Direct Specialty Care Alliance
Medicine the Way It Was Meant to Be. Change Starts With Us.
60+
DSC Physicians
20+
Specialities
25+
States Represented
2020
Year Founded
A Community Built for Physicians. A Directory Built for Patients.
- Practice without insurance interference or RVU pressure
- Set your own fees — transparent and known upfront
- Smaller panels, deeper relationships, better outcomes
- Legal templates, mentorship, and a proven launch roadmap
- Listed in the national DSC directory from day one
- Pay your specialist directly — no surprise bills
- Keep your insurance for labs, imaging, and medications
- No referrals needed — same-week appointments
- Board-certified physicians across 20+ specialties
Find a Direct Care Specialist Near You
What Is Direct Specialty Care?
DSC changes that.
Specialists operate outside the insurance billing system, setting their own fees and communicating them upfront.
DSC is not concierge medicine.
DSC offers board-certified specialist care — rheumatology, cardiology, neurology, and more — at transparent, affordable prices.
The Direct Care Contract:
A DCC is a simple agreement with your doctor that sets the fee and ensures access and accountability directly to you.
|
Direct Speciality Care |
Insurance-Based |
Concierge Medicine |
|
|
|
|
|
|
| Transparent pricing | Always | Rarely | Partial |
| No surprise bills | Yes | Common | Common |
| Specialist-only care | Yes | Yes | Mostly primary care |
| No prior authorization | Yes | Required | Sometimes |
| You choose — cash or insurance for labs | You choose | Yes | Yes |
| Affordable for most patients | Yes | Variable | Expensive |
| Same / next-week access | Often | Months wait | Often |
What DSC Physicians Are Saying
"The 21st century medical ethics should incorporate defending our profession — and protecting our patients' financial health as vigorously as their physical health."
— Dr. E. McKnight, MD · Rheumatology · DSC Member
"Wow — I always dreamed of escaping insurance constraints and practicing medicine, not bureaucracy. I am so thankful this community exists."
— Dr. Celine Lee · Rheumatology · DSC Member
"Thank you for spreading DSC! I am here to support anyone who is hesitant — let us take medicine back to what it ought to be."
— Dr. M. Moore, MD · ENT / Otolaryngology · DSC Member
What Patients Say After Seeing a DSC Physician
"RIGHT DOCTOR, RIGHT PLACE, RIGHT PRICE. After unsuccessfully locating a rheumatologist who could see me in a timely manner, I found Dr. Girnita. She is a kind, compassionate doctor who focuses on the best care with the most reasonable price model. I would highly recommend."
— Jennifer Hahamian · Local Guide · Google Review · Rheumatologist OnCall
"A great alternative to in-network specialists. The waiting time in my area for an appointment with a rheumatologist was months out. Dr. Girnita offered me direct care access when the traditional system could not."
— Veronica Flores · Google Review · Rheumatologist OnCall
"We were struggling to find a doctor — they were telling us 9 months to see an RA doctor. Dr. Diana has been amazing at helping us. She saw us right away and has made a huge difference."
— Troy Barringer · Google Review · Rheumatologist OnCall
Why join the DSC Alliance
Step-by-Step Education & Roadmap
From forming your LLC to setting membership fees to drafting your first Direct Care Contract — our structured curriculum walks you through every step, written by physicians who have done it. Know before you leap.
National Directory Listing & Advocacy
Your practice gets listed in the national DSC specialist directory — so patients actively searching for a direct care physician in your specialty can find you. Plus collective advocacy to protect physician independence.
Peer Mentorship from Practicing DSC Physicians
Connect with specialists across 10+ specialties who are already in DSC practice. Real answers to real questions — no consultants, no guesswork. Our community shortens your learning curve by months.
Legal Templates & Contract Resources
Physician-reviewed Direct Care Contract templates, opt-out strategy guides, and HIPAA-compliant tool recommendations.
Founded by Physicians, for Physicians
Frequently Asked Questions
Direct Specialty Care is a model where board-certified specialist physicians work directly with patients through a transparent Direct Care Contract, outside the insurance billing system. Instead of billing your insurance for each visit, the specialist sets a clear, upfront fee. No prior authorizations. No claim denials. No surprise bills. You and your doctor make the decisions — not an insurance company.
No — and this is the most common misconception. You sign a Direct Care Contract with your specialist and pay them directly for visits and care coordination. Your health insurance stays active and you can choose to continue using it for labs, imaging, prescriptions, hospitalizations, and procedures at outside facilities. Direct Specialty Care removes the insurer from the doctor-patient relationship — it does not require you to be uninsured.
Concierge medicine charges high annual fees ($2,400–$6,000+) on top of your insurance premiums — and most concierge practices focus on primary care, not specialists. Direct Specialty Care is designed specifically for specialist physicians and is priced to be accessible. You get concierge-quality access and time from your specialist, at a fraction of the cost.
A Direct Care Contract is a legal agreement between you and your DSC physician. It defines your membership fee or consultation fee, outlines the services included, guarantees your access to the physician, and establishes that both you and your physician are accountable to each other — not to an insurance company.
Any board-certified specialist physician can apply for DSC Alliance membership. Members receive access to our full education curriculum, legal Direct Care Contract templates, peer mentorship community, national specialist directory listing, webinars, and advocacy resources. You do not need to have already left insurance to join — many members join while they are still in the planning stage.
Yes. Direct Specialty Care is legal in all 50 states. Specialist physicians may legally opt out of commercial insurance contracts and charge patients directly. Many DSC physicians also opt out of Medicare through a private contracting arrangement. The DSC Alliance provides legal guidance and physician-reviewed templates to help you navigate the specifics in your state.