The Direct Care Podcast For Specialists

Send us Fan Mail If I could go back and give myself advice before opening my direct care practice, these are the three lessons I'd share. In this episode, I break down why every cash practice needs one clear, high-value offer, how to hire with confidence (and let go with compassion), and the costly spending mistakes I wish I'd avoided in the beginning. These lessons weren't learned...

Send us Fan Mail What if the biggest threat to your practice isn't malpractice—but the contracts you sign?  In this episode, I sit down with healthcare attorney Amanda Hill, founder of Hill Health Law Group, to discuss the legal blind spots physicians often overlook when building a private practice. We cover employment agreements, vendor contracts, non-competes, contractor vs. employee classi...

Send us Fan Mail You don't need another strategy. You need fewer distractions. If you've been telling yourself, "I'm working nonstop, but nothing seems to move," this episode is for you.  The problem may not be a lack of effort—it may be a lack of focus. Today, I share why so many doctors feel stuck when they're actually scattered, and how narrowing your attention to...

Send us Fan Mail Do you keep telling yourself you need more credentials, another certification, or even an MBA before you can build a successful direct care practice? In this episode, I challenge that belief and show you why the missing piece isn’t more education—it’s a clear offer. I break down the three types of direct care offers, why packages outperform fee-for-service, and the six elements ev...

Send us Fan Mail Have you ever felt guilty about wanting to earn more as a physician?  In this episode, I challenge the belief that caring about money makes you a worse doctor. We'll explore how this mindset contributes to burnout, financial stress, and frustration, and why building a profitable direct care practice can actually help you provide better patient care while creating the freedom...

Send us Fan Mail You already know more about direct care than you think. So if you’re still stuck researching, listening to podcasts, or waiting for the “right time,” this episode is for you.  I’m breaking down the real reason many doctors never make the transition into direct care — and it’s not lack of information. We’re talking about perfectionism, fear, people-pleasing, and the internal voices...

Send us Fan Mail Most doctors leave insurance… but still run their practice like they’re in-network. I did the same thing at first. I thought direct care simply meant putting cash prices on my services and charging patients per visit. But staying fee-for-service kept my practice transactional, unpredictable, and financially stuck. In this episode, I’m sharing why I shifted away from CPT-code think...

Send us Fan Mail Getting impressions but no patients? The problem may not be your ads. In this episode, I break down why marketing fails for many doctors and service-based businesses: unclear messaging, weak systems, and missing patient qualification. Learn the five-step phone script that turns calls into qualified patients, how to position your services for profitability, and why marketing is mor...

Send us Fan Mail I want to talk about something most doctors don’t say out loud. That uncomfortable feeling when you see another physician succeed. The little sting. The doubt. The thought that maybe you’re behind. Nothing is wrong with you for feeling that. You were trained to compare—from school, to boards, to training. So your brain learned to measure your worth against other people. But their...

Send us Fan Mail What if your clinic could earn revenue without you in the room? Dr. Tea Nguyen sits down with podiatrist and business coach Dr. Sarah Neitzel to break down exactly how she built a profitable medical nail spa alongside her private practice — and what it takes for other physicians to do the same. They cover structuring two separate LLCs, hiring nail technicians, startup costs, and h...

Send us Fan Mail In this episode, I sit down with Dr. Ronen Elefant, Founder and CEO of ACES National Surgical Team, to break down how direct surgical care is reshaping access, pricing, and the patient experience.  From trauma surgeon and hospital leader to national innovator, Dr. Elefant shares how bundled pricing, existing surgery centers, and physician autonomy are creating a simpler, more tran...

Send us Fan Mail If you’re a physician building your own practice and questioning your pricing, boundaries, or worth—this episode is for you. In EP 219, I unpack how imposter syndrome , scarcity mindset , and fear of rejection shape decisions in practice ownership and direct care. You’ll see why undercharging and overgiving are not strategy issues, but money mindset patterns.  Learn how shifting b...

Send us Fan Mail Thinking about going 100% direct care or starting with a hybrid model? In this episode, I share my personal journey from an insurance-based practice to fully direct care. I break down the pros and cons of each approach, explain the financial and operational considerations, and offer guidance on when a direct care model works best.  Learn how to simplify your practice, protect reve...

