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Island doctor sets up new form of practice - The Galveston County Daily News: Health

July 7, 2015

Island doctor sets up new form of practice

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Posted: Tuesday, April 29, 2014 12:20 am

GALVESTON — A new medical practice in town features house calls, same-day appointments and cash-only care for less than the cost of most cable subscriptions.

Dr. Stephen Chappelle Caughron set out his virtual shingle earlier this month in Galveston. He follows a new economic model, direct primary care, which is membership based and bypasses insurance.

“I founded Island Direct Care basically to provide primary care that is simple, affordable and accessible, with no deductibles, no copays, no waiting, no hassles,” said Caughron, whose patients call him Dr. Chap, a short form of his middle name.

“It’s starting at $10 a month for children and $50 a month for most adults and that includes same-day appointments and house calls, as well as unlimited visits, free procedures and then wholesale pricing on additional costs such as diagnostic imaging or lab work.”

Caughron uses a model developed by a trio of doctors in Kansas City who don’t accept insurance. Instead, the Atlas MD group charges most adult patients $50 a month for unlimited visits, with reduced medication and lab costs.

Following that formula, Caughron’s goal is to spend more time with patients and less time jumping through the hoops of traditional medical practice. He’ll come right to your door with services that include checkups, blood tests, wellness and minor illness and injury treatment. He’ll then follow up with emails and phone calls. He also uses videoconferencing.

“It really returns that excitement to medicine to allow me to serve me as a primary care doctor and not be concerned so much about billing and coding like in the traditional model,” Caughron, who settled in Galveston in December with his BOI wife, Elise Dimuzzo Caughron, said.

Caughron was trained under the traditional model of medical practice at the University of Texas Medical School at Houston. A native of Andrews in West Texas, he was first drawn into emergency medicine from his work as a medic/fireman in Conroe.

“A quest for adventure led me to that,” he said. “But as I matured, I really started wanting to fix and prevent problems.”

Caughron was out of medical school and in a career in emergency medicine when bouts with burnout made him take stock and prescribe a different future. He decided to start anew with a primary direct care practice, setting up in Galveston. 

The practice includes:

• House calls and workplace visits;

• Membership plans that are month to month and require no contract;

• Quick responses to emails and Twitter messages;

• Integrative care, including consulting with other physicians, physical therapists, chiropractors and acupuncturists; and

• No contracts with managed care, such as health insurance, Medicare or Medicaid.

Caughron often sends patients to Rodney Nelson of Lifestyle Investment Solutions in Galveston to pair their health care with health insurance.

“We kind of think of it as you wouldn’t use auto insurance to fill your tank with gas or to change your oil,” Caughron said.

“So for everyday health care needs — like check ups, minor illness, or minor injury — it doesn’t make sense to use insurance. You use insurance for the large expenses that might require hospital care.”

Nelson also works with businesses to pair lower-cost insurance plans with Island Direct Care.

This outside-the-box medical practice is in its infancy, Caughron said. But the rewards outweigh the challenges.

“The most rewarding work I can think of is to be able to do something I feel a great purpose in, and I have the freedom and autonomy to actually do it,” he said. “It’s incredible.”


  • For information, call Dr. Stephen Chappelle Caughron, 409-276-8770, email drchap@islanddirectcare.com, visit islanddirectcare.com or search Island Direct Care on Facebook.
  • Upcoming events include a ribbon cutting and address at the Galveston Chamber of Commerce, 2228 Mechanic St., at 5:30 p.m. Thursday. Caughron also will be speaking on medical economics at a soon-to-be scheduled event at Oasis Juice Bar & Market, 409 25th St., in Galveston.