The DocPreneur Leadership Podcast

AND, UNDERSTANDING PRIVATE EQUITY OPTIONS AND PRACTICE VALUATIONS AS YOU PREPARE TO SELL OR EXIT YOUR Practice   Preparing to sell your medical practice is a complex process that requires careful planning and foresight. Starting early and conducting a thorough internal review, including financial and legal documentation, sets the foundation for a successful sale. Engaging professional support ensures that all aspects of the sale are handled expertly, maximizing the value of your practice.   (READ FULL STORY)   OUR GUEST: Justin Outslay, Founder, Cinnamon Hill Partners, LLC LEARN MORE - https://www.cinnamon-hill.com LISTEN TO THE FULL INTERVIEW and PODCAST HERE ...   Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE.

Our guest today is Katie, Owner of Coal Creek Ledgers "With over a decade of experience in managing business finances, I help owners like you cut through the noise, get clear on your numbers, and make confident decisions. I started this firm to help business owners step into their role as strategic leaders—not just operators. This is about more than financial reports—it’s about gaining the clarity and control you need to lead with vision, build with purpose, and grow without second-guessing every move." LEARN MORE AND CONNECT WITH KATIE HERE: https://consult.coalcreekledgers.com or https://www.linkedin.com/in/katierhodes23/   Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE.

Our guest today is Shareef Mahdavi.    Shareef Mahdavi created the PX90 Practice Transformation program as the latest expression of his three-decade career helping doctors, practices, and companies in elective, self-pay medicine succeed by focusing on patient experience.   PX Ninety is an immersive, action-driven program that helps healthcare professionals elevate their practice by focusing on patient experience and team performance. Led by Shareef Mahdavi, a patient experience expert and author of Beyond Bedside Manner, PX Ninety offers a 12-week roadmap for practice transformation. Each week, participants see a video lessons, engage with exercises, and build on examples provided with ideas specific to your practice.  By the end of 90 days, your practice will have undergone a significant transformation in patient satisfaction, team cohesion, and operational efficiency.   His work spans the refractive surgery, aesthetics, and dental industries—guiding over 60 medical product launches and serving as a trusted advisor to both private practices and leading device manufacturers.   LEARN MORE AND CONNECT WITH SHAREEF, HIS BOOK AND PROGRAM(S)   Visit: https://pxmovement.com/px90-program/

Register, see agenda, workshops, schedule, exhibitors and speakers and learn more at www.ConciergeMedicineForum.com 

Remote Patient Monitoring (RPM) has grown into a $500 million market in 2024, underscoring the remarkable demand for connected care solutions. This growth is more than just a number—it reflects a structural shift in how Medicare is approaching primary care.   By Editor-in-Chief, Concierge Medicine Today/The DocPreneur Leadership Podcast   Fall/Winter 2025 - In many ways, RPM and Chronic Care Management (CCM) represent Medicare’s attempt to move primary care away from a purely fee-for-service model and toward a capitated, ongoing care structure built around a flat monthly fee. It’s not concierge medicine, but in practice, it mirrors some of the principles: continuous monitoring, proactive management, and stronger patient-provider connection.   Unlike CCM, which has seen slower traction, RPM adoption has been swift and widespread. The Office of Inspector General (OIG) has expressed concerns in recent reports, but this very scrutiny highlights the scale of adoption and the significant investment in ongoing monitoring that the U.S. healthcare system has never truly embraced before. 📑 Source: OIG RPM Report, 2025 (View: https://oig.hhs.gov/reports/all/2025/billing-for-remote-patient-monitoring/)    In addition, the April 2025 OIG report marked the fourth prosecution in U.S. history related to cash-based healthcare models. This case provides perhaps the clearest signal yet from OIG that traditional concierge-style marketing—emphasizing same- or next-day access, extended visits, care coordination, and direct physician communication—is not compliant with Medicare assignment rules unless it is paired with proper, routine exam structuring.   FOR ADDITIONAL REFERENCE and LEARNING, here is the 4th OIG alert in US history: https://oig.hhs.gov/fraud/enforcement/greenfield-health-system-agreed-to-pay-286000-for-allegedly-violating-the-civil-monetary-penalties-law-by-requesting-payment-from-beneficiaries-in-violation-of-an-assignment-agreement/   Together, these developments point to a pivotal moment: Medicare is nudging primary care toward connected, ongoing models of care delivery, while simultaneously tightening compliance expectations around concierge-style offerings. For physicians, the message is clear—connected care is here to stay, but compliance and structure are non-negotiable.   About Our Guest   James Eischen, Esq (Jim Eischen) is a licensed California attorney with over 32 years of experience handling complex corporate, business planning, and real estate matters. He received his J.D. from the University of California at Davis in 1987, and his B.A. from Creighton University in 1984.   Mr. Eischen is recognized nationally for compliance experience regarding complex corporate business planning and transactions. As a speaker at conferences throughout the US, he addresses data privacy, regulatory business planning problem-solving, and start-up innovation monetization.   Mr. Eischen’s broad complex business planning experience includes life science/start-up enterprise regulatory support and structuring corporate practice of medicine business modeling. He advises business enterprises in matters connected to reimbursement, contracts, interdisciplinary employment and labor issues, and Health Insurance Portability and Accountability Act (HIPAA) compliance.   LEARN MORE (https://www.eischenlawoffice.com)   Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE. The content is primarily designed for general informational purposes, targeting a healthcare professional audience. Any references, links, or interviews should not be construed as endorsements. CMT is not responsible for errors, omissions, statements, conduct, or claims related to guest posts, op-eds, podcasts, press releases, sponsored job listings, or advertised opportunities. Typically, CMT will strive to remove job listings that are older than four months, but this is not guaranteed. Always consult with reliable advisors before acting on the information you find here. By using our web properties, content, events, etc., in whole or in part, you agree to comply with the Terms and Conditions and Privacy Policy found here, releasing Concierge Medicine Today, LLC (CMT) from all liability. Additional terms may be applicable. CMT retains the right to remove any content, images, interviews, graphics, job listings, and similar materials at its discretion at any time, without notice and without liability. Thank you.

Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE. The content is primarily designed for general informational purposes, targeting a healthcare professional audience. Any references, links, or interviews should not be construed as endorsements. CMT is not responsible for errors, omissions, statements, conduct, or claims related to guest posts, op-eds, podcasts, press releases, sponsored job listings, or advertised opportunities. Typically, CMT will strive to remove job listings that are older than four months, but this is not guaranteed. Always consult with reliable advisors before acting on the information you find here. By using our web properties, content, events, etc., in whole or in part, you agree to comply with the Terms and Conditions and Privacy Policy found here, releasing Concierge Medicine Today, LLC (CMT) from all liability. Additional terms may be applicable. CMT retains the right to remove any content, images, interviews, graphics, job listings, and similar materials at its discretion at any time, without notice and without liability. Thank you.

Helping Physicians Better Understand the Business Valuation Models Used in the Marketplace   Guest Presenter: Chris Staples, CFP®, AIF®, Owner of Wealth 360, LLC, Buford, Georgia, United States   Host: Michael Tetreault, CGSP®   Learn More: https://wealth360advisors.com/   Recording Date: 2020   (C) Concierge Medicine Today, LLC. All rights reserved.   About   Chris Staples is the Principal owner of Wealth 360, LLC.; a fee-only Registered Investment Advisory firm located in the greater Atlanta Area. Wealth 360, LLC provides comprehensive and objective financial planning to help clients organize, grow, and protect their assets through life’s transitions.   As a fee-only fiduciary and independent financial advisor, Chris Staples is never paid a commission of any kind, and has a legal obligation to provide unbiased and trustworthy financial advice. Chris typically works with professionals, business owners, and those near and in retirement helping to develop long-term Financial Planning strategies.   Chris holds the CERTIFIED FINANCIAL PLANNER™ designation under the Certified Financial Planning Board of Standards as well as an Accredited Investment Fiduciary® designation through Fi360. He holds a business degree from Indiana Wesleyan University and earned the Certificate of Financial Planning from Oglethorpe University.   Chris served as President of the National Association of Insurance and Financial Advisors North-Metro Atlanta Chapter [2004-2005]. From 2010-2012 Chris served on the Board of Directors with the Financial Planning Association as the ProBono Chair.   WEB SITE: https://wealth360advisors.com/   LEARN MORE, Connect With Chris directly at: https://www.linkedin.com/in/stapleschris/   Disclaimers: This content is for educational purposes only and does not provide medical, financial, legal, or professional advice. Concierge Medicine Today, LLC (CMT) is not liable for errors from guest contributions. Users should consult reliable advisors before making decisions. By using this content, you agree to CMT's Terms and Conditions and Privacy Policy, releasing CMT from liability. CMT may remove content without notice, and guest interviews do not imply endorsement. Users assume all related risks. Thank you.

