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At the start of a new year, many physicians don't feel burned out, they feel unsettled.In this January Reset re-air, I'm bringing back my conversation with Dr. Cindy Dafashy, a family medicine physician who opened her direct primary care practice directly out of residency.This episode isn't about how quickly she launched or whether her path should be copied. It's about the distinction she names so clearly between being clinically prepared and actually feeling ready.Dr. Dafashy reflects on learning medicine inside a culture designed primarily for physicians, then realizing that patients don't live inside that world at all. She shares how shifting away from medical language and toward patient-centered communication changed not just her practice, but her sense of alignment as a physician.You'll also hear her talk about boundaries and how she set expectations early, how she framed access without over-promising, and how she protected her energy before burnout ever took hold.This episode pairs closely with the free January reflection worksheet, Is DPC Right for You?, especially if you're navigating early-career uncertainty or wondering whether something that looks “right” on paper actually feels sustainable.As you listen, notice what resonates and what creates tension. Those reactions are the point.January Reset Invitation Download the free January worksheet, Is DPC Right for You?, and answer just one prompt after this episode. One sentence is enough.Get the FREE workbook to go along with our January RESET series HERE. Learn how Zion HealthShare can pair with DPC to protect patients and physicians without returning to traditional insurance. Read more in the Toolkit, our DPC magazine, today. If hiring feels like one of the most intimidating parts of growing your DPC practice, read the Winter issue of The Toolkit, our DPC Magazine that includes an educational, step-by-step hiring guide from the Cooperative of American Physicians designed to replace guesswork with clarity. What do you want MORE of in your practice this year? Download the January worksheet HERE for free today! Leave Maryal a voicemail @ https://mydpcstory.com/contactSupport the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
"Whoever makes patient care more convenient is likely to win." - Chris YarnMy guest this week is Chris Yarn, Founder of Walk On Clinic, who joins me to explain why convenience is the ultimate currency in healthcare. Chris shares his journey from insurance broker to building a direct primary care (DPC) model that brings care directly to the employee's doorstep - literally.Chris breaks down the "Walk On" model, which combines mobile on-site clinics, near-site access, and virtual care to achieve utilization rates that are double the industry average. We discuss why traditional "near-site" clinics often fail to engage employees, how nurse practitioners are the key to scaling primary care, and why the human connection is what truly drives ROI.We also dive into the hard numbers, discussing how to prove ROI with real claims data (not just fuzzy math), and Chris shares his personal battle with cancer in 2024 that reinforced his belief in the importance of early detection and primary care access.Tune in to the first episode of 2026 to learn why the future of healthcare is hyper-convenient.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Why Convenience is King in Healthcare (00:07:37) The Legend of "Frank Mic Dropper" (00:14:15) The "Walk On" Model Explained (00:19:38) Mobile vs. Near-Site: The Utilization Difference (00:26:24) Removing Barriers: No Build-Out Costs for Employers (00:32:06) Scaling DPC with Nurse Practitioners (00:39:27) How to Prove ROI with Real Data (00:47:53) A Personal Battle: Chris's Cancer Journey (00:53:09) The Future of Primary Care in AmericaKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
This episode is a homecoming!!!As part of our January Reset Series, we're re-airing a powerful conversation with four physicians from three specialties who each share a one-year update on their Direct Primary Care journeys.In this episode, you'll hear from:• Dr. Christina Much and Dr. Jake Much (Family Medicine) founders of Defiant DPC who are sharing about growth beyond expectations and how they planned maternity leave without panic• Dr. Deepti Mundkur (Internal Medicine) will be reflecting on time, advocacy, mentorship, and designing a practice aligned with life• Dr. Lauren Hughes (Pediatrics & Lactation) will be discussing boundaries, parenting while practicing medicine, and building community-rooted careWhether you are in residency, early career, actively considering DPC, or already open and asking how do I protect my energy and build something sustainable, this episode is for you.These physicians aren't sharing finished stories - they're sharing living ones.And January is a reminder that it's okay to pause, reassess, and realign whether you're just beginning or years into practice.Take a breath.You're not behind.You're allowed to build something that lasts.What to Especially Listen For:• How growth sometimes comes faster than expected and how to respond without burning out• How maternity leave, parenting, and practice ownership can coexist• How advocacy becomes possible when time is no longer rationed• How workflows, boundaries, and systems continue to evolve after opening• How DPC allows doctors to practice medicine that matches their values and not just their training
