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June 3, 2025 31 mins

The Direct Care Toolkit: How to Start Without Burning It All Down

Episode Description:
What if you could leave behind the chaos of insurance-based care—without blowing up your schedule, your sanity, or your team culture?

In this episode of Opt-Out: The Kara Foster OD Show, Dr. Kara shares her complete Direct Care startup toolkit, built from the ground up after leaving the insurance grind behind. She breaks down the exact steps to transition your practice with clarity and confidence, including:

  • How to price your services fairly and transparently

  • Sample schedules that prioritize both revenue and relationships

  • Legal considerations (including Medicare opt-out!)

  • Scripts for front desk, doctor, and optical staff

  • How to get your team on board—and your patients excited

  • Marketing that feels aligned, not awkward

Plus, a sneak peek at next week’s episode: a deep dive into how insurance really works, featuring the viral "restaurant analogy" that will change how you see the entire system.

This is the episode you need if you’re ready to practice medicine on your terms—and still sleep at night.

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