# The DPC Revolution: Dr. Josh Umbehr on Making Healthcare Affordable Again

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Text version: https://stenobird.com/podcast/the-doctor-s-lounge-7442524/the-dpc-revolution-dr-josh-umbehr-on-making-healthcare-affordable-again.md
Podcast: [The Doctor's Lounge](https://stenobird.com/podcast/the-doctor-s-lounge-7442524)
Published: 2026-01-30T13:00:00+00:00
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Duration seconds: 4026

## Resource

Guest: Josh Umbehr, MD | Co-founder & CEO, Atlas MD | DPC Pioneer Summary: In 2010, Josh Umbehr launched Atlas MD charging $50/month for unlimited primary care with no insurance billing. Other doctors said it wasn't sustainable. Fourteen years later, he runs a platform serving 1,800+ practices and built his own insurance company. This conversation covers the full journey: wholesale medication costs ($0.01/pill metformin), the $2M it takes to start insurance, why Singapore's model works, and why 80% of healthcare spending is eliminable. Key Topics: DPC Economics: How $50/month works ($2 CBC tests, cutting 5-6 staff) Building Insurance: $2M startup, actuarial challenges, association model Singapore Healthcare: What economists miss about primary care Fractional Specialists: 1,800 practices sharing one cardiologist CMS Meeting: "We can't participate and innovate" GLP-1 Pricing: Why insurance coverage raises costs Vaccine Nuance: Risk/benefit in context The 80% Solution: Eliminating waste, not rationing Top Quotes: "80% of $4-5 trillion could be cut out. That's reasonable math, not wishful thinking." "We can't participate and innovate" [to CMS Administrator] "Best way to make GLP-1s affordable: stop covering with insurance" "Biggest DPC problem isn't the model—it's getting people to understand high quality + affordable price"

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## Transcript

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