The Practice Risks Insurance Won't Cover - With Van Carlson

Most practice owners insure their malpractice and their building, then leave the risks most likely to actually disrupt the business completely unprotected. Reputation. Audits. Cyber. Business interruption. A key provider going down. In this conversation with host Rakesh Reddy, Van Carlson, Founder and CEO of SRA 831(b) Admin, walks through the gaps traditional insurance was never built to cover, using real cases from med spas, dental practices, and specialty clinics. One of them: a client who got sued after a patient's death, did nothing wrong, and still watched his malpractice carrier settle because, in Van's words, "malpractice is a math problem." The local coverage and the fake reviews that followed took a PR firm and 18 months just to get revenue back to normal. What you'll learn in this episode: ➡️ Why your malpractice and property coverage leave your most valuable assets (reputation, cash flow, patient base) completely exposed ➡️ "Malpractice is a math problem": what your carrier is actually optimizing for, and why it isn't your reputation ➡️ How a Medicare or Medicaid audit disrupts a practice, and the toll it takes on the doctor personally ➡️ The COVID lesson most owners still haven't acted on: business interruption you can't insure the traditional way ➡️ Why cyber policies now carry the most exclusions, including "act of war" language that can void a breach claim ➡️ The blind spot almost no one plans for: losing a key revenue-generating provider ➡️ The 831(b) structure explained simply as "an HSA for business owners," and who it is genuinely NOT a fit for ➡️ The one thing to do this week to find your biggest unprotected risk ------------------------------------------------------------ This episode is educational and not tax or legal advice. Talk to your own CPA and counsel before making any decision. Connect with Van Carlson: Website: ⁠⁠https://831b.com⁠⁠ Email: ⁠⁠van@831b.com⁠⁠ Host: Rakesh Reddy Podcast: Healthcare Business Growth Conversations ------------------------------------------------------------ Chapters: 00:00 — Introduction 01:18 — The Risks Insurance Leaves Behind 02:21 — Why Van Carlson Left Traditional Insurance 05:13 — Understanding 831(b) and Self-Insured Risk 06:18 — The Risks Medical Practices Don't See 08:55 — What COVID Revealed About Business Risk 11:55 — Blind Spots Beyond Malpractice Insurance 12:30 — Licensing, Political Risk and Cyber Exclusions 16:26 — A Real Healthcare Practice Case Study 17:43 — When a Malpractice Settlement Damages the Brand 20:10 — Fighting a Reputation Crisis 22:34 — The Business Impact: 18 Months to Recover 25:20 — Why Fast Access to Reserves Matters 27:30 — How an 831(b) Structure Works 29:20 — Managing the Plan, Claims and Compliance 32:18 — Is 831(b) Too Complicated for Practice Owners? 34:47 — Preparing Before the Next Crisis 36:02 — What Practice Owners Forgot After COVID 40:35 — The Risk Practice Owners Underestimate 44:52 — Why Van Calls 831(b) an “HSA for Business Owners” 47:25 — Who Is NOT a Good Fit? 49:39 — The Risks Owners Should Check This Week 51:20 — IRS Scrutiny and the Biggest 831(b) Warning 53:23 — Where to Learn More About Van and 831(b) 54:35 — Final Takeaways and Closing ------------------------------------------------------------ #HealthcareMarketingAgency #HealthcareBusinessGrowth #MedicalPracticeOwners #HealthcareEntrepreneurs #MedicalPracticeManagement #HealthcareRiskManagement #MedicalPracticeGrowth #HealthcareIndustry #DoctorsInBusiness #BusinessInsurance #MedicalMalpractice #OrangeCarrotMedia #HealthcareFinance #HealthcareMarketing #MedicalPracticeInsurance #HealthcareBusinessOwners #HealthcareInsuranceCoverage #831bInsuranceCompany #SelfInsuranceRiskManagement