This is a great episode to listen to and send to a Med Student or Resident you may know! In this episode of the My DPC Story Podcast, host Dr. Debbie Lupeika, Director of the UC Davis Network of Affiliated Family Medicine Residency Programs, moderates a graduate panel featuring leading family physicians sharing their diverse career journeys post-residency within the UC Davis Network of Family Medicine residencies. From rural practice, corrections medicine, FQHCs, and Direct Primary Care, guests Dr. Maryal Concepcion (who got to vacate the Host seat this time!), Dr. Amanda Mooneyham, Dr. Landin Hagge, Dr. David Araiza and Dr. Madhupreet Hans reveal how they found fulfillment, autonomy, and work-life balance by innovating within family medicine. Highlights include real-world advice on loan repayment options, building a Direct Primary Care (DPC) practice, overcoming rural healthcare challenges, setting up mobile and telemedicine clinics, and advocating for underserved populations. The panel also discusses practical strategies for negotiating contracts, maintaining career-long learning, and the importance of physician-led, independent practice models. Whether you're a resident, new grad, or considering nontraditional paths in family medicine, this episode is packed with firsthand insights on thriving in today's changing healthcare landscape.Gusto, the Payroll and HR Solution loved by so many DPCs (including Big Trees MD)! Earn $100 after running your first payroll! Get paid for your medical expertise with Sermo! Sign up for free and start earning today!Support the showVOTE FOR MY DPC STORY! Help My DPC Story and DPC get more visibility by voting for My DPC Story in the Doctor Podcast Awards (voting closes Dec 29th)! Become A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
La presidenta #ClaudiaSheinbaum se pronunció sobre las diferencias en la #SEP entre Mario Delgado y Marx Arriaga y afirmó que la dependencia debe cumplir su función de garantizar el derecho a la educación.See omnystudio.com/listener for privacy information.
Autoridades recuperaron a la última víctima del descarrilamiento del #TrenInteroceánico y la #Segob publicó la lista con los nombres de las personas fallecidas.See omnystudio.com/listener for privacy information.
Flor Morales sobrevivió al descarrilamiento del #TrenInteroceánico y relató cómo sus vacaciones terminaron en tragedia tras perder a su madre, su padre y a su tía. #PaolaRojasDPCSee omnystudio.com/listener for privacy information.
La estación #Auditorio de la Línea 7 del Metro de la #CDMX permanece cerrada por obras rumbo a la próxima justa mundialista, mientras el transporte público operará con horarios especiales por fin de año.See omnystudio.com/listener for privacy information.
En #Zapopan, #Jalisco, se registró un enfrentamiento armado a plena luz del día que dejó tres personas fallecidas y cuatro más lesionadas.See omnystudio.com/listener for privacy information.
En #Sinaloa se registraron hechos violentos en distintos municipios: en #Culiacán hubo ataques que dejaron tres personas sin vida y fueron asegurados tres hombres armados con 34 bombas caseras, mientras que en #Escuinapa se reportó la detención de 12 personas.See omnystudio.com/listener for privacy information.
Desde una funeraria en El Espinal, en la región del Istmo de Tehuantepec, #Oaxaca, se realizó la entrega de féretros a familiares de víctimas del descarrilamiento del #TrenInteroceánico. See omnystudio.com/listener for privacy information.
Un elemento de la fiscalía estatal en #Oaxaca fue captado en una fiesta manipulando su arma, presuntamente en estado de ebriedad.See omnystudio.com/listener for privacy information.
Más de 20 menores en #Ecatepec, #Edomex, han sido víctimas de engaños telefónicos que los hacen salir de sus casas, mientras los responsables simulan un secuestro para exigir dinero a sus familias.See omnystudio.com/listener for privacy information.
Tres mapaches fueron captados dentro del área de quirófanos del Hospital Regional de Alta Especialidad del #ISSSTE, en #Acapulco, y posteriormente fueron capturados por una empresa especializada.See omnystudio.com/listener for privacy information.
