Show Me the Incentive, I'll Show You the Outcome: How Smart Doctors Game a Broken Healthcare System

Show Me the Incentive, I'll Show You the Outcome: How Smart Doctors Game a Broken Healthcare System

The healthcare system is broken — but fighting it is a losing game. In this episode, Brad (InvestingDoc) breaks down how misaligned incentives drive bad behavior across medicine, and how the doctors who actually scale their practices learn to work the system instead of raging against it. He walks through the "deductible game" surgeons play by strategically holding claims so someone else chases down the patient's $5,000 deductible, why payment velocity ranges from 21 days in private practice to over a year for Medicare ACO incentives, and how upcoding scandals at the big insurers are just incentives doing exactly what they were designed to do. Then he flips it to the practice owner's side: how to incentivize your front desk on rebook rate instead of useless review metrics, why your employees will never care about your money the way you do (and what they actually respond to), and the Anti-Kickback and Stark lines you cannot cross. Drawing on lessons from Charlie Munger, Andrew Carnegie, and Sam Walton, Brad makes the case that the practices that scale aren't run by the best doctors — they're run by the ones who build standard operating procedures and master incentives. If you're a physician trying to start, scale, or stop drowning in your own practice, this one's for you.

Nothing Matters Until You Get Busy: The #1 Rule for Starting a Medical Practice

Brad (InvestingDoc) breaks down the single most important lesson for any doctor starting or scaling a private practice: nothing matters until you get busy. Learn why obsessing over your EMR, equipment, and the perfect pro forma is a trap, and why volume solves almost every problem in your business. Brad shares the real story of his empty schedule anxiety, the marketing mistakes that cost him years of growth, the overbooking strategy that filled his waiting room, and the 15 month grind to get a new nurse practitioner busy. If you are a physician building a practice in primary care, DPC, or aesthetics, this episode shows you how to stop being reactive and start driving patient demand from day one.#PrivatePractice #MedicalPractice #PrimaryCare #DPC #DirectPrimaryCare #PhysicianEntrepreneur #MedicalEntrepreneur #StartAPractice #ScaleYourPractice #DoctorLife #HealthcareBusiness #PracticeManagement #InvestingDoc #PhysicianFinance #MedicalMarketing #PatientAcquisition #FamilyMedicine #DoctorPreneur #HealthcareLeadership #PracticeGrowth

Why Most DPC Practices Don’t Make Money Fast Enough

In this vlog, Brad , MD breaks down a viral Direct Primary Care discussion where physicians shared that they were one to two years into practice ownership without making a profit. He explains why starting a DPC or primary care practice is not just about escaping employment, but about building a real business with a clear vision, strong marketing, pricing strategy, and scalable patient acquisition. Brad compares DPC versus fee-for-service primary care, explains why going after one patient at a time can slow growth, and shares why physicians need to think like business owners if they want to build a profitable medical practice.

My Biggest Mistakes Scaling a Multi-Million Dollar Medical Practice

Being a kind doctor is a strength — until it starts costing you hundreds of thousands of dollars. In this episode, Brad gets brutally honest about the biggest mistakes he made while scaling his multi-million dollar primary care practice. From a biller who nearly bankrupted his clinic by hiding that she didn't know what she was doing, to keeping underperforming employees out of loyalty, to letting high-maintenance patients walk all over him, Brad breaks down the costly lessons he learned the hard way. If you're a practice owner who struggles to fire fast, set boundaries, or stop bending your own rules for difficult patients and staff, this one's for you. Learn how to stay kind while running your business like a business.

The Medical Practice Founder’s Reality: Building a Practice From Nothing

Want to sign up for my MSO/CIN sign up here https://forms.gle/rfqr96c93ycxSgsJ6 What does it really take to go from “just a startup” to a respected, fast-growing medical practice? In this episode, Brad breaks down the hard lessons of scaling an independent practice: hiring struggles, cash flow pressure, recruiting setbacks, sleepless nights, and the relentless grind required to build something real. A must-listen for physicians who want to start, grow, or scale their own practice.