Podcasts about medical practices

https://youtu.be/B9j1nlRifHM Alex Fernandez, CEO of Synergy Orthopedic Specialists, is driven by a mission to help physicians Build a Multi-Site Medical Practice that creates wealth, equity, and independence beyond their personal labor. By bringing independent physicians together, building scalable organizations, and expanding access to integrated services, Alex helps doctors operate as entrepreneurs while delivering a more convenient and cost-effective patient experience. In this conversation, Alex introduces The Multi-Site Scaling Framework—Visualize Your Target EBITDA, Align With Your Partners, Remove Yourself From the Center, Build Systems, and Build Margin Around Your Core Business. He explains why starting with the desired enterprise value creates a clearer path for growth, why alignment must be a gate for every partnership or acquisition, and how strong systems allow a business to operate without depending on its founder. Alex also shares how vertical integration, company culture, geographic expansion, and AI-assisted processes can improve profitability while preserving independent medical care. — Build a Multi-Site Medical Practice with Alex Fernandez  Good day, dear listeners. Steve Preda here with the Management Blueprint Podcast, and welcome Alejandro “Alex” Fernandez, the CEO of Synergy Orthopedic Specialists, a team of surgeons and specialists that believes in providing patients with an integrated approach to musculoskeletal—I’m glad I could pronounce this—medical care through 15 locations throughout San Diego. Alex, welcome to the show.  Thank you. Thank you. Yeah, I appreciate that. I’ve enjoyed your show, and I’m happy to be here.  Well, I’m always interested when I meet with medical provider companies or CEOs who have been doctors, because I grew up in a family of two doctors, and so I was exposed to some of the challenges of being a doctor and running a hospital. So that’s going to be interesting. So my favorite question that I ask recently to all our founders is, what is your personal why, and how are you manifesting it in your practice and in your business?  Yeah, for sure. And so my why, as you put it, comes from where I started. I actually don’t come from a family of physicians. I started not where I ended up. I’m a son of Cuban immigrants. My parents fled Castro in the ’60s, and I was born in Puerto Rico. Later on, my family took a lot of our family in the Mariel boatlift in 1981 and took hundreds of people out of Cuba. But in reality, the concept or the reality is that my parents didn’t have a lot of money. They had some connections, but they believed that I should have a college education.  But I had to work my way through eight years of college to get my bachelor’s. So I landed in healthcare as an accident. It was a small medical practice. I was basically doing front desk and medical records, and then later on learned how to do the billing, all by hand at that time. There were no electronic medical records. And I started basically at the front desk, and I watched something that I never really forgot, which is, you have these brilliant physicians, people that can diagnose patients and help them and cure them, but when it came to business, they were never taught anything about business.  So this is where I believe I have generated value over the years: basically, built companies that actually create wealth, and the wealth for the physicians in particular.Share on X I think physicians are very entrepreneurial. At least that’s the idea to begin with, is, “I’m going to go into the practice of medicine and have my own business.” But somewhere along the line, the business becomes almost like an ATM machine. It’s no different than any other entrepreneur that starts a business. They are the business. Without them, if they go away for a couple of days, the business doesn’t make any money, and they don’t really know how to do that. So what I’ve done over the years is I have gotten smaller groups of physicians to come together, form larger organizations, larger groups, and eventually built larger private businesses that can have EBITDA, equity earnings that can basically provide some additional wealth.  Particularly, I try to help them think of themselves as capitalists, not as day laborers. Because in reality, in most businesses, and particularly physicians, they’re cranking the wheel, and the more they produce, the more they work, the more they earn. But in some cases, they don’t understand how to get away from that. How to earn from all the other things that they control. Because physicians do control 80% of the spend in healthcare but earn probably no more than 5% of it.  Wow. That is shocking. So they’re not using the leverage properly, probably.  Yeah. Sometimes they know it’s there, but physicians in general are risk-averse. Just starting their own business is hard enough. Then having to figure out how to capitalize from all the levers that they have, that’s completely different. And they’re no different than, I would say, lawyers or accountants that start a small business. At some point in time, you have to figure out, how do you make the business big enough that it operates and works without you?  Yeah, I love that. I love that. And what makes you feel strongly for physicians?  Well, particularly independent physicians, I think it’s a dying breed. Years ago, I would hear the stories of my parents where they’d say, “Hey, we took you to the pediatrician,” and my dad would be friends with the OB-GYN that took care of my mom and the pediatrician. And I remember them naming them by first name or even meeting them at the social club. But nowadays, it’s very transactional. It’s very fast. There’s no connection.  So I think that’s why there’s been this whole surgence of concierge physicians where you pay extra. Because in truth, in order to make a living, the business of healthcare is compressed by downward pressures from the government and from other institutions that say, “We’re going to pay you less, but you have to have a significant amount of compliance, and you have to spend more money on this, and you have to do that.” And then at the same time, the cost of living goes up.  The employees need to make more money. Your rent goes up. The supplies continue to increase. So you have the static or lower reimbursement from the different payers, whether it’s Medicare, the government, or private institutions, and then an increase of expenses happening. That’s very strange to any business. In any other business, you say, “Well, if my costs go up, I increase my prices, and then maybe my margins are a little bit less, but I still have a significant margin.” In healthcare, you almost have to just work more in order to generate more revenue, and the expenses hopefully will increment a little bit more, but your earnings will be the same or less. So it’s a very tough situation for an independent physician.  That’s why more and more, especially physicians coming out of training, look for jobs with health systems, with the Kaisers of the world or the different large institutions in the United States, so that way they can go ahead and just go to work and take care of patients and not worry about the business of healthcare.  Yeah. But then these big hospitals turn into bureaucracies, and then they still have to worry about that in a different way.  And that’s personally the second part to that question you asked me. That’s why I like working with physicians and not necessarily with health systems. I’ve never held a job with a hospital. Not that I haven’t wanted to. It’s just, I think the nature of the bureaucracy of a health system creates some things that I’m not personally interested in.  Yeah. Well, I can see that. So Alex, this is a podcast of frameworks, as you know. So what’s a framework that has helped you build your business, maybe generate an insight, understand situations, maybe influence these physicians to come together in your roll-ups? Whatever framework you developed, could you share something with our listeners?  Yeah. Yeah, for sure. Most owners in a business—and I’ll talk in generic terms. I’ll try to make sure I don’t use any slang for healthcare—but most businesses build their business for income. They want to make income for their families, for themselves. They want to be able to take care of the people that they’re with. But they don’t really think about it from a perspective of, “Let me build a business that can multiply.” Maybe they want to, but in a lot of areas, it’s just hard for them.  I actually grew up in the bridal business. My parents had bridal stores. They basically did wedding packages, and that’s the business that I grew up in. Every summer, I would go and do the cash register or help rent tuxedos and things like that, or do filing and bookkeeping. So that’s where my entrepreneurial spirit comes from. It’s my parents. But I always saw them where maybe they built one or a couple stores, two, three stores, and they would kind of stop there. But I think I learned a lot from my dad in particular around multi-site operations in a retail industry, and I took that back into the healthcare business.  So one of the first things I think that a business owner has to do is they have to underwrite their own exit first.Share on X They have to think of growth and particularly of the value of the business if they were ever going to sell it. Figure out what your EBITDA or enterprise value is going to be, and then go from there. Then make the alignments first, but don’t make it the goal. Most people chase the volume, the customers, more locations, more deals, spend years fixing what they bolted on in order to flip it, but they don’t really take the time to align it. So I think the client, the partnership, the acquisition—you have to figure all that out at the beginning and then fix it later.  If I run into an acquisition that we’re looking at, and I don’t see the alignment from whoever I’m going to partner up with, I know it’s going to be a deal that’s going to go bad eventually. We all have to be thinking the same way. Then the other thing, like I already mentioned this a couple of times, but you have to take yourself out of the center. If you’re the CEO, you’re the business owner, and the business depends on you—you can’t go on your two- or three-week vacation to Europe or wherever you want to go, and when you come back, the business is in disarray or didn’t survive—you don’t really have a business.  You just have a job that costs you a lot of money to maintain. I think that’s where operating systems earn their keep. I haven’t really run the EOS program, but I’ve read the book, and I really like the idea of the scorecards, and I used it particularly when I came to this opportunity in San Diego. Getting everybody to row in the same direction. A business that runs with a founder and a single thing, it’s one that won’t get very far.  But on the other hand, if the founder figures out a way to build systems around them and bring in the right people, that’s going to make the business way more successful. And the last one I would say is own the margin around your core. Don’t just sell the core service. Figure out what else you have. And I think in healthcare in particular, I was mentioning this: doctors control a significant amount of what happens to a patient, but they don’t figure out ways to vertically integrate the business to have access or have the opportunity to earn some revenue and some earnings from the actual business they refer to.  So what I’ve done over the years, particularly in gastroenterology, I grew a medical practice of gastroenterologists. A couple of them came together, and it was around 50 million in revenue when I came in. And one of the first things I started doing was figuring out, how do we add, let’s say, imaging services? So we added CT. How do we add infusion services? Because back then, there were some significant drugs that were coming into market around infusion. But later on, we said, “Hey, we have an investment in an ASC, but why don’t we do the investment so the investment’s part of the group? So all the doctors can benefit from that.  And when we actually equitize the business in the future, that could be part of our exit if there’s equity there.” And then the next question was, “Well, why don’t we sell the prep that we give people before they get the colonoscopy?” So we got licensing around pharmacy, and then we said, “Well, what about anesthesia? What about pathology?” And so on and so on. So when I went to New York City and I ran a dermatology group, we built a path lab for the derms. When I came here to the orthopedic group, we had PT locations, expanded to multiple PT locations, improved the contracts around durable medical equipment, the bracing, even added anesthesia and started our own ambulatory surgical center.  So always trying to figure out, how can you vertically integrate the business to try to capture as much as you can from the client that’s in front of you? Not only just from a money perspective, but also from an experience perspective, being able to provide it all under one roof and being able to give the patient, the customer, a great experience. You want to provide outstanding medical care. Quality medical care is kind of like a base. If you go to a doctor, you expect to get better. But what we see in healthcare a lot is that people don’t think about it.  Like, in our offices, we say, “Thank you for choosing Synergy Orthopedics.” We know patients have a choice, so we have to develop a model that allows the patient to say, “Hey, I want to go here because these guys have it all under one roof.” But more importantly, that’s typically what the hospitals have. But hospitals charge for the same thing I provide two and three times more because they have a different type of leverage with the contracts. So I always say, “Why did the duck cross the road? Oh, because they went from the hospital to the ambulatory surgical center to get a colonoscopy to save 700 bucks.” I mean, it’s literally that simple.  And I don’t think patients in general know that, but I think the doctors have a great opportunity to control the delivery system, provide a great experience for the patients, and at the same time, make some money from things that they don’t physically have to do. They can hire the physical therapist, et cetera.  Yeah. Okay, so that’s great. So what I’m hearing, the framework is: think of growth first—what’s the EBITDA you want? Then create alignment, take yourself out of the center, build systems, and build margin around your core business. So that’s wonderful. Now, step two, I’m not 100% clear on. So you said make alignment with partners, but don’t make it the goal. What do you mean by that?  Well, because particularly I’ve been involved in private equity medical groups. So with private equity, you have cash, you have leverage, so you can go and buy, buy, buy, buy. In private equity, to a degree, they want growth. But I’ve been in deals where the thesis was, for example, we’re all going to be rowing in the same direction with the same flag, same brand, and we’re going to transfer from having—there were four medical groups, so four different, distinct medical groups—and we’re putting them together under what’s called a management services organization, a management company, and basically form one larger group.  But that was never aligned because the doctors, in their head, said, “You’re acquiring me, so you’re buying this magnificent, outstanding business. Now why do you want to change my electronic medical records? Why do you want to change the way we do our, let’s say, revenue cycle management or billing? Why do you want to change our brand? Our brand’s fantastic.” Even though they were all called Dermatology blah, blah, blah, something and something. So you have to make sure that the people that you’re going to bring on board, whether it’s through acquisition, merger, or just employment, that they really believe in your story, that they believe in the core vision of the business.  