Podcasts about EHR

She loved the job for 20 years. She left anyway. Christine King, certified registered nurse anesthetist, returns to explain what changed in the operating room and what it cost her. This episode is based on her article "Why I left health care after almost 20 years," published on KevinMD. You will hear why decisions about whether a procedure happens started to feel like insurance decisions rather than medical ones. You will hear what workplace violence looks like in an operating room, where the threats came less from patients than from the people she worked alongside. You will hear why those incidents so rarely get reported, and why she thinks the newest generation of physicians is already different. You will hear what the stress did physically, and what eased when she stopped. And you will hear what she would tell a student choosing between nursing and medical school. Press play for the one thing she wishes she had done more of, and why she thinks the people behind her already will. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Many doctors picture themselves practicing until the day they die. Andrea Hayes decided otherwise, and tells you what came next. She is a retired endocrinologist, author, and speaker. This episode is based on her article "From endocrinologist to writer: a doctor's second act," published on KevinMD. You will hear how 30 years in practice, 25 of them independent and five in concierge medicine, ended without a single dramatic exit. She describes the office manager who stole a quarter of a million dollars while she was grieving her father, and how that betrayal pushed her to learn the business side she had ignored. She explains why she now tells physicians to build a plan B, a plan C, and a plan D, and what she found out about publishing after traditional publishers turned her down. She also explains how living with type 1 diabetes since age 15 shaped how she connected with patients. Stay to the end for her case that it is never too late to become someone you did not expect to be. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Are your ads actually underperforming—or is the real problem what happens after the lead comes in? In Part Two of Dr. Lauryn's conversation with Dr. Travis Stewart, they dig into the numbers and systems clinic owners need to understand if they want marketing to translate into sustainable growth.They break down cost per lead, booking rates, show rates, customer acquisition cost, follow-up, sales, and why more new patients cannot fix a broken conversion process. From there, the conversation expands into business partnerships, profitability, associate pay, student debt, work ethic, wealth building, and the pursuit of balance. Travis and Lauryn also explore what chiropractic needs to change if practice owners, associates, and the profession itself are going to thrive long term.About the GuestDr. Travis Stewart is the owner of Move Chiropractic in Boulder, Colorado, and co-founder of Making Moves, the coaching company behind Chiro Ads Academy. After opening his practice during the 2020 lockdown, Travis helped grow it from roughly $12K to $70K per month by bringing his marketing in-house and developing his own Facebook and Instagram advertising system. Since then, Travis and his team have helped more than 450 chiropractic practices implement their own ads, managing over $5 million in ad spend and generating more than $30 million in care plan revenue for clients. He also hosts The Arena, where he shares strategies for chiropractic practice growth, marketing, leadership, and entrepreneurship.Follow and connect with Dr. Travis on InstagramResources:Rich Doc Playbook: Secure your spot today!Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Clinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic MindINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing Hub

