Full Transcript Intro and show mission 0:00 We're going to create an environment where you, yeah, you may pay only 12,000 or 15,00 over the span of a year, but we're gonna get you healthy. 0:08 We are going get rid of your chronic disease. 0:13 a diagnosis chart making money making machine for UnitedHealthcare in the last 10 years of your life. 0:20 You didn't build your clinic to feel like an employee in your own business. 0:23 I'm Matthew Kulowgli and on Out of the System hosted by Dr. 0:26 Talks, we challenge the broken rules holding healthcare entrepreneurs back. 0:30 Hear from clinic owners, rebels and builders who are creating bold, profitable patient center practices and doing it their way. 0:38 So welcome to Saturday Morning Company with Matt. 0:40 And this is a new thing that we're giving a try. 0:44 Two Saturdays every month, I'm going to be coming to you live to discuss major topics that are impacting health care, not only here in the United States, 0:52 but eventually we'll dive into some of the issues that similar going on around the world as well. 0:56 I'll coming you to live from Chicago, Illinois, where I am attending the CE lasers user conference where we are one of co-sponsors. 1:05 And sharing with a bunch of doctors and chiropractors and all kinds of great and wonderful people in the room about how to grow the practice. 1:13 But something struck me last night when we were at the, uh, the welcoming cocktail reception. 1:20 And that is the ongoing pain and the challenges that doctors are facing day in and day out for them to be able to make their ends, 1:29 to making ends meet. 1:29 In this room, there's lots of physical therapists. 1:32 There's lot of chirepracters. 1:34 And we see and we hear this constantly about I don't know how much longer I'm going to be able to hang on. 1:41 And so today what I want to do is I wanna talk to you about the monopoly that has become UnitedHealthcare. 1:47 Now, before I dive into this, I have to give you some perspective on how actually just how big United Healthcare is and its impact on healthcare in the 1:57 United States. 1:58 To say that United Healthcare is the 10,000 pound gorilla in a room is a bit of an understatement.
UnitedHealthcare's scale and market power 2:04 To put it into perspective, this last year, UnitedHealthcare generated over $449 billion. 2:12 That's with $80 billion in revenue. 2:15 To that into the perspective only two companies generated more revenue in the United States in their business than United Health Care. 2:24 Those are Amazon and Walmart. 2:27 They're ahead of Apple. 2:29 This is how big UnitedHealthcare is. 2:31 Now, this is not going to be a bitch session about United Healthcare. 2:34 In fact, it's actually going be very much of an education system about what United health care has done in order for them to have such a massive chunk 2:44 in control of the market. 2:46 You see, when you're in medical school, what you did, you might have had cadavers that you worked on, and you studied the human body. 2:53 And you would have ways to be able to actually practice on the body, right? 2:58 You would you have cadavers and then eventually go to humans and all that. 3:03 We'll see in the world of business and going to business school, we do a thing called case studies. 3:08 And case, studies are how we learn about how businesses make their decisions and how they wind up to where they are. 3:15 Now, one of the key things that you do in a world with business is that, you want to, be, able, to understand you, want, 3:22 You want to be able to your competitors, right? 3:24 You have competitors and business is the competitive game. 3:28 And so most business owners and people that run businesses are pretty competitive people, and it's our way of keeping score, 3:34 if you will. 3:35 OK, in so what I want. 3:38 To share with you today is this isn't going to just about, oh, let's talk about how evil UnitedHealthcare is. 3:44 This is actually a lesson for you. 3:47 About how you can structure your business, but yet do it for good. 3:52 Okay. 3:52 Now, if you're currently working in this system, then this is going to be a roadmap for you on how you can build, lead the system and create freedom and 4:04 agency over your life. 4:06 So let's just paint the picture here. 4:09 Okay? 4:09 So, let us paint this picture for what UnitedHealthcare has done. 4:16 Let us start with a patient. 4:20 I'm going to paint this in the picture of a single patient, but this is not one person, so this not a specific person. 4:26 But what this says is that this person is a pattern. 4:29 And what you may recognize in end of all of this, is you recognize yourself in this personal, you might recognize a loved one in his person but I want 4:38 you to envision a woman who's 71 years old and she is on Medicare Advantage. 