Ep. 66 - Preston Alexander Outlines how Physicians can Reclaim Independence (08/26/25)

Join Working Healthcare’s Meredith Hirsh and Mike Chavez as they confront the drastic drop in physician-owned practices and the consolidation that drives costs higher. Meet revenue-cycle rebel Preston Alexander, founder of Forward Slash / Health and author of the “Healthcare Breakdown” newsletter, who dubs himself the “Taylor Swift of LinkedIn healthcare writing.” He argues progress comes from three bold levers: legislation; direct-pay and membership models that bypass middlemen. Preston hammers succession planning, warning that without affordable junior partner buy-ins, independence dies with founders. Meredith and Mike press on practical education, asking where the business of medicine fits in packed curricula and how to track the earliest cash-flow vital signs before a clinic suffocates. Find out which specialty is at the lowest percentage and which reigns the ruler of independent medicine and why. What are the first questions to ask when private equity flashes a fat check. Listen, question and act to reclaim the craft of medicine.