Not just try to put people in there and make more deals, get more locations, spend more years, and then you put all these things together and you bolt them up, but you spend more time trying to fix it. In my Gastro Health and in the ortho business, we always started with, “Let’s make sure we have our house in order before we go out and start growing the organization and adding more to what we have.” The last thing you want to do is add more and then find out that you have to spend more time fixing it.  No, that makes sense. But then you qualified it. You said, “Don’t make it the goal. Don’t make alignment the goal.” So how does it become the goal? What’s the risk there?  So no, make it the gate, not the goal. Meaning, alignment is extremely important, but you want the alignment to be the one thing that puts you together. But at the end, everybody has to be buying into the idea. It’s not the only goal. Their goal is also money. The goal is growth. But it has to be one of the key things. In healthcare, I tend to think, and particularly with private equity, that’s not perceived. It’s more about getting deals done.  Yeah. They don’t care about the mission. They don’t care about the vision, the alignment.  I think they do. In their thesis, they do, and they want it. But it’s kind of like, at the end, you’re looking at this business. They want to sell, you want to buy, you have money, they want money, and sometimes it’s just easier to say, “Well, we can grow from $30 million to $60 million, from $10 million of EBITDA to $20 million of EBITDA. We’re going to get, instead of a 10 multiple, we’re going to get a 15 multiple.”  So sometimes that gets in the way. And I would say, by the way, I worked with great and fantastic private equity firms, so I’m not saying they all think that way. But for sure, the perception is that they’re going to go in and try to make deals happen because they do have an end goal. Their end goal is to their investors that gave them funds, that they told them they were going to get them a four-, five-, seven-times multiple on their investment.  So in your own business, Synergy Orthopedic Specialists, is this a private equity-funded business or is it bootstrapped?  No. No, it’s bootstrapped. The physicians, when I came on board—at that time, I started with them six years ago in 2020, and the market was really hot still, ’21, ’22, ’23, and then the interest rates went up, and then things have softened. I think also they got softened for what we’ve been discussing earlier. There’s been a lot of deals that have been done where acquisitions were done in multiple states. There’s not a lot of synergy or a lot of things that were worked out to try to make sure that the organization was working together, the multiple organizations that were acquired.  And the idea was, if we buy four million-dollar businesses, they will be, instead of an eight-times multiple, they’ll be a 10- or 12-times multiple. So I think there’s a lot of deals that are stuck in the marketplace right now, and the groups are trying to figure out how to evolve the organization after five, six, seven years from, “Hey, we let you alone. We let you be. But now we need to start integrating. Now we have to start building an enterprise. Now we have to start building a real platform.” And I think that the organizations that did that earlier have been able to exit and done a much better multiple and growth.  And also the key is, in these transactions where people get together, a lot of times it’s all about the fun. “Hey, we go out to dinner, and everybody’s well, and everybody’s happy, and how much money we’re going to make,” and blah, blah. But nobody really asks the tough questions, or some people do because they actually don’t want the deals to get done. But I think it comes from the buyer. The buyer needs to be very upfront with what they want to accomplish with a transaction, whether, again, a merger or an acquisition.  You want to make sure that you’re extremely transparent about what the end goal is going to be. And if the end goal is like, “Hey, I’m going to leave you alone for a year, but in a year and one day, your name’s going to change, your software’s going to change, your HR is going to change. And by that time, we’ll figure out about your staff, and we might probably cut 25% of your staff because you’re bloated, and we actually have to make you a little bit more fit and trim so you can actually be able to grow and provide better care to your patients.”  So what I’m seeing is, it’s quite impressive. You have 15 locations, you have a huge service mix. You have, compared to the number of locations and service mix, a limited number of people. So how do you maintain the Synergy standard? And how do you manage this complexity with such low—low per— It took— How many people?  Yeah, it’s—right. Yeah, I agree. It’s taken some time. Again, I wouldn’t say that it’s perfect. We’re always evolving, changing. I mean, I always say the only constant thing in healthcare is change. But it started with the company culture. When I first got here, there were four or five organizations that came together, and they were still using their old names. Synergy Orthopedics was like this little kind of byline under their business cards. It wasn’t really the brand.  And then over time, we got people in the organization rowing in the same direction, using the same flag, and over time we started to dominate the market. We started to be perceived, and we are today, the largest independent medical orthopedic group in San Diego. So when people think of MSK, we take care of the hockey team, we take care of the soccer team, we take care of professional players. The larger organizations reach out to us about developing contracts, direct contracts to provide services to them.  So that took a long time, but it started with building that company culture. And along the way, some people left. Some people just didn’t fit what we were trying to build. And it wasn’t just me. I didn’t do this by myself, of course. The reality was we built a team around what we were trying to create. Physicians, in this case, are the leaders. Physician leadership was there, and this is what they wanted as well. So I think, yes, when we’re now in other counties we’re in Riverside County, so we’re north of San Diego. We’re all the way to Palm Desert and looking to grow into Orange County and L.A. County eventually.  So the goal is also in growth, and size allows leverage and negotiation power with the different payers. And that’s very different than in other industries where you have a payer, let’s say Blue Shield or Anthem or United, that kind of controls how you’re going to provide service, how much they’re going to pay you, et cetera, et cetera. So the only way to really have any type of seat at the table is that your organization has to be large enough and a market leader and basically be something, or an organization, that they can’t say no to, that they want to have in their network. So that’s how we’ve been able to do this over the last five, six years now.  So what drives the growth? Is it the acquisitions? Is it geographic expansion? Is it payers refer business? What’s the driver?  All of it. You have to do everything. It’s like that movie, Everything Everywhere All at Once. It’s like you have to do everything. We started by first creating the brand and the company culture, expanding that brand and company culture by figuring out who having the right seats on the bus, making sure the right people that wanted to be with us were there. And then we said, “Okay, we don’t have a spine program. Let’s figure out how we recruit a spine doctor. Let’s figure out how we recruit a pain doctor.  Let’s get a foot and ankle specialist because we don’t have one. Let’s expand our sports medicine program.” So we took over a fellowship training program in San Diego that was probably going to expire, and then we took it over and continued the legacy of the physician that started it from the beginning. We’ve done some mergers. We’ve done some acquisitions. We’ve done some new locations. We’ve expanded our physical therapy footprint. We built out an ambulatory surgical center. That was a big endeavor. These things cost millions and millions of dollars. Just in construction alone, it was like $600… I think our overall investment’s somewhere around $12, $15 million, so highly leveraged. We brought in a partner, a national partner, to help us run and fund the enterprise.  We started an anesthesia division. So I would say you have to do everything, and all of it together, as time goes by, creates that vision. As long as you have the vision, like I said, the beginning thing is you have to start with the end goal. And the end goal is we want to build a business that’s independent. That’s our goal. We don’t want to be sold or be part of the hospital system. So you have to build the end goal, work through the process, grow it, and do all the things at the same time, which is extremely hard, I would say.  Yeah. This is fascinating. So you have a lot of complexity. You have a lot of locations, a lot of services, 50 providers. I mean, sometimes doctors can be cats, hard to manage them. Eagles, eagles. I always say, try to get eagles to fly in a straight line. Impossible. Yeah.  But if you had a magic wand and you could fix one thing in your business in the next 12 months, what would it be?  I will be honest, it’s expenses. Expenses can and I’ve talked about this before the pressures in the healthcare industry really are driven around expenses. We just got an increase in minimum wage in healthcare, specifically in California, where a physician practice now has to pay $23 an hour for a minimum-wage job, where minimum wage is almost half of that if you’re in any other industry. So I think everybody should make more than $23, particularly in San Diego. It’s a very expensive place to live.  But I think it’s more around the pressures that are put on the industry, but the levers are not there to increase revenue to be able to support or subsidize those expenses. So, for all intents and purposes, we’re looking at how we increase revenue by keeping expenses the same, or fixed, or a little bit higher than what they are, by augmenting with AI, like every other industry is doing. Figuring out whether it’s using AI in your MRI to be able to process the imaging faster, clearer, better, and be able to add three or four more patients a day. That profit goes straight to the bottom line.  It might be before we had people that are scribes that basically did the documentation of the history, the notes, and the medical records. Now doctors are using—well, they’ve been using voice recognition for a while—but now you’re doing ambient AI, where basically it’s listening to the conversation with the patient, of course with the patient’s approval, and being able to document all that information into the record much faster, quicker, better, and more precise. And so on. Answering the phones, being able to—when the patient gets statements, we typically send out statements every two weeks.  But when we send them, we send thousands of statements, so we get thousands of phone calls. You can’t get all those phone calls when somebody says, “I owe $50, and I don’t know why,” and being able to have an AI that tells you, “The $50 is because you had a copayment or you had a deductible, and it’s due to your insurance program with whatever the insurance is.” And they’re like, “Oh, okay.” “You want to pay that right now?” “Yes.” It sends you a text to your phone, qualifies who you are, you click on it, you put your payment information. The information goes in, the payment gets posted. Nobody got involved. AI took care of the whole process. So we’re trying to figure out how to assist the staff without having to let go. At least my intent is not to let go of people.  My intent is to try to make sure that we do the best job possible and use AI to augment the process, not to replace the staff. I get very worried, in general, about what’s going on with AI as an industry, where people are saying, “Well, I use it as my assistant. I use it as this.” Well, I started at the front desk. If there are no front desk jobs, how could I have been CEO of this multimillion-dollar organization if I didn’t get a foot in the door to begin with? So I feel very worried for my kids that are growing up. One’s studying to be a psychologist, the other one’s in marketing. How are they going to learn and grow in an industry or a business if they can’t get their foot in the door?  Yeah. That is a concern. I don’t know if we can fix it, but I’m worried about it too. So Alex, who would you like to listen to this podcast and to take action? And what kind of action should they take?  Well, I think it’s generic. I always say, I have an MBA in healthcare administration, but I could have gone and done any type of business. Like I said to you, I grew up in the retail industry. So I think it’s more around, if you’re an entrepreneur and you have talent and you’ve worked really hard at doing something, you have to figure out how to hire the right people so that they can do a job that maybe you don’t know how to do, how to scale up a business by investing in it, making sure you don’t look at your business as an ATM machine or a salary that pays you every week or every period of time, but look at it as you’re an entrepreneur, a capitalist.  You’re building an organization. You’re providing jobs for people. But at the end, the business has to give you more than your salary. There has to be equity in the enterprise, and that’s the money you’ll be able to use to maybe have leverage or to use in order to add that next location or look at what’s the next opportunity, whether you’re, again, a doctor or you’re running a retail organization that wants to have multiple locations. The key is, think of the end goal. And the end goal, not necessarily that you’re going to sell, but what is it going to be? What is the business that you want to have valued at, and how have they grown?  Look and listen to other people like yourself, Steve, and all the different things that you do in regard to building that journey of the business, and figure out how to take the next step and the next step and the next step. It doesn’t happen overnight. You don’t get from a $50 million company to a $150 million company. It took me seven years to get there. But it’s done by augmenting and adding features and adding services, but doing it very intelligently, thinking it through, not just adding it for the sake of adding it, then, like I said before, having to bolt it on and try to fix more of the problems, creating more problems.  No. Fix your house, figure out where you’re at, make sure it’s earning equity. Maybe you have to reprice. Maybe you have to figure out how the business needs to run a little bit nimbler. Maybe you have to use technology, whether it’s AI answering the phone because you’re the guy that—you have a pizza shop. Why do you have to have people answering? Have the AI take the order, have the AI tell people to go to the website, and so on, so you can have pizzas going out of your store every five minutes. So for sure, there are great opportunities. And if you’re a business owner, I want you to think that you can. It’s not impossible. It can be done. You don’t need an MBA. You just need to work hard and think it through and come up with a business plan and an idea on how you want to get there.  Yeah. Well, this is very inspiring. So if you are a founder, you’re running a business, or you’re about to start a business, look at what Alex has done. He was a son of Cuban immigrants, came to this country, built from nothing a 15-location, 50-provider medical group, and works with private equity, advises companies as well. Follow his example.  So Alex Fernandez, thank you for sharing your wisdom on the show. And if you’re listening and you enjoyed this conversation, stay tuned because I have a couple of exciting entrepreneurs every week who come on the show and share their secrets and frameworks with you. So thanks for coming, Alex, and thank you for listening. Important Links: Alex's LinkedIn Alex's website

