Frequently Asked Questions
Transitioning to a direct-pay practice—or launching one from the start—raises important clinical, financial, and professional questions. Below are answers to some of the most common questions I hear from dermatologists considering this model.
Is direct-pay dermatology realistic in today’s healthcare environment?
Yes, when it is approached thoughtfully and strategically. Direct-pay dermatology can be a viable and sustainable model for many practices, but it is not a one-size-fits-all solution. Success depends on factors such as patient demographics, service mix, pricing strategy, and operational design. Consulting helps clarify whether and how the model can work for your specific situation.
Do I need to leave insurance to explore direct pay?
Not necessarily. Some practices transition gradually using hybrid models, while others move fully away from insurance. Part of the consulting process involves evaluating which approach aligns best with your goals, risk tolerance, and patient population.
Will I lose patients if I transition away from insurance?
Patient retention is a common concern and an important one. While some attrition is possible, many practices retain a core patient base when changes are communicated clearly and thoughtfully. A structured transition strategy can help set realistic expectations and reduce unnecessary loss.
Is this consulting focused on marketing or business coaching?
No. FDL Derm Consulting is not marketing coaching or generic business consulting. The focus is on practice structure, pricing strategy, operational considerations, and physician decision-making—grounded in real-world dermatology practice and firsthand experience.
I’m opening a new practice. Is direct pay right from the start?
YES!
No credentialjng - or waiting on minuscule reimbursements - you can see your patients on day one.
No Financial projections - pricing is based on your demographic and personal practice preferences.
For some dermatologists, launching a direct-pay practice from day one can be an excellent option. This approach allows physicians to avoid insurance-driven constraints and design efficient systems from the outset. Consulting can help determine whether this model fits your goals and how to implement it effectively.
How are consulting engagements structured?
Engagements are tailored to each physician’s needs. Some dermatologists benefit from a focused strategic assessment, while others prefer ongoing advisory support during implementation. There is no standardized package; the structure is designed around your practice and objectives.
Do you provide financial projections or pricing guidance?
Yes. Financial modeling and pricing strategy are often key components of the consulting process. The goal is to support informed decision-making rather than provide rigid formulas.
Is this consulting only for dermatologists?
Yes. FDL Derm Consulting works exclusively with dermatologists (MD/DO only, not extenders). This ensures that guidance is clinically relevant and grounded in the realities of dermatology practice.
How is consulting priced?
Consulting fees are based on the scope and structure of the engagement. Some dermatologists benefit from a focused strategic assessment, while others prefer more comprehensive or ongoing advisory support.
Because practices vary significantly in size, structure, and goals, pricing is discussed after an initial consultation. This ensures that recommendations and fees are aligned with your specific needs rather than a one-size-fits-all package.