By Rachael Zimlich
JULY 10, 2013 – As he was nearing the midpoint of his career in family medicine at the Mayo Clinic, David Usher, MD—like many primary care physicians—knew something was missing from his professional life, and his personal life. He found his answer in 2010 after reading an article in Medical Economics about a direct-pay primary care practice in North Carolina. “I was experiencing the same thing a lot of PCPs are. The system just over time ratcheting down what you get paid and forcing you to work harder and harder to get it,” Usher says, adding there was too much hassle to get paid and patients couldn’t afford the care he was recommending. He showed the article to his wife, and that’s when his life changed.