MedCity News January 4, 2026
Dana Y. Lujan

When tax-advantaged dollars enter a care model, they do more than expand purchasing power. They reorganize incentives, accelerate intermediary involvement, and clarify who holds leverage.

As of January 1, 2026, Health Savings Account funds can be used to pay for Direct Primary Care (DPC) memberships. For a while, this change has been framed as an access milestone. In practice, it is a market design event.

Policy shifts rarely operate in isolation. When tax-advantaged dollars enter a care model, they do more than expand purchasing power. They reorganize incentives, accelerate intermediary involvement, and clarify who holds leverage. The weeks leading up to January 1 have already shown platforms, benefit vendors, and provider groups positioning aggressively in anticipation of the funding shift.

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