Dr Charlotte Hespe, from the Glebe Family Medical Practice joins the House Of WellnessSee omnystudio.com/listener for privacy information.

Host Ericka Adler is joined by Dennis Thornton, health care real estate advisor at CARR, to discuss how physicians and other health care practitioners can make informed real estate decisions when leasing, purchasing or expanding their practices.

Cameron is joined by Shannon Blake of Podium and Cortney Hall, COO of True Medical Spa, and they discuss the transformative role of Podium in the aesthetics industry. They explore how Podium's all-in-one solution integrates EMR and CRM functionalities, leveraging AI to enhance practice efficiency, improve lead conversion, and streamline client communication. The conversation highlights user experiences, significant time savings, and the collaborative efforts of AI agents Avery and Operator in practice management. They emphasize the importance of technology in building successful aesthetic practices and the need for continuous innovation in the industry.Cameron, Shannon, and Cortney talk about the transformative impact of AI and data insights on the aesthetics and wellness industry. They explore how leveraging community insights, automating marketing campaigns, and streamlining lead management can significantly enhance business growth. They also highlight the evolution of EMR systems, the challenges of data migration, and the future of AI in managing treatment plans and compliance. Overall, the conversation emphasizes the importance of integrating technology to improve patient care and operational efficiency. Listen In!Thank you for listening to this episode of Medical Millionaire!Takeaways:The Medical Millionaire Podcast aims to provide value for practice owners.Podium is an all-in-one solution for aesthetics practices, integrating EMR and CRM functionalities.AI is transforming the aesthetics industry by improving lead conversion and client communication.Podium's AI operating system enhances practice efficiency and decision-making.User experiences highlight significant time savings and improved client engagement with Podium.The collaboration between AI agents Avery and Operator streamlines practice management.Operator provides actionable insights and reporting for practice owners.AI can help identify gaps in practice performance and suggest improvements.Podium's features are designed based on user feedback and industry needs.The integration of AI in aesthetics practices is becoming essential for success. Team collaboration enhances business insights and growth.Data-driven recommendations can significantly increase revenue.AI can automate lead management and communication effectively.Marketing campaigns can be streamlined using AI technology.AI charting can revolutionize the documentation process.The evolution of EMR systems is crucial for practice efficiency.AI serves as a revenue-generating partner for practices.Data migration challenges can be mitigated with advanced technology.Wellness and compliance innovations are on the rise.AI can enhance compliance and operational accuracy.Medical Millionaire: The Blueprint for Scaling a World-Class Medical Aesthetics PracticeWelcome to Medical Millionaire, the go-to podcast for forward-thinking Medspa owners, Medical Aesthetics leaders, Plastic Surgery & Dermatology practices, Concierge Wellness clinics, and Elective Healthcare entrepreneurs who are ready to scale with intention and operate like a true, high-performing business.If you're building, growing, optimizing, or preparing to exit your aesthetics or wellness practice, this show is your competitive advantage.Hosted by Cameron Hemphill Your Guide to Sustainable, Scalable Growth Your host, Cameron Hemphill, is one of the most trusted growth strategists in Medical Aesthetics and Elective Wellness.With over 10 years in the industry, Cameron has helped scale 1,000+ practices and more than 2,300 providers, working alongside the most recognized KOLs, national brands, EMRs, tech companies, and private equity groups, shaping the future of aesthetics. From marketing to operations, from finance to leadership, Cameron brings a real-world, data-driven perspective on what it takes to turn a practice into a powerful business engine.What This Podcast Is All About: Each episode takes you behind the scenes of the fastest-growing practices in the country, revealing the systems, strategies, and mindset required to win in today's Medical Aesthetics landscape.Expect tactical insights, step-by-step frameworks, and conversations with:Industry thought leadersTop injectors & medical directorsEMR & tech innovatorsOperations expertsMarketing strategistsPrivate equity & M&A advisorsWellness and longevity pioneersThis is where aesthetics, business, technology, and wellness converge. What You'll Learn on Medical Millionaire Every week, you'll access expert guidance to help you scale profitably and predictably, including:Marketing & Brand PositioningCRM + Lead Management SystemsPatient Acquisition & ConversionEMR Optimization & Tech Stack ArchitectureSales Psychology & Consultation MasteryFinance, KPIs, and Practice EconomicsOperational Workflows & AutomationIndustry Trends Backed by Real Benchmark DataPatient Retention & Lifetime Value ExpansionMindset, Leadership & Team DevelopmentWhether you're opening your first location or running a multi-million-dollar enterprise, you'll gain the clarity and direction to grow with confidence. A Show Designed for Every Stage of Practice Growth Medical Millionaire breaks down the journey into four essential stages, showing you exactly how to move from one to the next:Startup – Build the foundation and attract your first wave of patientsGrowth – Scale revenue, expand services, and strengthen operationsOptimize – Increase efficiency, margins, and customer experienceExit – Prepare your practice for maximum valuation and acquisitionIf You're Ready to Grow, This Is Where You Start. Tune in weekly for actionable insights, expert interviews, and the exact playbooks high-performing practices use to dominate their markets. This is the podcast for Medspa owners who want more than a job; they want a scalable, profitable, industry-leading business. Welcome to Medical Millionaire.Let's build your practice into the empire it deserves to be.

