Claim OwnershipThe Direct Care Podcast For Specialists
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Learn why and how to start an insurance-free, hassle-free Direct Specialty Care practice that lets you provide care your way for your patients without middlemen hosted by Dr. Tea Nguyen.
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Send a text 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 contractMonthly live sessionsAccountability & on-going supportTake $300 off your first month simply for being a listener. Use code LOVE300 at checkout. Support the show *Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join t...
Send a text 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 telemedicine, on-site care, and innovative staffing models. He also discusses his direct specialty car...
Send us a text 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 Year, I explain why shedding what holds you back is not punishment—it’s necessary for moment...
Send us a text 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, the regulatory hurdles he navigated, and the importance of transparency in healthcare pricing. ...
Send us a text 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 to level up your career and reclaim your life, this episode gives you clarity, actionable steps...
Send us a text Dr. Sushrusha Arjyal shares her journey from board-certified psychiatrist and sleep specialist to founder of Bliss Sleep and Psychiatry in Cary, NC. She discusses the challenges and rewards of transitioning to private practice, including financial decisions, patient communication, and key mindset shifts for success. Dr. Arjyal emphasizes curiosity, networking, coaching, and teaching future physicians about the business of medicine. She also reflects on balancing her roles...
Send us a text 1. The Direct Care Movement Is Mainstream Now 2026 is the year specialists can no longer ignore the shift—direct care is making headlines and attracting advocates like Mark Cuban, who’s cutting out middlemen and championing patient-centered care. The time to act is now. 2. You Have More Power (and Options) Than You Think The old insurance model is broken, but you don’t have to play by those rules. Whether you’re worried about opening a new office, choosing your location, or d...
Send us a text Dr. R. Michelle Koolaee is a board-certified rheumatologist with over 12 years of experience in academic and multi-specialty practices across Los Angeles. In 2025, she opened a direct care rheumatology practice in Pasadena to move beyond the constraints of 15-minute visits and provide patients with more time, access, and personalized care. She now shares her journey to help other physicians explore and implement the direct care model. Connect with her: Email: michelle@dr...
Send us a text I want to share some unexpected lessons that have sprouted from my garden—and from my perimenopause journey. From plants that refuse to grow to learning when to let go, I’ve realized the importance of focusing on what truly thrives in our lives and businesses. This episode is about protecting your energy, sorting out what really matters, and making space for the things that bring you joy. If you’re navigating big life changes, I hope these reflections help you step into t...
Send us a text Dr. Brian Dixon, is an award-winning psychiatrist, author, and speaker who believes adaptive mental health is the foundation of a life well lived. In this episode, he shares his journey from facing “moral injury” in insurance-based medicine to building a thriving direct-pay psychiatry practice rooted in autonomy, authenticity, and sustainable patient care. Dr. Dixon explains how he created a model that allows him to deliver personalized, relationship-based, and clin...
Send us a text Struggling to attract patients who pay cash? In this episode, we break down 7 practical steps to help you engage patients, build trust, and confidently set prices. Learn how to package services, handle insurance objections transparently, and leverage word of mouth to grow your practice. We also cover essentials for launching a minimal viable practice and identifying patients who benefit most from direct care. Tune in to start validating the cash-pay model and growing a th...
Send us a text Dr. Demetrio J. Aguila III, a world-renowned peripheral nerve surgeon and former Air Force flight surgeon treating patients from 50 states and 32 countries. He’s the only surgeon in Nebraska, Iowa, Colorado, and South Dakota performing micro-invasive carpal tunnel surgery with same-day recovery. Beyond surgery, he’s a medical acupuncturist, theologian, and founder of Healing Hands of America, a nonprofit offering specialty care without crushing medical debt. In this...
Send us a text Direct Care is hard but staying the same is harder. I am so grateful that you're lending me your ears. Give yourself the gift of grace this season and all year long. Happy Thanksgiving. I'll check in with you next week. Support the show *Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your s...
Send us a text Dr. Jennifer Dilts, DO, is a pediatrician at Bloom Pediatrics in Kansas City, KS, caring for kids and teens with ADHD, migraines, anxiety, and depression. She shares how she transformed pediatric care through the direct care model, making care more accessible while building a sustainable practice. Dr. Dilts co-hosts the ADHD Mom Docs Podcast with Dr. Nerissa Bauer and teaches virtual Teach Me ADHD classes for parents and kids, making learning to thrive with ADHD fun. She is als...
Send us a text Thinking about transitioning your practice to direct care? I break down 3 essential shifts that can save you time, cut administrative costs, and give you more control over your practice. Hear how I successfully made the switch in 2022 and the lessons I learned along the way. Whether you’re looking to reduce insurance headaches or improve patient care, this episode is full of actionable insights. Tune in and discover how to make direct care work for you! Support the show *Next ...
Send us a text "I was so burnt out in the system that it was either do direct care or leave medicine. I already knew that I was good at what I did so leaving medicine because the system is broken didn't make sense--so I fixed it. As someone who has an $8000 deductible, I also wanted to make healthcare more affordable and the cost of care transparent." Dr. Becky Mullin takes us behind the scene to how she pivoted from an employed position to becoming a proud owner of a Direct Speci...
Send a text We became physicians to helps as many people as we could and often feel guilty when it falls short. The thing is, this is the fastest road to burnout. If you catch yourself saying "Do I self sacrifice to help my patient or focus on my mental health?" then this episode is for you. Let's normalize prioritizing our mental health. Support the show *Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here -->...
Send us a text Dr. Shawn Johnson did not choose Direct Care, it chose her! When she found employment was no longer sustainable, she took a leap of faith to become a business owner of a multifaceted orthopedic business that works for her. She is accepting patients at Austin County Orthopedics Connect with her at info@drshawnmdortho.com Support the show *Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direc...
Send us a text This is my favorite story, the 7 benefits patients get when they choose a Direct Care doctor AND the 7 benefits Direct Care doctors get in return. A mutually beneficial relationship where no insurance is required. Support the show *Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? ...
Send us a text Dr. Vanessa Rodriguez is a Board-Certified Adult Endocrinologist with 20+ years of experience in the areas of Diabetes, Metabolism, and other endocrine conditions with a Direct Specialty Care practice in Delray Beach, Florida. She shares insights on planning for Direct Specialty Care after starting an insurance practicesaving overhead expenses with co-working spacesthe benefits patients enjoy through her membership program, even though they have insuranceand more!Books me...
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