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/jrwolfeLinks to Alex's Work:Meroka – https://meroka.comFollow Alex on LinkedIn: https://www.linkedin.com/in/alex-barrett/Contact: [email protected] 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-2019-2023Yoni 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 Introduction00:42 Consolidation Of The Healthcare Industry In The US02:43 Who Actually Owns Medical Practices?04:33 Dirty Secret Of Flat Reimbursement Rates06:07 Different Ownership Models Of US Medical Practices10:33 Administrative Burdens On Independent Practices16:14 Transitioning Ownership In Medical Practices23:41 Introducing Meroka30:02 Meroka Vision And Business Model31:45 What’s It Like To Work With Meroka33:23 Private Equity In Healthcare37:08 Funding And Liquidity For Independent Practices39:03 Building A Technology Backbone For Independent Practices45:00 US vs. Canadian Healthcare46:50 Why Alex Is Doing This Work49:36 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_

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