Self-Funded Why "Co-opetition" Is The Future Of Healthcare | with Dutch Rojas
Dec 23, 2025
Dutch Rojas, a healthcare entrepreneur and strategist, dives into his vision of 'co-opetition' in healthcare. He highlights how hospitals exploit price arbitrage, charging significantly more for the same services, harming independent practices. Dutch discusses the need for independent providers to unite, leveraging collective buying power for benefits. He also shares insights on creating a 'Healthcare Commodities Exchange' to normalize pricing and why CFOs should lead healthcare decisions. His journey from the Netherlands to the U.S. adds a personal touch to his bold ideas.
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CMS Incentives Drive Price Arbitrage
- CMS policy lets hospitals add facility fees and capture large price arbitrage versus independents.
- Dutch Rojas argues this drives consolidation, higher patient and employer costs, and fewer independent physicians.
71 Practices — No Collaboration
- Dutch visited 71 former clients and found none collaborated with other independent practices to solve shared business problems.
- He discovered physicians typically relied on church, golf, or college connections for benefits, not strategic cooperation.
Sharp Decline In Independent Physicians
- Independent physician ownership has fallen sharply from ~75% to under 25% over recent years.
- Rojas links this decline to policy, private equity, and health system consolidation harming employers and patients.