Drowning in admin work at your medical practice? Seven powerful ways medical virtual assistants are slashing costs, reclaiming physician time, and transforming patient care — with ROI numbers that might just surprise you. To learn more, visit https://smartscale360.com/blogs/news/7-ways-a-medical-virtual-assistant-boosts-efficiency SmartScale 360 City: Tampa Address: 1209 E Cumberland Ave Website: https://smartscale360.com/

This week I'm talking to Terry Lovelace about his book 'Incident at Devils Den'. This is my true story. Written by Terry Lovelace, a 64-year-old lawyer and former assistant attorney general. In 2012 a routine X-ray of my leg found an anomalous bit of metal the size of a fingernail with two tiny wires attached. What followed were horrific nightmares, spontaneous recall and intrusive thoughts surrounding a 1977 camping trip I took with a friend to Devils Den State Park in Northern Arkansas. For fear of losing my job and my standing in the legal community, I've kept this secret for 40 years. But the 2012 discovery of this object, one and one-half inches deep in my thigh, initiated a flood of nightmares I could not control. Bio Terry Lovelace is a six year veteran of the USAF where he served as a medic and EMT from 1973 to 1979. He has a bachelor's degree in psychology with honors from Park University in Kansas City, Missouri. He completed a law degree from Western Michigan and passed the Michigan State Bar Examination.  He was also admitted to the bar in Vermont and the US Territory of American Samoa. His legal career began in private practice until his appointment as an assistant attorney general for the U.S. Territory of American Samoa, he also served as State's Attorney for Vermont Board of Medical Practice until his 2012 retirement. He and a friend were abducted from Devils Den State Park in NW Arkansas in June 1977 while remote camping. They were both on active duty at the time. What followed were 40+ years of nightmares, phobias, and PTSD-like issues which continue to this day. In 2012 a routine leg x-ray discovered two anomalous objects in his leg. The x-rays are on his website at terrylovelace.com. That event was his catalyst to write two books and speak publicly about his experiences. For fear of losing his job and the respect of his peers in the legal community, he waited until 2018 to self-publish INCIDENT AT DEVILS DEN, a #1 Bestseller on Amazon with 700+ Reviews at 4.8/5.0. His second book, DEVILS DEN: THE RECKONING was published the week of Christmas 2020. It was #1 in New Releases immediately and hit #1 Bestseller status on February 10th. Upcoming event: Speaking at Yale University on the topic of Alien Abduction, March 25th. His abduction story was featured in the UK Newspaper, THE GUARDIAN on September 12, 2021. He was a guest lecturer with Leslie Kean, Author and NY Times contributor at Rice University in Houston, Texas in November 2019. He's spoken at the UFO Congress in 2018, Contact in the Desert in 2019 and 2021, The Roswell UFO Festival 2019, UFO Con in Dallas in 2020, Alien Con in San Francisco in 2020, The Ascension Conference in Sedona in 2021, and the Ozark Digital Conference in 2021. His story was featured on a television episode of the Travel Channel's “MY HORROR STORY” which originally aired in November 2019, and “UFO ENCOUNTERS” aired in Canada in August 2021. Terry is a graduate of THE WELLNESS INSTITUTE in Graham, Washington where he successfully completed their program in hypnotherapy. He is currently performing hypnotherapy for experiencers who are struggling with memories from an ET encounter. He has done numerous past life regressions with amazing results. Since March 2018 he's been a radio/podcast guest 100+ times. https://www.amazon.com/Incident-Devils-story-Terry-Lovelace-ebook/dp/B07B7HMPPZ https://www.terrylovelace.com/ https://www.pastliveshypnosis.co.uk/https://www.patreon.com/alienufopodcasthttps://simonbown.com/My new book, Aspects of Alien Abduction https://www.amazon.com/dp/B0GRRPCT9YZen AI bit.ly/zenAI_bpp_ufo Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Send us Fan MailNeither Amanda nor I had any formal business training when we decided to open a medical practice. We had backgrounds in medicine, a young family, and plenty of lessons we would have to learn the hard way.So in this second episode of our business series, Amanda and I are sharing how the decisions we made years before opening Trillium helped make it possible. We talk about living below our means, our early Dave Ramsey envelope system, the $4,000 furniture purchase that became an unexpected lesson in taxes, and why we chose to start small and open the practice without debt.We also discuss leaving Houston, moving closer to family in Knoxville, the mistakes we made while building the business, and why we both wish we had asked more questions and sought out experienced mentors sooner.Finally, we answer one of the questions we hear most often: Is working together harder on the business—or on the marriage?

Want to scale your health practice and get your life back? Work with me 1-on-1 in our private advisory and mastermind - https://go.healthpreneurtraining.com/hp-mastery?el=yt-june21Most health practice owners eventually hit the same wall. The business is growing, revenue is up, and patients or clients are getting results, but too much still depends on you. The next level isn't about doing more. It's about building something bigger than yourself. A business that scales without relying on you for everything.That's why we created Healthpreneur Mastery.Mastery is the private advisory board and mastermind for leading health professionals doing at least $500,000 per year who want to build a business that creates greater profit, freedom, and impact.This isn't for beginners.It's for practitioners, practice owners, and health entrepreneurs who know they're capable of building something much bigger and don't want to figure it all out alone.Learn more about Healthpreneur Mastery here: https://go.healthpreneurtraining.com/hp-mastery?el=yt-june21Your health practice is generating millions but your margins keep shrinking, your cost to acquire a patient keeps climbing, and ads do not work the way they used to. There is a specific reason this is happening, and it is not the one most practitioners think.In this episode, I walk through a real $4 million practice case study where revenue is strong but cost per consult, cost to acquire a client, and shrinking ad efficiency are quietly eating into profit. I break down exactly how to diagnose where the leaks are in your funnel, why simply increasing ad spend makes the problem worse, and what creative mix and campaign structure actually mean for your Meta ads performance. 

More resources?-----------------------Watch Full Episodes in my YouTube channel!https://youtube.com/@drtjahn----------------------Get Your Free Copy of my book, "Podiatry Profits Book: Crafting A Seven-Figure Lifestyle Practice" to grow your podiatry practice.  You just cover the shipping:https://www.podiatryprofitsbook.com----------------------Do you want to build your dream private practice without the hassles of insurance networks?  Then schedule a FREE 45-min Strategy Session with me.  We will dive to look at your current practice and I will provide you with a crystal game plan for you:https://drtjahn.com/the-profit-accelerator-session/----------------------I've created this EXCLUSIVE Private Facebook Group community of like-minded podiatrists who are coming together to build their DREAM PRIVATE PRACTICE, and FREE to join!!https://www.facebook.com/groups/podiatryprofits

The buzz around stem cells and exosomes continues to grow, but so do the legal and regulatory questions. In this fan favorite episode, Dr. Jordan Plews shares what medical practices should understand about these products, including FDA concerns, off-label risks, and why compliance matters just as much as innovation.Chapters[00:00] Intro[01:06]  Banter  [04:56]  Guest background[09:40]  What are stem cells and exosomes?[11:00] What is the use risk for live cells and a stem cells?  [13:00] Is there a product out there similar to stem cells?  [15:30] Can a medical practice offer stem cells or exosomes?[18:44] What are the risks of offering stem cells and exosomes?[20:08] What are patient and provider risks of stem cells and exosomes?[22:00] How are medical practices using stem cells and exosomes?[23:00] How would you advise practices looking to offer stem cells and exosomes?[26:51] Access+[27:26]  Legal Takeaways  [30:26]  OutroWatch full episodes of our podcast on our YouTube channel: https://www.youtube.com/@byrdadattoStay connected for the latest business and health care legal updates:WebsiteFacebookInstagramLinkedIn

What if the most important care in the entire healthcare system is also the most underfunded? While hospitals and inpatient reimbursements rise with inflation, the physician fee schedule has quietly declined roughly 33% in real terms over 25 years — and this year it's facing another cut. In this episode, Jamie Preston sits down with Your Health CEO Matt Staub, just back from Capitol Hill, where he spent a record-setting 95-degree day meeting with seven legislative offices to advocate for physicians, providers, and the patients they serve across rural South Carolina, Georgia, and beyond. What follows is part field report, part reflection on why preventive primary care saves money and lives — and why we plan meticulously for weddings, retirement, and vacations, but treat our own health with a "call us if something happens" approach. In this conversation: Why a 2.5–5% physician fee cut hits frontline rural practices hardest The bipartisan doctors' caucus and the real appetite for reform Why winning can come from a loss — the Kobe Bryant mindset on process over outcome How a Disney ride (Spaceship Earth) reframes humanity's whole story around communication The case for proactive, team-based primary care over reactive sick visits Press play for a conversation about advocacy, communication, and a simple, powerful idea: the change you need to make starts with you.

