Healthcare Business Growth Conversations

How One VA Found $15,000 in Hidden Revenue in a Single Day - with Tim Boyle, Reva Global Medical

Most healthcare practices don't have a growth problem. They have a leakage problem. Claims that never get paid. Front desks drowning in calls while doctors burn out seeing patients. AR backlogs piling up before timely filing windows close. Most practice owners think they need more patients. The numbers say they're losing money on the patients they already have. Tim Boyle leads business development at Reva Global Medical, a company that places offshore medical virtual assistants (Philippines-based, HIPAA-certified) inside healthcare practices to plug those leaks. Before this, he played professional hockey. He's seen the inside of dozens of practices and can tell you exactly where the money is bleeding out. In this conversation with host Rakesh Reddy, Tim breaks down the cost math, the hidden revenue most practices don't know they're losing, and the playbook one diabetes clinic used to bring its no-show rate to 0%. What you'll learn: ➡️ Why provider burnout is mostly an administrative problem, not a clinical one ➡️ The $80,000 vs $32,000 cost math: in-house medical assistant vs offshore VA ➡️ Why one IVF practice started with one VA and scaled to five ➡️ How a VA found $15,000 in extra revenue for one practice in a single day ➡️ The diabetes clinic that brought its no-show rate from chronic to zero ➡️ The dental practice pre-appointment outreach playbook ➡️ The HIPAA question every practice owner asks (and the real answer) ➡️ What to demand from any VA provider before you sign up ➡️ The one habit every well-run practice has in common ➡️ Where the biggest revenue leaks usually live (front desk vs back-end billing) Whether you own a small practice, manage a multi-location group, or you're advising clinics on growth, this is the unfiltered look at where healthcare practices actually lose money and what to do about it. Connect with Tim Boyle and Reva Global Medical: Website: https://revaglobalmedical.com [https://revaglobalmedical.com] Instagram: https://www.instagram.com/revaglobalmedical/ [https://www.instagram.com/revaglobalmedical/] Linkedin: https://www.linkedin.com/company/reva-global-medical [https://www.linkedin.com/company/reva-global-medical]

How He Visited 12 Doctor Offices a Day to Build His Clinic, with Dr. Alvin Cowans, DPM

Dr. Alvin Cowans opened Optimum Podiatry during COVID with only 5 patients in his first week. So he got in his car, packed cookies and snacks, and visited 12 doctor offices a day for two months straight. Today his clinic is full and he's opening a larger office in June. In this conversation with host Rakesh Reddy, Dr. Cowans breaks down exactly what he did, what residency never prepared him for, and what he wishes he had known before opening the doors. What you'll learn: 1. The exact pitch he used walking into primary care offices, urgent cares, and OBGYN clinics 2. The single biggest skill residency never taught him: leadership, payroll, and running a real business 3. Why hiring for attitude beats hiring for experience, and how spots a bad hire in 2 weeks 4. The systems every clinic should put in place first (front desk and back office) 5. Why he believes insurance-only practices won't survive the next decade 6. The hybrid cash-pay roadmap: 25% by year one, 50% by year ten, 75% long term 7. What he'd do with $10K and zero patients today 8. The one regret he can't shake: "I wish I'd opened 7 years earlier" Connect with Dr. Alvin Cowans, DPM: - Website: https://optimumpodiatryga.com⁠ [https://optimumpodiatryga.com⁠] -Instagram: https://www.instagram.com/optimumpodiatry/ [https://www.instagram.com/optimumpodiatry/] -Facebook: https://www.facebook.com/OptimumPodiatry/ [https://www.facebook.com/OptimumPodiatry/] -YouTube: https://www.youtube.com/@optimumpodiatry/ [https://www.youtube.com/@optimumpodiatry/]

