Cover of Cash Pay Practice: Why Insurance Is a Leash, Not a Lifeline | Matthew Gillogly

Cash Pay Practice: Why Insurance Is a Leash, Not a Lifeline | Matthew Gillogly

Cash Pay Practice: Why Insurance Is a Leash, Not a Lifeline | Matthew Gillogly

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Is insurance a physician's lifeline, or a leash? Colin Rigney is joined by Matthew Gillogly, founder and CEO of Mavrix Profit System and author of Out of the System. Matthew is not a physician: he built three cash pay clinics, sold them, and now helps doctors leave insurance dependency and build practices they actually own. They talk about the squeeze on doctors and patients, private equity in healthcare, and why Matthew sees no future in insurance-based care. Then the business of a cash pay practice: why it is not only for the wealthy or the big city, who the core patient is, how to price so that price signals your skill, and why volume medicine is a false gospel when the true cost of a PRP injection is higher than most clinics charge. Just as important is the internal shift: Dr Janet Ang's first year in her own practice, two-way doors, the future self, and why "I'm trying" keeps doctors stuck. Matthew previews his opening keynote for the AMSKU Annual Global Summit '26 on 5 December: what the next 10 years hold for regenerative medicine and the doctors who choose agency over their lives.Get Matthew's book, Out of the SystemRegister for the AMSKU Annual Global Summit '26, Saturday 5 December 2026, onlineWhat this episode covers:Why regenerative medicine is growing worldwide, from England to Australia to DubaiThe squeeze on doctors and patients, and why Matthew sees no future in insurance-based carePrivate equity in healthcare and what it means for outcomesInsurance isn't a lifeline, it's a leash: a business model no investor would backWant to double your profits? Raise your prices 11 percentIs cash pay only for the wealthy? Practices in Skaneateles and Wichita Falls say noLeaving the system: the technical side and the future selfDr Janet Ang: from $12,000 to $60,000 a month in cashWhy "I'm trying" keeps doctors stuck: belief systems and the origin codeVolume medicine is a false gospel: the real cost of a PRP injectionHow Matthew built and sold Carolina Men's ClinicThe next 10 years in regenerative medicine: agency over your lifeFreeing 100,000 doctors by 2040, in the US and beyondLinks mentioned in this episode:Matthew's book, Out of the System: A Doctor's Guide to Reclaim Your Purpose, Power and PassionMavrix Profit SystemOut of the System podcast, AppleOut of the System podcast, SpotifyAMSKU Annual Global Summit '26, Saturday 5 December, online, opening keynote by Matthew Gillogly. Register or watch last year's playbackQuestions or comments? Reach usEvery AMSKU MSK ultrasound courseNew episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts.Chapters:0:00 This week on From Probe to Practice0:21 From Probe to Practice0:34 Episode 10: Matthew Gillogly, founder of Mavrix Profit System1:59 Regenerative medicine is going global3:00 A massive shift in the medical landscape4:57 Why there is no future in insurance-based care8:17 The unintended consequences of the Affordable Care Act11:33 A $1,100 MRI on insurance, or $350 cash11:56 Private equity in healthcare14:18 Insurance isn't a lifeline, it's a leash17:51 Double your profits: raise prices 11 percent18:50 Is cash pay only for the wealthy?20:27 Cash pay in small towns and big cities21:47 Leaving the system: overnight or step by step?22:56 The future self: Dr Janet Ang's first year24:33 Two-way doors25:52 Price tells patients everything about your skill27:40 10 percent of patients will pay 3 to 4 times more28:20 The Mercedes dealership analogy29:50 The Gap and the Gain31:45 Rocky: filling the gaps34:25 Epigenetics and the origin code38:59 Why "try" keeps you stuck40:42 Effort alone doesn't make success42:05 Colin's father's practice44:12 Volume medicine is a false gospel45:11 Net profit, not revenue48:28 The real cost of a PRP injection49:42 Building Carolina Men's Clinic52:48 The more we raised price, the more we sold56:18 The next 10 years in regenerative medicine57:27 Lessons from Detroit: let go of the past1:00:04 Agency over your life1:01:03 A global movement1:01:29 Where to find Matthew: Out of the System1:02:56 Matthew's AGS 2026 keynote1:03:11 AMSKU Annual Global Summit '261:04:38 Watch last year's summit playback
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