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You did the hard part. You opened your direct primary care or concierge practice, bought the equipment, launched the website, and maybe did some marketing. A few friends and former coworkers joined, and then it got quiet.
In this episode of The Profit Loop, Alisa Conner explains why opening the practice isn't the real work, filling it is. She covers the questions patients ask themselves before paying outside their insurance, why "we need more leads" usually misses the mark, and 5 reasons your marketing hasn't worked yet: unanswered foundational questions, messaging that's about you instead of them, trying to be everywhere, no follow-up system, and trying to be everything to everyone. You'll also hear what growing practices do differently, including a pelvic floor specialist whose business name makes referrals almost effortless, and what panic decisions like lowering your price are really costing you.
Alisa closes with a 3-step plan for your next 100 members: define your best members in 1 sentence, rewrite your offer from the patient's point of view, and choose 2 acquisition channels to focus on for 30 days.
Book a Growth Review Call Here.
Read the blog post here.
If you run a concierge or direct primary care practice, you've probably thought a lot about what to charge and what to include. What you may not have asked is what your patients are actually paying extra for.
In this episode of The Profit Loop, Alisa Conner shares conversations with an endocrinologist who moved to a subscription model 3 years ago and a direct primary care owner who has run one for 10 years. Both had just added a PA, and neither could fill their schedule because both believed patients only pay to see the physician. One was about to discount his membership for patients who saw the PA.
You'll learn:
Book a Growth Review Call Here.
Read the blog post here.
Watch on YouTube here.
What happens when demand isn't the problem anymore? At a recent medical conference, Alisa Conner met practice after practice with more patients than they could handle: physicians who can't take vacations, teams staying late, authorizations piling up, and a practice running 4 EHR systems that don't talk to each other.
In this episode, Alisa explains why the usual fixes, like hiring, adding a PA, extending hours, or buying new software, only work for a little while, and why the real issue is usually processes that live in someone's head or no longer fit the size of the practice. She walks through what happens when a process built for 2 physicians has to carry 14, what it's really costing physicians and their teams beyond dollars, and how independent practices can build their own playbook without giving up their autonomy.
You'll leave with a 3-step action plan.
Not sure where to start? Book your Growth Review Call here.
If your calendar isn't full, the instinct is always to spend more on marketing. This week, Alisa Conner makes the case that the real problem for most independent ophthalmology practices isn't a shortage of leads, it's a patient journey full of unmanaged handoffs. She walks through where referrals fall apart, what most practices try that quietly fails, what larger competitors do differently, and the practice math on what referral leakage is really costing you per surgeon, per year. Then she closes with a 3-step action plan you can start today.
Book a free Growth Review call here.
Read the blog post here.ย
According to a March 2026 Veradigm survey, 3 out of 4 independent practice owners can't point to exactly where their revenue is leaking. In this episode, Alisa Conner explains why that's not a data problem; it's a visibility problem, walks through a real scheduling example most practices never catch, and lays out the 3-step plan to build the kind of dashboard visibility that private equity groups already have.
This week we dive into:
Grab the free Referral Loss Worksheet and book a 20-minute Practice Triage Call using the links below.
Practice Triage Call
Referral Loss Worksheet
Most independent practices treat referral partnerships as relationships to maintain rather than processes to build. That gap is exactly what private equity organizations exploit. In this episode, Alisa Conner breaks down what keeps referred patients from becoming scheduled patients, runs the practice math across 3 specialties, and lays out a 3-step plan to start recovering that revenue without spending another dollar on marketing.
Book your Practice Triage Call:
https://docs.alisaconner.com/widget/bookings/medical-triage-call
Grab the free Referral Loss Worksheet:
https://alisaconner.com/worksheet/
A 15-year patient, one warm referral away from leaving. Not because she was unhappy, but because her dentist retired and nobody worked to keep the relationship warm through the transition.
In this episode, Alisa breaks down what happens to patients when a physician leaves the practice, the two communication mistakes almost every practice makes during a transition, and the practice math across four specialties: orthopedics, ophthalmology, dental, and functional medicine, showing exactly what's financially at stake. She closes with a three-step plan to protect your patient panel before, during, and after any physician transition.
In this episode:
Resources:
Book your 20-minute Triage Call
Watch the YouTube Video
Read the blog
Nearly every practice Alisa talks to already suspects their technology doesn't talk to itself; they just assumed another subscription would fix it. In this episode, Alisa Conner breaks down why the technology leak is almost never a software problem, using a real example of a referral getting lost between two systems, the math behind why that gap can run over $1.1 million per physician, a 2024 physician time-use study, and a look at where online scheduling quietly loses the most patients. She closes with the three-step audit you can run on your own practice this week, no new software required.
Book your 20-minute Practice Triage Call here.
If your longest-tenured front desk person, billing specialist, or medical assistant gave notice tomorrow, what would that do to your practice?
In this episode, I break down what I call the knowledge gap, one of the most expensive and least-discussed leaks in specialty practices. It's not a hiring problem. It's what happens when the knowledge that runs your practice lives in one person's head rather than in a documented system.
In this episode, I break down:
Book Your 20-Minute Triage Call Here
She loved her surgeon. She loved her results. She almost never came back anyway.
In this episode, I tell the true story of a patient who nearly left a practice she loved, not because of anything the doctor did, but because nobody called her back to schedule her second procedure, she couldn't book online, and her medication refills required her husband to physically drive to the office every single time.
Nothing about her care was ever in question. The gap was process, and it's one of the most common (and most fixable) reasons practices lose their most loyal patients.
In this episode, I break down:
Resources:
Free Triage Call: https://links.alisaconner.com/widget/bookings/medical-triage-call
Referral Loss Worksheet: https://alisaconner.com/worksheet
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From the publisher's feed
Turning patient and client experience into your most powerful growth strategy.
Every week, Alisa Conner breaks down the acquisition, retention, and referral strategies that actually work for specialty medical practices and professional services firms. No fluff. No marketing jargon. Just the tactical, practical game plan for building growth that sustains itself.
Built on the principle of Purposeful Hospitality โ the idea that the experience you design for patients and clients isn't a nice-to-have, it's your most profitable differentiator.
Whether you're a physician owner competing against PE-backed groups, a practice administrator trying to fill calendars, or a managing partner building a client pipeline that doesn't depend on your personal network โ this show is your weekly playbook.
๐ Free practice/firm assessment: alisaconner.com/assessment ๐ Website: alisaconner.com ๐ฉ Connect on LinkedIn: linkedin.com/in/alisamconner
New episodes drop weekly.