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Concierge Medicine Radio
25 minutes | May 26, 2015
How Middle Class Kids with Second Rate College Degrees Can Get Rich with Dan Andrews of the Tropical MBA
In this episode, I talk with Dan Andrews of The Tropical MBA and The Portable Bar Company about how you, you middle class kid with a second rate college degree can get rich. Dan's been working in or running entrepreneurial businesses for over a decade and has seen the the transformation that the internet has wrought on the Western middle class. At one point, we both considered humanities PhDs and we discuss how entrepreneurship actually gives us more time and intellectual freedom to pursue those passions. Listen to This Show and Learn: Why Richard Branson is free then Peter Singer (or any philosopher in academia for that matter). How the internet has made it possible to get rich just by being clever. How communication technology has brought down the cost of manufacturing in China by a factor of ten. How a middle class kid with a second rate kid with a college degree can get rich.
35 minutes | Dec 30, 2014
28: How to Bring Employers into Your DPC Practice with Dr. Ken Rictor
In today's episode, Taylor talks with Dr. Ken Rictor of Scotland Family Medicine about how he has successfully found, approached and added 2 employers to his Direct Primary Care practice. Because employers can offer a big influx of patients at once, Direct care and concierge doctors across the country have been working on how to successfully approach employers Dr. Rictor converted his practice 1 year ago in January 2014 and has since brought almost 15% of his prior patient panel into his new practice as well as 2 employers. He's in talks with six additional employers and walks through exactly how he did it. Listen to This Show and Learn: What the optimal employer profile is for a DPC practice. How to get a list of employers in your area to approach. The exact pitch and process he uses to approach and bring in employers. Why DPC is becoming a safer and safer option for primary care doctors.
33 minutes | Dec 23, 2014
27: Medicare FAQs and The Momentum Behind Concierge with Dr. Jane Orient
In today's episode, Taylor talks with Dr. Jane Orient, Executive Director of the American Association of Physicians and Surgeons. Dr. Orient has run a cash-based practice since 1981 and reflects on some of the changes that have happened since she got into practice, frequently asked questions about opting out of Medicare, and the momentum behind concierge medicine. Listen to This Show and Learn: How to opt-out of Medicare correctly Common legal questions about Medicare The momentum behind concierge and direct care medicine.
33 minutes | Dec 16, 2014
26: How to Start a Direct Pay, House Call Practice with Dr. Ernest Brown
In today's episode, Taylor talks Dr. Ernest Brown. Ernest runs a house call, concierge practice based out of Washington, D.C. Launched straight out of residency, he built a network in his local community and has created a unique practice model that he finds more fulfilling than practicing in a clinic. Listen to This Show and Learn: How to evaluate your city to see if it would be a good fit for a house call model. How to set-up a cash only, house call practice. Why Dr. Brown finds house calls more rewarding than a clinic. An opportunity to use house calls as a way to build a cost-effective concierge or direct pay clinic.
29 minutes | Dec 9, 2014
25: How Healthcare Economics Will Drive Free Markets with Charlie Sauer
In today's episode, Taylor talkswith Charlie Sauer, an economist and policy wonk from The Free Market Medical Association about the macro trends that will drive the changes we see in health care over the next decade and what those will mean for physicians in the coming years. Listen to This Show and Learn: The absurdity of the current economics in health care The role of transparency and incentives in health care and the potential for a free market solution The economics behind radical price transparency The biggest opportunity for individual physicians over the next year
18 minutes | Dec 2, 2014
24: Building a Micro, Concierge Practice with Dr. Marty Schulman
In today's episode, Taylor talks Dr. Marty Schulman based out of San Diego. Dr. Schulman has been running a micro concierge practice for the last 10 years that lets him serve his patients in the way he finds most fulfilling. Listen to This Show and Learn: How Dr. Schulman supplements his income to let him run the type of clinic he loves. Why Dr. Schulman wishes he had kept his overhead lower when he started. The difference that makes Dr. Schulman's practice referable. The resources Dr. Schulman used to start up his practice.
