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 keeping you stuck. If you’ve been craving more freedom, simplicity, and connection with patients, this conversation will help you take the next step.

Support the show

***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here.

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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 thinking and started building packages, memberships, and long-term patient relationships instead. Because patients don’t just want appointments — they want a clear plan, real results, and someone who can guide them from pain to solution.

Support the show

***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here.

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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 more than just running ads.

If you’re building a direct care practice, this episode will change how you think about growth.

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here.

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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 success isn’t taking anything away from you. There is no real scoreboard here.

The moment you stop making their win mean something about you, you get your focus back. And you start building your own path again.

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here.

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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 how to identify which tasks you should stop doing yourself. If you've ever thought about adding a cash service to your practice, this one's for you.

Dr. Sarah Neitzel is a board-certified podiatric surgeon and founder of Visionary Practice Solutions, a coaching program helping physicians across specialties build thriving, independent practices. She owns both a podiatry clinic and a medical nail spa in Silverdale, Washington.

Connect with her:

LinkedIn: https://www.linkedin.com/in/sarah-neitzel-dpm/
Website: https://www.visionarypracticesolutions.com/
Facebook: https://www.facebook.com/Dr.SarahVPS/
Instagram: https://www.instagram.com/dr.sarah.coaching

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here.

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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 transparent system for patients and surgeons alike.

A powerful look at what happens when you remove insurance from the equation and rebuild care around the patient.

Connect with him:

• Website: ACES National Surgical Team
• LinkedIn Profile: https://www.linkedin.com/in/ronenelefant
• Instagram: @ronenelefant
• Youtube: https://www.youtube.com/@ACESSurgicalteam
• Tiktok: @ronen.elefant

Support the show

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here.

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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 beliefs and strengthening boundaries leads to real, sustainable growth. 🎧 Build a practice that reflects your value.

Support the show

***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here.

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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 revenue, attract the right patients, and build a patient-centered business you love—without the stress of insurance.

Support the show

***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.

For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.

--> Join the Direct Care Society private Facebook group here.

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com