Welcome to The Rojas Report — where we cut through the noise, expose the games, and hand independent physicians the playbook to take back healthcare.
We’re not waiting on Washington (that’ll take 20 years), and we’re not playing by their rules.
We’re building a better system — one direct contract, one self-funded employer, one coalition, one fight at a time.
In this episode:
✅ The DIRt on pharmacy middlemen — independent pharmacists vs. PBMs
✅ The Colonoscopy Conspiracy — $11,000 to look where the sun don’t shine
✅ Measles are back — and yet we still can’t solve chronic disease
✅ The Retirement Cliff — what happens when physicians age out and there’s no plan?
✅ How Captives can turn healthcare expenses into long-term assets
✅ 15 years later — what the ACA really changed (or didn’t)
✅ RFK, Pharma Ads, and the Medical Machine — a wild ride through nostalgia and dysfunction
⏱ Timestamps:
• 01:15 – DIRT: Independent Pharmacists vs. PBM
• 07:50 – Colonoscopy Conspiracy
• 12:10 – Measles vs. Chronic Disease
• 16:52 – The Retirement Cliff • 25:20 – Captives: Turn Expenses into Assets
• 32:40 – The ACA 15 Years Later
• 40:10 – RFK, Pharma Ads, and the Medical Machine
Washington, D.C. Update
I was in Washington, D.C. this week with the PHA (Physician Led Healthcare for America) to educate lawmakers on H.R. 2191
https://www.congress.gov/bill/119th-congress/house-bill/2191/text/ih?overview=closed&format=xml
The Members of the House were incredible—focused, receptive, and clearly aligned with the urgency to remove the moratorium on physician-owned hospitals. They asked smart questions and showed a genuine interest in restoring physician autonomy and opening the market to competition.
The Senate? Not the same story. Let’s just say the reception was… less than cordial. Many Senators remain deeply entrenched in the health system status quo—and their responses made it clear they are far more influenced by lobbyists than by logic.
Still, the path forward is clear: the House is ready to lead. It’s up to us—physicians, patients, and entrepreneurs—to create the pressure that makes the Senate move.
Join PHA here:
Inside the POMSO: A Smarter Path Forward for Independent Physicians
After Washington D.C. on Monday and Tuesday the team traveled to New York Tuesday evening, where we sat down with independent physicians—leaders from ASCs, cardiology groups, and other specialty practices. We weren’t discussing what might happen in healthcare. We were discussing what we’re building now.
At the center of that conversation was the Physician-Owned Management Services Organization (POMSO).
Most MSOs are built to extract value from physicians. A POMSO is designed to create it.
Here’s how it works:
Coalition over consolidation – Practices remain autonomous but operate together under a unified management platform.
Unified strategy – We coordinate self-funded benefit plans, direct contracts, and all lines of property & casualty insurance through a single managed stack.
Aligned incentives – The MSO doesn’t control the practices; it exists to serve them. Ownership remains with physicians.
What we’re offering isn’t just a services bundle—it’s a structure. One that allows practices to reduce expenses, increase revenue, and convert operational overhead into assets.
The goal is not to build another health system. The goal is to offer a credible, physician-owned alternative to the current one.
The POMSO is already working. We’re standing it up in two states right now, and interest is growing across the country.
VC, PHYSICIANS, AND PHYCAP FUND
While we were in New York we hosted a gathering of more than fifty physicians and healthcare professionals.
We started PhyCap Fund because we were tired of watching physicians miss out.
Miss out on ownership. Miss out on upside. Miss out on shaping the future of healthcare. So we built something that lets physicians invest in the kinds of companies they would have built themselves—if they had the time, the team, and the capital.
PhyCap Fund is about more than checks—it’s about voice. It’s about physicians owning a piece of the infrastructure they operate in every day. It’s about rewiring the future of care so it works for the people who actually deliver it.
If you want to invest, pitch, or learn more about the great physicians and healthcare professionals invested in the fund, visit PhyCapFund.com
It is is our joy and honor to fight for the independent practice of medicine. We believe independent physicians produce higher quality outcomes at lower prices.
This is The Rojas Report — and we’re just getting started.
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