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Devin: What is your superpower?
Sal: I don't quit.
Bringing value to patients is the foundation for profitability. That’s the guiding principle behind Pivotal Health, which is reinventing healthcare delivery by bringing medical care directly to patients’ homes, dorms or offices. It’s not just convenient—it’s a better way to care.
Sal Braico, Co-Founder and CEO of Pivotal Health, explained in today’s episode how the company is reviving the once-common practice of house calls using technology and a physician-led team of experienced nurse practitioners and physician assistants. “We are improving [access] by bringing the house call back,” Sal said. “We're leveraging tech to bring the house call back.”
The results speak for themselves. By avoiding long wait times and exposure to illnesses in urgent care or emergency rooms, patients receive focused, uninterrupted attention from providers. This personalized care environment also allows patients to open up about mental health issues that might otherwise go unaddressed.
Sal shared, “One of the things that we’ve seen is that oftentimes patients are able to bring up issues about mental health because they’re more comfortable in their own house.” That comfort leads to better outcomes, deeper care and a more trusting relationship between provider and patient.
It’s not just a feel-good story. Pivotal Health is scaling rapidly by delivering real value. From just one employer partner a year ago to now serving over 45 companies and more than 3,000 employees, the company’s direct care model is gaining traction.
“If we're able to always do the best thing for the patient, then the money and the profits, they will come,” Sal emphasized.
Sal will be speaking at SuperCrowdLA, May 1-3, sharing his powerful insights with the SuperCrowd community live and in-person. Get your tickets today! Save 20% with the discount code SUPER20! Save 50% when you buy two or more tickets! Can’t attend? Register for free to watch the livestream!
Pivotal Health is currently raising funds via a regulated investment crowdfunding campaign on Wefunder. As Sal explained, patients themselves sparked the idea by asking how they could invest. Now they can.
Visit wefunder.com/pivotalhealth or use the shortcut s4g.biz/Pivotal to learn more. Funds from the campaign will help expand the service from three metro areas in Wisconsin to more cities across the country.
Today’s episode shows that innovation often means returning to ideas that once worked well. With Pivotal Health, Sal and his team are proving that house calls, enhanced by technology, can transform modern healthcare. And thanks to crowdfunding, the very people who benefit most can help power its growth.
tl;dr:
Sal Braico is using technology to revive house calls, making healthcare more personal and accessible.
Pivotal Health uses nurse practitioners and physician assistants to deliver efficient, high-quality care.
Personalized visits in comfortable environments help patients discuss mental health and receive better overall care.
Sal demonstrates how impact and profitability align, with strong growth driven by patient and employer value.
A Wefunder campaign enables patients and supporters to invest in expanding Pivotal Health’s innovative model.
How to Develop Relentless Persistence As a Superpower
Sal Braico says his superpower is simple: "I don't quit." In today’s episode, Sal, the CEO and Co-Founder of Pivotal Health, shared how an unwavering determination has carried him and his team through countless challenges.
"It doesn't matter what the problem is, what the issue is. I just don't quit," Sal said. Inspired by his immigrant parents, who modeled tireless dedication to work without complaint, he developed a mindset rooted in grit and consistency. "They just put their heads down, and they just worked," Sal explained. "That's what they showed me."
One vivid example of Sal’s persistence came when Change Health, Pivotal Health’s primary claims processor, was hacked. Payments stopped. Claims couldn’t be submitted. The company faced a crisis. Cash flow dried up, and making payroll became difficult. But quitting was never an option. “We just didn’t quit,” he said. Sal communicated openly with his team, secured a little more time, and eventually stabilized the business. The incident led to a key pivot away from insurance, helping the company emerge stronger.
Sal offered several insights for building this kind of resilience:
Keep a level mindset. Things are never as bad—or as good—as they seem.
Take care of physical health. Fitness builds stamina to endure tough times.
Protect mental health. Use tools like therapy or meditation to maintain perspective.
Avoid emotional overreaction. Emotional regulation helps sustain long-term focus and energy.
By following Sal’s example and advice, you can make persistence a skill. With practice and effort, you could make it a superpower that enables you to do more good in the world.
Remember, however, that research into success suggests that building on your own superpowers is more important than creating new ones or overcoming weaknesses. You do you!
Guest Profile
Sal Braico (he/him):
Co-Founder and CEO, Pivotal Health
About Pivotal Health: Pivotal Health, headquartered in Madison, WI, is revolutionizing access to healthcare. We've completed over 16,000 house call visits in multiple Midwest metro areas since 2021, proving our commitment to accessible, patient-centered care. Our tech-enabled platform empowers clinicians to deliver urgent and primary care wherever you need it – home, work, or beyond. We're also breaking down barriers with our Direct Care model, offering affordable, transparent healthcare without the limitations of insurance.
Website: pivotalhealth.care
Company Facebook Page: facebook.com/yourpivotalhealth
Other URL: wefunder.com/pivotalhealth
Biographical Information: Sal Braico is a seasoned healthcare entrepreneur with over 22 years of experience building and scaling successful companies across the industry. His diverse background spans the spectrum of healthcare, from drug and medical device development to pharmacy and healthcare information technology, culminating in his current venture, Pivotal Health. Notably, Sal founded Flex Biomedical, a medical device company that developed a groundbreaking osteoarthritis treatment, later licensed to a major orthopedic firm. He also was the Chief Operating Officer of Mallatt's Pharmacy and Home Healthcare, transforming it into one of the Midwest's largest independent pharmacy companies before its acquisition by Walgreen's and Guardian Pharmacy.
X/Twitter Handle: @salbraico
Linkedin: linkedin.com/in/sal-braico
Instagram Handle: @pivotalhealthcare
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