4:44 She has this card in her wallet that says UnitedHealthcare. 4:48 So she goes to her primary doctor and the sign on the building has a local name on it. 4:54 It might have, you know, Dr. 4:56 Schlamenberger's primary care. 4:58 Okay. 5:00 And it's been that same name for 20 years. 5:03 She's going to see this doctor for 25 or 30 years, okay. 5:07 But what the signed doesn't say is that the practice was bought by a company called Optum about four years ago. 5:15 Now Dr Schlemenberger is still there. 5:17 He's still seeing patients. 5:18 He 75 years old, he's been doing it for over 50 years. 5:22 And he knows this woman, you know, Betty's family, knows that his husband, who knows Betty kids. 5:27 I mean, his kids and her kids played baseball together. 5:30 But five years ago in a world where he was unable to make money, He wound up selling his practice to Optum and exchange started working for them for five, 5:40 five or six more years, okay. 5:43 Now he goes, she goes and Betty goes to see Dr. 5:46 Schlemmenberger and he writes her prescription standard stuff. 5:51 What happens though is she takes that prescription and it's filled through a pharmacy benefit, the pharmacy, benefit manager, 5:57 but pharmacy benefits. 5:59 And it is called OptumRx. 6:01 Now Optin owns the practice. 6:05 Optim owns pharmacy or the Pharmacy Benefit Manager. 6:11 is a separate company of UnitedHealthcare. 6:15 So Betty is paying her premium, her Medicare Advantage premium to United Healthcare, United health care, then she goes to see a United Healthcare doctor, 6:26 get to fill the United healthcare pharmacy. 6:31 Now it continues on past that. 6:33 The nurse will come to her house, say, for a wellness visit. 6:37 Friendly, nurse is great, takes about an hour. 6:41 That visit comes through a program run by, guess what, her insurance company. 6:45 The diagnosis the nurse writes down and how much Medicare pays that insurance. 6:49 Company is all controlled. 6:52 Okay. 6:53 Then let's say Betty falls and breaks her hip surgery goes well. 6:56 And she goes to rehab. 6:58 Guess what? 6:58 Surgery center owned by Optum, the rehab center.
How the insurance, practice, and pharmacy system connects 7:03 owned by Optum. 7:04 Her doctor says she needs three weeks, and on day 12, she gets a letter saying her coverage for rehab has ended. 7:11 That decision was made by her insurance company. 7:14 She goes home and the Home Health Agency sends someone out. 7:19 And that agency was bought last year. 7:21 Guess what? 7:22 It was brought by Change Healthcare, which is owned UnitedHealthcare. 7:28 So every, or I'm sorry, not change, Change Healthcare doesn't own them. 7:31 Doesn't know them, I am sorry. 7:32 It doesn' own the Home Healthcare, but the home healthcare agency is bought by United Healthcare. 7:37 Now, every one of those claims, there has to be a company that processes every piece of data. 7:43 And the company the processes all that data is Change Health Care. 7:48 So the insurance company, the doctor's practice, pharmacy company home visit home health care agency in the claims processor, 7:56 all roll up to the serine parent company and that is UnitedHealthcare. 8:01 Now, if you were to do this as a physician, let's say you as the physician were, to be on your own and you, as in a position, 8:10 were too own a piece of the surgery center and to own piece the home healthcare company into own peace of rehab company. 8:18 and you were processing that claim because it's going through Medicare, that would be in violation of the Stark law because you are an individual doctor. 8:28 So there's a Stark Law that is put in place that the individual doctors cannot financially benefit from the referral. 8:38 If I am the doctor and I referred you to do surgery and owned that surgery center, then that's what we call self-dealing. 8:48 And that's against the law. 8:49 But if a corporation does it, it's not against a law, okay? 8:54 So what happens a lot of times is that doctors wind up getting scared about all these things. 9:00 And we'll talk about that in just a little bit. 9:01 Okay. 9:03 So all of this is generated by the same parent company. 9:07 That's United, United healthcare group. 9:11 The company collected her premium. 9:13 Company paid itself to treat her and the company decided when the treatment stopped. 9:18 That same company, UnitedHealthcare, took in $447 billion last year. 9:22 Now, if you cannot picture that number, you can't wrap your head around what that numbers looks like. 9:28 Let me put it into a way that you could understand this. 9:31 I want you to take a golf ball. 9:33 Everybody pretty much knows the size of a ball, it's about like that. 9:37 And I wanted you think of that golf balls represents a dollar. 