46 minutes | Nov 25, 2014
23: The Future of Healthcare Delivery with Dr. Steve Schimpff
In today's episode, Taylor talks with Dr. Steve Schmipff. The former CEO of the University of Maryland Medical Center, over the last 10 years Steve has become an author and speaker on the future of healthcare. After publishing his first book on the future of healthcare technology, Steve was stuck by the paradox in healthcare in U.S. Despite having the most advanced technology of any nation on Earth, the ineffective delivery system has lead to poor outcomes for both patients and providers. Listen to This Show and Learn: Why physician compensation has plateaued but patient panels have double since the 1970's. The 4 factors in studies done by by Blue Cross Blue Shield, MDVIP, Qliance, and Medicare Advantage that dramatically improved patient outcomes and provider satisfaction. An alternative point of view on patient abandonment and the lightbulb and I Love Lucy analogies for understanding why many primary care physicians move to a concierge or direct pay model and how to explain it to colleagues, patients, and friends.
31 minutes | Nov 18, 2014
22: The Hybrid Model, Consultants and Practice Design with Dr. Bruce Feldman
In today's episode, Taylor talks Dr. Bruce Feldman of My Personal Doc NY. Dr. Bruce has a Concierge practice that he's built from scratch based out of Long Island, New York. As one of the few physicians that has built his practice from scratch, he talks about that process and the lessons he's learned about his practice, different concierge models and consultants along the way. Listen to This Show and Learn: How Dr. Bruce built his concierge practice based in Long Island from scratch. Why Dr. Bruce believes the hybrid model is a poor choice for Concierge Physicians. The Importance of developing a culture based around service in your office. The math behind a Concierge practice's overhead and patient panel. Why do consumers expect better service at pottery barn than at the doctor?
52 minutes | Nov 11, 2014
21: How Direct Primary Care Changes The Practice of Medicine with Dr. Rob Lamberts
In today's episode, Taylor talks with Dr. Rob Lamberts based out of Augusta, Georgia about how he runs his Direct Primary Care practice and some of the fundamental, yet unexpected changes that have happened as a result of his transition. From an improvement in his day-to-day happiness, more time with patients and better clinical outcomes, his transition into a DPC model has been a positive one. Listen to This Show and Learn: Why a desire to provide better care drove Rob to a Direct Primary Care model. How Rob used the resources from his traditional practice to seed his new Direct Primary Care practice. Why Rob chose to go it alone instead of working with a consultant. How Rob structures his practice for a 1,000 person patient panel. How Rob uses his existing patients on Facebook to reach more patients in the local area. The most valuable technology resources in Rob's practice.
24 minutes | Nov 4, 2014
20: Concierge Urology - A Look at Cash Pay for Specialists with Cassandra of Obsidian Men's Health
In today's episode, Taylor talks with Cassandra from Obsidian Men's Health just outside Washington DC. Obsidian is one of the very few concierge urology practices in the U.S. Cassandra, the practice manager and head of marketing at Obsidian, shares some of the lessons they've learned and successes they've had for other specialists to learn from. Listen to This Show and Learn: How to set-up a discrete, yet premium experience for higher end clientele. How to use online marketing to generate more patients. How to structure a Fee for Service Concierge practice Why and how to be action oriented in your marketing messaging. What it means for a surgeon to move into cash-only practice.
52 minutes | Oct 28, 2014
19: 3 Major Lessons Learned and The Bright Future of Direct Primary Care with Dr. Erika Bliss
In today's episode, Taylor talks with Dr. Erika Bliss of Qliance based out of Seattle, Washington. Qliance was created by Erika and her cousin, Garrison Bliss, in 2007 to see if direct primary care was a viable model at scale. With 6 locations in the Seattles area and more on the way, Qliance has partnered with organizations like Expedia and Comcast as they continue to expand. Taylor and Erika talk about the history of Qliance and what lessons other physicians can learn about starting and growing their own practice as well as the brig ht future of direct primary care and why Erika thinks the next 12 months will be the most exciting yet. Listen to This Show and Learn: The hard data on how much Qliance as a direct primary care practice can save employers. Why Qliance has shifted from targeting individuals to organizations. The biggest opportunities for de novo practices and groups transitioning to direct primary care. How to work your network to help grow your practice and why it's essential to invest in the business of medicine. The 3 changes going on right now that will drive the direct primary care movement foreword in the next 12 months.
