The Practices That Won't Exist in 5 Years and the Ones that Will

On this episode of Medical Millionaire, host Cameron Hemphill talks with Jason Brand, Senior Director of Product for Aesthetics at Podium, about the AI operating system Podium has spent the last three years building for med spas and aesthetic practices. Jason explains why Podium built its own EMR to give its AI agents — including Avery, the agent that books, reschedules, and handles cancellations — access to the same tools, calendars, and clinical workflows a front-desk employee would use.

The conversation covers what separates practices scaling 50–100% year-over-year from those plateauing, why AI agents need to be trained and coached like a new hire rather than deployed and ignored, and how proper implementation is reshaping enterprise value for practices preparing to sell to private equity buyers.

Key takeaways

• Practices scaling 50–100% year-over-year tend to share one trait: they're ultra-responsive to every inbound lead and follow-up, while plateaued practices let leads fall through the cracks.

• Podium spent the last 18 months building its own EMR so its AI agents can access the same schedule, clinical, and payment workflows a front-desk employee would use.

• A practice with five treatment rooms running eight-hour days is selling 40 hours of capacity, and AI implementation only pays off once that time is reclaimed and tracked like inventory.