The Practice Profit System
Do you own a medical practice or looking to start your own practice? Want to give your venture the best opportunity to succeed? Listen to the Practice Profit System podcast.
- Indexed episodes, last 90 days
- 11
- Latest publication
- Sep 25, 2026
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- Earliest in this view
- Jul 10, 2026
Latest episodes
He Was Doing Everything Right, But His Patients Weren't Getting Better (opens the original)
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Frank Shallenberger loved emergency medicine. It was fast, it was clear, and you could save a life. Then the ER started filling up with people who'd had a rash for six months, so he crossed the street, hung up a shingle, and opened a family practice. Six months in, he went to the hospital administrator with a problem. He was giving patients the right medications for hypertension and arthritis, and nobody was actually getting better. The administrator went through his cases with him every week fo
The Insurance Companies Did Not Have A Bad Year (opens the original)
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The health insurance industry spent 2025 telling everyone it had just lived through its worst year in over a decade. Read the filings and what you find are write-downs. Nobody wrote a check. On Out of the System I walk through what the first half of 2026 actually looks like from the payer side, where premiums were repriced and claims were paid out at a smaller share of every dollar collected. Three orthopedic surgeons sat down with me in Los Angeles this week and every one of them opened with th
The Surgeon Who Left So He Could Stop Operating (opens the original)
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Mark Ayzenberg finished his fellowship in 2019 believing the era of owning your own practice was over. He is proof it is not, and in his telling, none looked like turning points at the time. He joined a group that sold to private equity, ending the promised partnership and leaving him a perpetual associate. He moved to a hospital-owned group and hit another wall: he could not do regenerative medicine at the quality the science demands. One practice ran a kit that produced platelet-poor plasma an
Venture Capital In Medicine: The Bad, The Bad, And The Ugly (opens the original)
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There are three things I believe wrecked healthcare in this country, and I have gone after two of them before: an Affordable Care Act that handed insurers the room to consolidate, and agencies that stopped acting like regulators. The third one is the one I take on here. Venture capital and private equity buying hospitals, buying practices, and inserting themselves between a doctor and a patient. I start with the Stark Laws, because the history is the whole argument. In the late 1980s it became i
Everything Is Fine Until It Is Not Fine (opens the original)
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I have been telling doctors for years that their payment processing is fine right up until the day it is not, and I finally brought on the person I built Mavrix Payments with to explain why. Chris Flores has run USA Payments for a decade, working almost entirely in healthcare, telehealth, and pharmacy. He opens with a client from telehealth's ground floor who could not get an account anywhere — Square, PayPal, Stripe all shut him down — and now does hundreds of millions a year. Then he lays out
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