9:44 If you were to cover a football field, from end zone to endzone, from sideline to sidelines, with golf balls, one layer, 9:55 that's about $3 million, okay? 9:58 To lay out what UnitedHealthcare took in last year in revenue, you would need 152,000 football fields covered end-zone to-end-zones, 10:10 sidelined to sidelined, was golf ball. 10:13 That's a carpet of golf-balls bigger than all of New York City. 10:17 and what they kept as profit, this was last year alone, in 2025. They kept $12 billion in profit. 10:26 That is 4,100 football fields. 10:29 Now, here's the thing that should really start to scare you, a couple of things. 10:34 One, through at the time of this recording, October 3rd, 2026, UnitedHealthcare has already reported through six months of 20-26 $12 billion in profit. 10:50 It is estimated their profit will clip over $20 billion. 10:54 Okay. 10:58 By the way, they keep paying you less. 11:00 Now, They kept $ 12 billion of profits so far for 2026. That's 41 football fields. 11:08 Here's the amazing thing. 11:10 They spend what may view as to the common man, common woman, Tremendous amount of money on lobbying our congressmen and women and our senators, 11:22 okay? 11:23 So here's at here is something that's really scary is they spent And just in what they spend on would be lobbying and campaigning in the last two years 11:34 is six fields of golf balls so What they do is. 11:38 They spend six football fields covered with golf ball in order to protect a carpet, the revenue that is the size of New York City. 11:51 That's how cheaply you can buy Congress. 11:56 They spent 17 billion, 17 million dollars last year, $17 million last to protect $449 billion revenue. 12:00 Now, so this is a challenge. 12:15 United Healthcare is literally multiple companies under one roof. 12:21 Most people think it's an insurance company, and the average American thinks that you, as the doctor, are the problem. 12:31 What they don't understand is they understand that United Health Care controls the whole thing. 12:38 Okay? 12:39 So, let me put this into greater perspective for you so you can really, truly understand this. 12:44 So UnitedHealthcare has a company that generates the premiums. 12:48 Now, by law, they are required to pay out $0.85 of every dollar that they generate in health care premium. 12:57 They are require bylaw to those out.
Monopoly economics and payment disparities 13:01 Hey, now last year they paid out 92 cents of $1 that's collected in premium this year. 13:08 Touting it that there below 85% or 85 cents. 13:13 Now, why in the world is this important to understand? 13:17 And why is it important understand that UnitedHealthcare owns the doctor and owns every channel? 13:24 Well, here's here. 13:26 Let me just just follow me in this. 13:29 On the insurance side, there's about 50 million Americans who carry a card that says United Healthcare. 13:35 OK, now United health care is one part of it. 13:39 The health insurance company is actually the least profitable part of the entire machine that is known as UnitedHealthcare. 13:46 And by the way, this is the same for Aetna, CDS, Caremark. 13:51 This is same thing for all of them. 13:53 But we're gonna just keep painting this picture with United Healthcare They have this other company, it's Optum. 13:58 Optim is everything else. 13:59 Optim is doctors. 14:00 There's nearly 90,000 physicians that are employed or affiliated with Optom. 14:06 This makes Optum the largest employer of doctors in the United States. 14:11 This is bigger than any hospital system. 14:14 Optimism's pharmacy company, Optium RX, is one of three companies that together control about 80% of the prescription benefit market in this country. 14:25 What was created in 1970s to be a safeguard and a advocate for the patients has now been bought by the major health insurance companies and now is a profit 14:37 money making machine at the expense of the patient. 14:43 You can get in here's what makes it so hard to see they don't put their name on the door when they buy a medical practice they remain the same the sign 14:51 remains the Same name same building same doctor the only thing that changes is who that doctor works for. 14:56 So you can go from the insurance card to the doctor to pharmacy to surgery center the nurse in your living room and never leave the company never know 15:03 it okay. 15:04 So this is how they get around this profit cap that was created by the Affordable Care Act, which everybody touted. 15:11 Oh, we're going to make sure the insurance companies are greedy and make all this money. 