In this episode of the Cash Practice Solution Podcast, Dr. J sits down with world-renowned ultrasound and regenerative medicine expert Dr. Randy Moore to explore how cash-based practices deliver better outcomes, more clinical freedom, and a renewed sense of purpose for physicians.

Together, they break down why insurance-based medicine limits growth, blocks innovation, and prevents doctors from offering advanced therapies like stem cell treatments, PRP, regenerative medicine procedures, and ultrasound-guided injections. Dr. Moore shares his journey as an educator and clinician, and the two discuss the “virtuous cycle” created when a practice is unshackled from insurance and able to invest in better training, better tools, and better care.

You’ll hear real patient stories, learn how regenerative therapies fit perfectly into the cash practice model, and discover why ultrasound is the backbone of precise MSK treatment. Dr. Moore also announces his upcoming PRP Fellowship Program, a year-long training designed to elevate clinicians beyond weekend-course knowledge and into true mastery.

If you’ve been searching for a better way to practice medicine, this episode highlights how cash-based care, modern regenerative medicine, and the right training can help you deliver outcomes that patients will pay for—and will tell the world about.

In This Episode You’ll Learn:

• Why cash practices outperform insurance-based models in patient outcomes

• How regenerative medicine, PRP, and stem cell therapy integrate seamlessly into cash-based care

• The importance of ultrasound-guided injections for MSK and regenerative treatments

• How cash practices reduce burnout and restore clinical joy

• Training pathways to become highly skilled in ultrasound and regenerative medicine

• The mindset shift physicians need to thrive outside insurance

Are you running a cash practice and feeling like you’re slipping behind in the era of AI, ambient charting, and automated EMRs? You’re not alone. If your charts aren’t magically writing themselves, if your staff still answers phones instead of an AI chatbot, or if AI tools feel more like pressure than progress—this episode is made for you.Welcome to The Cash Practice Solution Podcast, the show dedicated to helping private, cash-based practices thrive using smart, practical systems—not hype. I’m your host, Dr. J, and today we’re diving deep into the real impact of AI in a modern cash practice and how to stay in control while this AI tidal wave rushes toward medicine.In this episode, we break down what AI actually does in a clinical environment—and what it can’t do. You’ll learn:✔ The truth about “kind” vs. “wicked” AI environmentsWhy grammar checking and documentation cleanup are easy wins for AI…And why diagnostics, primary care complexity, and patient nuance are still far beyond ambient AI systems.✔ Why AI diagnostic tools are expensive, limited, and often misleadingWe explore the gap between single-issue expert systems (ADD, depression, menopause, prostate health) and real-world patient encounters.✔ The hidden dangers of ambient AI in exam roomsAccuracy drops over timeAccent misinterpretationPrivacy violationsPermanent medical record creationLegal exposureAutomation biasLoss of patient trustYou’ll hear how real patient encounters require discernment AI cannot replicate—and why over-relying on ambient AI can create bigger problems than it solves.✔ Why human connection still outperforms every AI tool availableHealthcare happens in “wicked environments”—where connection, intuition, and listening matter more than perfectly transcribed conversations.💡 The Cash Practice Advantage: AI That Actually HelpsThis episode is proudly powered by Esprē Health, the ultimate cash practice EMR and operating system built specifically for physicians who want:Seamless, stress-free operationsAI tools that save time instead of creating headachesPrivate, secure, non-insurance clinical workflowsA system refined over 20+ yearsSupport for deep diagnostic interviewingTools that help doctors make better decisions—not replace themEsprē Health isn’t an ambient AI gimmick. It’s a full clinical operating system designed for real, patient-centered cash practice care.Explore more at EsprēHealth.com.✨ Why This Matters to Every Cash Practice PhysicianIf you're building—or running—your own cash-based practice, the wave of AI tools, EMRs, and automated solutions can feel overwhelming. But you don’t need to become an AI expert overnight. You don’t need to chase every shiny new widget. You simply need tools that make your practice:More profitableMore efficientMore patient-centeredMore privateMore humanAI should support your expertise—not replace it.This episode gives you the grounded truth about how to use AI wisely while protecting your clinical judgment, patient trust, and professional freedom.📌 Stay Connected & Keep Your Practice ThrivingIf you want to build a stronger, smarter, more profitable cash practice, subscribe now—we release weekly episodes to help you:Launch a new cash practiceOptimize an existing cash practiceImplement the best EMR for cash practicesUse AI safely and effectivelyImprove patient connection and outcomesCreate a practice you love📍 Explore Esprē Health Your EMR Upgrade:EsprēHealth.com

Welcome to the Cash Practice Solution Podcast — powered by Esprē Health, the next-generation cash practice EMR and AI-enabled clinical workflow platform designed for Direct Primary Care (DPC), concierge medicine, and private pay practices who are DONE with insurance burnout and ready to build a practice they love.

This show exists to help doctors, NPs, and healthcare teams transition out of the third-party system and into a sustainable, profitable, relationship-centered cash practice model — without the fear, chaos, or overwhelm. If you’ve been dreaming of leaving insurance, billing codes, and endless documentation requirements behind, this is your roadmap.

Today’s episode tackles one of the most common fears clinicians have when considering a move to cash practice or DPC:
“What if I fail?”
What if you leave the “safe” insurance system and your practice doesn’t survive? What if you can’t make a living? What if your community doesn’t respond? What if you’re the one rare practitioner who can’t build a successful private-pay model?

Here’s the truth: We’ve never seen that happen. Doctors and NPs transitioning to cash practice reliably hit break-even within 3–6 months — often faster — when they have the right support, the right model, the right technology, and the right mentoring.

In this episode, Dr. J breaks down:

• Why cash practice is growing faster than ever as burnout and bureaucracy push clinicians out of hospital and insurance-based systems.

• Why your relationship with your patient IS the brand — and how embracing it transforms both clinical outcomes and business success.

• The top 4 rookie mistakes that derail new DPC practices — and how to avoid all of them:

  1. Choosing the wrong location or community fit.

  2. Hiding behind the practice instead of being the brand.

  3. Trying to do everything alone without support or mentorship.

  4. Overspending and assuming you need expensive equipment or huge buildouts.

We explore the organizations, communities, maps, and real-world resources that help you launch faster and smarter:

• DPC Alliance — education + mentorship

• DPC Frontier — regulatory guidance + national practice map

• Doximity networking groups for DPC clinicians

• Peer mentorship that replaces expensive consultants

• Free podcasts, free webinars, and free case study content

We also dig into how technology can make — or break — your cash practice, and why the EMR you choose matters more when you are relationship-centered, not volume-centered.

Esprē Health is built specifically for:

• Direct Primary Care Physicians

• Concierge Practices

• Functional Medicine + Integrative clinicians

• NP-led boutique and wellness practices

• Solo, micro, and hybrid cash practices

Featuring:

• Human-centered charting workflows

• Built-in AI decision support

• Simplified membership + direct payment tools

• No billing codes. No insurance logic. No junk documentation.

If you're ready to run your practice instead of your practice running you, this is your home.

🎧 SUBSCRIBE for weekly training on:

• Cash practice startup models

• Pricing + membership structure

• Relationship-driven marketing

• Patient retention + referrals

• Clinical workflow + EMR strategy

• Team training + culture building

💡 Feeling inspired but uncertain where to start?
Visit CashPracticeSolution.com for free tools, resources, checklists, and implementation guidance.

🩺 Ready to break up with your old EMR?
Explore the platform clinicians say feels like “finally, software that understands how I practice.”
➡️ EsprēHealth.com

Listen. Learn. Love your patients. Build a practice you love.
You are not alone — and you can do this.