By Doctors For Doctors
Your practice. Your direction. Patients first.
Built by doctors who understand what it takes to practice independently.
Education and guidance for physicians weighing Medicare opt-out, direct-pay care, and a practice that depends less on insurance.
Why physicians look
Practice medicine the way you want to.
Physicians rarely come to us because they want to run a different kind of business. They come because they want more time with patients, and fewer things standing between the two of them.
Unhurried visits
Appointment length set by what the visit actually needs.
Time you control
A schedule shaped around care rather than volume targets.
Relationships that last
Knowing your patients over years, not single episodes.
Whether a different payment model gets you there depends on your specialty, your market, and your patients. That is the question worth working through carefully.
By Doctors For Doctors
You have options for how you practice.
Changing the way your practice is paid is a significant decision. OptOutMD helps you understand the options, identify the questions that matter, and approach the transition with your patients and practice in mind.
What physicians come to us to understand
- Medicare opt-out
- Cash-pay and direct-pay care
- Concierge medicine
- Hybrid models
- Reduced insurance dependence
- More control over time, revenue, and patient care
Two pathways
Where would you like to begin?
Medicare Opt-Out
Understand what Medicare opt-out involves, the questions to ask, and how to prepare for a potential transition.
Explore Medicare Opt-OutBeyond Insurance
Explore moving away from commercial insurance and what direct-pay, membership, or hybrid approaches could mean for your practice.
Explore Beyond InsuranceThese are distinct decisions. Your starting point depends on your current practice and your goals.
Planning the transition
A thoughtful transition considers the whole practice.
These are the areas worth working through before a change reaches your schedule, your team, or your patients.
Practice readiness
Your goals, current payment arrangements, team, and capacity for change.
Financial planning
Pricing assumptions, operating costs, patient demand, and transition cash flow.
Requirements and responsibilities
Questions for your legal, billing, and other professional advisers.
Patient communication
Clear explanations of payment changes, choices, and next steps.
Our approach
From questions to a clearer plan.
Begin with a conversation about where you are today and what you want to change. From there, we can discuss the education and guidance appropriate to your goals.
See Our Approach- Understand your starting point
- Explore your options
- Plan the transition
- Prepare your practice
Independence should keep patients at the center.
A different payment model changes the conversation with patients. Thoughtful planning includes clear information about costs, how the practice will work, and the choices available to them.
We built the kind of practice we wanted to work in. OptOutMD was created to help other physicians do the same.
The TruOrtho story
Built from a real independent practice.
OptOutMD did not start as a theory. The model was shaped by the work of building and operating TruOrtho, an independent orthopaedic practice.
Through TruOrtho, Dr. Amanda Marshall-Rodriguez has dealt firsthand with the questions physicians run into when they want more control over their time and operations, less unnecessary administrative burden, a better experience for their patients, and a practice that is sustainable to run.
The systems, decisions, and practical lessons that came out of that work shaped what OptOutMD offers other physicians today: a clearer path toward independent practice, informed by having actually done it.
Read about our missionReady to explore what greater practice independence could look like?
Request a ConsultationCommon questions
Answers before you reach out.
Who does OptOutMD work with?
We work with physicians and practice owners who are thinking about how their practice is paid. That includes physicians considering Medicare opt-out, physicians weighing a move away from commercial insurance, and physicians who simply want to understand the landscape before deciding anything.
Read the full answerIs this only for orthopedic surgeons?
No. Orthopedic surgery is a founding area of focus and shapes how we think about surgical practices, but the questions involved in practice payment change are shared across many specialties.
Read the full answerIs Medicare opt-out the same as dropping commercial insurance?
No. They are two separate decisions with separate requirements.
Read the full answerWhat does direct-pay actually mean?
Direct-pay describes a payment arrangement in which the patient pays the practice directly rather than the practice billing an insurer for that service.
Read the full answer
Start with a conversation about your practice.
Tell us where you are today and what you would like to explore. We will help you identify the next questions to consider.