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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.

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*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here

--> Contact me here

--> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here

--> Record your question easily here

--> FREE Direct Care Guide to get you started

--> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you.

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

• EMR I'm currently using in my Direct Care practice Simple Practice
• HIPAA Compliant Email with Paubox Get $250 Credit Here
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

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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: michelle@drrmichellekoolaee.com
Website: https://www.drrmichellekoolaee.com
Free Newsletter: https://mailchi.mp/drrmichellekoolaee/subscribe

Support the show

*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here

--> Contact me here

--> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here

--> Record your question easily here

--> FREE Direct Care Guide to get you started

--> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you.

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

• EMR I'm currently using in my Direct Care practice Simple Practice
• HIPAA Compliant Email with Paubox Get $250 Credit Here
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send us 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

*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here

--> Contact me here

--> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here

--> Record your question easily here

--> FREE Direct Care Guide to get you started

--> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you.

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

• EMR I'm currently using in my Direct Care practice Simple Practice
• HIPAA Compliant Email with Paubox Get $250 Credit Here
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send us 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

*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here

--> Contact me here

--> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here

--> Record your question easily here

--> FREE Direct Care Guide to get you started

--> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you.

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

• EMR I'm currently using in my Direct Care practice Simple Practice
• HIPAA Compliant Email with Paubox Get $250 Credit Here
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send us a text

Struggling to attract patients who pay cash? In this episode, we break down 7 practical steps to help you engage patients, build trust, and confidently set prices. Learn how to package services, handle insurance objections transparently, and leverage word of mouth to grow your practice. We also cover essentials for launching a minimal viable practice and identifying patients who benefit most from direct care.

Tune in to start validating the cash-pay model and growing a thriving direct care practice today!

The Direct Care Launch Course - Take $500 off with coupon code FM2025 at checkout before December 12, 2025. Become an Early Adopter, review the content within 30 days, and schedule your 1:1 with me at info@teadpm.com. Let's finally do this.

Support the show

*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here

--> Contact me here

--> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here

--> Record your question easily here

--> FREE Direct Care Guide to get you started

--> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you.

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

• EMR I'm currently using in my Direct Care practice Simple Practice
• HIPAA Compliant Email with Paubox Get $250 Credit Here
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send us a text

Dr. Demetrio J. Aguila III, a world-renowned peripheral nerve surgeon and former Air Force flight surgeon treating patients from 50 states and 32 countries. He’s the only surgeon in Nebraska, Iowa, Colorado, and South Dakota performing micro-invasive carpal tunnel surgery with same-day recovery.

Beyond surgery, he’s a medical acupuncturist, theologian, and founder of Healing Hands of America, a nonprofit offering specialty care without crushing medical debt.

In this episode, Dr. Aguila shares his journey from military medicine to pioneering nerve surgery and why Direct Care is changing the way patients experience healthcare.

Connect with him at:
https://m25program.com
https://www.totalpainsolutions.net
https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos
https://youtube.com/playlist?list=PLXA5q2W0npXHzWEpXWyuO84oE4LuL49DP&si=Rn0bN3slnekusr-5

Support the show

*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here

--> Contact me here

--> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here

--> Record your question easily here

--> FREE Direct Care Guide to get you started

--> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you.

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

• EMR I'm currently using in my Direct Care practice Simple Practice
• HIPAA Compliant Email with Paubox Get $250 Credit Here
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send us a text

Direct Care is hard but staying the same is harder. I am so grateful that you're lending me your ears. Give yourself the gift of grace this season and all year long.

Happy Thanksgiving. I'll check in with you next week.

Support the show

*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here

--> Contact me here

--> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here

--> Record your question easily here

--> FREE Direct Care Guide to get you started

--> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you.

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

• EMR I'm currently using in my Direct Care practice Simple Practice
• HIPAA Compliant Email with Paubox Get $250 Credit Here
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com

Send us a text

Dr. Jennifer Dilts, DO, is a pediatrician at Bloom Pediatrics in Kansas City, KS, caring for kids and teens with ADHD, migraines, anxiety, and depression. She shares how she transformed pediatric care through the direct care model, making care more accessible while building a sustainable practice.

Dr. Dilts co-hosts the ADHD Mom Docs Podcast with Dr. Nerissa Bauer and teaches virtual Teach Me ADHD classes for parents and kids, making learning to thrive with ADHD fun. She is also the board chair of the Meg Foundation, empowering families to manage pain and medical anxiety, and serves as a board member for the Academy of Medical Acupuncture.

If you’re a physician curious about direct care or anyone interested in innovative pediatric care, this episode is a must-listen!

Connect with her at:

Website - drjenniferdilts.com

Podcast website - The ADHD Mom Docs

The Direct Care Launch Course - Take $500 off with coupon code FM2025 at checkout before December 12, 2025. Become an Early Adopter, review the content within 30 days, and schedule your 1:1 with me at info@teadpm.com. Let's finally do this.

Support the show

*NEW!* Are you ready for Direct Care? Start with this Google Form Readiness Scorecard here

--> Contact me here

--> MASTERING PRIVATE PRACTICE CONFERENCE by Doctors On Social Media. Recording: Use my affiliate link to attend, here

--> Record your question easily here

--> FREE Direct Care Guide to get you started

--> Join the Direct Care Society private Facebook group here. Monthly coaching sessions & a community that gets you.

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

• EMR I'm currently using in my Direct Care practice Simple Practice
• HIPAA Compliant Email with Paubox Get $250 Credit Here
• Find me on LinkedIn https://linkedin.com/in/teadpm
• More resources teadpm.com