Direct Care Movement

Welcome to the Direct Care Movement podcast, where we explore the transformative world of free-market medicine and direct care. Each episode reveals how these patient care models make healthcare more affordable, accessible, and transparent. Discover how free market and direct care shift away from conventional practices, empowers patients to make their own decisions and give doctors the freedom to provide personalized care without middlemen. Learn how this approach enhances doctor satisfaction and patient outcomes. From direct surgical practices with house calls to navigating insurance barriers in sports medicine, we showcase how these models enable physicians to follow their passions and achieve remarkable results. We also discuss the freedom of direct primary care and its role in fostering innovative multispecialty collaborations. Join us as we address the challenges and opportunities in the free market movement, share strategies for transitioning to direct care, and highlight the latest innovations. Whether you're a healthcare professional, patient advocate, or curious about the future of medicine, our podcast provides a deep dive into this exciting shift and how you can engage with it. Demetrio J. Aguila III, MD, MA, FACS is a diplomate of the American Board of Plastic Surgery and the American Board of Otolaryngology, specializing in peripheral nerve surgery and the surgical management of acute and chronic pain, as well as general plastic, reconstructive, and microsurgery and general otolaryngology. As a world-renowned peripheral nerve surgeon, Dr. Aguila regularly sees patients from 50 states and 25 foreign countries. He is the only surgeon in Nebraska, Iowa, Colorado, and South Dakota to offer micro-invasive carpal tunnel surgery with real-time ultrasound guidance, allowing patients to return to work the same day, without restrictions. Dr. Aguila is a founding member of the International Surgical Society for Nerve-Induced Pain. Dr. Aguila is also an active member of numerous other organizations, including the American Society for Peripheral Nerve, American Society of Pain and Neuroscience, International Headache Society, American Headache Society, American Society for Regional Anesthesia and Pain Medicine, the Society of Physician Entrepreneurs, the Catholic Medical Association, and the Free Market Medical Association. Dr. Aguila currently serves as the Leader of the Nebraska Chapter of the Free Market Medical Association. Connect with Dr. Aguila https://www.totalpainsolutions.net https://m25program.com https://www.linkedin.com/in/demetrio-j-aguila-iii-md-ma-facs-37208413/ https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/ https://www.instagram.com/totalpainsolutions/ https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos

  1. 03/19/2025

    The DPC Revolution: Dr. Philip Eskew on Transparency, Advocacy, and Patient-Centered Care

    In this episode of the Direct Care Movement podcast, Dr. Demetrio J. Aguila III engages in a thought-provoking discussion with Dr. Philip Eskew, a family physician and attorney who has been a pivotal figure in the Direct Primary Care (DPC) movement. Dr. Eskew shares his unique journey from a family of physicians to becoming an advocate for patients and doctors alike, highlighting the frustrations with the current healthcare system and the transformative potential of DPC. Together, they explore the fundamental principles of direct primary care, the misconceptions surrounding it, and how it offers a more transparent and efficient alternative to traditional insurance models. Dr. Eskew emphasizes the importance of education in healthcare, both for patients and providers, and discusses how DPC can empower individuals to take control of their health without the burdens of third-party interference. This episode is a must-listen for medical students, residents, and anyone interested in understanding how to navigate the evolving landscape of healthcare. Timestamps: 00:00 – Introduction to the Direct Care Movement podcast and today's guest, Dr. Philip Eskew 02:15 – Dr. Eskew's background and journey into Direct Primary Care 10:30 – Clarifying the concept of Direct Primary Care and how it differs from concierge medicine 22:45 – The role of price transparency in healthcare and the impact of insurance 35:10 – The importance of education for both patients and healthcare providers 50:00 – Advice for medical students considering a career in Direct Primary Care 01:02:15 – Resources and tools available for those interested in DPC Resources: DPC Frontiers Website Connect with Dr. Aguila https://www.totalpainsolutions.net https://m25program.com https://www.linkedin.com/in/demetrio-j-aguila-iii-md-ma-facs-37208413/ https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/ https://www.instagram.com/totalpainsolutions/ https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos Find More info on this series and other podcasts on the Influent Network at HeyInfluent.com Follow the Influent Network on Social Media: LinkedIn | Twitter (X) | YouTube | TikTok | Instagram | Facebook    The Influent Network is where emerging healthcare professionals and esteemed medical experts converge. Our platform is a straightforward resource for career development, financial planning, practice management, and investment insights, designed to foster strong professional connections.   Powered by Hurrdat Media See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    51 min
  2. 03/19/2025

    Transforming Healthcare Paradigms: Colton Storla on Cost Transparency and Patient-Centric Solutions

