Every hospital, clinic, and doctor wants growth. Only a few know what really drives it.
Healthcare Business Growth Conversations brings you unfiltered stories and strategies from doctors turned entrepreneurs who’ve built successful healthcare practices and medical brands.
Hosted by Austin Lovvorn and Rakesh Reddy from Orange Carrot Media, this podcast bridges two worlds, U.S. and Indian healthcare, sharing practical lessons, marketing frameworks, and growth stories you can apply to your own practice.
Why She Added Insurance to a Thriving Cash-Pay Practice - With Sharon Lemoine
Most healthcare practices begin with insurance and explore cash pay later. Sharon Lemoine built hers in exactly the opposite direction, and added insurance back in for a reason most owners don't admit out loud.
After 25 years in emergency medicine, Sharon left corporate healthcare and built Gig Harbor Medical Spa and Concierge Medicine from the ground up. She started 100% cash pay, grew a thriving practice, and a few years in added select insurance contracts, not just for community access, but as a hedge against the risk that her cash-paying patients' spending could dry up in a downturn.
In this episode of Healthcare Business Growth Conversations, Sharon explains:
• What running a restaurant through COVID taught her about business
• Why she left corporate emergency medicine
• The advantages and limitations of a cash-pay practice
• Why she really added insurance after several years in business
• What changed operationally when she began accepting insurance (credentialing, software, staffing)
• Why she still doesn't bill Medicare directly
• How word of mouth, Google, and early marketing helped attract patients
• How her concierge membership creates a third, recurring revenue layer
• Why building the right team is critical for scaling without burning out
Reach Sharon Lemoine:
Instagram: https://www.instagram.com/theconciergenp_/ (https://www.instagram.com/theconciergenp_/)
Linkedin: https://www.linkedin.com/in/sharon-lemoine-arnp-fnp-a2529070/ (https://www.linkedin.com/in/sharon-lemoine-arnp-fnp-a2529070/)
Website: https://gigharbormedicalspa.com/ (https://gigharbormedicalspa.com/)
29 Aug 2026
It's Not Burnout, It's Moral Injury - with Dr. Aric Coffman, CEO of P3 Health Partners
Most people think healthcare gets better by adding more doctors, more technology, or more hospitals. Dr. Aric Coffman thinks the real problem is the business model behind it.
He spent 17 years as a surgeon before walking away from the operating room. His reason: he kept watching patients fall through the cracks of a system that, in his words, was "sicker than a lot of my patients were." Now he is CEO of P3 Health Partners, a physician-led population health company, and he is fixing a value-based-care business in public, in the middle of a real turnaround.
In this conversation with host Rakesh Reddy, Coffman makes the case that physician burnout is not a personal-resilience problem. It is structural. He calls it moral injury: the slow damage of asking doctors to optimize for volume when everything that pulled them into medicine is about the patient in front of them.
What you'll learn:
Why he refuses to call it "burnout" and what "moral injury" actually means
"No one went to medical school to be a winner at RVUs" and why volume-based feedback breaks good doctors
Why resilience, work-life balance, and meditation are not the fix, and what values congruence is
The questions a practice owner should actually ask a physician (past the EMR and prior-auth complaints)
What value-based care means, translated for the doctor listening and not the investor
The first move a small independent practice can make toward getting paid for outcomes
Why roughly a quarter of visits, by his gestalt, don't need to happen, and the demand-capacity fix
How a tiny share of patients drives most of the cost, and how to manage a panel around that
What P3's comeback taught him, and the hardest call he had to make
Where AI in primary care is real and where it is still a demo ("augmented intelligence," not artificial)
Whether you own a practice, employ physicians, or are a doctor wondering whether the exhaustion is you or the system, this is the honest version of the value-based-care conversation.
Connect with Dr. Aric Coffman:
Company: P3 Health Partners (NYSE: PIII)
Website: https://p3hp.org/ (https://p3hp.org/)
LinkedIn: https://www.linkedin.com/in/aric-coffman-md-mba-b23b32b/ (https://www.linkedin.com/in/aric-coffman-md-mba-b23b32b/)
Host: Rakesh Reddy
Podcast: Healthcare Business Growth Conversations
22 Aug 2026
The Practice Risks Insurance Won't Cover - With Van Carlson
Most practice owners insure their malpractice and their building, then leave the risks most likely to actually disrupt the business completely unprotected. Reputation. Audits. Cyber. Business interruption. A key provider going down.
In this conversation with host Rakesh Reddy, Van Carlson, Founder and CEO of SRA 831(b) Admin, walks through the gaps traditional insurance was never built to cover, using real cases from med spas, dental practices, and specialty clinics.
One of them: a client who got sued after a patient's death, did nothing wrong, and still watched his malpractice carrier settle because, in Van's words, "malpractice is a math problem." The local coverage and the fake reviews that followed took a PR firm and 18 months just to get revenue back to normal.
What you'll learn:
Why your malpractice and property coverage leave your most valuable assets (reputation, cash flow, patient base) completely exposed
"Malpractice is a math problem": what your carrier is actually optimizing for, and why it isn't your reputation
How a Medicare or Medicaid audit disrupts a practice, and the toll it takes on the doctor personally
The COVID lesson most owners still haven't acted on: business interruption you can't insure the traditional way
Why cyber policies now carry the most exclusions, including "act of war" language that can void a breach claim
The blind spot almost no one plans for: losing a key revenue-generating provider
The 831(b) structure explained simply as "an HSA for business owners," and who it is genuinely NOT a fit for
The one thing to do this week to find your biggest unprotected risk
This episode is educational and not tax or legal advice. Talk to your own CPA and counsel before making any decision.
Connect with Van Carlson:
Website: 831b.com (http://831b.com)
Email: van@831b.com (mailto:van@831b.com)
Host: Rakesh Reddy
Podcast: Healthcare Business Growth Conversations
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