29 minutes | Oct 21, 2014
18: Launching a Patient-Centered DPC Practice Out of Residency with Dr. Ryan Neuhofel
In today's episode, Taylor talks with Dr. Ryan Neuhofel of NeuCare, a Direct Primary Care practice in Lawrence, Kansas. Dr. Neu started his direct primary care practice straight out of residency and has been grown it into a successful DPC practice where he's able to care for his patients the way he believes they deserve.
58 minutes | Oct 15, 2014
17: How to Use Storytelling to Educate Patients with Dr. Jon Izbicki
In today's episode, Taylor talks with Dr. Jon Izbicki of Izbicki Family Medicine in Erie Pennsylvania. Dr. Izbicki transitioned his traditional primary care practice into a DPC model just over a year ago and has been growing at a rate of 25 patients per month since. Strung out as a physician and feeling unsatisfied, Dr. Izbicki's transition to a direct pay model has re-invigorated him and his practice. In today's show he discusses the emotional details of his transition, how he uses Facebook to bring in new patients, and the exact analogies he used to explain direct primary care to his patients. Listen to This Show and Learn: Why going to a direct pay model saved Dr. Izbicki's traditional practice and professional integrity. The financial realities and risks of transitioning and why it's essential you be emotionally ready. Why the existing health care system violates fundamental laws of economic and hurts family physicians. How to explain paying for primary care to you existing patients. How to negotiate advantageous cash pricing for your patients at local providers. How to use Facebook to bring in 25 new patients per week. The American Express analogy that helps small business owners understand direct pay medicine. The 3 things all patients want in their physician.
26 minutes | Oct 7, 2014
16: Setting Up and Running a Hybrid Concierge Practice with Dr. Camilo Ruiz
In today's episode, Taylor talks Dr. Camilo Ruiz of Choice Physicians in South Florida. Dr. Camilo Ruiz and his wife Dr. Tiffany Sizemore Ruiz run a hybrid practice specializing in sleep medicine and cardiology in South Florida where they continue to accept insurance for a segment of their patients as well see concierge, cash-pay only patients. Listen to This Show and Learn: How to set-up a hybrid practice with both concierge and insurance based practices. What a typical day looks like for a physician in a hybrid practice. Why it's essential to keep an eye on and understand your cash flow. A prediction of what the medical practice landscape will look like in 10 years. Why and How to evaluate your location to see if a concierge practice makes sense.
47 minutes | Sep 30, 2014
15: How to Become a Medical Expert in the Local Media with Dr. James Pinckney
In today's episode, Taylor talks with Dr. James Pinckney II from Diamond Physicians in Dallas, TX. Dr. James is a board-certified family physician who got his first taste of Concierge Medicine at Cedars-Sinai Medical Center in Los Angeles. He moved back to Dallas and has managed to start from no patients and grow his practice to well over half full in just over a year by becoming a featured medical expert in the local media. In today's episode he discusses how he's come to be featured on a national commercial and a regular contributor in local media. Listen to This Show and Learn: How to become a featured medical expert in your local media. How to get featured in national media. How to use your website to build credibility and social proof (from guys like Larry Brown). Dr. James' concierge process for bringing patients into the practice. How to opt your clinic out of Medicare while still working ER shifts. How to choose a web design and development company.