    In this enlightening episode of the Direct Care Movement podcast, Dr. Demetrio J. Aguila III engages with Colton Storla, a passionate employee benefits consultant from Cedar Rapids, Iowa. Together, they unravel the complexities of health insurance, employee benefits, and healthcare costs, shedding light on the misconceptions that often blur the lines between these critical areas. Colton shares his unique journey from aspiring strength and conditioning coach to navigating the intricate world of employee benefits, emphasizing the need for transparency and education in healthcare. Listeners will gain valuable insights into how to empower themselves as informed consumers, the importance of direct primary care, and innovative strategies for employers to reduce healthcare costs while improving care quality. This episode is essential for medical students, residents, and anyone interested in understanding the evolving landscape of healthcare. 00:00 – Introduction to the Direct Care Movement podcast 02:15 – Colton's journey from athletics to employee benefits 10:00 – The distinction between health insurance and healthcare 18:45 – Understanding the true costs of healthcare and insurance 27:30 – The role of direct primary care in improving patient outcomes 35:15 – How to create mutually beneficial arrangements in healthcare 42:00 – Advice for medical professionals entering the field Resources: Colton Storla LinkedIn Connect with Dr. Aguila https://www.totalpainsolutions.net https://m25program.com https://www.linkedin.com/in/demetrio-j-aguila-iii-md-ma-facs-37208413/ https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/ https://www.instagram.com/totalpainsolutions/ https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos Find More info on this series and other podcasts on the Influent Network at HeyInfluent.com Follow the Influent Network on Social Media: LinkedIn | Twitter (X) | YouTube | TikTok | Instagram | Facebook    The Influent Network is where emerging healthcare professionals and esteemed medical experts converge. Our platform is a straightforward resource for career development, financial planning, practice management, and investment insights, designed to foster strong professional connections.   Powered by Hurrdat Media See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    39 min
  3. 03/19/2025

    Redefining Healthcare Economics: Tyler Hall on Direct Care Models & Employer Empowerment

    In this episode of the Direct Care Movement podcast, Dr. Demetrio J. Aguila III engages in a thought-provoking discussion with Tyler Hall, founder of CommonCare. Together, they delve into the intricate relationship between healthcare and finance, exploring how employers play a pivotal role as major payers in the healthcare ecosystem. Tyler shares his journey from tax practitioner to innovator in the health benefits space, revealing how CommonCare empowers employers to administer their own group health plans without relying on traditional insurance carriers. This episode uncovers the complexities of the healthcare system, the importance of transparency, and how direct care models can enhance patient care while ensuring fair compensation for physicians. Whether you're a medical student, resident, or seasoned healthcare professional, this conversation offers valuable insights into the future of direct care. Timestamps: 00:00 – The Direct Care Movement podcast explores the intersection of money and medicine 02:15 – Tyler Hall shares his background in healthcare and founding CommonCare 08:30 – Understanding the role of employers as major payers in healthcare 15:45 – How CommonCare enables employers to create their own group health plans 22:10 – The benefits of direct care for physicians and patients alike 30:00 – Addressing the misconceptions around primary care and direct care models 35:25 – Success stories from CommonCare and the growing demand for direct care 42:50 – How medical students and residents can get involved in direct care Connect with Dr. Aguila https://www.totalpainsolutions.net https://m25program.com https://www.linkedin.com/in/demetrio-j-aguila-iii-md-ma-facs-37208413/ https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/ https://www.instagram.com/totalpainsolutions/ https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos Find More info on this series and other podcasts on the Influent Network at HeyInfluent.com Follow the Influent Network on Social Media: LinkedIn | Twitter (X) | YouTube | TikTok | Instagram | Facebook    The Influent Network is where emerging healthcare professionals and esteemed medical experts converge. Our platform is a straightforward resource for career development, financial planning, practice management, and investment insights, designed to foster strong professional connections.   Powered by Hurrdat Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    47 min
  4. 03/19/2025

    Navigating Healthcare Complexity: Jared Meays on Benefits Advisors and Direct Care Solutions