15:15 But the reality is, is the money never left the building. 15:17 It went from one division of the company to another division, the same company and the division that received it. 15:23 Optum has absolutely no cap on the amount of profit it can make. 15:28 Not often can keep whatever it makes. 15:32 So the law caps with the insurance company can make it does not cap with insurance. 15:37 Oh, the insurers own clinics and pharmacies and keep now. 15:42 Here's where it gets really sleazy. 15:44 You literally can look at the numbers within United Health Care, and you literally see what is going on. 15:50 Hey, last year in the Insurance side, United Healthcare made $9.4 billion in operating profit. 15:56 Optum made 9.5. And remember, So there's money that's moving. 16:02 There's $168 billion that moves from the left pocket to the right pocket. 16:06 Okay. 16:08 The biggest customer by a mile for Optum, 62 cents out of every dollar that Optium took in, came from, guess what? 16:17 UnitedHealthcare. 16:19 All right. 16:21 Now, because of that, what do you think happens? 16:26 Do you United Healthcare denies claims? 16:30 on the same rate that they do for you who are not part of their system. 16:38 So. 16:41 If you if you were in this situation, if your own both sides, you own the health insurance company and you owned the practices and your on both both side 16:49 of the transaction and one side had no cap on its profit, what would you do? 16:54 You would pay that side more money. 16:58 And you don't have to guess that that's happening. 17:00 It is because researchers at Brown University looked at this and they published and what was published in I think is called Health Affairs, 17:07 which is one of the most respected journals in health policy. 17:10 I haven't read it myself, but this is what my research tells me. 17:13 And they use the pricing data that insurers are now required to make public. 17:17 They compared what UnitedHealthcare pays its own Optum practices to what it pays independent practices for the same services in the areas. 17:24 You ready for this? 17:26 On average, United Healthcare pay its practices 17% more. 17:35 Let that sink in for a second. 17:38 17 percent more is paid to practices that are owned by United health care. 17:47 And the markets where UnitedHealthcare is the dominant insurer and provider, the gap when it's high is 61%. Now, remember when I started this, 18:02 and I told you in business school, what we do is we case studies. 18:05 Now one of the fascinating things about case study is that you always get to watch how a company is trying to corner the market. 18:11 Because when you can corner you actually can then set the price. 18:17 This is the whole concept of a monopoly. 18:19 Now, monopolies are kind of hard to prove these days because there's so many different facets and ways that they exist. 18:23 They're not just a straight line monopoly like Standard Oil had back in the early 20th century. 18:28 But the reality is that if I were looking at this from a pure business standpoint, what I would do is I could figure out a way. 18:34 If I can make more money by owning all of the practices, guess what would I do? 18:40 I'd overpay by buying the practice. 18:43 because if I can control 60 to 70 percent of the market, it doesn't matter if i overpay. 18:49 Once I do and I reach a particular level and there's some kind of algorithm in chart that they have, trust me, then I could start to pay exponentially 18:58 more for care and i can make more money. 19:02 I should put as many people as I cannot my roles and for my insurance company, I really don't care if my health insurance companies make money, 19:09 because all the money is going to go to my pharmacies, to practices. 19:14 This is what's called complete and total monopoly control. 19:20 That means that what this means is if you are an independent doctor, let's say you're saying, I'm trying to be the beacon of hope for my market. 19:27 And what I want to do is I'll stay independent. 19:28 I won't let them buy me. 19:30 Well, guess what? 19:33 United Healthcare is not going to pay you the same it pays its own practices. 19:38 In fact, United Health Care is going most likely, and this is what I would do, I can't prove that they do this, so I have to be very careful. 19:45 But if I were an insurance company, what would I do? 19:48 And I had a large group that hadn't caved yet where I could buy them. 19:52 I'd slow pay, deny more, delay more. 19:56 Make them jump through a lot of hoops and hurdles to get paid. 19:59 And pay them less. 20:01 And I would put them in a place in advice where they would have no choice, but to sell to me. 20:06 And of course, the longer they wait, a lower the price is going to be. 20:11 So this means that the independent doctors, same exam, Same procedure, The same town practice down the street gets paid 17%. Less or your practice gets 20:21 made 17% less or up to 61% Less. 20:25 Company setting your rates is also your competitor. 