New Montana laws enshrine health care alternatives, for better or worse

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Montana has passed new laws barring health care sharing ministries and direct patient care clinics, like CostCare clinic in Missoula, from being regulated as insurance.


When Paul Rana’s primary care physician left the VA clinic in Kalispell to open her own practice, he followed her. But instead of picking up a new health insurance policy, Rana and his partner agreed to pay a monthly fee that came with the promise of better access.

Their provider, Dr. Lexi Tabor-Manaker, opened Glacier Direct Primary Care clinic in 2018. The model known as DPC, which can also stand for direct patient care, furnishes basic health care to patients for a set fee, often billed monthly like a subscription. The arrangement offers patients unlimited access to their doctors and allows them to communicate by phone or email. But the costs are all out-of-pocket.

“We have been pleased to be able to communicate with her instantly without going through an administrative gauntlet,” as he might with the Department of Veterans Affairs,

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