Insurance didn’t almost break him. Believing he needed it did.
In this episode of the Out of the System Podcast, Dr. Ashu Goyle shares how he went from performing 40 to 50 procedures a day inside a private equity pain practice to opening his own clinic, falling into deep debt, and nearly losing everything. A financial wake-up call forced him to wean off insurance, reset his value, and rebuild around outcomes instead of procedures.
Today, he sees four patients a day, gives them his personal cell phone, runs six-month healing programs, and refers out anything he cannot do exceptionally well. He discusses meditation, identity shifts, dropping Medicare, and the moment his revenue 10X’d after committing fully to cash pay. This episode breaks down what it really takes to leave the system and rebuild on your own terms.
Dr. Ashu Goyle is a board-certified anesthesiologist and fellowship-trained pain specialist who completed his residency and pain fellowship at the Cleveland Clinic. After years practicing traditional high-volume interventional pain management within a private equity–backed group, he left corporate medicine to build his own outcome-focused, biologics-based practice.
Today, he runs Integrated Spine, Pain & Wellness in Scottsdale, Arizona, where he specializes in orthobiologics, regenerative spine treatments, and comprehensive healing programs designed around long-term outcomes rather than insurance-driven procedures. He is passionate about personalized medicine, meditation, and helping physicians break free from the constraints of the traditional insurance system.
Website: ispwscottsdale.com
LinkedIn: https://www.linkedin.com/in/dr-ashu-goyle-b3bbb7245/
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