20:29 Now think about what this means. 20:31 If you're the one paying premium, higher payments go to their own clinics, which mean higher medical costs and paper. 20:36 Higher medical cost and pay for how next year's premium gets justified. 20:43 So the premiums continue to go up. 20:47 Which means the United Health Care bylaw is required to pay out and health insurance companies are required on every dollar and if premiums continue to 20:59 go up and they control all of doctors and practices, pharmacy benefit managers, and those pharmacy benefits managers are paid more,
Medicare Advantage, diagnosis coding, and questionable payments 21:11 they continue profit. 21:15 This is the problem. 21:19 Then we have our tax dollars. 21:20 UnitedHealthcare is the single biggest line of business, is not employer insurance, it's Medicare. 21:26 They get $171 billion last year. 21:28 About half of the insurance side comes from Medicare, your tax, dollars, you're taxed dollars are the ones that go to fund their growth. 21:40 Your tax dollar, Your payments to Medicare your insurance premiums go, to continue to enrich them, which they then take to then go by or control or influence 21:53 more politicians. 21:55 By the way, that's not a Republican or Democrat thing. 21:58 They contribute equally to both sides of the aisle. 22:01 So this is not Democrat, this isn't a republican thing, This is an American issue. 22:08 You see, what we traded with the Affordable Care Act is we created our own form of a quote unquote single payer system. 22:15 It's really controlled by five entities in the United States, the biggest being UnitedHealthcare. 22:22 Our tax dollars go to fund their control of the health system in The United states. 22:30 This control the Health system is not designed for preventative care. 22:34 It is designed specifically for the enrichment of the shareholders and the executives and employees of UnitedHealthcare. 22:43 So here's how Medicare Advantage pays. 22:46 The government gives the insurance company a monthly amount for each patient, and that amount goes up if the patient is sicker. 22:53 More diagnoses on the chart, more money every single month. 22:56 Do you understand why there's no value in them making sure that somebody is healthy? 23:03 So remember the nurse who came to Betty's house? 23:05 That's what that visit is for. 23:07 I'm not saying the nurses and kind, that's not what I was saying. 23:09 Not judging the NERSK. 23:10 Okay. 23:11 And I've not seen a visit has no value. 23:13 What I am saying telling you is that as this does on the business side, it finds diagnosis is because guess what? 23:20 They see that Betty is on Medicare advantage and the more diagnosis, the sick she is. 23:26 Therefore the, more of their, of your tax dollars go to benefit United healthcare. 23:33 Okay. 23:33 Now, the second inspector general at Health and Human Services looked at this and they found $7.5 billion in payments across the industry for the year 2023. 23:43 And they called these questionable. 23:44 These were diagnoses that showed up on a home visit or a chart review and nowhere else. 23:48 No follow-up appointment, no tests, and no treatment. 23:51 UnitedHealthcare's share of that $ 7.50 billion was $3.7 billion. 23:54 It's about half. 23:59 The inspector general called those payments. 24:01 These are the inspector generals words, not mine. 24:04 Those payments questionable. 24:06 Now the justice department is reported to be investigating. 24:09 I don't know the extent of that. 24:11 No court has found fraud. 24:13 The company says its practices are appropriate. 24:15 But these are facts that we have today. 24:17 A facts are really simple. 24:21 More diagnosis, more sick, the more supplements and benefit or the payments they get from the United States government. 24:27 So. 24:29 I'll open this up for questions in just a minute. 24:31 And I'm going to share with you, by the way, how you can get out from underneath this. 24:36 So I don't want this to blow up a doom and gloom. 24:42 This goes on to impact end of care. 24:47 Again, the more diagnosis is, more money they get paid, longer they can keep that patient alive, et cetera, etc., the your patient, 24:54 the body becomes basically a money machine towards the end of how much we can extract. 24:59 Okay. 25:00 So. 25:02 Remember your doctor works for your insurance, which means that each and every single year as they buy, there's few and few choices. 25:09 What are we doing? 