Not OP, but I'm familiar with a couple primary care providers that don't file insurance claims. It's refreshing to see up-front pricing on their website for services they offer, e.g.: https://www.palmettoproactive.com/services-pricing

We run a primary care clinic. The specific type of clinic we run is called "direct primary care". There are around 800 clinics like ours in the United States but the service is generally catered to the wealthy. For more details about the scope of practice you can read the following link.[0] When we cannot provide a service in house we usually help someone navigate the medical system. There is a lot of information asymmetry when dealing with healthcare and we help even that out for our clients. We also partner with other companies to get reduced prices on imaging, labs, and other services.

I don't believe you can run an entire hospital on this model. Hospitals/insurance are best suited for unpredictable events. Our model is great for chronic and predictable events.

[0]: https://en.wikipedia.org/wiki/Primary_care_physician#Scope_o...

It depends on what your deductible is. With the increasing cost of healthcare, we are seeing companies go with higher and higher deductible plans. We don't compete solely on price, however our prices are extremely competitive even for people who have insurance. (we are often cheaper than medicare/medicaid) We also work with businesses as part of their benefit plans. The major benefit of this system is time, we can schedule longer appointments with a more flexible schedule than most other doctor's offices.