Yellow Brick Road vs. The Garden: Reinventing Neurology Outside Insurance

What happens when the traditional healthcare model no longer aligns with the physician you want to be? In this episode, Dr. Sarah sits down with Dr. Ashanti Gajaweera to discuss her transition from a successful insurance-based neurology practice to launching Healthspan Neurology, a direct-pay practice focused on dementia prevention and cognitive longevity. Together, they explore physician burnout, the challenges of leaving established referral networks, the importance of creating a mission-driven practice, and the lessons learned from building a business outside the traditional healthcare system. Whether you're considering a practice transition or looking to create a career that better reflects your values, this conversation offers insight, encouragement, and practical wisdom.

About Dr. Ashanthi Gajaweera

Dr. Ashanthi Gajaweera is a board-certified neurologist and the founder and CEO of Healthspan Neurology, a direct-pay practice dedicated to helping patients take control of their dementia risk through advanced diagnostics, preventive strategies, and personalized care. With more than 25 years of clinical experience and 15 years as a managing partner in private practice, she has developed a passion for preventive medicine, cognitive longevity, and empowering patients to take an active role in their health. Through Healthspan Neurology, Dr. Gajaweera is redefining neurological care by combining evidence-based medicine with a proactive approach to brain health and aging.

Connect with Dr. Ashanthi Gajaweera

Instagram: @dr.gajaweera

Website: www.healthspanneurology.com