In this episode, I sit down with my friend and colleague, Dr. David Johnson, to talk about his unconventional career path from urologic oncology to health services research, payers, and now healthcare startups. David shares his journey of discovering the misalignment in healthcare incentives, particularly in value-based care, and how that realization led him to pivot into healthcare innovation.

We dive into the challenges and opportunities for physicians looking to create a larger impact beyond individual patient care, and David offers some powerful insights on how to transition into startups, healthcare policy, and business. If you've ever wondered how to apply your medical expertise to solve systemic problems in healthcare—without giving up clinical practice—this episode is for you.

Dr. David Johnson was raised in North Carolina and stayed in-state for his education, earning an Economics degree from Duke and completing his MD/MPH and urology residency at UNC. His passion for improving cancer diagnosis and treatment led him to a fellowship in urologic oncology at UCLA and health services research through the National Clinician Scholars Program, where he discovered value-based care as a bridge between clinical practice, public health, and economics. He returned to NC as Medical Director of Value Transformation at BCBS NC, leading specialty value-based care initiatives to align financial incentives with high-quality, efficient care. After nearly three years, he joined Rubicon Founders to build provider-led health services organizations that transform how healthcare is delivered and paid for.

Episode Highlights:

[00:48] Kicking off the conversation with Dr. David Johnson and his unique journey in medicine and healthcare innovation.

[01:53] How David discovered his passion for urologic oncology and realized that some surgeries might be doing more harm than good.

[05:47] Discussing how financial incentives in medicine often reward procedures rather than patient outcomes.

[09:21] How an introduction to Patrick Conway at Blue Cross North Carolina changed David’s career trajectory and led him into value-based care.

[14:00] The importance of carving your own career and balancing clinical work with healthcare innovation.

[19:17] How David’s work in value-based care led him to healthcare startups and incubating a new oncology company.

[24:08]– Challenging the traditional physician mindset that payers and investors are "the enemy" and instead seeing them as potential partners in healthcare transformation.

[28:40] How to identify the problems you’re passionate about, find like-minded people, and transition into the startup world.

[35:41] Reflections on the startup journey, learning new skills, and staying connected to clinical practice.

Resources:

Dr. David Johnson’s LinkedIn: https://www.linkedin.com/in/david-johnson-54308410/

Checkout our services at StartupPhysicians.com

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