Michael Germain, MD

Internal Medicine • Scottsdale, AZ

A Change for a Better Patient Experience

Over the past 12 years of practicing medicine, it has been my privilege to contribute to the healthcare of many wonderful individuals. The relationships I have built with my patients mean a great deal to me, and I truly value their trust in me. Progressively, I have found myself spending more and more time on paperwork, insurance requirements, and administrative tasks—time that takes me away from what I love most: caring for patients.

I have reflected on why I became a physician: to provide high-quality, compassionate, personalized care. Unfortunately, the current healthcare system often creates barriers between physicians and their patients, making it harder to provide the time and attention that patients deserve.

After much thought and consideration, I decided to make a change that will greatly benefit patients. I will be transitioning to a cash subscription-based care model, sometimes called 'direct primary care.' This may be a new concept for some, so I want to explain what it means, how it will look in practice, and why I believe patients will be much happier with this model.

What Stays the Same:

  • Your Ability to Use Insurance: You can still use your insurance for labs, imaging, referrals to specialists, and medical supplies. The key change is that I will no longer be billing your insurance company directly for my services.

What Changes:

  • Simplified Billing: Instead of dealing with complex insurance billing and unexpected charges, you pay a straightforward monthly fee that covers all of our services, regardless of the number of visits. This means no hidden fees or surprise bills.
  • More Time and Personalized Care: With fewer administrative burdens and no insurance constraints, I can focus entirely on you. We will have more time during appointments to address all of your concerns without feeling rushed.
  • Improved Access and Communication: We have invested in systems that allow you to communicate with me directly via phone, text message, and email. Without layers of bureaucracy, I will be able to respond more quickly and personally. The goal is to be so accessible that you will rarely, if ever, need to rely on urgent care centers for same-day or next-day needs.
  • Lower Costs for Labs and Imaging: By not being tied to insurance contracts, I can negotiate lower cash prices for lab tests and imaging services, potentially reducing your out-of-pocket expenses.
  • Focus on Preventive Care: Without insurance mandates and checklists dictating our visits, we can concentrate on what truly matters to you. Together, we will work proactively to prevent health issues before they arise, rather than reacting to problems after they occur.

I want to create an experience that feels like we are returning to a time when it was just you and your doctor working together for your health, without third parties in between. By stepping outside the current system, I can better care for my patients as I always intended.

To make this vision work effectively, I must limit the number of patients I accept into this new model. While the exact number is not yet determined, it will be a fraction of my current panel. I believe this is the best way for me to continue growing as a physician and return to providing a high-quality, patient-centered experience.

This model may be new to many, and there may be questions or concerns. We are creating a separate website to explain how this new model works and answer many of your questions. I suspect many of your concerns will be addressed there. In the meantime, please contact me directly if you have any questions.

Stay Healthy,

Michael Germain, MD

Work Experience

home_health

Arizona Internists

Founding Member
Outpatient Internal Medicine Physician

2025 to Present

home_health

Banner Medical Group

Outpatient Internal Medicine Physician

2015-2024

Education & Training

school

Banner University Medical Center — Phoenix

Residency, Internal Medicine, 2012 - 2015

school

University of Arizona College of Medicine — Phoenix

Medical School, 2008 - 2012

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Arizona State Univeristy — Biochemical Engineering

Bachelor of Science, Class of 2007

Certification & Licensure

license

Arizona State Medical License

Current through 2015 - 2026

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American Board of Internal Medicine

Internal Medicine