De Pisa y Corre con Paola Rojas de lunes a viernes a las 8:00 am por Imagen TelevisiónSee omnystudio.com/listener for privacy information.
Cada vez más personas realizan compras en línea; sin embargo, en algunos casos reciben paquetes que no pidieron, una práctica asociada a una estafa digital conocida como #BrushingSee omnystudio.com/listener for privacy information.
Aunque la campaña de vacunación para la temporada invernal 2025-2026 se extiende hasta abril, especialistas recomiendan que los grupos de riesgo se vacunen lo antes posible.See omnystudio.com/listener for privacy information.
La explosión por acumulación de gas en #Ecatepec, #Edomex, dejó tres casas dañadas. Las autoridades señalan que un hombre la habría provocado tras una pelea.See omnystudio.com/listener for privacy information.
La explosión en #Ecatepec, #Edomex, afectó el departamento de Tania Fragoso, quien relató lo que vivió tras perder su patrimonio.See omnystudio.com/listener for privacy information.
El exdiputado #JavierLópezZavala fue declarado culpable por el feminicidio de #CeciliaMonzón, crimen ocurrido en mayo de 2022.See omnystudio.com/listener for privacy information.
Estas fechas marcaron la infancia de muchos con regalos, ilusiones y momentos en familia, incluso de quienes hoy llenan escenarios y estadios. Estos son los recuerdos de algunos famosos sobre sus juguetes de la infancia.See omnystudio.com/listener for privacy information.
De Pisa y Corre con Paola Rojas de lunes a viernes a las 8:00 am por Imagen Televisión. See omnystudio.com/listener for privacy information.
Un choque fatal ocurrió en la zona de obras de la calzada San Antonio Abad, en la #CDMX, luego de que un taxi perdiera el control y se impactara contra una palmera; el conductor perdió la vida tras salir proyectado. See omnystudio.com/listener for privacy information.
El maltrato animal es un delito que puede castigarse con hasta 10 años de prisión; sin embargo, en México persisten casos donde las sanciones parecen no ser un freno.See omnystudio.com/listener for privacy information.
Para muchos paisanos, el regreso a México en esta temporada comenzó con incertidumbre ante los constantes riesgos de extorsiones y abusos.See omnystudio.com/listener for privacy information.
Peritos arribaron a la zona del choque en la calzada San Antonio Abad, en la #CDMX, y en redes sociales comenzó a circular un video del presunto conductor momentos antes en otra zona de la capital.See omnystudio.com/listener for privacy information.
Este año se habló de la #LeyTrasciende, impulsada por la activista #SamaraMartínez, con la que se busca legalizar y despenalizar la eutanasia como un derecho a morir con dignidad.See omnystudio.com/listener for privacy information.
Para muchas personas no hay nada mejor que disfrutar una actividad recreativa, por lo que Sajid Fonseca vivió una experiencia inmersiva con dinosaurios.See omnystudio.com/listener for privacy information.
De Pisa y Corre con Paola Rojas de lunes a viernes a las 8:00 am por Imagen Televisión.See omnystudio.com/listener for privacy information.
Jazlyn Peña, de 2 años, sobreviviente de la explosión de una pipa en #Iztapalapa, fue dada de alta del Hospital Shriners en #Texas tras dos meses de atención. Su abuela falleció protegiéndola con su cuerpo.See omnystudio.com/listener for privacy information.
#DiegoWinburn, ilusionista, mentalista e hipnotista, visitó el foro de #DPC para contar cómo nació su pasión por la magia y cómo se prepara para cada presentación.See omnystudio.com/listener for privacy information.
Diego Winburn nos acompañó en el foro de DPC, donde realizó un par de trucos de magia junto a Paola e Hiram, creando momentos de ilusión y sorpresa.See omnystudio.com/listener for privacy information.
Entre lluvias e inundaciones, también surgieron historias de resiliencia, como la de mariachis que enfrentaron una inundación con actitud positiva y compartieron su historia en #DPC.See omnystudio.com/listener for privacy information.
Sajid Fonseca (SoyTexcoqueto) cumplió la promesa de #PaolaRojas y entregó un violín a Ana, la violinista mariachi que perdió su instrumento tras las lluvias torrenciales que provocaron inundaciones.See omnystudio.com/listener for privacy information.
