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

Why Great Doctors Fail as Leaders - Dr. Ramzia El Annan & Jack O'Connor

Why do brilliant clinicians so often struggle the moment they step into leadership? In this episode, two operators who have spent their careers solving that exact gap sit down to explore it from opposite ends of healthcare. Dr. Ramzia El Annan built her career as an entrepreneur, opening clinics and training healthcare professionals across the Middle East, Europe, the United States, and Canada. Jack O'Connor spent his career inside hospital systems, building the curriculum for a physician leadership academy that trains VP-level leaders across major hospital chains. Between them, they name the gap the healthcare system rarely admits: clinical credentials open the door, but leadership requires an entirely different skill set that no medical, nursing, or pharmacy school teaches. This is the honest conversation about what it actually costs when that transition goes wrong, and what it takes to build organizations that outlast individual expertise. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━ ABOUT THE GUESTS Dr. Ramzia El Annan, PharmD, RPh, CPP, CMAP Founder and CEO of Ramzderm Medico-Aesthetic Academy and Skin Center. International expert in aesthetic, regenerative, and longevity medicine with clinics and educational programs across four continents. LinkedIn: https://www.linkedin.com/in/dr-ramzia-annan-pharmd-cpp-cmap-2a1a0620/ [https://www.linkedin.com/in/dr-ramzia-annan-pharmd-cpp-cmap-2a1a0620/] Jack O'Connor Healthcare executive with a career spanning hospital systems and physician leadership development. Built the physician leadership academy curriculum that trains VP-level leaders across major US hospital chains. LinkedIn: https://www.linkedin.com/in/jack-f-oconnor/ [https://www.linkedin.com/in/jack-f-oconnor/] ━━━━━━━━━━━━━━━━━━━━━━━━━━━━ ABOUT THE SHOW Healthcare Business Growth Conversations is hosted by Rakesh Reddy, COO of Orange Carrot Media. Every episode features honest conversations with healthcare operators, clinicians, and executives about what actually drives growth in medical practices, clinics, and healthcare organizations. Subscribe for new episodes every week: https://youtube.com/@orangecarrotmediafl [https://youtube.com/@orangecarrotmediafl] Follow Orange Carrot Media: LinkedIn: https://linkedin.com/company/orange-carrot-media [https://linkedin.com/company/orange-carrot-media] Instagram: https://www.instagram.com/orangecarrotmedia [https://www.instagram.com/orangecarrotmedia] Work with Orange Carrot Media: https://orangecarrotmedia.com [https://orangecarrotmedia.com]

How to Build Authority Beyond Your Practice With Dr. Ashley Spooner

Dr. Ashley Spooner built three businesses without ever leaving her chair. She owns Falcon Park Dental Group, founded Dynamic Dental Sleep LLC to train dentists in dental sleep medicine, and created Sleep. Thrive. Live. to educate the public. She's also a Diplomate of the American Board of Dental Sleep Medicine, one of roughly 425 in the United States. In this conversation, she shares how she built authority beyond a single practice, why she bet on dental sleep medicine a decade ago when most dentists thought she was crazy, how she identified an underserved market hiding in plain sight, and how she runs three brands in parallel without burning out. She also discusses leadership, delegation, building trust with teams, the COVID furlough that reshaped her leadership philosophy, and why she no longer manages out of fear. If you're a healthcare entrepreneur, practice owner, or clinician looking to grow beyond traditional clinical care, this episode offers a practical look at how to build authority that goes beyond your chair. Find Dr. Spooner at dynamicdentalsleep.com [https://dynamicdentalsleep.com/] Instagram: https://www.instagram.com/sleepthrivelive [https://www.instagram.com/sleepthrivelive] YouTube: https://www.youtube.com/@SleepThriveLive [https://www.youtube.com/@SleepThriveLive] Healthcare Business Growth Conversations is a podcast exploring the business of healthcare. Hosted by Rakesh Reddy and Austin Lovvorn, the show features conversations with doctors, dentists, healthcare executives, and entrepreneurs who share practical insights on growing practices, leading teams, improving operations, and building sustainable healthcare organizations.

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/]