INFORMAZIONI SU QUESTO EPISODIO
The health insurance industry spent 2025 telling everyone it had just lived through its worst year in over a decade. Read the filings and what you find are write-downs. Nobody wrote a check. On Out of the System I walk through what the first half of 2026 actually looks like from the payer side, where premiums were repriced and claims were paid out at a smaller share of every dollar collected. Three orthopedic surgeons sat down with me in Los Angeles this week and every one of them opened with the same question about their reimbursement. This is the arithmetic behind that question, and what I think doctors should do with it.
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About the Host:
Matthew Gillogly is the host of Out of the System and the founder and CEO of the Mavrix Profit System. He is not a doctor, and he treats that as the advantage. While physicians were learning anatomy, he was learning business anatomy, and he brought it into medicine as an operator. He ran three clinics in North Carolina under a management arrangement built by the letter of the law, where the doctor owned the practice and made every clinical call and his company carried the business side, and those clinics became the number one provider of men's sexual health solutions in their market before he sold them.
He built Mavrix to hand that playbook to physicians who want out of insurance-dependent care, and he and his team have worked with hundreds of doctors on cash and direct-pay models. Much of that work happens in the room: Dominion Path Days, where a physician spends a day with him and leaves with a full review of the business. He spends the rest of his time making the same argument he makes here, that the system is not broken, it is working exactly as it was designed to work, and the people it works worst for are the ones who trained the longest.
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