PLAN DESIGN, STRUCTURE & COMPONENT SELECTION

Consulting

We help you build high-performance plans and choose the right partners to deliver the best results for your group.

Expert DPC Consulting for Smarter Plan Design

Building a Direct Primary Care-centered health plan takes more than enthusiasm, it takes structure, alignment, and informed decisions. Our DPC consulting services focus on plan design, structure, and component selection that deliver measurable outcomes for brokers, public sector buyers, and self-funded employer plans.

Whether you’re launching a new initiative or refining an existing one, we help shape benefits that balance access, cost, and care delivery. Every decision is guided by your broader goals and supported by hands-on expertise that connects strategy with execution.

We provide:

Our goal is to help you design smarter, more sustainable health plans that deliver long-term value. With our guidance, you can build benefits that perform today and adapt to tomorrow’s needs with clarity and confidence.

Designed for Real-World Impact

No two groups are the same. Our DPC plan design adapts to your goals, such as reducing claims, boosting engagement, or improving clarity. We guide you in selecting the right structure and components while avoiding early-stage pitfalls.

We help you:

Choose the right structure for your group

Prevent common design and funding missteps

Align benefits with access, cost, and care goals

Our goal is to help you design smarter, more sustainable health plans that deliver long-term value. With our guidance, you can build benefits that perform today and adapt to tomorrow’s needs with clarity and confidence.

Support That Extends Beyond Planning

DPC Advantage offers full-spectrum support. From rollout to results tracking, we help you communicate clearly, align stakeholders, and ensure smooth plan adoption. Our team provides presentation guidance for clients and internal teams, enrollment and onboarding support, and a stop-loss strategy aligned with DPC utilization. We also handle coordination with TPAs and other vendors, along with compliance-ready documentation to streamline implementation.

Once your DPC plan design is live, we continue to monitor performance and guide refinements to ensure your self-funded employer plan stays aligned with measurable goals and long-term value.

Questions About DPC Plan Advantage

What makes DPC Advantage different from other consulting firms or quoting services?

DPC Advantage is the only stop-loss marketplace and consultancy built specifically for health plans featuring Direct Primary Care. We combine underwriting expertise with real-world plan design to deliver lower premiums, data-backed savings, and tailored support for providers, brokers, and public buyers.

Who benefits from working with DPC Advantage?

We serve DPC providers, brokers, employers, and public sector buyers who want to improve health plan performance and reduce costs. Our consulting and quoting services are built to help each stakeholder achieve measurable results, whether you’re delivering care, managing budgets, or structuring benefits.

How does DPC Advantage support stop-loss quoting and plan rollout?

We manage stop-loss quoting end to end, connecting you with carriers who understand the DPC model’s effect on claims. Beyond quoting, we offer rollout and adoption support, including employee education, plan communication, implementation, and ongoing performance review, to ensure your plan delivers both savings and confidence.

You’ll receive support on:

Plan eligibility, enrollment, and onboarding

Bundled or cash-pay strategies outside the DPC model

Coordination with existing providers and TPAs

Custom stop-loss terms to match utilization patterns

Clear documentation for compliance and implementation

Smarter DPC Plan Design

Instead of relying on one-size-fits-all templates, our DPC plan design process delivers flexible models that adapt to your needs.

Let’s Build a Better Plan

Ready to deliver smarter benefits? Our DPC consulting and plan design services are here to help.

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