Cash-Only Practice Setup Guide — Fee Models, Patient Agreements & State DPC Law | From Nothing Press
Charging a recurring membership fee sounds simple — until a state regulator asks why it looks like an insurance product.Cash-only and direct-pay practices are growing fast, but the legal ground isn't the same in every state. About two-thirds of states have passed laws protecting properly-structured membership models from insurance regulation. The rest haven't — which doesn't mean it's illegal, just that the agreement has to be built more carefully.This guide gives you both fee models, how to structure each one correctly, and exactly where your state stands.What's inside:Fee-for-service vs. membership/DPC — how to choose, or run bothThe 2026 federal update: DPC memberships are now HSA-eligible (most patients and advisors still don't know this)The seven elements every compliant patient agreement needsPricing logic that keeps a membership model legally defensiblePayment collection systems built for recurring billingState-by-state table: where DPC law explicitly protects you, and where it doesn't yetBuilt for practitioners moving to direct pay who don't want to find out about a compliance gap the hard way.$47. Instant download.Tags:cash-only practice, direct primary care, DPC, membership medicine, direct pay healthcare, HSA eligible, patient agreement, practice management, healthcare compliance, from nothing pressSummary line (Gumroad short description):Two fee models, one legal minefield to avoid. State-by-state DPC law status included.
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