Tránsito lento e intermitente en Viaducto Miguel Alemán y Calzada de Tlalpan rumbo al oriente de la CDMX.See omnystudio.com/listener for privacy information.
En los últimos meses ha ganado fuerza entre jóvenes un fenómeno emocional que especialistas llaman #NuevoNihilismo, una mezcla de incertidumbre, cansancio y la sensación de que el futuro ofrece cada vez menos garantías.See omnystudio.com/listener for privacy information.
México celebró el talento femenino en los Glamour Women of the Year 2025. En la 4ª edición de los Premios Mujer del Año, artistas, deportistas y creadoras fueron reconocidas, entre ellas la conductora y periodista #PaolaRojasSee omnystudio.com/listener for privacy information.
In this My DPC Story Patreon episode, Dr. Ashlee Hendry of Mid South DPC in Petal, Mississippi, for an inspiring update on her Direct Primary Care journey. Nearly four years after her clinic's rapid growth, Dr. Ashlee Hendry discusses the evolution of healthcare access in her community, the power of patient advocacy, and the impact of price transparency. She shares invaluable business tips on scaling her practice, hiring staff, and navigating financial decisions like raising membership fees. Listeners will hear how social media - especially a viral TikTok on MRI and maternity cash pricing - has recently helped expand awareness (and in some cases enrollment!) of DPC nationwide. Dr. Ashlee Hendry also opens up about balancing motherhood with entrepreneurship and details her vision for a direct imaging center to further disrupt traditional healthcare barriers. Tune in for actionable advice on starting, growing, and marketing a DPC clinic, plus insights for medical students, residents, and physicians seeking burnout relief and sustainable careers in direct care. Whether you're opening your first practice or expanding, this episode is full of practical wisdom, business strategies, and motivation for the future of primary care.VOTE HERE for My DPC Story in as many categories in the Doctor Podcast Awards! Vote HERE for My DPC Story in as many categories as you want today!Support the showVOTE FOR MY DPC STORY! Help My DPC Story and DPC get more visibility by voting for My DPC Story in the Doctor Podcast Awards (voting closes Dec 29th)! Become A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
Biznis priče konferencija 2026 se održava 2. i 3. aprila u Vrnjačkoj Banji, Hotel Zepter.
In today's episode of the My DPC Story Podcast, host Dr. Maryal Concepcion and guest Dr. Amber Beckenhauer reflect on the transformative landscape of Direct Primary Care (DPC) as 2025 ends and 2026 approaches. They discuss critical updates like HR1 and HSA regulations, sharing insights on how legislative changes, practice resources, and evolving patient needs are shaping the future of DPC clinics. Both physicians explore topics like staff restructuring, inflation impacts, and the importance of autonomy and creativity for entrepreneurial doctors. Dr. Amber Beckenhauer highlights her work in physician education, while Dr. Concepcion previews new resources and conferences available for DPC practices nationwide. The episode provides actionable tips for navigating open enrollment, building resilient teams, and adapting to changes in healthcare. Ideal for physicians, healthcare entrepreneurs, and those curious about DPC best practices, this episode inspires listeners to embrace innovation and sustainable growth in primary care. Find the DPC Magazine The Toolkit for more on HSAs and the IRS recommendations about HR1, visit mydpcstory.com/magazine. Connect with Dr. Beckenhauer and inquire about her upcoming courses HERE.For those looking for the Medicare Survival Kit, you can find it HERE.Gusto, the Payroll and HR Solution loved by so many DPCs (including Big Trees MD)! Earn $100 after running your first payroll! Get paid for your medical expertise with Sermo! Sign up for free and start earning today!Support the showBe A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
We dig into why visceral fat drives disease risk, how to spot it on sight and imaging, and the levers that shrink it without losing muscle. We map a practical plan across food, fasting, light, stress, and training, and weigh GLP-1s and surgery against lifestyle-first care.Christopher J. Stadtherr, MD is a board-certified physician in Family Medicine and Obesity Medicine, with expertise in nutrition and metabolic health. He practices metabolic medicine in a direct primary care (DPC) model out of Gig Harbour, WA, USA and is committed to helping his patients reverse their diabetes, improve their metabolic health, and avoid the myriad complications that necessitate hospitalization.CONSULT DR MAXInitial consult - https://www.drmaxgulhane.com/offers/5jfDvLyH/checkoutSUPPORT MY WORK