Why Patients Will Pay $10,000 Cash for Surgery with Dr. Tek Fish, DPM

Some patients are paying $10,000 cash for surgery their insurance would cover. Dr. Tek Fish, DPM has friends with clinics across the country doing the same. And he's been quietly building this into his own practice for the last five years. Why? Because at a practice management conference five years ago, he heard a line that changed how he thought about the next 20 years of his career: "How much you get paid today by insurance is the most you will ever get paid for the rest of your career." Reimbursements have dropped every single year for the last five years. So Dr. Fish stopped waiting for the system to fix itself. He bought one machine, did the math on what one cash patient a month would deliver, and started rebuilding his clinic around a hybrid model. In this conversation with host Rakesh Reddy, Dr. Fish breaks down the economics, the pricing rule he uses for every cash-pay service, and the mindset shifts most doctors need to make before the math stops working entirely. What you'll learn: - Why patients pay $10,000 cash for surgery their insurance would cover (and the math from the patient's side that makes it rational) - Why insurance reimbursements keep dropping and what that means for solo practitioners - The first machine to buy if you want to start cash pay - The 80/50 pricing rule: 80% gross profit, 50% net profit - Why he charges the same prices in Portland that he'd charge in Detroit - "Don't decide for the patient if they can afford it" and why this single sentence changes everything - Why he spent $700,000 on coaching, books, and conferences in five years - "Money is a tool. Use it." The hard truth most owners refuse to accept - What practices will thrive over the next 5 years and which ones won't Whether you're a doctor stuck on insurance reimbursements, a practice owner considering a hybrid model, or anyone curious about the real economics of running a clinic in 2026, this is the unfiltered playbook. Connect with Dr. Tek Fish, DPM: Website: https://www.cloverpodiatry.com/ [https://www.cloverpodiatry.com/] Instagram: https://www.instagram.com/cloverpodiatry/ [https://www.instagram.com/cloverpodiatry/] Linkedin: https://www.linkedin.com/in/tek-fish-a6557137b/ [https://www.linkedin.com/in/tek-fish-a6557137b/]

How Breast Cancer Changed a Burnt-Out CMO | Dr. Anisha Singh

She spent 30 years in medicine. She became a CMO. She burnt out anyway. Then she got diagnosed with breast cancer. This conversation with Dr. Anisha Singh is unlike anything we've put out before. Dr. Singh is an Internal Medicine physician, former CMO at ChenMed (Ohio and Kentucky), holistic nutritionist, Ayurveda practitioner, yoga teacher, and now an independent telemedicine contractor running her own LLC on her own terms. Her story is a masterclass in what it means to completely redesign your life from the inside out. What This Episode Covers: - Why fee-for-service AND value-based care both failed her as a frontline physician - How she discovered telemedicine accidentally and why it changed everything - The real reason doctors are quietly migrating away from hospitals and brick-and-mortar practices - Why telemedicine is the only healthcare model she has seen that is genuinely physician-friendly - Bioidentical hormone replacement therapy and how telemedicine is getting it to women who had no access - How she was diagnosed with breast cancer during her Ayurveda training and chose to work through every round of chemo - The food-as-medicine protocol that helped her avoid nausea, neuropathy, and fatigue during treatment - What it means to be loyal to your soul as a doctor, a woman, and a human being - Hard advice for new physicians: don't lead with money, don't sign long sign-on bonuses, don't give them leverage over you - Why women physicians face disproportionate burnout and what to do about it Dr. Anisha Singh's Most Powerful Insight: "Don't sign a long bond. Because once you do, they know you're stuck. And that's when the pressure begins." On Integrative Medicine: Dr. Anisha Singh combined standard oncology (chemo, lumpectomy, radiation) with a strict Ayurvedic food protocol -- no supplements, just food. She returned to work after one week of surgical recovery, worked through all chemo sessions, and completed 30 days of radiation without fatigue, blisters, or neuropathy. Her clinic's metrics never dropped. Connect With Dr. Anisha Singh: Physician | Holistic Nutritionist | Telemedicine Entrepreneur | Ayurveda Practitioner: https://www.linkedin.com/in/anisha-singh-md-dabom-55b79914b/ [https://www.linkedin.com/in/anisha-singh-md-dabom-55b79914b/] Produced by Orange Carrot Media. We help healthcare professionals build trust and grow their practices through content marketing, podcast production, and digital strategy. Ready to grow through content? Visit OrangeCarrotMedia.com [https://orangecarrotmedia.com⁠]

From Crisis to 5M Listeners — How Podcasts + AI Are Helping Doctors Build Trust

In this episode, we sit down with Bret Gregory, founder of DrTalks, to unpack his journey from personal tragedy and financial setbacks to building one of the largest platforms for integrative and functional medicine doctors. After losing his brother to stage 4 cancer and nearly losing everything during the financial crisis, Bret rebuilt from the ground up, first through digital marketing and later by helping doctors grow through podcasts and trust-based content. Discover why podcasts are becoming one of the most effective trust-building tools for doctors. Bret explains how long-form conversations help physicians build authority, connect with patients, and stand out in a crowded digital world. He also shares practical strategies doctors can start using right away: * Start as a guest: Create a compelling signature talk in minutes using AI and start getting booked without relying on expensive PR agencies. (free at DrTalks.com/connect [http://DrTalks.com/connect]). * Launch your own show: Learn how busy physicians can make podcasting manageable with simple systems like batch recording and interview swaps. * Use AI to multiply impact: Turn podcast content into searchable Q&A experiences that help patients find answers faster and stay engaged longer. * Build a 90-day plan: Craft better topics, improve visibility, and create a repeatable process for long-term growth If you’re a doctor, practice owner, or healthcare marketer looking to grow through trust and authority instead of noise, this conversation is packed with practical insights you can apply right away.