In this week's episode, we speak with Scott Nelson about the Medicare reimbursement changes that are rapidly reshaping the wound care landscape. Scott explains how cost-plus reimbursement models drove extreme pricing behavior, why CMS intervened, and what the new rules mean for mobile providers, wound care centers, distributors, and manufacturers. This episode focuses on how these changes affect real-world care delivery, market stability, and patient access, not in theory but as it is unfolding right now. 🎧 This episode follows the ongoing conversation around wound care and limb preservation, focusing on how Medicare reimbursement changes are reshaping clinical practice, business models, and decision-making across the industry. 04:43 Scott’s background and entry into medtech and wound care 07:03 Why the wound care market is fragmented and difficult to evaluate 10:02 How skin substitutes became financially distorted under cost-plus reimbursement 11:35 COVID, mobile wound care, and unintended reimbursement incentives 14:21 How pricing mechanics drove extreme markups 23:39 Fraud, abuse cases, and the consequences for the broader market 27:00 What the new reimbursement rules change starting January 35:36 Expected impacts on providers, distributors, manufacturers, and patients 💡 Who Should Listen This episode is for vascular surgeons, wound care clinicians, healthcare operators, MedTech founders, and investors who need a clear understanding of how reimbursement policy directly shapes care models, business viability, and patient outcomes in wound care. About Scott Nelson Scott Nelson currently serves as Vice President of Sales and Marketing at Swift Medical and is a member of the Board of Directors at The Save A Leg, Save A Life Foundation. As the Founder of PrescribedGrowth, Scott advises and consults on emerging technologies on commercial strategy, marketing, sales, and branding. Prior to these roles, Scott worked at LifeNet Health in marketing for wound management and surgical reconstruction, focusing on developing commercial strategies and communications. Scott also held the position of Director of Marketing and Product Solutions at Integer Holdings Corp., where responsibilities included portfolio strategy and market development for the Advanced Surgical & Orthopedic business unit. Scott holds a Bachelor of Science degree in Business Management and Information Systems from the University of Phoenix. Connect with Scott 💼 LinkedIn: Scott Nelson Follow Life of Flow 📲 Instagram: @LifeofFlowPodcast 👍 Facebook: Life of Flow Podcast 💼 LinkedIn: Life of Flow Podcast 🐦 X: @VascularPodcast If this episode helped clarify what’s driving the current shifts in wound care reimbursement, consider sharing it with someone navigating these changes. And if you’re enjoying Life of Flow, leaving a quick review helps more people find these conversations.

Kassidy Warren joins the podcast to share the real estate strategies that helped him move from corporate burnout to financial independence. He explains how high-earning professionals can use leverage, forced appreciation, short-term rentals, cost segregation, and bonus depreciation to reduce taxes and build long-term equity. Kassidy also reflects on the experiences that shaped his path, from van life to rebuilding his career through consulting, and the inner work that led him toward community, mentorship, and purpose. 🎧 This episode goes inside the hard decisions, tax strategies, and mindset shifts that helped Kassidy Warren go from corporate burnout to financial independence, and how high-earning professionals can use real estate, the right tax tools, and a clearer sense of purpose to change their relationship with work and time. 01:04 Kassidy’s corporate path, burnout, and the moment he realized he needed out 02:35 Why he and his wife saved aggressively and left everything to live in a van 04:51 How consulting tripled their income and gave them a path forward 06:06 Buying real estate with a purpose: taxes, equity, and long-term freedom 09:30 The velocity of money explained 10:12 How leverage and forced appreciation multiply wealth 12:34 Depreciation, the short-term rental rules, and why they matter 13:21 How one property can offset years of taxes 19:38 The 1031 exchange and why trading up changes everything 30:33 Breathwork, healing, and the inner work behind Kassidy’s transformation 💡 Who Should Listen This episode is for physicians, high-earning professionals, and anyone interested in real estate, tax strategy, personal growth, or creating more autonomy in their life and work. About Kassidy Kassidy Warren is a real estate investor and coach who helps people buy properties that reduce their tax burden, build equity, and create long-term freedom. He previously worked in engineering and IT before leaving corporate life due to burnout. After living in a van with his wife and rebuilding their careers through consulting, they built a portfolio of short-term rentals. Kassidy now leads a mastermind called Escape Velocity, where he supports members through real estate education, community, and mindset work. Connect with Kassidy 📲 Instagram: @kassidy.warren 💼 LinkedIn: Kassidy Warren 🌐 kassidywarren.com Follow Life of Flow 📲 Instagram: @LifeofFlowPodcast 👍 Facebook: Life of Flow Podcast 💼 LinkedIn: Life of Flow Podcast 🐦 X: @VascularPodcast If this conversation gave you a new perspective on real estate, taxes, freedom, or the choices high-earning professionals actually have, share it with someone who would value it. And if you’ve been enjoying Life of Flow, a short review helps more listeners discover episodes like this one.

En este episodio de Life of Flow Podcast, conversamos con el Dr. Luis Corrales-Rodríguez, oncólogo médico en Costa Rica y uno de los impulsores más importantes del desarrollo de investigación clínica en el país. A través de su experiencia personal construyendo Simca, un centro dedicado exclusivamente a estudios clínicos en oncología, el Dr. Corrales explica cómo se reconstruyó un ecosistema de investigación después de años de prohibición, qué retos encontraron y por qué Latinoamérica necesita estudiar a sus propias poblaciones. Este episodio aborda oportunidades reales para crear valor científico en la región, los vacíos estructurales que aún persisten y la visión de futuro para fortalecer la investigación académica y multinacional en Costa Rica. English Version of the Episode 👉 youtube.com/watch?v=v0mJF1-OKGM 05:48 Falta de infraestructura y personal tras años sin investigación 09:40 Regreso de Luis al país y su decisión de dedicarse a investigación clínica 13:20 Primer estudio abierto tras la nueva ley y el reto de una mutación poco frecuente 17:54 Diferencias genéticas en Latinoamérica y su impacto en cáncer de pulmón 22:47 Por qué Costa Rica solo realiza fases II–IV y la estructura ética involucrada 26:55 Construcción de Simca y crecimiento del centro como sitio de investigación 35:58 Obstáculos iniciales: permisos, educación del público y desconocimiento médico 48:54 Futuro de Simca y la importancia de impulsar investigación académica local 💡¿Quién debería escuchar este episodio? Profesionales de la salud interesados en investigación clínica, líderes de centros médicos, médicos jóvenes que evalúan participar en estudios, y cualquier persona que estudie cómo se construyen ecosistemas de investigación en Latinoamérica. Sobre Dr. Luis Corrales-Rodríguez Luis Corrales-Rodríguez es médico oncólogo en el Hospital San Juan de Dios y en el Centro para la Investigación y Manejo del Cáncer (Simca) en Costa Rica. Realizó su formación en la Universidad de Costa Rica, completó su residencia en Oncología Médica en 2009 y posteriormente un fellowship en oncología torácica en el Hospital Notre-Dame del CHUM en Montreal, Canadá. A su regreso al país, se integró como profesor en la Universidad de Costa Rica y se convirtió en investigador principal de varios estudios internacionales. Es miembro de ACOMED, CLICaP, ASCO, ESMO y IASLC. Sigue a Life of Flow 📲 Instagram: @LifeofFlowPodcast 👍 Facebook: Life of Flow Podcast 💼 LinkedIn: Life of Flow Podcast 🐦 X: @VascularPodcast ¿Conoces a alguien que debería escuchar esta conversación? 🎧 Envíale este episodio y ayúdanos a que más personas accedan a estas historias y aprendizajes.