A Letter From Me to YouAs we close out 2025, I wanted to take a moment to speak directly to you - doctor to doctor, human to human.This episode is a little different. It's a twist on 'Twas the Night Before Christmas, written as a reflection of our shared journey as physicians. It honors not only the work we do in exam rooms and inboxes, but also the quiet, unseen work that happens in kitchens, cars, call rooms, and living rooms - the places where our families, our partners, and our loved ones carry this life with us.My hope is that you'll hear pieces of your own story in this reading: the exhaustion that shows up at the end of a too-long day, the hope that never fully disappears, and the quiet, stubborn resilience that keeps you moving forward. Whether you practice Direct Primary Care or another model, the heart of what we do is human-centered medicine, and that heart beats strongest when we remember that compassion includes ourselves.This episode is my way of acknowledging the realities we juggle, the trust we're fighting to reclaim between doctor and patient, and the community that continues to grow around this movement. It's an invitation to take a breath, to feel seen, and to know you are not doing this alone.As you listen, I hope you feel warmth. I hope you feel connection and I hope you step into the new year with a little more light.With gratitude,Maryal Concepcion, MD Family Physician & MomKeywords: Direct Primary Care, physician wellness, holiday podcast, medical compassion, family, physician support, Christmas storySupport the showBe A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results… Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income. And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com. =============== Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. =============== Family physician Dr. Jennifer Allen came to medicine through nursing and nurse practitioner roles before ultimately opening her own direct primary care (DPC) clinic outside the insurance system. After discovering how misaligned pricing and productivity demands were with the kind of care she wanted to deliver, she chose a membership-based model that let her work directly for patients instead of payors. Dr. Jennifer explains how she navigated contracts and non-compete concerns, designed her DPC practice around access and affordability, and later added an IV infusion lounge as a separate business to create a second, values-aligned income stream. Listeners hear what to consider if they're thinking about DPC or cash-pay services themselves—from keeping overhead lean to choosing services, partners, and protocols that fit both their ethics and their lifestyle. You'll find links mentioned in the episode at nonclinicalphysicians.com/unexpected-income-opportunities/
In this episode of Healthcare Americana, host Christopher Habig sits down with Sierra Lavallee, head of marketing at Freedom Healthworks, to explain why smart, strategic marketing is one of the most important factors in building a successful direct primary care practice. They discuss how marketing helps connect the right patients with the right doctors, why visibility and education matter more than ever in today's consumer-driven healthcare environment, and how physicians can market themselves without sacrificing professionalism. From branding and websites to social media, community engagement, and patient follow-up, this conversation breaks down practical, real-world marketing strategies that help DPC clinics grow from an idea into a thriving, patient-centered business.More on Freedom Healthworks & FreedomDoc HealthSubscribe at https://healthcareamericana.com/More on Sierra LavalleeFollow Healthcare Americana: Instagram & LinkedIN
Today Dr. Demetrio Aguila, a Direct Care surgeon and Host of the Direct Care Movement Podcast interviews the Host of My DPC Story, Dr. Maryal Concepcion. For those listeners new to the podcast, or for those who are always happy to hear a DPC doctor talk about before and after opening a DPC, today you get to hear some of our Host's back story. Dr. Concepcion, a family physician and DPC pioneer in rural California, shares her journey of leaving fee-for-service medicine to open her own DPC practice. The conversation highlights the freedom, flexibility, and genuine patient relationships that DPC offers, contrasting it with the restrictions and burnout found in traditional healthcare systems. Listeners will hear practical advice for residents and medical students considering DPC, the financial realities of running a membership-based clinic, and tips for overcoming staffing challenges in rural areas. The episode also dispels common myths about DPC and discusses the growing movement toward patient-centered care. Hear more from Dr. Aguila at the Direct Care Movement podcast on Apple Podcasts!Register for Hint Summit today and use promo code MYDPCSTORY for $50 off your Clinician ticket! Gusto, the Payroll and HR Solution loved by so many DPCs (including Big Trees MD)! Earn $100 after running your first payroll! Get paid for your medical expertise with Sermo! Sign up for free and start earning today!Support the showBe A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