Send us Fan Mail In this episode, I share 5 strategies I’ve used to succeed in any physician coaching program and get real results. I talk about setting intentions, committing effort, and taking action. I also reveal how I built my thriving direct care practice, left insurance behind, and designed the Direct Care Society Launch Course to help specialists create a simple, profitable, and sustainabl...

Send us Fan Mail In this episode, I tackle five common misconceptions that keep doctors stuck in the insurance-based model. I share how to clear mental clutter, overcome limiting beliefs, and take action to build a simpler, more profitable, and fulfilling direct care practice—where you set your prices, choose your patients, and focus on what you love about medicine without the friction of insuranc...

Send us Fan Mail Busy doesn’t always mean profitable. In this episode, lets break down three common mistakes that quietly sabotage direct care practices: undercharging, neglecting the full patient experience, and underutilizing simple technology.  Learn how to shift your pricing, create meaningful patient touchpoints, and stay top of mind—so you can build a practice that’s both sustainable and ful...

Send us Fan Mail Thinking about leaving employment to start your own practice? I break down what every physician needs to know first—from reviewing non-compete clauses to choosing between insurance-based and direct care models. I also share the three essential skills—marketing, operations, and ethical communication—that will help you launch a practice that matches the lifestyle and patient care yo...

Send us Fan Mail Feeling stuck in your direct care practice? Maybe leaving insurance isn’t “working” the way you thought it would. I get it—this isn’t just about logistics; it’s about identity. In this episode, I break down the four things that could be holding your practice back: controlling overhead, getting more people to know you, refining your offer, and shifting your mindset to step fully in...

Send us Fan Mail Confused about high ticket packages vs. memberships in private practice? This episode breaks down the key differences and when to use each for maximum revenue stability and better patient care.  Learn how to structure premium offers, avoid common pricing mistakes, and build a sustainable direct care medical practice with smarter business strategy and recurring revenue models.  Sup...

Send us Fan Mail Support the show Direct Care Launch Course: A self-guided course to your Direct Care practice now available here . Summer Special: You will receive additional 6 live group coaching support (value $3600). Get started now! --- Build Your Profitable Direct Pay Package get on my email list to be the first to know about the next live coaching session here For specialists tired on insur...

Send us Fan Mail Happy 4 years to The Direct Care Podcast for Specialists! If you have a Direct Specialty Care Practice and are looking for massive growth, join me in The Circle.  No contract Monthly live sessions Accountability & on-going support Take $300 off your first month simply for being a listener. Use code LOVE300 at checkout .  Support the show Direct Care Launch Course: A self-guide...

Send us Fan Mail In this episode, Dr. Joseph “Joe”  Pazona, board-certified urologist and CEO of VirtuCare , shares his journey from traditional clinical practice to healthcare entrepreneurship. Frustrated by physician burnout and gaps in specialty care—especially in rural and underserved communities.  Dr. Pazona founded VirtuCare to deliver high-quality urology services through a mix of telemedic...

Send us Fan Mail If you’re thinking about starting a direct care practice, you need to know something important, to get something new, you have to let go of the old.  In this episode, I’m talking about the things you’ll lose—old habits, chaotic schedules, burnout, even identities that no longer serve you, so you can make room for calm, clarity, and real growth. Using the symbolism of the Lunar New...

Send us Fan Mail In this episode, Dr. Matthew R. Hitchcock, MD, MBA, shares his journey as a direct primary care physician and healthcare entrepreneur. Frustrated by long waits and high costs in traditional imaging, he founded Hitchcock Direct Imaging , a cash-only, insurance-free imaging center in Chattanooga, Tennessee.  Dr. Hitchcock discusses how direct care models can improve patient access,...

Send us Fan Mail Tired of feeling burned out, trapped, or stuck in a job that drains you? It’s time to take control. In this episode, I break down the mindset shifts, practical steps, and systems every doctor needs to launch a profitable, low-stress direct care practice.  Learn the Single Package Success model, simplify your services, build freedom, and create sustainable income. If you’re ready t...