25:10 What do we do about this? 25:13 From the patient standpoint, you can ask who owns, but quite frankly, that's getting to be harder and harder to delineate. 25:20 And I really don't think that that really helps. 25:23 Okay. 25:26 Um, and really a lot of this, by the way, falls on the patient, right? 25:30 They have to then fight for coverage. 25:32 They had to do all of these things. 25:33 You can Google United healthcare sucks. 25:36 Go on TikTok. 25:36 I mean, there's literally channel dedicated to this. 25:40 Uh, buyer beware. 25:42 It's a bit of a rabbit hole to go down now, but let's talk about you as the position and the practice owner. 25:48 Or for those of you that are part of the system, so I want to be really clear. 25:52 We don't just work with people that. 25:53 Are out of this system. 25:54 we actually help people leave the systems this afternoon. 25:57 I will speak to a room of 90 doctors. 26:00 And I'll tell you about 50% of them are in the. 26:03 Looking to get out because they know that there's something better. 26:08 They will be like Dr. 26:09 Janet Aang, who is down in that room and she was an ER nurse for 30 years and realized that nobody was getting any better. 26:16 Or Frank Schellenberger, we just had on our podcast about a week and a half ago, tell his story 50 years ago of when he decided to leave emergency medicine. 26:25 But here's the thing. 26:26 If you are the physician and you own the practice, you can look at your rates and realize that their insurers are required to publish what they pay. 26:38 But you can find out now what your biggest payer pays the practice down the street that it owns. 26:42 You may not like what you find, but you should know. 26:45 Second, take a look at how much of your money comes from your insurance company. 26:49 We tell doctors to do this all the time. 26:51 If you were to take all of you payers and you say which ones pay the best and which one pays least. 26:57 Let's say you have 10 of them and if you get rid of the bottom 20% of those that don't treat you well, that pay you slow,
How independent practices can respond 27:05 you actually are able to free up time for you to start seeing cash-based patients. 27:09 Now, this always comes back then to the issue of will your patients pay cash? 27:16 It's really about a reframe of how you see things. 27:20 Because of the very simple fact, most Americans, the average American family, will pay $18,500 this year out of pocket, excuse me, 27:30 out-of-pocket after insurance premiums for care. 27:35 That 18.5 is going somewhere. 27:37 It's going to an MRI that was not needed. 27:40 It is going or whatever. 27:44 Whatever thing is not more filled, things aren't necessarily going make them healthy. 27:49 Your job as a physician, as the provider, is to say very simply, we're going create an environment where you may pay only $12,000 or $15, 000 over the 27:59 span of a year, but we are going get you healthy, get rid of your chronic disease, and get it so that you don't become a diagnosis chart-making, 28:08 money- making machine for UnitedHealthcare in the last 10 years of your life. 28:15 Build, the bottom line is learn how to build services that don't run through insurance at all. 28:20 Not just one, but multiple. 28:23 Something your patients want. 28:24 something that you want to provide, something you wanna become good or great at, that they pay you directly. 28:29 Now I'm not just talking about concierge care, okay? 28:32 That's not exactly what I am talking. 28:34 I'm talking about the things like anti-aging and longevity, or regenerative therapies, from our chiropractors, it's using a tool like CE lasers to help 28:46 with things, like neuropathy. 28:47 I was just sitting at breakfast this morning and the doctors and I were all sitting around talking, about how using machine like the M7 that CE laser makes, 28:56 and how they're using it to treat neu Propathy, The only thing out there that we know of that, we've been able to find that is actually helping patients 29:03 with neuropathy, because the pills that they give them make them addicted. 29:08 And by the way, being addicted to the pill, to opioids, addicted, too, high blood pressure medications, those become annuities. 29:19 Companies like UnitedHealthcare and the more of those you're on, if you are on Medicare Advantage, the your tax dollars go to pay and profit companies 29:31 like Optum and UnitedHealthcare. 29:34 So I'm going to open this up for questions. 29:37 I want you to understand something. 29:39 Here's the final thing that I wanted to take. 29:40 This shouldn't be doom and gloom for you. 29:44 You see, education is not just power. 29:47 Education is one component of the power, It's the application, it's education is knowledge and wisdom. 