Friday - Clark Stinks day! Christa shares Clark Stinks posts with Clark. Submit yours at Clark.com/ClarkStinks. Also in today's episode: Take it to the limit - the new retirement account limits. Clark has updates and advice to enhance your retirement saving strategy. Clark Stinks: Segments 1 & 2 Retirement Planning 2026: Segment 3 Ask Clark: Segment 4 Mentioned on the show: Citi Double Cash® Card Review: 5 Things To Know in 2025 5 Things To Know About the Citi Strata Premier Card Cell Phones - Clark.com Can I Use HSA for DPC? Yes, Starting January 2026! Rechargeable Batteries: Are They Worth It? The Best Place To Buy Cheap Batteries 401(k) limit increases to $24,500 for 2026, IRA limit increases to $7,500 Why Clark Howard Is Obsessed With Roth for Retirement Savings My Social Security: The Free Account Everyone Needs To Set Up Before Retirement Clark.com resources: Episode transcripts Community.Clark.com / Ask Clark Clark.com daily money newsletter Consumer Action Center Free Helpline: 636-492-5275 Learn more about your ad choices: megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices
Today Dr. Emily Holt, a Direct Primary Care (DPC) physician based in New Orleans, shares her inspiring journey from working in federally qualified health centers (FQHCs) and university clinics to opening her own DPC practice amidst a rapidly changing healthcare landscape. The discussion dives deep into the effects of the "one big beautiful bill," the challenges facing marginalized communities following recent legislative changes, and innovative ways DPC physicians in Louisiana are collaborating to fill healthcare gaps. The episode also highlights the power of community-driven solutions, nonprofit partnerships, and coalition-building among DPC practitioners to improve access to affordable, relationship-based care. Whether you're a physician, patient, or healthcare advocate, this episode offers firsthand insight into DPC, healthcare advocacy, and the current realities for patients and providers in New Orleans and beyond. Recorded July 2025.Register for Hint Summit today and use promo code MYDPCSTORY for $50 off your Clinician ticket! Gusto, the Payroll and HR Solution loved by so many DPCs (including Big Trees MD)! Earn $100 after running your first payroll!Support the showBe A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
This is Part 2 of our conversation with Dr. Zwade Marshall and the final episode for a while as Dr. Disha begins a new chapter, opening her own Direct Primary Care practice. Dr. Zwade Marshall is an Emory and Harvard trained anesthesiologist, interventional pain specialist, CMO of Regenerative Spine and Pain Specialists, and co-founder and CEO of Doc2Doc Lending, a lending platform created by doctors for doctors. In this closing installment, Dr. Marshall explains what it truly means for physicians to make empowered decisions when opening, financing, and building their own practice. He shares the financial pitfalls many doctors overlook, the importance of understanding market demographics, and how tools such as Tenant Improvement Allowance and ownership-based tax benefits can significantly shape long-term wealth for private practice physicians. If you are planning to open a clinic, transition into DPC, or simply want to understand practice financing more clearly, this episode offers practical guidance that medical training rarely covers. Key Topics Covered: 1. How empowered doctors make empowered decisions Why physicians must learn to evaluate risk, financing, long-term ROI, and operational decisions with the same confidence they use in clinical care—and how that mindset shift changes everything. 2. Financing your own medical practice Understanding budget allocations, startup capital, cost projections, and what you should (and shouldn't) take on debt for when building your practice from scratch. 3. The Market Demographic Survey What a demographic report actually tells you, how it affects patient volume and payer mix, and why it's one of the most critical early steps in choosing your practice location. 4. Tenant Improvement Allowance (TIA) What TIA is, how landlords use it to attract medical tenants, how much you can negotiate, and how it reduces upfront buildout costs for new practice owners. 5. Why owning your medical practice building is a long-term wealth strategy The tax benefits, equity growth, and stability that come with being your own landlord—and why many physicians only realize these advantages too late in their careers. 