The Direct Care Movement | Season 3 Episode 7
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.
Published on
March 19, 2025
Watch The Podcast

Chapters
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00:00 – Introduction to the Direct Care Movement podcast
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02:15 – Preston’s journey from medical devices to healthcare entrepreneurship
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10:30 – The disconnect between healthcare business and patient care
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18:45 – Why physicians should lead the business side of healthcare
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25:10 – The advantages of independent practices for patient care
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33:50 – Navigating the complexities of starting a direct care practice
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42:15 – Advice for residents considering independent practice