risk levels and managing chronic conditions. They offer clients a guarantee of their performance to reduce medical spending.
The on-site clinic engages patients through a strong doctor-patient relationship, a Patient Advocate, and care coordination support. The program seeks to ensure that specialty care is high quality and effective. This goal is supported by partnerships with other organizations that assess specialty care quality. In addition, the program strives to reduce spending on secondary and tertiary care by using high-performance networks and applying reference-based pricing.
There is evidence that patients receiving Direct Primary Care services have lower medical costs than comparable patients receiving care in traditional primary care settings. 
The analysis matched a group of 86 patients receiving care through the program to an 86-person group receiving care elsewhere. Matching criteria included selected chronic conditions, age, gender, and member eligibility months. Per member Per month allowed amounts were calculated for both groups for a period of 18 months before the program began, and for 24 months afterward.
Findings / Metric/ Outcome/ Savings
The treated group had a $42 PMPM decrease from the baseline period to the second year of the program, compared to a $129 PMPM increase in the matched control group. PMPM dollar amounts for both matched groups are inclusive of Proactive MD’s program cost normalized to a PMPM over the 24 months after the program began. (See Table below.)
As with all observational studies where participation is voluntary, an unmeasured variable may have influenced the outcomes.
1 Eskew and Klink, Direct Primary Care: Practice Distribution and Cost Across the Nation The Journal of the American Board of Family Medicine November 2015, 28 (6) 793-801;