6. Financing (How do doctors get capital?) Especially when they don't have revenue yet. Listener Takeaways: The mindset shifts required to become an empowered, financially confident physician How to allocate budget and financing when opening a practice Why demographic surveys are essential for choosing the right location How Tenant Improvement Allowances work and how to negotiate them The long-term tax benefits and wealth advantages of owning your practice property How platforms like Doc2Doc support physicians with smarter, physician-centered lending Real-world financial advice every doctor should know before launching a private practice or DPC model Connect with Us: Host: Dr. Disha Spath, The Frugal Physician Guest: Dr. Zwade Marshall, CEO of Doc2Doc Lending This episode is brought to you by Doc2Doc Lending. Doc2Doc Lending offers personal loans up to $100,000 for doctors — designed to help you consolidate debt, invest in your goals, or get ahead financially. Founded by doctors for doctors, we make funding simple, transparent, and tailored to the medical community. Visit their website at: https://www.doc2doclending.com/personal-loans-for-physicians/?utm_source=FrugalPhysician&utm_medium=podcast&utm_campaign=FP This episode is brought to you by Black Swan Real Estate, led by physician-investor Dr. Elaine Stageberg. Dr. Stageberg, a Mayo Clinic–trained physician, together with her husband Nick, has spent years building Black Swan Real Estate into a diversified, large-scale portfolio now approaching half a billion dollars across 2,000 doors. Now, through their Secure Freedom Fund, a 10% fixed rate of return offering, you can invest alongside them. The Secure Freedom Fund offers institutional-quality real estate opportunities—designed to deliver strong cash flow, long-term growth, and remarkable tax advantages. This fund is uniquely structured so that each investor can tailor it to their own individual goals: a minimum investment of just $25,000, the ability to choose monthly cashflow distributions or to elect the compounding option for higher overall growth, the option to exit the fund on your timing, the flexibility to invest in your personal name, a trust, an LLC, or a retirement account, and so much more. If you're an accredited investor who's ready to diversify beyond Wall Street and invest with experienced, trust worthy operators who've been exactly where you are, visit SecureFreedomFund.com today to learn more. From there, you can review the slides, watch the webinar, and even a book a call directly 1:1 with Dr. Elaine Stageberg. That's SecureFreedomFund.com.
Today's episode is one of the most important conversations we've had on My DPC Story. As of July 4th, we are standing at a true inflection point for Direct Primary Care—and for every physician, employer, broker, advocate and patient who believes primary care should be personal, accessible, and free from insurance middlemen.In this special session, I'm joined by Jay Keese, Executive Director of the Direct Primary Care Coalition, who has spent more than a decade at the front lines in Washington, DC. Together, we break down what HR 1—the major tax bill signed into law this year—actually means for DPC. This includes:The historic win: HSAs are now fully compatible with Direct Primary Care for the first time ever.What patients can do starting January 1: Use tax-free HSA dollars to pay for DPC memberships without losing HSA eligibility.How this changes the landscape: New opportunities with employers, brokers, high-deductible plans, and even ACA bronze/catastrophic plans.What stays the same, what's evolving, and what rulemaking from the IRS will finalize.What's coming next: How DPC can scale responsibly and sustainably as demand accelerates.If you've ever wondered how policy actually becomes reality—or what the future of DPC looks like on a national scale—you'll want to listen closely. This episode is equal parts celebration, clarification, and a roadmap for what comes next.Learn about healthcare for your own family and about health shares today! Get your FREE DIGITAL COPY of The Toolkit, the magazine from My DPC Story at mydpcstory.com/magazine. Coming NOV 25th 12pm PST: our LIVE Webinar and Q&A on the OBBB, HR1, HSAs and DPC. Register at dpcare.org. Get your DPC Resources HERE at mydpcstory.com!Support the showBe A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
Health care strategist Dana Y. Lujan discusses her article "Why direct primary care (DPC) models fail." Dana argues that the DPC community's obsession with "purity" is missing the point, stating that these models don't fail over ideology, they fail because of bad math. She uses the University of Houston's $1 million clinic failure as a prime example of a "fundamental market mismatch," where a DPC model was placed in a low-income area that couldn't sustain its membership fees (a ~70 percent revenue deficit). Dana also debunks the myth that institutions can't run successful DPC programs, citing CHI Health and Johns Hopkins as proof that financial sustainability and market fit are the true keys. This episode explores the critical difference between what's legally permissible and what's operationally sustainable, and why the DPC conversation must shift from philosophy to execution. Learn why you cannot "subscription-model your way out of poverty." Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended