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Happy 4 years to The Direct Care Podcast for Specialists! If you have a Direct Specialty Care Practice and are looking for massive growth, join me in The Circle. 

• No contract
• Monthly live sessions
• Accountability & on-going support

Take $300 off your first month simply for being a listener. Use code LOVE300 at checkout. 

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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In this episode, Dr. Joseph “Joe”  Pazona, board-certified urologist and CEO of VirtuCare, shares his journey from traditional clinical practice to healthcare entrepreneurship. Frustrated by physician burnout and gaps in specialty care—especially in rural and underserved communities. 

Dr. Pazona founded VirtuCare to deliver high-quality urology services through a mix of telemedicine, on-site care, and innovative staffing models. He also discusses his direct specialty care practice, Pazona MD, emphasizing patient access, education, and experience. Listeners will learn how VirtuCare is transforming care delivery, empowering physicians, and creating sustainable, flexible solutions for modern healthcare challenges. 

Connect with him: 

• VirtuCare Website: https://myvirtucare.com/
• LinkedIn Profile: linkedin.com/in/joepazona

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send a text

If you’re thinking about starting a direct care practice, you need to know something important, to get something new, you have to let go of the old. 

In this episode, I’m talking about the things you’ll lose—old habits, chaotic schedules, burnout, even identities that no longer serve you, so you can make room for calm, clarity, and real growth. Using the symbolism of the Lunar New Year, I explain why shedding what holds you back is not punishment—it’s necessary for momentum and alignment. 

If you’re ready to break free from busyness, create space for your patients, and build a direct care practice that works for you, this episode is for you.

 💡 Resources: Download the Direct Care Guide and check out the Direct Care Society Launch Lab to get started. 

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send a text

In this episode, Dr. Matthew R. Hitchcock, MD, MBA, shares his journey as a direct primary care physician and healthcare entrepreneur. Frustrated by long waits and high costs in traditional imaging, he founded Hitchcock Direct Imaging, a cash-only, insurance-free imaging center in Chattanooga, Tennessee. 

Dr. Hitchcock discusses how direct care models can improve patient access, the regulatory hurdles he navigated, and the importance of transparency in healthcare pricing. Learn how collaboration, innovation, and patient-focused care are reshaping the healthcare experience. 

Connect with him:

Website: 

• Hitchcock Family Medicine
• Hitchcock Direct Imaging

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send a text

Tired of feeling burned out, trapped, or stuck in a job that drains you? It’s time to take control. In this episode, I break down the mindset shifts, practical steps, and systems every doctor needs to launch a profitable, low-stress direct care practice. 

Learn the Single Package Success model, simplify your services, build freedom, and create sustainable income. If you’re ready to level up your career and reclaim your life, this episode gives you clarity, actionable steps, and the confidence to start now. 

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send a text

Dr. Sushrusha Arjyal shares her journey from board-certified psychiatrist and sleep specialist to founder of Bliss Sleep and Psychiatry in Cary, NC. She discusses the challenges and rewards of transitioning to private practice, including financial decisions, patient communication, and key mindset shifts for success. 

Dr. Arjyal emphasizes curiosity, networking, coaching, and teaching future physicians about the business of medicine. She also reflects on balancing her roles as physician, entrepreneur, speaker, and mother, offering insights for those navigating a career in medicine. 

Connect with her:

Website: Bliss Sleep and Psychiatry PLLC
Facebook: Bliss - Sleep and Psychiatry PLLC | Asheville NC
Instagram: @bliss__sleep_and_psychiatry
LinkedIn: Bliss - Sleep and Psychiatry PLLC
Youtube: www.youtube.com/@Bliss-SleepandPsychiatryPLLC

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send a text

1. The Direct Care Movement Is Mainstream Now

2026 is the year specialists can no longer ignore the shift—direct care is making headlines and attracting advocates like Mark Cuban, who’s cutting out middlemen and championing patient-centered care. The time to act is now.

2. You Have More Power (and Options) Than You Think

The old insurance model is broken, but you don’t have to play by those rules. Whether you’re worried about opening a new office, choosing your location, or deciding on cash vs. membership models, direct care lets you design your practice your way.

3. Support, Community, and Real Answers Await

Join Dr. Tea’s private Facebook group for monthly Q&As, peer support, and details on the next group coaching cohort. You’re not alone—connect, ask questions, and get ready to take control of your career in 2026.

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send a text

Dr. R. Michelle Koolaee is a board-certified rheumatologist with over 12 years of experience in academic and multi-specialty practices across Los Angeles. In 2025, she opened a direct care rheumatology practice in Pasadena to move beyond the constraints of 15-minute visits and provide patients with more time, access, and personalized care. She now shares her journey to help other physicians explore and implement the direct care model. 

Connect with her:
Email: [email protected]
Website: https://www.drrmichellekoolaee.com
Free Newsletter: https://mailchi.mp/drrmichellekoolaee/subscribe

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send a text

I want to share some unexpected lessons that have sprouted from my garden—and from my perimenopause journey. From plants that refuse to grow to learning when to let go, I’ve realized the importance of focusing on what truly thrives in our lives and businesses. 

This episode is about protecting your energy, sorting out what really matters, and making space for the things that bring you joy. If you’re navigating big life changes, I hope these reflections help you step into the new year with more ease, focus, and clarity. 

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send a text

Dr. Brian Dixon, is an award-winning psychiatrist, author, and speaker who believes adaptive mental health is the foundation of a life well lived. 

In this episode, he shares his journey from facing “moral injury” in insurance-based medicine to building a thriving direct-pay psychiatry practice rooted in autonomy, authenticity, and sustainable patient care. 

Dr. Dixon explains how he created a model that allows him to deliver personalized, relationship-based, and clinically sound psychiatry.

 

Connect with him at:

www.SimplyPsych.com
www.FindMindful.com
www.linkedin.com/in/brianjdixonmd/

Support the show

Join The Direct Care Society The Continuity Circle, a monthly mastermind to take your practice to the next level. Take $300 off your first month, use code LOVE300 at checkout.

--> Record your question easily here

--> Join the Direct Care Society private Facebook group here.

--> Own a DSC practice and want to share your story? Apply here

• EMR I'm currently using in my Direct Care practice Simple Practice
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com