Dr. B. Bost

Episode 38 - Episode #1 of the Hospitalsist to DPC Series with Dr. Brian Bost

May 11, 20262 min read

After 16 years as a med-peds hospitalist, Dr. Brian Bost launched B2 Direct Care in Denver, but he didn’t completely give up hospital work, unlike most DPC docs. He kept his hospital shifts, started telemedicine-only at $75/month, and is taking a deliberately slow rollout. In this first call of an ongoing series, he and Dr. Anne Gonzalez review his hybrid model practice, pricing, imposter syndrome, and his developing hospital-to-home program.

IN THIS EPISODE

  • Why the "all in or all out" advice doesn't work for every physician

  • How to launch DPC slowly while keeping a hospitalist W-2 income

  • Pricing: $75/month telemedicine and the $140/$220/$300 brick-and-mortar plan

  • The hospital-to-home program he's building for post-discharge patients

  • The Hospitalist-to-DPC Facebook group he started that’s growing fast, with 198 members in under a month

GUEST

Practice: B2 Direct Care, Denver CO

Specialty: Med-Peds · 16 years Hospitalist

Launched: February 2026 (telemedicine soft launch)

Members: ~15 (word-of-mouth only)

HOSPITALIST TO DPC SERIES

This is the first in an ongoing series. Dr. Anne and Dr. Bost will reconnect every 6 weeks to track his real-time progress: brick and mortar timeline, wait list growth, hospital-to-home program build-out, and how the hybrid hospitalist-DPC model holds up.

FROM DR. ANNE

I'm building something for DPC Life listeners and I want to make sure it's actually useful to you. There's a short form linked below - three questions, two minutes. What are you stuck on, what's helped you most, what do you want to hear more about. Everyone who fills it out gets a free brandable DPC presentation you can customize for Rotary clubs, employer groups, or any community talk. And check the box if you want to be notified when the DPC Life community launches!.

ENJOY THIS EPISODE?

  • Leave a review on Apple Podcasts or Spotify

  • Share with any hospitalist, ER doc, or specialist who's been told DPC is all-or-nothing

  • Subscribe so you don't miss the next Hospitalist to DPC call with Dr. Bost in 6 weeks

KEY TIMESTAMPS

00:00

Cold open — "You're either all in or you're all out"

02:00

Why a 16-year hospitalist decided to open a DPC — the family member story that changed everything

04:00

How DPC found him: LinkedIn, Facebook, and a community of physicians who actually welcomed him in

05:30

Pushing back on the all-or-nothing message: the soft launch strategy

10:30

Why he's choosing night shifts as a hospitalist to keep both worlds open

14:00

The $75 telemedicine price — and the $140/$220/$300 model coming with brick and mortar

17:00

Why he hasn't opted out of Medicare yet (and when he plans to)

21:00

The hospital-to-home program — his passion project and what it could become

28:30

Hospitalist-to-DPC Facebook group: 198 members in under a month

31:00

What's next: brick and mortar in 2 months, growing the wait list, hiring web help

38:00

Five-year vision: full-time DPC, opted out of Medicare, possibly the traditional 5-day office


Dr. Gonzalez was born in NYC, but grew up in Virginia. She graduated from the University of Virginia and Eastern Virginia Medical School before completing her Family Medicine residency and Geriatrics Fellowship in 2002 at USC in Columbia, SC. She worked in Morganton, NC for 5 years at Burke Primary Care. After that, she headed the Primary Care Department at A Woman's View for 13 years and taught part time at the Geriatrics Fellowship in Morganton. She appreciates the privilege of working with her patients to improve their health, independence, and quality of life. She is Board Certified in Family Medicine and has a Certificate of Added Qualification in Geriatrics.

Anne Gonzalez

Dr. Gonzalez was born in NYC, but grew up in Virginia. She graduated from the University of Virginia and Eastern Virginia Medical School before completing her Family Medicine residency and Geriatrics Fellowship in 2002 at USC in Columbia, SC. She worked in Morganton, NC for 5 years at Burke Primary Care. After that, she headed the Primary Care Department at A Woman's View for 13 years and taught part time at the Geriatrics Fellowship in Morganton. She appreciates the privilege of working with her patients to improve their health, independence, and quality of life. She is Board Certified in Family Medicine and has a Certificate of Added Qualification in Geriatrics.

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