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Patient messages have a sneaky way of eating the whole day, don't they? Assist writes the replies for you in Spruce. Review, tweak, send. 👤 Same care your patients love, minus the typing & info hunting.

Direct primary care membership grew 837% between 2017 and 2025. It's now in 49 states. When you compare it to almost anything else in healthcare, it's a clear winner. While the system was busy debating itself, a quietly growing number of patients simply moved to a model where they pay their doctor directly…

Things that don't exist in a DPC practice: ❌ “Your insurance doesn't cover that” ❌ A 3-week wait for a same-day problem ❌ Spending more time on paperwork than with patients ❌ Patients Googling their symptoms because nobody called back. Funny how removing the middleman changes everything.

3 things only a DPC doc really understands 👇 1. A visit that ends because you're actually done, not because a 12-minute timer went off. 2. A patient texting “thank you, that helped” instead of opening a surprise bill three weeks later. 3. Knowing your patients, and them knowing you back.

We just released Draft Assist in Tabflows. One click and the assist read's the patient's conversation and medical history, and practice internal information to draft an accurate reply ready for review, tweak and send.

Somewhere along the way, seeing a doctor in America turned into a logistics problem. A referral just to get another referral. A prior auth that literally nobody can explain. The portal you have to reset your password for every. single. time…