    In this thought-provoking episode of the Direct Care Movement podcast, Dr. Demetrio J. Aguila III engages with Jared Meays, an employer benefit advisor with over a decade of experience in the healthcare sector. Together, they unravel the complex relationship between employers, insurance, and physicians, shedding light on how these connections impact patient care. Jared shares his insights on self-funded insurance plans, explaining how employers can take charge of their healthcare costs while ensuring timely payments to physicians. The conversation also highlights the challenges physicians face in the current healthcare landscape, including the burdens of billing and the importance of transparency. This episode is essential for medical professionals, employers, and anyone interested in the future of healthcare. Timestamps: 00:00 – Introduction to the complexities of healthcare financing 03:15 – What is a benefits advisor and why is it important? 10:45 – The connection between employers and physicians in self-funded plans 20:30 – Understanding financial risk in healthcare 30:00 – The impact of pharmaceutical costs on employer healthcare plans 40:15 – How direct care can improve patient-physician relationships 50:00 – Aligning incentives for better healthcare outcomes 01:00:00 – Final thoughts and advice for future physicians Resources: Jared Meays LinkedIn Connect with Dr. Aguila https://www.totalpainsolutions.net https://m25program.com https://www.linkedin.com/in/demetrio-j-aguila-iii-md-ma-facs-37208413/ https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/ https://www.instagram.com/totalpainsolutions/ https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos Find More info on this series and other podcasts on the Influent Network at HeyInfluent.com Follow the Influent Network on Social Media: LinkedIn | Twitter (X) | YouTube | TikTok | Instagram | Facebook  The Influent Network is where emerging healthcare professionals and esteemed medical experts converge. Our platform is a straightforward resource for career development, financial planning, practice management, and investment insights, designed to foster strong professional connections. Powered By Hurrdat Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    52 min
  5. 03/19/2025

    Building a Healthier Future: Dave Chase on Empowering Communities through Direct Care

    In this episode of the Direct Care Movement podcast, Dr. Demetrio J. Aguila III engages with Dave Chase, a visionary leader in healthcare reform and co-founder of Health Rosetta. Together, they explore the intricate relationship between money and medicine, emphasizing the need for transparency and community-driven solutions in healthcare. Dave shares his personal journey that led to the creation of Health Rosetta, a movement aimed at rebuilding health plans from the ground up, putting the power back into the hands of communities. Discover how the direct care movement aligns with Health Rosetta's mission, and learn about the innovative strategies being employed to address the inefficiencies plaguing the healthcare system. This episode is essential listening for medical professionals, students, and anyone interested in transforming healthcare into a more equitable and accessible system. Timestamps: 00:00 – Introduction to the intersection of money and medicine 02:45 – Dave Chase discusses the genesis of Health Rosetta 10:15 – The impact of community-driven health plans 20:40 – How direct primary care fits into the success of health plans 35:12 – Real-world examples of successful health plan implementations 42:50 – The importance of engaging with local communities in healthcare Resources: Learn More about Health Rosetta! Connect with Dr. Aguila https://www.totalpainsolutions.net https://m25program.com https://www.linkedin.com/in/demetrio-j-aguila-iii-md-ma-facs-37208413/ https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/ https://www.instagram.com/totalpainsolutions/ https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos Find More info on this series and other podcasts on the Influent Network at HeyInfluent.com Follow the Influent Network on Social Media: LinkedIn | Twitter (X) | YouTube | TikTok | Instagram | Facebook  The Influent Network is where emerging healthcare professionals and esteemed medical experts converge. Our platform is a straightforward resource for career development, financial planning, practice management, and investment insights, designed to foster strong professional connections. Powered By Hurrdat Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    52 min
  6. 03/19/2025

    Breaking Free from the System: Dr. Steve Borene on Autonomy, Direct Care, and Patient-Centric Solutions

    In this episode of the Direct Care Movement podcast, Dr. Demetrio J. Aguila III engages with Dr. Steve Borene, an anesthesiologist and co-founder of Renovo Health, as they explore the intricate relationship between medicine and finance. Dr. Borene shares his unique journey into medicine, revealing how his experiences led him to establish a direct pay surgery center that prioritizes patient care over profit. Together, they discuss the challenges faced by physicians in today's healthcare system, the frustrations of navigating insurance dependencies, and the importance of transparency in patient relationships. This episode is essential listening for medical professionals, students, and anyone interested in understanding the evolving landscape of direct care. Join us as we uncover the potential for a healthcare system that truly serves patients and restores physician autonomy. Timestamps: 00:00 – Introduction to the Direct Care Movement podcast 01:15 – Dr. Borene shares his background and path to medicine 07:40 – The challenges of working in a traditional healthcare setting 15:30 – The founding of Renovo Health and its mission 24:00 – Exploring the concept of being an "accessory to a crime" in healthcare 35:15 – The importance of understanding the financial aspects of patient care 42:50 – Dr. Borene's advice for new medical professionals Resources: Learn more about Renovo Health here! Connect with Dr. Aguila https://www.totalpainsolutions.net https://m25program.com https://www.linkedin.com/in/demetrio-j-aguila-iii-md-ma-facs-37208413/ https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/ https://www.instagram.com/totalpainsolutions/ https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos Find More info on this series and other podcasts on the Influent Network at HeyInfluent.com Follow the Influent Network on Social Media: LinkedIn | Twitter (X) | YouTube | TikTok | Instagram | Facebook  The Influent Network is where emerging healthcare professionals and esteemed medical experts converge. Our platform is a straightforward resource for career development, financial planning, practice management, and investment insights, designed to foster strong professional connections. Powered By Hurrdat Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    43 min
  7. 03/19/2025