49 minutes | Sep 23, 2014
14: Building a Retainer-based Functional, Integrative Medicine Practice with Dr. Ellie Campbell
In today's episode, Taylor talks with Dr. Ellie Campbell of Campbell Family Medicine, a functional, integrative medicine practice in Cummings, Georgia right outside of Atlanta. Dr. Campbell has been operating a cash-only practice since 2005 and transitioned to a retainer based practice in 2009. Dr. Campbell has learned a lot of lessons along the way and freely shares her experience on why you should never charge hourly for your service, how changing her pricing structure has made her practice more profitable and her patients happier and how to use speaking to bring patients into your practice. Listen to This Show and Learn: Two most effective marketing channels for bringing in Dr. Campbell's ideal patients. Dr. Campbell's pricing and service offerings for an integrative, functional medicine practice. Why Dr. Campbell uses a joining fee for new patients to protect her time and how it skyrocketed her patient retention rate. How Dr. Campbell uses functional medicine and Bioidentical Hormone Replacement as a differentiator to bring in new patients. How to generate referrals by hosting educational events. Why you should not charge hourly for your services. The advantages to weighting your fees towards the first 6 months. Why the ACA will drive more consumer to concierge and direct pay medicine How to use gamification to improve your patients' clinical outcomes How to work from home as a concierge physician
28 minutes | Sep 16, 2014
13: Straight Advice after 10 Years as a Concierge Physician with Dr. Tom Lagrelius
In today's episode, Taylor talks with Tom Lagrelius, a family physician based out of Torrance, California near Los Angeles. Taylor and Tom dive into the some of the fundamentals and background of concierge medicine from Tom's 10 years in practice as a concierge doctor at his practice, Skypark Preferred Family Care. We cover the keys to evaluating your patient demographics to make sure your practice will successfully convert to a concierge model, the exact process Dr. Lagrelius has used with other physicians to transition, and an opportunity to start a concierge practice from scratch by moving to an underserved area. Listen to This Show and Learn: How Dr. LaGrelius sets up his practice to be able to give each of his patients a personal screening once a year. How to ethically transition patients that don’t want to move to a concierge model. Keys to evaluating your patient demographics to make sure your practice will successfully convert to a concierge model. The process Dr. Lagrelius recently used to help a doctor successfully convert 600 patients on day 1. How Dr. LaGrelius recommends physicians that want to practice concierge but don’t have an existing practice get started. Why Dr. Lagrelius believes the hybrid model is doomed for failure. How you can get started in a concierge practice right away by moving to an underserved area. How to set-up your practice’s waiting room to make patients feel welcome.
44 minutes | Sep 9, 2014
12: The Impact of the Affordable Care Act on Concierge Physicians with Dr. Marcy Zwelling
In today's episode, Taylor talks with Dr. Marcy Zwelling about her practice, Choice Care, in Los Alamitos California and the impact of the Affordable Care Act. Though first and foremost Dr. Zwelling describes herself as an advocate for her patients, she's also an active advocate in Washington with an insider view, Dr. Zwelling explains the impact of the current incarnation of the ACA, how she believes the ACA will be repaired. Listen to This Show and Learn: Why Dr. Zwelling would have fewer patients if she could start again. Why Dr. Zwelling sells better days, not health care. The implications of the ACA for concierge physicians. Why the ACA can't be repealed, but how it can be repaired. How to structure your fees to let patients pay with their HSA. How to negotiate better rates for your patients with local providers.
63 minutes | Sep 2, 2014
11: Essential Legal Compliance Issues for Concierge Physicians with Jim Eischen
In today's episode, Taylor talks with Jim Eischen, a partner at Higgs, Fletcher & Mack Law Firm in San Diego, California specializing in healthcare and particularly private medicine law. Jim and Taylor walk "Dr. Wilson" through the process of setting up the proper legal structure for his practice and the potential legal violations that thousands of concierge physicians are dealing with today. Listen to This Show and Learn: How you might be unknowingly collecting a fee for a service provided by Medicare that could put you at risk for prosecution. The implications of opting out of Medicare and how to structure your practice before you do. How to structure your agreements with your Medicare patients to ensure you're compliant with Medicare (even if you've opted out). Common buzzwords including "24/7 Access" and "membership" to avoid in your marketing for compliance. Common HIPPA violations in concierge practices and how to avoid them. Why we may start to see more prosecution of HIPAA violations in the future. Why physicians getting compensation for nutraceuticals or lab tests could be subject to prosecution and how to protect yourself.
22 minutes | Aug 26, 2014
10: The Power of Live Events to Launch and Grow Your Practice with Bryon Main
In today's episode, Taylor talks with Bryon Main of ExL Pharma and the Concierge Medical Event in Costa Mesa, California. Fresh off the conference, Taylor and Brian sit down to talk about the power of live events to understand the nuts and bolts of running a successful concierge practice and giving you the emotional fuel and confidence to make the transition. Listen to This Show and Learn: Why it's essential that you meet other people practicing concierge medicine and the opportunities to do so Why live events are one of the best ways to grow your practice The emotional power of being around peers that share your vision and values
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