"Accepted Medical Practice Turned Into Federal Crimes" Dr. Sanjeev Kumar joins Silk to discuss manufactured violations. Tonight at 10pm ET on Lindell TV. #DiamondandSilk http://DiamondandSilkMedia.com Use Promo Code: DIAMOND or TRUMPWON 1. http://DiamondandSilkStore.com2. https://thedrardisshow.com/shop-all/?aff=123. http://PatchThat.com4. https://cardiomiracle.com/?ref=DIAMOND5. https://MyPillow.com/TrumpWon6. https://DrStellaMD.com7. https://www.Curativabay.com/?aff=18. http://MaskDerma.comSee omnystudio.com/listener for privacy information.

In this Diving Deep episode, Dr. Robert Pearl and Jeremy Corr examine the rapid advance of generative AI, along with the growing conflict between medicine's mission to heal and doctors' need for financial security. The conversation begins with a question now echoing across every profession: Will AI replace highly trained workers? In medicine, Dr. Pearl argues, the answer is less about replacement than redefinition. Drawing on recent changes in software development, he explains how “vibe coding” has allowed programmers to stop writing much of the code themselves and instead use generative AI to build, test and refine applications from plain-language instructions. Rather than feeling diminished, many coders report greater satisfaction because AI has taken over the repetitive, error-prone work and left them more time for problem-solving. Pearl sees a similar possibility in healthcare. Like coding, medicine relies on years of training, structured reasoning and repeatable processes. Chronic disease management offers the clearest example. Hypertension, diabetes and high cholesterol are leading causes of heart attacks, strokes and kidney failure, yet proven treatments often fail because doctors lack the time to monitor patients continuously and adjust medications quickly. With home devices, physician-set targets and generative AI support, care could shift from occasional office visits to ongoing management, helping more patients achieve control while freeing physicians to focus on complex cases. The second half of the episode turns from technology to mission. Using Tim Cook's legacy at Apple as a case study, Pearl examines what happens when values and financial incentives collide. Cook's tenure produced extraordinary business results, but critics have questioned whether some of his choices conflicted with his own values and Apple's public statements around privacy, dignity and human-centered technology. Pearl uses that as background for a similar question about medicine: What happens when doctors, who train to help and heal others above all else, feel increasingly forced to make career decisions shaped by money? For generations, medicine was understood as a calling. Today, most physicians no longer own their practices. Many now work for hospitals, health systems, insurers or private equity-backed groups, while others have moved into concierge or direct primary care models. Pearl stresses that these choices are rational. But the financial upside comes with psychological and moral consequences that are rarely discussed — and that may shape the future of physician fulfillment. For more, tune into this month's episode and check out the links below. Helpful links The AI Revolution In Coding Offers A Preview Of Medicine's Future (Forbes) What Tim Cook's Legacy Teaches Doctors About Money And Mission (Forbes) Monthly Musings on American Healthcare (RobertPearlMD.com) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #217: GenAI, physician fulfillment & the future of medical practice appeared first on Fixing Healthcare.

Want to Start or Grow a Successful Business? Schedule a FREE 13-Point Assessment with Clay Clark Today At: www.ThrivetimeShow.com   Join Clay Clark's Thrivetime Show Business Workshop!!! Learn Branding, Marketing, SEO, Sales, Workflow Design, Accounting & More. **Request Tickets & See Testimonials At: www.ThrivetimeShow.com  **Request Tickets Via Text At (918) 851-0102   See the Thousands of Success Stories and Millionaires That Clay Clark Has Helped to Produce HERE: https://www.thrivetimeshow.com/testimonials/ Download A Millionaire's Guide to Become Sustainably Rich: A Step-by-Step Guide to Become a Successful Money-Generating and Time-Freedom Creating Business HERE: www.ThrivetimeShow.com/Millionaire   See Thousands of Case Studies Today HERE: www.thrivetimeshow.com/does-it-work/  

Want to Start or Grow a Successful Business? Schedule a FREE 13-Point Assessment with Clay Clark Today At: www.ThrivetimeShow.com   Join Clay Clark's Thrivetime Show Business Workshop!!! Learn Branding, Marketing, SEO, Sales, Workflow Design, Accounting & More. **Request Tickets & See Testimonials At: www.ThrivetimeShow.com  **Request Tickets Via Text At (918) 851-0102   See the Thousands of Success Stories and Millionaires That Clay Clark Has Helped to Produce HERE: https://www.thrivetimeshow.com/testimonials/ Download A Millionaire's Guide to Become Sustainably Rich: A Step-by-Step Guide to Become a Successful Money-Generating and Time-Freedom Creating Business HERE: www.ThrivetimeShow.com/Millionaire   See Thousands of Case Studies Today HERE: www.thrivetimeshow.com/does-it-work/  

Want to Start or Grow a Successful Business? Schedule a FREE 13-Point Assessment with Clay Clark Today At: www.ThrivetimeShow.com   Join Clay Clark's Thrivetime Show Business Workshop!!! Learn Branding, Marketing, SEO, Sales, Workflow Design, Accounting & More. **Request Tickets & See Testimonials At: www.ThrivetimeShow.com  **Request Tickets Via Text At (918) 851-0102   See the Thousands of Success Stories and Millionaires That Clay Clark Has Helped to Produce HERE: https://www.thrivetimeshow.com/testimonials/ Download A Millionaire's Guide to Become Sustainably Rich: A Step-by-Step Guide to Become a Successful Money-Generating and Time-Freedom Creating Business HERE: www.ThrivetimeShow.com/Millionaire   See Thousands of Case Studies Today HERE: www.thrivetimeshow.com/does-it-work/  

This episode is sponsored by GoTo: If your practice is losing patients to missed calls and front-desk burnout, you're not alone. Most independent practices miss around 30% of incoming calls, that's 30% of your patient pipeline walking to the clinic across the street.  GoTo Connect consolidates your phones, patient messaging, video visits, and scheduling into one platform that helps you stay HIPAA-compliant. AI receptionist. EHR integration. No IT team required. Built specifically for physician-owned practices.  See how it works: goto.com/healthcare   ————————- In this episode of Bootstrap MD, Dr. Mike Woo-Ming sits down with Adam Peeler, Director of Product Management at GoTo Technologies, to unpack the communication challenges quietly draining revenue and efficiency from independent medical practices. From missed calls and overloaded front desks to AI receptionists and EHR-integrated workflows, Adam explains how small clinics can modernize patient communication without building an expensive IT department. Together, they explore how AI-powered communication tools are already reshaping healthcare operations for solo and small-group practices. Adam breaks down the real-world impact of missed calls, fragmented communication systems, and outdated workflows, while sharing practical ways physicians can automate scheduling, reduce staff burnout, improve patient engagement, and increase operational efficiency. The conversation also covers HIPAA compliance, the rise of AI receptionists, predictive staffing, and why communication systems should be viewed as a revenue-generating asset rather than just another utility bill. Whether you're starting a practice or trying to scale one, this episode offers a practical roadmap for leveraging AI and modern communication infrastructure to create a better patient experience and a more profitable clinic. Top 3 Key Takeaways: Missed Calls Are Missed Revenue: Many independent practices unknowingly lose thousands of dollars every month simply because calls go unanswered or patients abandon the scheduling process. Adam explains that some clinics miss up to 30% of inbound calls, creating significant financial leakage that most physicians never measure. AI in Healthcare Is Already Here: AI is no longer a future concept reserved for large hospital systems. Small practices are already using AI-powered communication tools to answer calls, summarize patient interactions, automate scheduling workflows, and reduce front-desk overload without hiring large IT teams. Technology Should Support, Not Replace Human Care: While AI can handle repetitive administrative tasks and FAQs, complex scheduling decisions, emotional conversations, and nuanced patient interactions still require human judgment. The most effective practices will combine AI efficiency with compassionate patient communication.   About the Show:   Bootstrap MD is the ultimate podcast for physician entrepreneurs looking to escape traditional healthcare and control their financial futures. Hosted by Dr. Mike Woo-Ming, a successful physician, entrepreneur, and investor, the show delivers actionable insights on starting businesses, creating passive income, and navigating healthcare entrepreneurship. Featuring interviews with industry leaders, physicians, and experts in telemedicine and digital health, it's your guide to building a profitable, fulfilling career.  Tune in weekly at  http://bootstrapmd.com     About the Guest: Adam Peeler is the Director of Product Management at GoTo Technologies, where he leads product strategy for cloud-based communication tools designed for healthcare practices and service-driven businesses. His work focuses on AI-powered communication systems, phone platforms, messaging, scheduling workflows, and EHR-integrated patient engagement solutions that help independent practices modernize without requiring enterprise-level IT resources. Website: goto.com/healthcare   About the Host: Dr. Mike Woo-Ming has over 20 years of experience as a physician entrepreneur. He's built and sold multiple seven-figure companies and now leads Executive Medical, a group of clinics specializing in age management and aesthetics. Through BootstrapMD, he mentors physicians in business, content creation, and autonomy. Let's Connect: www.https://www.bootstrapmd.com  Want to start a podcast? Check out the Doctor Podcast Network!

