293 Independent REI Practice Against The Machine. Dr. Thalia Segal episode artwork

EPISODE · Aug 2, 2026 · 51 MIN

293 Independent REI Practice Against The Machine. Dr. Thalia Segal

from Inside Reproductive Health Podcast · host Fertility Bridge

Is private practice making a comeback? More importantly, should it?After five years at UCSF, Dr. Thalia Segal left academic medicine to launch Collab Fertility in one of the most competitive fertility markets in the country. And she did it with no private equity and no venture capital. Just a vision for building the kind of practice she believes both physicians and patients deserve.We dive into:Why some fertility physicians are reconsidering private equity-backed practicesWhy Dr. Segal believes REIs should have greater oversight of the IVF labThe financial realities of running a 300-cycle practice (without outside investors)How she’s growing Collab Fertility and recruiting the next generation of REIsHer 21 headcount payroll and the operational challenges she’s encountered along the way

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293 Independent REI Practice Against The Machine. Dr. Thalia Segal

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