What if you positioned your practice like Tim Hortons in the land of Dunkin’?   By Editor-in-Chief, Concierge Medicine Today/Host, The DocPreneur Leadership Podcast   So, I’m riding shotgun with my teenage son who some of you have met, Matthew, riding through Moose Jaw, Saskatchewan (yes, that’s a real place in Canada—not a children’s book or a lumberjack’s nickname). We’re up there visiting family when suddenly, Matthew blurts out: “Hey Dad! Look—Tim Hortons!” You’d think he’d spotted Bigfoot holding a maple donut.   Now, we live in the southeastern U.S.—where Tim Hortons isn’t exactly on every corner like it is up north (oddly enough though, they just opened one of two here in Suwanee, GA and Columbus, GA -- so lucky us!). Around here however, it’s all Dunkin’ Donuts, Krispy Kreme and Waffle House. But to us? Tim Hortons is like spotting a unicorn running a drive-thru window. Which is precisely the point!   This, my friends, is called 'scarcity marketing.'   Scarcity marketing is when something becomes more desirable simply because it’s rare, hard to get, or only available some of the time. Ever had Duck Donuts? Those of you who know, you know, right!?   It’s psychology. It’s strategy. It’s genius—and yet, most physicians and practice administrators in healthcare don’t use it.   Let’s bring it back to your work more specifically in concierge medicine.   Scarcity is sort of baked into the concierge medicine model isn't it? After all, most concierge doctors cap their patient panel. Their not located everywhere and heck, sometimes the doctor only takes on only 500 patients a year. You’re not walking into that kind of practice on a whim with your phone in one had and WebMD printout in the other.   But here’s where it gets tricky: Post-COVID, patients discovered this magical thing called options. Telehealth exploded. Everyone became a semi-professional medical researcher on Instagram and TikTok. Suddenly, your patients didn’t need to be within 10 miles to “see” a doctor. And now that we’ve entered the golden age of medical TikToks and YouTube health webinar gurus, even your great aunt knows how to self-diagnose using AI.   The result? Patients are more informed, but not necessarily more connected.   That's where you and your concierge practice come in and have the advantage.   Sure, while accessibility is great, it’s created a weird paradox. The more available something is, the less valuable it feels. Just ask Blockbuster how that went.   On top of that, many low-cost primary care and "affordable" (think sub $99/pmpm) subscription-based practices still haven’t fully bounced back from their pre-pandemic rhythm. Why? Because “urgent care is just easier,” or so they’ve been told. It’s the fast-food equivalent of healthcare—convenient, but not memorable, right?   Even still today, some medical practices have dropped their prices in hopes of attracting more patients. But marketing by being “the cheapest” (oops, sorry, most affordable) often becomes a race to the bottom. Spoiler alert: there’s not a trophy at the bottom -- maybe just some warm fuzzies though!   One industry expert we interviewed and spoke to recently (eg. summer 2025) said "You can’t market “time,” “access,” or “care coordination” as part of your cash-based model. Those terms are legally sensitive under Medicare/OIG guidance and the Civil Monetary Penalties Law. What you can market — and what works — are routine exams and communications that are clearly defined and compliant.When structured properly, these can be part of a concierge-style offering without stepping over legal lines. And remember, most if not all of those published price versions of cash healthcare are not structuring their fees/services to allow for employer/tax-advantaged funding, and perhaps their lower prices are unintentionally reflecting that. Pre-tax and employer funding options allow for higher prices points, and can be used to provide versions of this care with 100% employer funding—that can enable more folks to benefit from this care model.” (Eischen; 2025) Bottom line of what he's saying is: You don’t have to water down your value — just market it the right way. Stay away from vague “access” claims and focus on tangible, documentable services. His best advice, work with legal counsel specifically familiar with this space to keep your messaging clean and compliant. You can find a list of those resources at the 2025 Concierge Medicine Forum, October 16–18, 2025 in Atlanta, GA USA or in the Business Center Section of our web site found here.   So what does work? Connection. Community. Belonging.   Remember what the U.S. Surgeon General said not long ago? The fastest-growing health issue in America isn’t cancer or heart disease. It’s loneliness. Yep, good old-fashioned no-one-to-call-at-midnight loneliness. And get this—it’s reportedly as dangerous as smoking 15 cigarettes a day!   So now imagine you’re a concierge doctor, and instead of just offering same-day appointments, you’re offering connection. Patients want to feel like someone cares—like someone is on their team. And if your practice can deliver that? You’re not just healthcare. You’re a lifeline!   For example, that’s why medical practices leaning into longevity medicine are seeing a new kind of traction. Patients aren’t just looking for a quick fix. They want a partner for the long haul—someone who’s going to help them stay well into their 90s (with their original knees, preferably).   Here's another example. Scarcity marketing is not unlike Harley-Davidson.   Bear with me. I know we’ve moved from donuts to motorcycles, but stay with me for another minute.   Harley-Davidson isn’t just selling bikes. They’re selling identity, loyalty, and a tight-knit community. People literally tattoo the brand on their bodies. They created H.O.G. (Harley Owners Group) to foster community. Similar to what Concierge Medicine Today has done with its FOR Doctors message. It’s Harley’s way of saying, “You’re in the club. You belong.” And it works. That’s scarcity marketing at its finest: “Not everyone gets to be a part of this. But you do!”   It's not exclusive though. There's a difference. Don't confuse the two which is often why concierge medicine gets the side eye in some circles.   Now ask yourself: What if your medical practice operated with the same mindset? What if you positioned your practice like Tim Hortons in the land of Dunkin’? What if instead of chasing volume, you created value—and made people (i.e. patients!) work just a little to be part of something special and personal?   That’s the future of patient relationships, longevity and concierge medicine I think intersect.   And yes, we’ll be diving into this and more at our upcoming 2025 Concierge Medicine Forum, October 16–18, 2025 in Atlanta. It’s the Tim Hortons of medical conferences—rare, warm, slightly addictive, and worth the trip!   In the meantime, don’t just market with more noise. Market with meaning. Don’t aim to be everywhere. Aim to matter somewhere.   So again I ask … What if you positioned your practice like Tim Hortons in the land of Dunkin’?   Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE. The content is primarily designed for general informational purposes, targeting a healthcare professional audience. Any references, links, or interviews should not be construed as endorsements. CMT is not responsible for errors, omissions, statements, conduct, or claims related to guest posts, op-eds, podcasts, press releases, sponsored job listings, or advertised opportunities. Typically, CMT will strive to remove job listings that are older than four months, but this is not guaranteed. Always consult with reliable advisors before acting on the information you find here. By using our web properties, content, events, etc., in whole or in part, you agree to comply with the Terms and Conditions and Privacy Policy found here, releasing Concierge Medicine Today, LLC (CMT) from all liability. Additional terms may be applicable. CMT retains the right to remove any content, images, interviews, graphics, job listings, and similar materials at its discretion at any time, without notice and without liability. Thank you.