    The Value of Independence in Healthcare: Insights from Preston Alexander on Direct Care Models

    In this episode of the Direct Care Movement podcast, Dr. Demetrio J. Aguila III sits down with Preston Alexander, a passionate advocate for independent healthcare practices. Preston shares his journey from the corporate world of medical devices to the realm of healthcare entrepreneurship, highlighting the critical role physicians play in reshaping the business of medicine. Together, they explore the complexities of healthcare regulations, the importance of clinician-led practices, and how independent models can enhance patient care while reducing costs. Preston emphasizes the need for physicians to take charge of their business decisions, advocating for a shift towards transparency and direct relationships with patients. This episode is a treasure trove of insights for medical students, residents, and anyone interested in the future of healthcare. Tune in to discover how you can be part of the direct care revolution. 00:00 – Introduction to the Direct Care Movement podcast 02:15 – Preston's journey from medical devices to healthcare entrepreneurship 10:30 – The disconnect between healthcare business and patient care 18:45 – Why physicians should lead the business side of healthcare 25:10 – The advantages of independent practices for patient care 33:50 – Navigating the complexities of starting a direct care practice 42:15 – Advice for residents considering independent practice Resources: Connect with Dr. Aguila https://www.totalpainsolutions.net https://m25program.com https://www.linkedin.com/in/demetrio-j-aguila-iii-md-ma-facs-37208413/ https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/ https://www.instagram.com/totalpainsolutions/ https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos Find More info on this series and other podcasts on the Influent Network at HeyInfluent.com Follow the Influent Network on Social Media: LinkedIn | Twitter (X) | YouTube | TikTok | Instagram | Facebook  The Influent Network is where emerging healthcare professionals and esteemed medical experts converge. Our platform is a straightforward resource for career development, financial planning, practice management, and investment insights, designed to foster strong professional connections. Powered By Hurrdat Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    41 min

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About

Welcome to the Direct Care Movement podcast, where we explore the transformative world of free-market medicine and direct care. Each episode reveals how these patient care models make healthcare more affordable, accessible, and transparent. Discover how free market and direct care shift away from conventional practices, empowers patients to make their own decisions and give doctors the freedom to provide personalized care without middlemen. Learn how this approach enhances doctor satisfaction and patient outcomes. From direct surgical practices with house calls to navigating insurance barriers in sports medicine, we showcase how these models enable physicians to follow their passions and achieve remarkable results. We also discuss the freedom of direct primary care and its role in fostering innovative multispecialty collaborations. Join us as we address the challenges and opportunities in the free market movement, share strategies for transitioning to direct care, and highlight the latest innovations. Whether you're a healthcare professional, patient advocate, or curious about the future of medicine, our podcast provides a deep dive into this exciting shift and how you can engage with it. Demetrio J. Aguila III, MD, MA, FACS is a diplomate of the American Board of Plastic Surgery and the American Board of Otolaryngology, specializing in peripheral nerve surgery and the surgical management of acute and chronic pain, as well as general plastic, reconstructive, and microsurgery and general otolaryngology. As a world-renowned peripheral nerve surgeon, Dr. Aguila regularly sees patients from 50 states and 25 foreign countries. He is the only surgeon in Nebraska, Iowa, Colorado, and South Dakota to offer micro-invasive carpal tunnel surgery with real-time ultrasound guidance, allowing patients to return to work the same day, without restrictions. Dr. Aguila is a founding member of the International Surgical Society for Nerve-Induced Pain. Dr. Aguila is also an active member of numerous other organizations, including the American Society for Peripheral Nerve, American Society of Pain and Neuroscience, International Headache Society, American Headache Society, American Society for Regional Anesthesia and Pain Medicine, the Society of Physician Entrepreneurs, the Catholic Medical Association, and the Free Market Medical Association. Dr. Aguila currently serves as the Leader of the Nebraska Chapter of the Free Market Medical Association. Connect with Dr. Aguila https://www.totalpainsolutions.net https://m25program.com https://www.linkedin.com/in/demetrio-j-aguila-iii-md-ma-facs-37208413/ https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE/ https://www.instagram.com/totalpainsolutions/ https://www.youtube.com/@TotalPainSolutionsbyHHNE/videos

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