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EPISODE LIBRARY
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300+ honest conversations with physicians who left insurance-driven medicine. Search a word, or browse the listed categories.
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CATEGORY LIST
Dueling Pianos to Direct Primary Care: What It Actually Took for Dr. Brian Juan to Open Metronome Family Medicine
By Maryal Concepcion, MD, FAAFP | Published September 19, 2026 | Updated September 19, 2026 | 8 min read Dr. Brian Juan of Metronome Family Medicine Dr. Brian Juan toured with rock bands and played dueling piano bars for more than a decade before he became a family doctor. Three months into Metronome Family Medicine, his solo Direct Primary Care practice in Longmont, Colorado, he talks about what it actually took to make the leap. He opened on June 1, 2026. When we first sat
What Should a DPC Physician Pay Themselves? 10 Numbers Every Direct Primary Care Owner Should Know
Nate Goodman, CPA of Goodman CPA on the My DPC Story podcast: 10 numbers every DPC owner needs to know. Most Direct Primary Care physicians can tell you their panel size, their EHR, and what went wrong in year one. Far fewer can tell you what they should be paying themselves. That gap is the reason this episode of My DPC Story exists. Nate Goodman, CPA, is the founder of Goodman CPA, an accounting firm that has worked only with Direct Primary Care and Direct Specialty Care pr
Growing a Rural DPC Practice in Year 8: How Dr. Jillian Klaucke Built Patient Trust, Avoided Burnout, and Scaled Team-Driven Care
How an Eight-Year Rural Family Medicine Direct Primary Care Practice Actually Works - 8 min read Teamwork in action at Sandpoint Premier Direct Primary Care. Dr. Klaucke and her team coordinate patient care together, closing every loop on referrals, follow-ups, and outcomes, the foundation of Direct Primary Care Dr. Jillian Klaucke has been practicing Direct Primary Care for eight years. She is a board-certified family physician and Fellow of the Academy of Wilderness Medicin
How to Vet an EHR for Direct Primary Care: Dr. Sarai Ambert-Pompey's First Year Owning Libelula Primary Care
Before she looked at a single feature, Dr. Sarai Ambert-Pompey timed how fast each EHR vendor answered her email. That one test eliminated most of them. One year into owning Libelula Primary Care in Boise, Idaho, she shares how to vet an EHR, what salespeople will not show you in a demo, and the three telehealth skills most physicians were never taught.
The 10 Questions Every DPC Physician Asks About EHRs (Answered + Worksheet)
Ten questions decide whether your next EHR helps you practice medicine or just generates paperwork. Score candidates on ten categories, from charting speed to who owns the company, and learn the one question vendors hate: how do I leave you?
How to Choose an EHR for Your Direct Primary Care Practice
One month shy of five years with the same system, Dr. Maryal Concepcion switched EHRs, not from outgrowing it, but because the terms controlling her patients' data changed. Her four-bucket cost math and the one question vendors dread: how do I leave you?
The Fine Print: Workers' Comp, the 24/7 Trap, and Contract Red Flags for Residents
Claiming to be open 24/7 can become a breach-of-contract trap, warns Dr. Phil Eskew. He maps the three ways states treat workers' comp inside a DPC membership, plus the malpractice tail and clawback bonus clauses residents should spot before signing.
Dispensing State by State: Shortage Areas, Samples, and the Administering Loophole
A Texas physician cannot dispense to a patient who lives a minute away, but can watch that patient swallow a pill in the office instead. Dr. Phil Eskew explains the administering loophole and why Minnesota, Maryland, Utah, and Mississippi each run entirely different dispensing rules.
Can Patients Use an HSA for Direct Primary Care? The $150 Rule, Explained
As of January 1, 2026, Direct Primary Care no longer disqualifies patients from HSA eligibility, as long as the membership fee stays at or below $150 a month for one person, $300 for a family. Miss the December 1, 2026 filing deadline, though, and a Medicare opt-out slides a full quarter.
What Is Direct Primary Care? A PA-Turned-Physician Explains Why He Left the Insurance System
Dr. Reid Lancaster once nearly bought a wheelchair from a thrift store for a Medicare patient after weeks of insurance denials, the moment that sent him back to medical school. Today his Direct Primary Care practice serves both some of the wealthiest people in the country and a large uninsured population, minutes apart.
When Failure Isn't Failure: Dr. Timothy Blain on Burnout, Illness, and Closing His Direct Primary Care Practice
Dr. Timothy Blain survived lymphoma, a heart attack, COVID pneumonia, and an autoimmune disease that wiped out his B-cells, while still running his Direct Primary Care practice from home. Then he closed it anyway, and calls that decision the opposite of failure.
From Corporate Medicine to Integrative Direct Primary Care: How Dr. April Soto Built a Practice Rooted in Boundaries, Healing, and Authenticity
Dr. April Soto's new-patient visits for mast cell activation syndrome run up to four hours, something a fifteen-minute insurance slot could never allow. She spent three intentional years exiting corporate medicine, and now compares her pricing philosophy to the Ritz Carlton: no two-for-one specials.
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