29:54 The application of that knowledge in wisdom is where power comes in. 30:01 At Mavericks, we know and we believe that you deserve to be the healer that always wanted to. 30:10 We believe there is a better future for healthcare, not only here in America, but in Canada and England and Australia and throughout the globe. 30:18 One where doctors and patients make decisions on their care that is in the best interest of the patient and their wallet and long-term health, 30:28 not on the dividends and the bonuses of executives at the health insurance company, and not to the benefit of a politician's acts. 30:39 Now, this is not an answer that's going to come from Washington, D.C. 30:43 This is not an answer that's going to be reform of the healthcare system. 30:46 It's not going happen in that way where we go to the politicians or we demand that UnitedHealthcare and Blue Cross Blue Shield and Optum and CVS all change 30:55 their ways. 30:57 In fact, the last time we did that, we handed them the golden goose that has made them wildly profitable in 2010 when we passed the Affordable Care Act. 31:07 I believe. 31:09 Our doctors believe that are in our system. 31:11 Our doctor that we work with day in and day out, our staff, we believe we have the best answer available for society today. 31:21 And that is for you to know how to become independent. 31:25 You see, when you no longer have to take Medicare, the stark laws of self-dealing no long apply to you. 31:34 When you have cash-based services, You can now run your practice the way that you see fit. 31:43 And then you can decide if you want to own the patient journey. 31:48 Now, I'm not going to suggest that. 31:49 You start to go out and buy pharmacies or pharmacy benefit managers, but you certainly can set up structures that are in the best interest of the patients 31:58 where you. 31:58 Can provide the right types of services.
Building cash-based care and the Maverick model 32:01 We have doctors that now have their own physical therapy units inside the practices. 32:06 and do this for regent. 32:08 And those physical therapy centers no longer take insurance. 32:12 You see, we can provide better care, better preventative care for the patient by opting out of the system. 32:20 Better patient care provides an environment where we have a better, healthy United America and a healthy world. 32:27 These people no long become a financial burden in their last 10 years. 32:31 They become productive members of society. 32:35 we can fix the system by moving outside of it. 32:39 So, just remember, the people that built the System, they're spending six football fields every year to make sure that it stays that way. 32:50 We can show you how to take back control of your care, of you life, your practice. 32:55 we fix it one practice, one patient at a time. 32:58 Doctors taking the patient journey back and running it the way it should have been run all along. 33:04 And that's what we call the Maverick model. 33:08 So I will take, if anybody is on and wants to put a question into the chat, feel free to go ahead and type that into chat and tell your friends about this. 33:18 We will begin live streaming these on other social media platforms here, I believe in the next two weeks. 33:24 This is the second round of these of Saturday morning coffee with Matt. 33:28 But this is something we're going to be doing every other Saturday, twice a month, we'll get a schedule out for you. 33:34 We're gonna be diving into topics like this so that you, the physician, can be better educated. 33:39 Again, education isn't power. 33:42 Education, knowledge, and wisdom, then the application of that is where the power is. 33:51 All right, see if we have any questions that have come in. 33:53 Do you not? 33:55 All Right, so, that's what we had for Saturday morning coffee with Matt. 33:59 Coming to you live from Chicago, Illinois, getting ready to speak later this afternoon at CE Lasers. 34:04 Next time you see us, we'll be back here in Chicago at the ANA conference, speaking to about 45 doctors, where they're learning how to do ultrasound to 34:13 help them escape the industry so they can go out and do regenerative therapies outside of the insurance-based world. 34:20 And we will be at A4M in December. 34:23 So there you go. 34:24 Take care, everybody. 34:25 Have a wonderful day. 34:27 If this episode got you thinking differently, hit follow and share it with someone stuck in the system. 34:32 Please leave a review, it helps us grow. 34:34 Want more? 34:35 Visit MavericksProfitSystem.com to schedule your free discovery call and explore how far your business can go.
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