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Sonia Bisaccia, MD | West Chester Family Physician

@cloverdpc

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🐝Clover Direct Primary Care
🚫 No medical advice, just thoughts
🩺 West Chester, PA
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Concierge is not the same as Direct Primary Care. Concierge docs are still dealing with insurance companies and chasing payment. Getting away from insurance-based primary care is a game changer for patients AND doctors. It’s going to be the future if insurance companies don’t change the way they do business. #westchesterpa #dpc #directprimarycare #concierge taken in West Chester, PA by @cloverdpc

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2 years ago

Direct Primary Care feels like having a doctor in the old days. Someone who knows you. Someone who is available when you need them. It’s more personal and insurance is no longer dictating your care. Feel free to reach out if you want more information. #westchesterpa #dpc #directprimarycare #primarycare taken in West Chester, Pennsylvania by @cloverdpc

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When’s the last time you felt well cared for by your primary care physician? The insurance-based healthcare system is inherently flawed and no one is happy. The doctors aren’t happy and the patients aren’t happy. Direct Primary Care is changing everything. taken in West Chester, PA by @cloverdpc

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2 years ago

High deductible plan? DPC might be worth looking into. It can be a great way to get more affordable access to primary care without paying out of pocket for every visit.

If you’re trying to figure out how to pick health insurance, grab my free guide at the link in my bio! taken in West Chester, PA by @cloverdpc

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10 hours ago

Health insurance is expensive, confusing, and honestly, most of us were never taught how to choose a plan.

With premiums going up, I wanted to make something that actually helps people understand what they’re paying for and how to compare their options without getting lost in the fine print.

So I made a FREE guide. No gimmicks or info collection or subscriptions.

Because the cheapest monthly premium isn’t always the cheapest plan, and finding that out when you actually need care is a pretty awful way to learn.

If you’re choosing a plan soon, or know someone who is, I hope this helps. Share it with someone who needs it. ❤️ taken in West Chester, PA by @cloverdpc

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6 days ago

🎶 Looks like it’s gonna be a lovely day.

☀️ Funny how the comments change when the bots go quiet. 👀 taken in West Chester, PA by @cloverdpc

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7 days ago

Trump’s One Big Beautiful Bill is already raising serious concerns about access to maternity care.

The National Partnership for Women & Families tracked 32 labor-and-delivery unit closures between the law’s passage in July 2025 and April 2026. Its analysis also identified 131 rural hospitals at risk of closing or reducing maternity services over the next decade because of the law’s projected effects.

The Congressional Budget Office estimates the law will reduce federal Medicaid spending by $911 billion over 10 years.

Labor and delivery and pediatric units can be among the services hospitals struggle to afford. They require specialized staff and equipment, and labor and delivery must be ready around the clock, even when patient volumes are low. When reimbursement doesn’t cover the cost of care, hospitals may cut these services. Medicaid funding cuts could add to that pressure, especially in rural and underserved communities.

And this isn’t just a prediction on paper. In Georgia, St. Mary’s Sacred Heart Hospital specifically cited anticipated Medicaid cuts when announcing its labor-and-delivery closure.

Not every closure was caused by the bill, but there is documented evidence that hospitals are considering its financial impact.

Sources:
https://nationalpartnership.org/report/obbba-is-threatening-womens-health-care-access/

https://www.kff.org/medicaid/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package/

https://www.ajc.com/politics/2025/09/medicaid-cuts-ahead-prompt-lavonia-hospital-to-shutter-childbirth-unit/ taken in West Chester, PA by @cloverdpc

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8 days ago

Sometimes I think we need to take a step back and really think about the numbers.

The CEOs of seven major health insurance companies averaged about $21 million in total annual compensation in 2024. That’s roughly $404,000 a week before taxes.

Meanwhile, people are rationing medications, putting off appointments, fighting denied claims, and trying to figure out how to pay medical bills they thought their insurance would cover.

And when an insurance company denies care, patients can spend hours on the phone, navigate appeals, track down paperwork, and try to convince someone that the care their doctor recommended is actually necessary.

I’m a primary care physician. I see how much work it can take for patients to get the care they need, and how exhausting it is to navigate a system that is supposed to help them access it.

I’m not arguing that every CEO should earn the same salary or that compensation alone tells us everything about a company’s decisions. But I do think it’s fair to ask what we’re getting in return for a system that generates this kind of compensation while so many Americans struggle to afford and access healthcare.

Who is this system working for?
Because it should be working for the people who need healthcare and are already paying so much for it. taken in West Chester, PA by @cloverdpc

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8 days ago

Yet another installment in the why health insurance (and pharmacy benefit managers) are the source of decay in our country’s healthcare system. Fun times. taken in West Chester, PA by @cloverdpc

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12 days ago

I have been thinking about the Cornell case a lot.

As a physician, I spend my life taking care of people when they are vulnerable. I also spend a lot of time thinking about what happens when systems fail the people who are counting on them.

The way institutions respond to sexual violence tells us something about what they value and in turn, what our society values.

And I am angry about a value system that can make it easier for men to move forward with their lives while women are left carrying the consequences.

Changing culture takes time. Changing laws, policies and systems can happen now.

And that’s somewhere we can put our energy. taken in West Chester, PA by @cloverdpc

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19 days ago

Have your prescription drug prices suddenly gone up?

There are a LOT of reasons that can happen, and “the drug got more expensive” is only one of them.

Your insurance company may have changed its formulary. Your deductible may have kicked in. Your copay or coinsurance may be different. The drug manufacturer may have raised the price. And then there are the PBMs, the middlemen between drug manufacturers, insurance companies and pharmacies, who negotiate prices and rebates and help determine what you pay.

And now there are new tariffs affecting certain patented drugs and pharmaceutical ingredients.

So when you walk into the pharmacy and suddenly hear a much higher price, it isn’t always obvious why.

One thing you should always ask:

“What’s the cash price if I don’t use my insurance?”

Sometimes the cash price is actually lower than your insurance price.

It never hurts to ask. taken in West Chester, PA by @cloverdpc

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20 days ago

Death is not a concept that is discussed readily in this country. It’s just thought of as something to avoid at all costs. Nowhere is this more apparent than in hospitals. During my training, I witnessed, and was involved in, so many needlessly painful and traumatic deaths. The 98 year old who had been living independently until a massive heart attack brought him to our hospital. His terrified family members saying “Do everything” not realizing that this was basically ensuring his final moments on this earth would be painful and scary. CPR does not work well in the very elderly. Movies don’t teach us that. His death, and so many others, led me to do hospice work on the side when I lived in Connecticut. It taught me the importance of having the difficult conversations. When I tell people that I was a hospice doctor, they often cringe and say how could you handle that. I tell them, it was one of the more fulfilling medical experiences I’ve had in my career. A comfortable death with dignity, on our own terms, is something we should all aim for. And realizing that none of us are getting out of here alive is an important concept to really wrap your mind around. Stop and smell those flowers. Savor that fresh cup of coffee. Take a minute and admire the beautiful sunset. It’s all so fleeting. Enjoy it. ❤️ taken in West Chester, PA by @cloverdpc

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