There's a number in your practice that looks precise but lies to you every single month: your AR report. We routinely audit multi-provider practices showing $400K, $600K, even $1M in AR — and 20–40% of that “asset” is already dead. Not collectible. Just trash left behind by bad payment posting. In this episode — the first in a 4-part series on payment posting — Heather walks through what payment posting actually is, why getting it wrong silently inflates your AR, and the seven specific things that change in your practice when posting is done right. Inside the episode: Why your AR report is a mirror of your team's posting accuracy, not what you're actually owed How a $400K/month practice dropped their AR by 30% in two weeks — without collecting a dollar more The 7 reasons clean payment posting transforms your revenue cycle The audit moment we found 200+ accounts a week being reworked that were already paid in full What's coming in Episode 176: the most common insurance-side posting mistake we see in almost every audit If you're a practice owner, billing lead, or operations director who has ever made a financial decision off an AR report — this is the foundation. Resources mentioned (Buzzsprout episode resources block) 

Want to Start or Grow a Successful Business? Schedule a FREE 13-Point Assessment with Clay Clark Today At: www.ThrivetimeShow.com   Join Clay Clark's Thrivetime Show Business Workshop!!! Learn Branding, Marketing, SEO, Sales, Workflow Design, Accounting & More. **Request Tickets & See Testimonials At: www.ThrivetimeShow.com  **Request Tickets Via Text At (918) 851-0102   See the Thousands of Success Stories and Millionaires That Clay Clark Has Helped to Produce HERE: https://www.thrivetimeshow.com/testimonials/ Download A Millionaire's Guide to Become Sustainably Rich: A Step-by-Step Guide to Become a Successful Money-Generating and Time-Freedom Creating Business HERE: www.ThrivetimeShow.com/Millionaire   See Thousands of Case Studies Today HERE: www.thrivetimeshow.com/does-it-work/  

Free Resources Mentioned in This Episode: Get your personalized score of where your practice is losing revenue. Free Revenue Diagnostic Quiz — Find Your Biggest Billing Leaks in 60 Seconds —  get a personalized score showing exactly where your practice is losing revenue.  Are you an independent medical practice owner doing over $5M a year, but you feel like you have to oversee everything to get anything done right?  If your front desk is missing copays and your billing team is letting claims sit for months, you don't have a personnel problem—you have a process problem.  In this episode of NatRevMD, we break down the exact 5 Standard Operating Procedures (SOPs) you need to build unbreakable accountability in your practice.  Learn how to transition from managing people to managing processes with one-page SOPs for eligibility verification, financial scripts, claim submission, scorecard reviews, and clinical documentation. Stop putting out fires and start scaling your practice today. 

If you're building — or seriously considering — a membership-based practice, you don't have to figure this out in isolation. Explore leadership insights, operational frameworks, and real-world case studies: Concierge Medicine Today Leadership Hub & Knowledge Center Submit a question, article, or perspective Join us at the industry's annual conference in Atlanta every October — where physicians, operators, and innovators come together to build better systems, not just better ideas.

Former Treasurer of the American College of Physicians Janet A. Jokela discusses the article "The service of humanity: Recommitting to physicians' ethical duties." Janet reflects on her visit to the Ronald Reagan Museum where she found profound connections between the former president's views on diversity and the medical profession's ethical oath. Janet explains that the service of humanity is not just a phrase for white coat ceremonies, but a call to treat every patient with benevolence and goodwill regardless of their background or political status. The conversation highlights courageous actions taken by Minnesota physicians to protect vulnerable populations and reaffirms that health is a human right grounded in dignity. By prioritizing empathy over technology, Janet believes clinicians can rediscover their true identities as healers in an increasingly fractured world. Discover how a simple commitment to kindness can transform the entire landscape of modern medicine. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Ericka Adler is joined by Roetzel shareholder Christina Kuta to discuss when and why physicians may need to terminate a patient from their practice. The conversation highlights common situations that can lead to patient termination, including abusive behavior toward staff, repeated cancellations or missed appointments, failure to follow medical advice, and unpaid bills. They also address the growing use of patient behavior agreements, which establish expectations for conduct in the practice and may address issues such as harassment and false statements on social media. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Are you drowning in admin work and missing new patient calls? In this episode of Beauty Bytes, I sit down with Danny Nabavi, CEO of Staffing for Doctors, to discuss the ultimate practice hack: virtual staffing.We dive into how hiring overseas virtual assistants (VAs) can completely transform your med spa's operations, buy back your time, and save massive overhead costs. Danny explains how these talented professionals integrate seamlessly into your EMR systems to handle everything from prior authorizations to billing. We tackle the common fears around HIPAA compliance, share a mind-blowing case study of a clinic that recovered $250,000 in AR in just one month, and discuss the ethical impact of providing great jobs to global workers.

In this episode of The Money Mondays Podcast, Dan Fleyshman sits down with Paul Vigario to talk about what it really takes to grow a practice into a scalable business. Paul breaks down his “attention and compliance” framework, why so many doctors and dentists get stuck in operator mode, and how branding, systems, and social media can help create true freedom and long-term value. The conversation also dives into investing, philanthropy, generational wealth, and why AI is about to reshape the future of business ownership.Like this episode? Watch more like it

Your practice charges premium prices, but does the experience match those prices? Full waiting rooms, ringing phones, repeated paperwork, and patients who feel like a number, that's not a luxury brand, that's the DMV. In this episode, Alisa Conner walks through the five critical patient touchpoints where most healthcare practices destroy their brand experience: the first phone call, the waiting room, the exam room, post-visit follow-up, and billing. For each one, she contrasts the generic practices with what a premium-positioned practice delivers. You'll hear a real case study of an orthopedic practice that implemented these changes in 90 days and saw patient satisfaction jump by 34%, reviews climb from 4.2 to 4.7 stars, referrals increase by 28%, and revenue grows by $4.1 million year over year. This episode includes a complete action plan: a 90-day roadmap to audit your current experience, fix the biggest friction points, and train your team to deliver care that patients talk about. Key topics: patient experience optimization, healthcare practice management, premium healthcare branding, reducing patient wait times, medical billing communication, practice growth strategy

If you're building — or seriously considering — a membership-based practice, you don't have to figure this out in isolation. Explore leadership insights, operational frameworks, and real-world case studies: Concierge Medicine Today Leadership Hub & Knowledge Center Submit a question, article, or perspective Join us at the industry's annual conference in Atlanta every October — where physicians, operators, and innovators come together to build better systems, not just better ideas.

 Immigrants make up a significant portion of the medical and scientific community at all levels, from students all the way to senior faculty. But the Trump administration's new policies will make it hard for institutions to bring in new international talent and possibly retain the key contributors. Host Patti Tripathi talks with medical historian Eram Alam, PhD, Harvard University, and ATS Past-President Lynn Schnapp, MD, ATSF, University of Wisconsin, about how the fields of respiratory medicine and research are losing the best and the brightest, and what that means for public health. Learn more about the Hart-Celler Act: https://dissentmagazine.org/article/how-the-hart-celler-act-changed-america/ 

Why does business growth stall when the founder is doing all the sales?Many professionals build successful businesses but eventually hit a ceiling because they are responsible for every sales conversation. When the founder is the one closing deals, growth only happens when that person has time to sell.Sales strategist and CEO of Gain The Edge, Jim Padilla explains how founders can stop being the sales bottleneck by turning sales into a system. He shares the story of a functional medicine doctor whose practice was stuck because the founder handled most of the sales calls. After redesigning the sales process and moving key parts of the conversation to the team, the business was able to keep growing and scale toward a ten-million-dollar practice.Jim also explains why marketing alone cannot replace a sales system and why many experts overwhelm prospects with too much information. By simplifying the sales journey and building a clear process, businesses can continue to grow without relying on the founder to close every deal.What You'll Learn:Why founder-led sales become a bottleneck to growthWhy marketing cannot replace a sales systemHow identity-based selling improves communicationThe Revenue Map that creates a predictable sales processWhy experts overwhelm prospects during sales conversationsHow founders turn sales into a system the team can runConnect with Jim Padilla:Connect with Jim on LinkedIn: https://www.linkedin.com/in/jimpadilla/Learn more about Jim's sales systems and resources:https://www.gaintheedgenow.com/Watch Jim's sales training videos on YouTube:https://www.youtube.com/@jimpadillawinningsales/videosResources:Connect with IanDownload a Tackle Box!Supercharge your marketing and grow your business with video case stories today!Subscribe to the YouTube Channel Hosted on Acast. See acast.com/privacy for more information.

In this episode of That's So Hindu, Dr Indu Viswanathan joins us again for another edition of her Hindu at Heart series of interviews. In this one she explores the inspiring journey of Dr. Anisha Pareddy, a first-generation Hindu American physician, as she shares her childhood memories, spiritual awakening, and how her faith influences her medical career and personal life. Discover insights on Hindu identity in America, the role of gurus, and the integration of spirituality and medicine.Chapters00:00 Introduction to Anisha's Journey02:50 Growing Up Hindu in Carmel, Indiana05:42 Cultural Identity and School Experiences08:52 The Shift to Personal Hinduism12:02 Academic Exploration of Religion15:00 Finding a Guru and Spiritual Growth17:43 Navigating Relationships and Spirituality26:47 Hinduism: Spirituality and Practice29:00 Navigating Relationships and Family Dynamics36:02 The Journey to Becoming a Physician51:31 Embracing Hindu Identity in MedicineKeywordsHindu American, spirituality, medicine, guru, cultural identity, Hinduism in America, cardiology, personal growth, faith, dharma Hosted on Acast. See acast.com/privacy for more information.