Most physician owners of concierge medicine practices do not have experience going through a practice sale or major partnership transaction -- here are some helpful and practical recommendations to consider.   By  Dana Jacoby and Gary Herschman[1]   Over the last several years there has been a growing trend of consolidation and partnership transactions involving concierge medicine practices.[2]   Download this article as a PDF LISTEN TO OUR EXCLUSIVE INTERVIEW (Podcast)   The purpose of this article is both: (A) to educate concierge medicine physicians on why concierge medicine practices have been transacting with increasing frequency; and (B) to provide practical recommendations for owners of concierge medicine practices who are exploring the possibility of entering into such a transaction.   Why Are There So Many Concierge Medicine Practice Transactions?   We hope that these practical recommendations are helpful both: (i) if you decide to explore the universe of potential strategic options that may be available for your practice, and (ii) in the event that you decide to pursue a partnership transaction to achieve your long-term professional and financial goals and for your practice’s long-term success.   Citations and References [1] Dana Jacoby is the Founder and President/CEO of Vector Medical Group, a strategic healthcare consulting firm that advises concierge medicine practices across the country on improving operations and profitability, and the pros and cons of various strategic transactions.  Dana’s email is: djacoby@vectormedicalgroup.com. Gary Herschman, Esq. has been advising physicians on strategic positioning and major transactions for over 30 years and is the Co-Chair of the Health Care Transactions Group at the national healthcare firm of Baker Donelson.  He represents many concierge medicine groups on growth strategies and strategic partnership and sale transactions.  Gary’s email is:  gherschman@bakerdonelson.com [2] Concierge Medicine Market - Global Industry Size, Share, Trends, Opportunity, and Forecast, 2020-2030F [3] Hospitals cash in on a private equity-backed trend: Concierge physician care - ABC News   Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE. The content is primarily designed for general informational purposes, targeting a healthcare professional audience. Any references, links, or interviews should not be construed as endorsements. CMT is not responsible for errors, omissions, statements, conduct, or claims related to guest posts, op-eds, podcasts, press releases, sponsored job listings, or advertised opportunities. Typically, CMT will strive to remove job listings that are older than four months, but this is not guaranteed. Always consult with reliable advisors before acting on the information you find here. By using our web properties, content, events, etc., in whole or in part, you agree to comply with the Terms and Conditions and Privacy Policy found here, releasing Concierge Medicine Today, LLC (CMT) from all liability. Additional terms may be applicable. CMT retains the right to remove any content, images, interviews, graphics, job listings, and similar materials at its discretion at any time, without notice and without liability. Thank you.

