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Going Direct Conversations
Going Direct
33 episodes
2 days ago
Going Direct explores the decentralization of the real economy and how new technologies can bring us closer to the products we buy and the people who make them. We feature conversations with entrepreneurs, creators, engineers, and policymakers building new systems around how we produce, distribute, and sell products. If you want to help create this future, come join us!
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All content for Going Direct Conversations is the property of Going Direct and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Going Direct explores the decentralization of the real economy and how new technologies can bring us closer to the products we buy and the people who make them. We feature conversations with entrepreneurs, creators, engineers, and policymakers building new systems around how we produce, distribute, and sell products. If you want to help create this future, come join us!
Show more...
Technology
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#24 Alex Barrett: The Canadian Going After Corporate Health Care In the US
Going Direct Conversations
53 minutes 56 seconds
4 months ago
#24 Alex Barrett: The Canadian Going After Corporate Health Care In the US

Jordan sits down with Alex Barrett, founder of Meroka, a company on a mission to rebuild independent medical care in the U.S. They are focused on helping independent medical practices stay independent by transitioning ownership to existing employees and building an entire tech stack to help them run the practices. No more private equity rollups or corporate burnout for physicians.

If you care about decentralization of our healthcare system and keeping local businesses in the hands of the community, this one’s for you. Enjoy.


Follow Jordan on X: https://x.com/jrwolfe


Links to Alex's Work:

  • Meroka – https://meroka.com
  • Follow Alex on LinkedIn: https://www.linkedin.com/in/alex-barrett/
  • Contact: alex@meroka.com


Key Influences and Resources Mentioned:

  • Physicians Advocacy Institute Report/Avelere Report on physician employment & consolidation - https://www.physiciansadvocacyinstitute.org/PAI-Research/PAI-Avalere-Study-on-Physician-Employment-Practice-Ownership-Trends-2019-2023
  • Yoni Rechtman’s private practice investment thesis at Slow Ventures - https://99d.substack.com/p/our-private-practice-thesis
  • Shopify as a model for decentralization - https://www.shopify.com/


Chapters:

00:00 Introduction

00:42 Consolidation Of The Healthcare Industry In The US

02:43 Who Actually Owns Medical Practices?

04:33 Dirty Secret Of Flat Reimbursement Rates

06:07 Different Ownership Models Of US Medical Practices

10:33 Administrative Burdens On Independent Practices

16:14 Transitioning Ownership In Medical Practices

23:41 Introducing Meroka

30:02 Meroka Vision And Business Model

31:45 What’s It Like To Work With Meroka

33:23 Private Equity In Healthcare

37:08 Funding And Liquidity For Independent Practices

39:03 Building A Technology Backbone For Independent Practices

45:00 US vs. Canadian Healthcare

46:50 Why Alex Is Doing This Work

49:36 Rapid Fire: Trends, Myths & Mentors


📢 Subscribe & Follow

📰 Join the Substack – https://goingdirect.substack.com

🎧 Listen on Spotify – https://spoti.fi/3SjDliK

📺 Subscribe to YouTube for more conversations on decentralizing the real economy - https://www.youtube.com/@goingdirect_

Going Direct Conversations
Going Direct explores the decentralization of the real economy and how new technologies can bring us closer to the products we buy and the people who make them. We feature conversations with entrepreneurs, creators, engineers, and policymakers building new systems around how we produce, distribute, and sell products. If you want to help create this future, come join us!