Send a textThere are few moments in a growing medical practice that feel more uncomfortable than this one.You look around and realize that something isn't working the way it used to. Day-to-day operations feel harder. Decisions seem slower. Issues keep landing back on the physicians' desks. And yet, the person at the center of it all—the office manager—has been loyal, hardworking, and instrumental in getting the practice to where it is today.This is where leadership and loyalty collide.Today, we're talking about a common growing pain in medical practices: when a good office manager isn't enough anymore. Not because they failed. Not because they didn't care. But because the practice changed—and the role didn't.There's a phrase that comes up again and again in these situations: what got you here won't get you there. And nowhere is that more true than in practice management.Please Follow or Subscribe to get new episodes delivered to you as soon as they drop! Visit Jill's company, Health e Practices' website: https://healtheps.com/ Subscribe to our newsletter, Health e Connections: https://share.hsforms.com/1FMup6xLPSpeA8hB77caYQwd32sx?hsCtaAttrib=171926995377 Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Promo pricing available now: https://education.healtheps.com/offers/Ry3zfLYp/checkout?coupon_code=PHYSEDGE3000  Purchase your copy of Jill's book here: Physician Heal Thy Financial Self Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/ Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig's website to book your Once in a Lifetime music experience Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/

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Recent Resources 2026 Margin Protection Playbook: https://natrevmd.com/2026-margin-protection-playbook/ Eligibility Billing Verification Checklist: https://natrevmd.com/eligibility-billing-verification/ If your practice feels stuck in gossip, silos, passive resistance, or quiet resentment—this episode is for you.In today's episode, Dr. Heather Signorelli breaks down Patrick Lencioni's The 5 Dysfunctions of a Team and explains how culture issues directly impact practice revenue, turnover, accountability, and operational efficiency.You'll learn:• Why absence of trust is the foundation of every team problem • How fear of conflict leads to hallway conversations and poor buy-in • Why lack of commitment sabotages major decisions like EMR changes • How avoidance of peer accountability delays billing and hurts cash flow • What “inattention to results” looks like in a medical practice • Practical strategies to rebuild trust, encourage healthy conflict, and align your teamCulture is not just a leadership concept—it's a financial one. Dysfunctional teams lead to dysfunctional metrics.If you want to reduce eligibility denials, improve chart sign-offs, increase buy-in, and drive better results—this episode gives you the framework to start.Interested in a free practice analysis? Visit natrevmd.com 

Board-certified internist with a long-standing focus on public health, tobacco control, and preventive care Edward Anselm discusses his article "The economic case for investing in tobacco cessation." Edward reveals that while smoking rates have hit historic lows, 19.5 percent of adults still use tobacco, with significant disparities persisting across race, ethnicity, and income levels. He analyzes why only 6.4 percent of patients receive optimal treatment involving both counseling and medication despite 80 percent of users being advised to quit. The conversation highlights the financial argument for cessation, noting that Medicare reimburses $15.50 for brief counseling, yet systems bill this for less than 2 percent of visits. Edward outlines how a systems-change approach can create a net reduction in costs and generate substantial revenue for accountable care organizations. Discover how treating tobacco use aggressively is both good medicine and smart business strategy. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Psychiatrist Sarah Hollander, clinical psychologist Kelly D. Holder, and physician advocate and physical therapist Kim Downey discuss their article "Joy in medicine: a new culture." Sarah, Kelly, and Kim explore how the culture of medicine must evolve from a system of endurance to one of meaningful well-being. They examine the critical role of medical education in shaping the next generation, arguing that joy is not just an emotion but an alignment of purpose that can be taught and modeled. The conversation highlights the power of shared vulnerability and how caring for each other through heartbreak fosters a deeper, more resilient professional community. Discover how integrating humanity into the curriculum can help physicians avoid burnout and rediscover the soul of their practice. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

email chris@drchrisloomdphd.com with "Podcast freebie" to book a coveted FREE guest spot on the show. To book a PREMIUM spot on the Podcast: ⁠⁠⁠https://www.drchrisloomdphd.com/_paylink/AZpgR_7f⁠⁠⁠Book a 1-on-1 coaching call: ⁠⁠⁠https://www.drchrisloomdphd.com/booking-calendar/introductory-session⁠⁠⁠ Become a member of our Podcast community: ⁠⁠⁠https://www.drchrisloomdphd.com/membership⁠⁠⁠Subscribe to our email list: ⁠⁠⁠⁠https://financial-freedom-podcast-with-dr-loo.kit.com/⁠⁠⁠⁠Click here to join PodMatch (the "AirBNB" of Podcasting): ⁠⁠⁠https://www.joinpodmatch.com/drchrisloomdphd⁠⁠⁠Click here to purchase my books on Amazon: ⁠⁠⁠https://amzn.to/2PaQn4p⁠⁠⁠Click here to purchase my audiobooks, visit: ⁠⁠⁠https://www.audible.com/author/Christopher-H-Loo-MD-PhD/B07WFKBG1F⁠⁠⁠To help support the show:CashApp- ⁠⁠⁠https://cash.app/$drchrisloomdphd⁠⁠⁠Venmo- ⁠⁠⁠https://account.venmo.com/u/Chris-Loo-4⁠⁠⁠Buy Me a Coffee- ⁠⁠⁠https://www.buymeacoffee.com/chrisJx⁠⁠⁠Disclaimer: Not advice. Educational purposes only. Not an endorsement for or against. Results not vetted. Views of the guests do not represent those of the host or show.  

What happens when a board-certified medical doctor discovers energy healing—and realizes science and spirituality have been saying the same thing all along? Medical doctor Ana Baptista, MD (hematologist, 18 years experience) bridges Western medicine and energy healing. Discover the neuroscience behind spinal energetics, why your heart is a second brain, real healing stories (chronic pain resolved in one session), and the emotional roots of disease. Learn about co-regulation, alignment, and why science and spirituality are finally collaborating. For anyone seeking deeper healing or curious about energy medicine from a scientific perspective. IN THIS EPISODE: [00:00] Introduction to Finding Harmony Podcast  [01:00] Meet Ana Baptista: Medical Doctor and Energy Practitioner  [03:00] The Impact of Unconscious Patterns on Health  [05:00] Ana's Medical Background and Shift to Alternative Medicine  [07:00] Growing Up with Science and Open-Minded Family  [10:00] Discovering Communication Gaps in Medicine  [11:00] Integrating Coaching and NLP into Medical Practice  [14:00] Discovering Spinal Energetics  [15:00] Experiencing Energy Work: Ana's First Session  [17:00] The Science Behind Mind-Body Connection  [19:00] Your Mind as Your "Claws and Teeth"  [22:00] The Heart as a Second Brain  [26:00] The Role of Intuition in Medicine  [29:00] The Evolution of Medical Practice: Intuition and Science  [32:00] The Future of Medicine: Integrating Science and Ancient Wisdom  [40:00] Science Meets Energy Healing  [43:00] Embracing AI as an Assistant  [44:00] The Role of the Nervous System [46:00] Science and Human Potential  [50:00] Spinal Energetics and Transformation  [54:00] Midlife Crisis and Purpose  [59:00] Healing Through Emotional Release (Real Case Studies)  [1:04:00] The Interconnection of Mind and Body  [1:08:00] Disease and Emotional Roots  [1:17:00] Alignment: Spine, Soul, and Self  [1:21:00] Where to Find Ana Baptista GUEST BIO: Ana Baptista, MD is a board-certified hematologist with over 18 years of medical experience. She has worked in emergency medicine, specialized consultations, and served as medical director for clinical trials in hematology and oncology. Trained in Portugal, Ana also holds certifications in coaching, neurolinguistic programming (NLP), and clinical hypnotherapy. After discovering spinal energetics, she now integrates energy medicine with her medical background, helping clients heal through nervous system regulation and embodied practices. Ana is passionate about bridging Western medicine with alternative healing modalities, proving that science and spirituality complement rather than contradict each other. CONNECT WITH ANA: Website: supportingpaths.com  Instagram: @supportingpaths  Location: Based in the Algarve, Portugal | Works online globally KEY TAKEAWAYS: Your mind is your evolutionary survival mechanism—like claws and teeth for humans  The heart has its own neural network and can sense magnetic fields independently  Energy work is your nervous system releasing stored tension and trauma  Chronic pain can resolve rapidly when the body feels safe to release  Autoimmune diseases may be connected to patterns of self-criticism  Midlife crisis is your purpose asking if you're aligned with your truth  Medicine is an art informed by science, not just science alone • Intuition is your nervous system processing faster than conscious thought  Disease often has emotional roots that Western medicine doesn't address  Alignment (spine, soul, life) is the key to reducing suffering  Science and energy medicine are complementary, not contradictory RESOURCES MENTIONED: "You Can Heal Your Life" by Louise Hay • Gabor Maté's work on trauma and disease • Spinal Energetics (as healing modality) • NLP (Neurolinguistic Programming) • Clinical Hypnotherapy FIND Harmony online: https://harmonyslater.com/ Harmony on IG: https://www.instagram.com/harmonyslaterofficial/ Finding Harmony Podcast on IG: https://www.instagram.com/findingharmonypodcast/ FREE Manifestation Activation: https://harmonyslater.kit.com/manifestation-activation

Join my NEW 90-day Carnivore Challenge group on Mighty Networks below! https://dr-chaffee-s-90-day-carnivore-challenge.mn.co/landing/ If you liked this and want to learn more go to my new website www.DrAnthonyChaffee.com

Saravanan Kasthuri, medical director at Northwest Endovascular Surgery, and Jason McKitrick, executive director at the Office Based Facility Association, discuss their article "Medicare payment is failing rural health." Saravanan and Jason analyze the critical economic forces dismantling independent medical practices and threatening patient access in underserved areas. They highlight the personal story of Mr. G to illustrate the human cost of broken reimbursement models while explaining how the outdated Physician Fee Schedule forces doctors to sell to hospitals or private equity firms. The conversation details how consolidation inflates costs without improving quality and proposes the implementation of a technical fee schedule as a vital policy solution. Listen to understand why preserving office-based care is essential for the survival of the rural health care system. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In this episode, ByrdAdatto partner Jay Reyero joins the podcast to share the story of a physician who built a thriving concierge medicine practice. When a chronically late and frequently canceling patient pushed the limits, the practice faced a critical question: Can you charge for no-shows without risking compliance? Tune in for legal and practical considerations behind implementing cancellation policies, from Medicare rules to best practices for communicating with patients and training staff. Learn how to address no-shows in a way that protects your practice's time, revenue, and compliance.  Chapters00:00 Intro01:47 Banter  06:39 Story  15:55 Access+  16:34 Legal Takeaways  28:39 OutroWatch full episodes of our podcast on our YouTube channel: https://www.youtube.com/@byrdadatto  Stay connected for the latest business and health care legal updates:WebsiteFacebookInstagramLinkedIn