While it’s easy to pick on concierge medicine practice for its highly visible moniker, small medical offices outside of this niche space are often more guilty of this than concierge practices. Here are ten compelling reasons why this marketing strategy is flawed:   By Editor-in-Chief, Concierge Medicine Today   While concierge medicine aims to deliver exceptional care, making the physician the product can lead to significant setbacks. To succeed, practices must prioritize relationships, foster teamwork, and emphasize patient outcomes. By adopting a balanced approach that values both the physician’s expertise and the contributions of the broader healthcare team, concierge medicine can achieve lasting success and genuinely serve its patients.   1. Unrealistic Expectations Could Lead to Burnout   Prioritizing the doctor as a product places immense pressure on physicians, contributing to burnout—affecting nearly 42% of doctors (Maslach et al., 2018). A physician who is overwhelmed can’t provide the high-quality care patients deserve. On the one hand, it doesn’t take long to resent the relentless pressure and unrealistic expectations. On the other hand, it’s far too easy to get addicted to them – to like being at the center too much. Way too much.   2. Erosion of Personal Connection Reducing physicians to products undermines essential personal relationships crucial to healthcare. Strong patient-physician bonds foster trust and lead to better health outcomes (Hojat et al., 2011). If you were no longer working and kicked out of the practice tomorrow, what would be left of your practice -- would it and could it survive without you?!   3. Increased Competition for Patient Loyalty This model promotes a focus on attracting new patients rather than nurturing existing ones, jeopardizing long-term relationships. Personalized care strategies tend to yield better retention than mere marketing tactics.   4. Unsustainable Business Models Investing heavily in the physician's image rather than improving patient care systems often leads to unstable business practices (MGMA, 2020).   5. Unrealistic Patient Expectations Marketing healthcare around a physician’s capabilities can foster unrealistic expectations, leaving patients disappointed when their complex needs aren't met. If you were no longer working and kicked out of the practice tomorrow, what would be left of your practice -- would it and could it survive without you?!   6. Neglect of Team-Based Care Emphasizing the individual physician sidelines the contributions of the healthcare team, compromising overall quality. Effective care requires collaboration among all team members (McGlynn et al., 2003).   7. Misguided Investment in Technology When the focus is on the physician, practices may overlook necessary investments in technology that enhance care and efficiency, ultimately affecting patient satisfaction (Albrecht et al., 2019). On the one hand, it doesn’t take long to resent the relentless pressure and unrealistic expectations. On the other hand, it’s far too easy to get addicted to them – to like being at the center too much. Way too much.   8. Diminished Patient Diversity An overemphasis on a single physician can narrow patient demographics, reducing the practice's accessibility and diversity, which are crucial for enriching healthcare.   9. Revenue Over Care Focus When financial gain becomes the primary driver, patient satisfaction often declines. Research underscores that patient-centric practices yield better health outcomes and greater cost-effectiveness (National Academy of Medicine, 2019).   10. Missed Opportunities for Continuous Improvement Focusing solely on the doctor can stifle innovation. Continuous education and system enhancements are vital in a rapidly evolving healthcare landscape.   Disclaimers: THIS SITE AND ANY OTHER CMT MANAGED OR OWNED WEB PROPERTY by Concierge Medicine Today, LLC (herein CMT) DOES NOT OFFER MEDICAL, FINANCIAL, LEGAL, OR OTHER PROFESSIONAL ADVICE. ERRORS OR OMISSIONS MAY OCCUR ON THIS SITE. The content is primarily designed for general informational purposes, targeting a healthcare professional audience. Any references, links, or interviews should not be construed as endorsements. CMT is not responsible for errors, omissions, statements, conduct, or claims related to guest posts, op-eds, podcasts, press releases, sponsored job listings, or advertised opportunities. Typically, CMT will strive to remove job listings that are older than four months, but this is not guaranteed. Always consult with reliable advisors before acting on the information you find here. By using our web properties, content, events, etc., in whole or in part, you agree to comply with the Terms and Conditions and Privacy Policy found here, releasing Concierge Medicine Today, LLC (CMT) from all liability. Additional terms may be applicable. CMT retains the right to remove any content, images, interviews, graphics, job listings, and similar materials at its discretion at any time, without notice and without liability. Thank you.