Neil Machhar, CEO & co-founder of Greenbrook Medical, joins Frederik Mueller for a deep dive into revolutionizing senior primary care. Neil reveals the bold strategies behind bootstrapping, scaling, and keeping patient engagement at the heart of it all when launching Greenbrook in 2021. They break down key metrics, smart outsourcing, and hard-won lessons in building a high-touch, sustainable healthcare practice.

TIMESTAMPS:(00:00) Introduction to Patient Engagement(01:17) Welcome to the Healthcare Ops Wave(01:42) Meet Neil Machar: Background and Journey(03:51) The Birth of Greenbrook Medical(04:27) Understanding the Business Model(05:30) Challenges and Insights on Risk Adjustment(10:40) Operational Strategies and Growth(13:11) Scaling and Leadership(22:22) In-House vs. Outsourcing Decisions(32:53) Metrics and Performance Tracking(36:00) Conclusion and Final Thoughts

🔔 Subscribe to Healthcare Ops Wave for more episodes on the people driving healthcare operations forward!

🌐 Learn more about Neil Machhar and Greenbrook Medical:Greenbrook Medical's Website: https://greenbrookmedical.com/LinkedIn: https://www.linkedin.com/company/greenbrook-medical/Neil Machhar: https://www.linkedin.com/in/neilmachhar/Twitter: https://x.com/machharneil?lang=en

🤝 Work with us:For partnership opportunities, contact us at: healthcareopswave@thirdway.health

🎙️ About Healthcare Ops Wave:Healthcare Ops Wave (HOW) dives deep into the humans behind health care operations. Learn from the best operators about growing business, streamlining operations, scaling up practices, and serving millions of patients. Brought to you by Third Way Health. Subscribe for more!

In this episode, Frederik Mueller sits down with Nick Soman, Co-Founder and CEO of Decent, who’s on a mission to shake up health insurance with direct primary care. Nick shares the highs and lows of building a business to make healthcare more affordable, from regulatory hurdles to reinventing Decent’s model for small businesses. He dives into the power of a lean, tech-driven team, clear communication with international partners, and why resilience and innovation are essential for transforming healthcare.

TIMESTAMPS:

(00:00) Intro & Nick’s Background

(03:43) Evolution & Mission of Decent

(08:45) Adapting to Operational Shifts

(11:03) The Impact of Direct Primary Care

(12:54) Facing Setbacks and Strategic Pivots

(16:07) Rebuilding with a Smaller Team

(20:38) Leveraging Global Talent AI

(24:02) Challenges & Opportunities in Healthcare Jobs

(25:40) Global Perspectives: Lessons from the Philippines

(29:51) Effective Communication and Documentation

(35:14) Leadership within Async Culture & Remote Work

(41:01) Metrics and Goals: Measuring Success

(44:16) Embracing AI: Disrupt Yourself

(45:44) The Rising Cost of Healthcare

🔔 Subscribe to Healthcare Ops Wave for more episodes on the people driving healthcare operations forward!

🌐 Learn more about Decent & Nick Soman:

Decent’s Website and LinkedIn

Nick Soman's LinkedIn and Twitter

🤝 Work with us / Advertise on this podcast:

For partnership opportunities, contact us at: healthcareopswave@thirdway.health

🎙️ About Healthcare Ops Wave:

Healthcare Ops Wave (HOW) dives deep into the humans behind health care operations. Learn from the best operators about growing business, streamlining operations, scaling up practices, and serving millions of patients. Brought to you by Third Way Health, subscribe for more!

Julie Gessin, PA-C, is the COO of Schweiger Dermatology Group, a 90+ location dermatology practice with offices throughout NY, NJ, PA, CT, FL, IL, MN and MO, serving well over a million patients a year. Julie and Third Way Health CEO Frederik Mueller discuss lessons learned in managing operations, scaling up practices, outsourcing, and why it’s important for her to still see patients.