What happens when a heart surgeon who's performed over 3,300 operations decides the healthcare system is fundamentally broken? Dr. Philip Ovadia built a medical practice where the goal is making patients healthy enough that they don't need doctors anymore.This conversation reveals how Ovadia Heart Health operates across all 50 states, why they celebrate when patients leave, and the uncomfortable truth about why your doctor can't tell you certain diseases are reversible. Chief Operating Officer Brian Keith joins Dr. Ovadia to explain the financial incentives trapping physicians and their roadmap for doctors to reclaim autonomy.Send Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

Urologist Tracy Gapin discusses their article "Is your medical career a golden cage?" Tracy explores the paradox of achieving professional success while feeling trapped in a demoralizing and insurance-driven health care system. The conversation highlights how factors like short visits and administrative burdens contribute to physician burnout and alarmingly high rates of suicide among doctors. By identifying the limiting beliefs that hold medical professionals hostage in their careers, Tracy outlines a path toward freedom through a cash-based precision medicine model. This episode examines the necessity of prioritizing personal well-being over systemic demands and encourages doctors to reinvent how they practice to find purpose again. Redefining your medical career might be the only way to save your life. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Episode 333 hosts Mike Clague (Nurse Injector from Melbourne, Australia) In 'The Tox Talks' episodes we feature expert injectors who have significant experience in using botulinum toxins. These episodes explore our guests experiences using particular brands, the evolution of their injecting techniques and we get special insights into the subtle nuances of getting the best out of toxins. In chapter 11 we talk about Relfydess, a new Botulinum Toxin A manufactured by Galderma. We first re-introduce Mike (previously on episode 276) and his clinical background. We then cover his involvement in the pre-launch trials using Relfydess and his clinical experience with the product. We covers the efficacy and onset of Relfydess compared to other toxins, its performance in various facial areas, and discuss practical tips for injectors.  00:00 Introduction and Podcast Overview 00:40 Welcome to Chapter 11: The Tox Talks 00:53 Introducing Mike Clague and Relfydess Toxin 01:28 Mike's Background and Experience 03:31 Discussion on Toxin Efficacy and Longevity 06:20 Practical Insights and Injection Techniques 12:53 Patient Experiences and Feedback 24:10 Manufacturing and Purity of Toxins 27:09 Discussion on Antibody Levels 27:44 Patient Reactions to Treatment Onset 28:24 Dosage and Treatment Techniques 31:00 Commercial Implications of Treatment Frequency 32:34 Longevity and Variability of Treatment Effects 42:57 Training and Mentorship in Medical Practice 46:53 Regulations and Compliance in Medical Advertising 50:07 Final Thoughts and Farewell ALL IA LINKS & CONTACT INFORMATION

Selling a medical practice is no longer a straightforward transaction, especially in today's private equity–driven market. In this episode, we are joined by attorneys Jonathan Eskow and Greg Rutstein of Eskow Law Group to share what physicians can realistically expect when selling a practice today. Learn how private equity is affecting valuations, the risks of relying on few key individuals, and the continued role of non-compete agreements. Tune in for insights on navigating today's M&A landscape while protecting the value of your practice.Chapters00:00 Intro01:10 Banter03:35 Guest backgrounds13:53 How has private equity changed medical practices? 17:33 Is private equity buzz driving unrealistic expectations among physicians?21:40 What do physicians need to know about non-competes?25:12 What are the top buyer concerns in medical practice acquisitions?27:02  Access+27:55 Legal Takeaways29:08 OutroLearn more about Eskow Law by visiting: www.eskowlawgroup.comWatch full episodes of our podcast on our YouTube channel: https://www.youtube.com/@byrdadatto  Stay connected for the latest business and health care legal updates:WebsiteFacebookInstagramLinkedIn

Want to Start or Grow a Successful Business? Schedule a FREE 13-Point Assessment with Clay Clark Today At: www.ThrivetimeShow.com   Join Clay Clark's Thrivetime Show Business Workshop!!! Learn Branding, Marketing, SEO, Sales, Workflow Design, Accounting & More. **Request Tickets & See Testimonials At: www.ThrivetimeShow.com  **Request Tickets Via Text At (918) 851-0102   See the Thousands of Success Stories and Millionaires That Clay Clark Has Helped to Produce HERE: https://www.thrivetimeshow.com/testimonials/ Download A Millionaire's Guide to Become Sustainably Rich: A Step-by-Step Guide to Become a Successful Money-Generating and Time-Freedom Creating Business HERE: www.ThrivetimeShow.com/Millionaire   See Thousands of Case Studies Today HERE: www.thrivetimeshow.com/does-it-work/  

Purchasing a plastic surgery practice involves more than just finding the right opportunity. We are bringing back a fan favorite episode featuring Board Certified plastic surgeon Rachel Walker, MD, who shares her firsthand experience purchasing a practice. Tune in to learn what the process really looks like, from working with a business broker and securing financing to navigating health care regulations and deal structure—whether you are ready to buy or simply asking for a friend.  Chapters00:00 Intro00:33 Banter08:22 Guest background11:42 Why did you want to own a practice?13:11 What was the ownership process like?14:30 What has ownership taught you?19:09 Did you want to be an entreprenuer?20:46 Did work with advisors to set up your practice?22:10 What advice do you have for practice owners?Watch full episodes of our podcast on our YouTube channel: https://www.youtube.com/@byrdadatto  Stay connected for the latest business and health care legal updates:WebsiteFacebookInstagramLinkedIn  

Examining the U.S. Healthcare System with Dr. Henry Buchwald: Challenges, Changes, and Solutions. Dr. Henry Buchwald, author of "Healthcare Upside Down: A Critical Examination of Policy and Practice," is an emeritus professor and pioneer in bariatric surgery. He discusses the significant changes and current flaws within the U.S. healthcare system, including the commodification of medicine, administrative bloat, and the decline of the doctor-patient relationship. He explores the high costs coupled with poor outcomes compared to other countries, and Dr. Buchwald's personal experience with the healthcare system. The discussion also touches on the role of new weight loss drugs, innovations in metabolic surgery, and the potential impact of artificial intelligence in medicine. Dr. Buchwald offers insights and potential solutions to improve the healthcare system, emphasizing the need for a return to patient-focused care. And check out Dr. Hoffman's book review HERE. 

Dr Hoffman continues his conversation with Dr. Henry Buchwald, author of "Healthcare Upside Down: A Critical Examination of Policy and Practice."

Episode 328 hosts Alex Thiersch (Attorney & CEO of AMSPA). In this extra mid-week podcast episode, Alex discusses the evolution of the med spa industry in the United States, the compliance and regulatory challenges practitioners face, and the importance of business acumen. The conversation also delves into the role of AMSPA in providing resources, education, and community support to med spa owners and practitioners. They touch on the issues of industry self-regulation, advocacy efforts, and the future prospects of the medical aesthetics field. Additionally, Alex highlights the annual Medical Spa Show in Las Vegas, a significant event offering extensive training, networking, and industry insights. 00:00 Introduction 00:40 Welcoming the Guest: Alex Thiersch 00:57 Alex Thiersch Background and Journey into Aesthetics 02:13 Challenges and Growth in the Med Spa Industry 04:46 Legal and Compliance Issues in Med Spas 13:13 AMSPA's Evolution and National Expansion 16:15 Current Trends and Future Outlook 22:09 Business Acumen and Industry Challenges 26:24 Special Offer for USA Audience 26:41 Advanced Waste Processing for Environmental Benefits 27:02 Understanding the Financial Complexities of Running a Clinic 27:39 Post-COVID Financial Realities in Medical Practices 28:15 The Importance of Business Knowledge for Practitioners 29:44 Challenges in the Medical Aesthetics Industry 32:40 Resources and Support from AMSPA 34:32 The Importance of Community and Advocacy 38:27 Connecting and Growing the AMSPA Community 42:44 Exciting Events and Opportunities at AMSPA 48:22 Future of the Medical Aesthetics Industry 50:55 Conclusion and Final Thoughts SUBSCRIBE TO OUR ONLINE PLATFORM FOR WEEKLY EDUCATION & NETWORKING CLICK HERE TO BROWSE OUR IA OFFERS FOR DISCOUNTS & SPECIALS CLICK HERE IF YOU'RE A BRAND OR COMPANY & WANT TO WORK WITH US CLICK HERE TO APPLY TO BE A GUEST ON OUR PODCAST CONTACT US  

Certified financial planner Paul Morton discusses his article "Physician practice ownership: risks, rewards, and reality." Paul breaks down the massive differences between an employed physician's financial journey and that of an equity owner physician, exploring the reasons doctors choose the high-risk, high-reward path of private practice: the desire for control over patient culture, the "visionary" mindset, and the potential for a nonlinear financial reward. Paul dives into the challenging realities of managing overhead, dealing with inconsistent income from reimbursements, and the critical importance of strategic tax planning. This episode is a must-listen for any physician weighing the risks of entrepreneurship against the massive potential payoff of a "liquidity event." Learn the financial strategies that separate struggling practice owners from the highly successful ones. 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