Is insurance a physician's lifeline, or a leash? Colin Rigney is joined by Matthew Gillogly, founder and CEO of Mavrix Profit System and author of Out of the System. Matthew is not a physician: he built three cash pay clinics, sold them, and now helps doctors leave insurance dependency and build practices they actually own. They talk about the squeeze on doctors and patients, private equity in healthcare, and why Matthew sees no future in insurance-based care. Then the business of a cash pay practice: why it is not only for the wealthy or the big city, who the core patient is, how to price so that price signals your skill, and why volume medicine is a false gospel when the true cost of a PRP injection is higher than most clinics charge. Just as important is the internal shift: Dr Janet Ang's first year in her own practice, two-way doors, the future self, and why "I'm trying" keeps doctors stuck. Matthew previews his opening keynote for the AMSKU Annual Global Summit '26 on 5 December: what the next 10 years hold for regenerative medicine and the doctors who choose agency over their lives.
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What this episode covers:
- Why regenerative medicine is growing worldwide, from England to Australia to Dubai
- The squeeze on doctors and patients, and why Matthew sees no future in insurance-based care
- Private equity in healthcare and what it means for outcomes
- Insurance isn't a lifeline, it's a leash: a business model no investor would back
- Want to double your profits? Raise your prices 11 percent
- Is cash pay only for the wealthy? Practices in Skaneateles and Wichita Falls say no
- Leaving the system: the technical side and the future self
- Dr Janet Ang: from $12,000 to $60,000 a month in cash
- Why "I'm trying" keeps doctors stuck: belief systems and the origin code
- Volume medicine is a false gospel: the real cost of a PRP injection
- How Matthew built and sold Carolina Men's Clinic
- The next 10 years in regenerative medicine: agency over your life
- Freeing 100,000 doctors by 2040, in the US and beyond
Links mentioned in this episode:
- Matthew's book, Out of the System: A Doctor's Guide to Reclaim Your Purpose, Power and Passion
- Mavrix Profit System
- Out of the System podcast, Apple
- Out of the System podcast, Spotify
- AMSKU Annual Global Summit '26, Saturday 5 December, online, opening keynote by Matthew Gillogly. Register or watch last year's playback
- Questions or comments? Reach us
- Every AMSKU MSK ultrasound course
New episodes every Tuesday. Watch on YouTube, or listen on Spotify and Apple Podcasts.
Chapters:
0:00 This week on From Probe to Practice
0:21 From Probe to Practice
0:34 Episode 10: Matthew Gillogly, founder of Mavrix Profit System
1:59 Regenerative medicine is going global
3:00 A massive shift in the medical landscape
4:57 Why there is no future in insurance-based care
8:17 The unintended consequences of the Affordable Care Act
11:33 A $1,100 MRI on insurance, or $350 cash
11:56 Private equity in healthcare
14:18 Insurance isn't a lifeline, it's a leash
17:51 Double your profits: raise prices 11 percent
18:50 Is cash pay only for the wealthy?
20:27 Cash pay in small towns and big cities
21:47 Leaving the system: overnight or step by step?
22:56 The future self: Dr Janet Ang's first year
24:33 Two-way doors
25:52 Price tells patients everything about your skill
27:40 10 percent of patients will pay 3 to 4 times more
28:20 The Mercedes dealership analogy
29:50 The Gap and the Gain
31:45 Rocky: filling the gaps
34:25 Epigenetics and the origin code
38:59 Why "try" keeps you stuck
40:42 Effort alone doesn't make success
42:05 Colin's father's practice
44:12 Volume medicine is a false gospel
45:11 Net profit, not revenue
48:28 The real cost of a PRP injection
49:42 Building Carolina Men's Clinic
52:48 The more we raised price, the more we sold
56:18 The next 10 years in regenerative medicine
57:27 Lessons from Detroit: let go of the past
1:00:04 Agency over your life
1:01:03 A global movement
1:01:29 Where to find Matthew: Out of the System
1:02:56 Matthew's AGS 2026 keynote
1:03:11 AMSKU Annual Global Summit '26
1:04:38 Watch last year's summit playback
0:00 This week on From Probe to Practice
0:21 From Probe to Practice
0:34 Episode 10: Matthew Gillogly, founder of Mavrix Profit System
1:59 Regenerative medicine is going global
3:00 A massive shift in the medical landscape
4:57 Why there is no future in insurance-based care
8:17 The unintended consequences of the Affordable Care Act
11:33 A $1,100 MRI on insurance, or $350 cash
11:56 Private equity in healthcare
14:18 Insurance isn't a lifeline, it's a leash
17:51 Double your profits: raise prices 11 percent
18:50 Is cash pay only for the wealthy?
20:27 Cash pay in small towns and big cities
21:47 Leaving the system: overnight or step by step?
22:56 The future self: Dr Janet Ang's first year
24:33 Two-way doors
25:52 Price tells patients everything about your skill
27:40 10 percent of patients will pay 3 to 4 times more
28:20 The Mercedes dealership analogy
29:50 The Gap and the Gain
31:45 Rocky: filling the gaps
34:25 Epigenetics and the origin code
38:59 Why "try" keeps you stuck
40:42 Effort alone doesn't make success
42:05 Colin's father's practice
44:12 Volume medicine is a false gospel
45:11 Net profit, not revenue
48:28 The real cost of a PRP injection
49:42 Building Carolina Men's Clinic
52:48 The more we raised price, the more we sold
56:18 The next 10 years in regenerative medicine
57:27 Lessons from Detroit: let go of the past
1:00:04 Agency over your life
1:01:03 A global movement
1:01:29 Where to find Matthew: Out of the System
1:02:56 Matthew's AGS 2026 keynote
1:03:11 AMSKU Annual Global Summit '26
1:04:38 Watch last year's summit playback