A pediatrician gave a child vaccines the chart said he needed. The record showing he had already had them was buried in the system. Dennis Hursh is a health law attorney and founder of Physician Agreements Health Law. This episode is based on his article "EMR errors get blamed on physicians, not systems," published on KevinMD. The health system did not fix the record system. It counseled the physician and moved to put her on a corrective action plan for failing to follow its vaccine policy. He explains why she resigned rather than carry that on her record, what a corrective action plan does to you at credentialing for the next five years, and why a non-compete means she will not see those patients again after 40 years in that community. He also walks through the contract language he negotiates: an agreed independent reviewer, and 60 days to fix anything the reviewer finds. Stay to the end for his argument that due process belongs in your contract before anyone accuses you of poor quality care. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A condition named for the ovaries turns out to run through the muscle, the liver, and the pancreas. Insulin is the signal connecting them, and different organs hear it differently. Oluyemisi Famuyiwa, reproductive endocrinologist and founder of the Montgomery Fertility Center, returns to walk through it. This episode is based on her article "How insulin drives polyendocrine metabolic ovarian syndrome," published on KevinMD. You will hear why the pancreas makes more insulin when muscle stops responding, and why the ovary and the liver are still listening when it does. You will hear what that does to androgen levels, and why acne, chin hair, and stubborn weight show up before irregular cycles. You will hear why body weight is a poor guide to who has PCOS, since lean patients carry the same elevated androgens and irregular cycles. And you will hear which tests she orders and why she works this across internal medicine and endocrinology. Press play for the reframe she leaves clinicians with: this is more than the ovary and more than insulin. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Your insurance company says these therapists take your plan. Most of them do not. That is the allegation behind seven class action lawsuits now moving through courts from Massachusetts to California. Attorney Steve Cohen returns to explain what his firm found when it called the names on those lists. This episode is based on his article "Mental health ghost networks are badly hurting patients," published on KevinMD. You will hear what a ghost network is, and why the problem is worst in mental health. You will hear why the listings stay wrong, which has less to do with sloppy record keeping than with what insurers will pay. You will hear which patients get hurt worst, including the ones whose plans carry no out-of-network benefit at all. And you will hear about the provision buried in most policies that requires your insurer to cover an out-of-network therapist when there is no in-network one. Press play for the two steps he tells patients to take in order, get the care first and fight for the reimbursement second. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Physicians stay in jobs they cannot afford to leave. The wellness conversation talks about resilience and meaning, and never about what is in your bank account. Stanley Liu, cardiologist, financial planner, and founder of DocEmpowered, returns with a concept traditional financial planning does not have. This episode is based on his article "Unlocking career flexibility with a Courage Fund," published on KevinMD. You will hear what separates a courage fund from an emergency fund, and why the difference is intent rather than structure. You will hear how to size one in months rather than dollars, and why a big non-compete or a thin local job market calls for a bigger number. You will hear why this is leverage your employer cannot see, since they may know about your mortgage but not your accounts. And you will hear where it belongs against student loans, retirement, and everything else competing for the same dollar. Press play for the one question he asks before any of the math, which has nothing to do with money. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Your genetic test results now arrive on your phone before anyone is available to explain them. So the questions go to an online mom group, or to ChatGPT, and strangers answer first. Stephanie Waggel, physician and founder of Improve Medical Culture, has been watching that happen in real time. This episode is based on her article "Social media told her to abort her Turner syndrome baby," published on KevinMD. You will hear why a screening result is not a confirmation, and what has to happen before anyone knows for certain. You will hear why familiarity, speed, and distrust of institutions pull patients toward voices they have never met. Artificial intelligence gets a hard look too, since it can be convincingly wrong and learns from other artificial intelligence. And the comment sections run from parents who say their daughter is fine to strangers who say you are torturing the baby. Press play for the checks that separate a credentialed medical voice online from a convincing one. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A treatment exists that can cure aggressive lymphoma after chemotherapy has failed. Only about two in ten eligible patients receive it. Manali Kamdar is clinical director of lymphoma services at the University of Colorado Anschutz, and Paolo Strati is an associate professor of lymphoma and myeloma at MD Anderson Cancer Center. This episode is based on their article "CAR-T therapy can cure cancer. Why is it so underused?" published on KevinMD. You will hear what this therapy asks of a patient, from cell collection through the wait for manufacturing to the weeks spent living near a treatment center. They walk through the barriers a stakeholder summit identified, including the two-week payer authorization that runs while the cancer grows, the small number of accredited centers, and the myth that eligibility works like transplant eligibility. Press play to hear why they say a relapse should trigger a referral, and why they measure success by who can deliver this treatment rather than who receives it. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

He counts four wounds in American medicine. Patients rarely bring up the first one, which is what health care costs. Narinder Singh Parhar is a physician with more than three decades in internal medicine, hospital medicine, and intensive care. This episode is based on his article "Health care affordability is now a moral crisis," published on KevinMD. A retired Korean War veteran had Medicare, a supplemental plan, and a lifetime of work behind him. He still could not fill a $500 prescription near the end of the year. Narinder argues that spending has piled up in hospitals, imaging, procedures, and specialty care while primary care and the basic work of keeping people well go underfunded. He is blunt about the profession's part in it, saying physicians were taught to be blind to what care costs. You will hear him walk through the ordinary decisions where that shows up: the generic, the office biopsy, the shoulder MRI. He closes with a take-home for physicians that starts somewhere unexpected, with their own health. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

What if the marketing agency you hired to grow your chiropractic practice is actually keeping you from understanding one of the most important parts of your business? In Part One of this conversation, Dr. Lauryn sits down with Dr. Travis Stewart to unpack how taking control of his own Facebook and Instagram ads helped transform a struggling new practice.Travis shares how he went from roughly $12K to $70K a month by bringing marketing in-house, developing condition-specific ad funnels, and learning how to create messaging that actually builds trust and converts. They also explore the shift from clinician to CEO, simplifying marketing so it remains sustainable, building a team around a bigger vision, and confronting the burnout and identity challenges that can come when your entrepreneurial ambitions grow beyond patient care.Key TakeawaysOwning your marketing creates control. Travis stopped depending on agencies, learned the mechanics of Facebook and Instagram advertising, and built an in-house system that helped take his practice from roughly $12K to $70K per month.Effective chiropractic advertising starts with relevance and trust. Condition-specific messaging, strong hooks, clear positioning, social proof, and a compelling call to action can make an ad feel built specifically for the patient seeing it.Practice growth requires a CEO mindset. Learning to track data, understand demand generation, simplify systems, and make informed business decisions became just as important as being an excellent chiropractor.More revenue does not automatically create more freedom. As the practice grew, Travis moved from being money-poor and time-rich to money-rich and time-poor, forcing him to build a team, delegate, and rethink where his time and attention belonged.About the GuestDr. Travis Stewart is the owner of Move Chiropractic in Boulder, Colorado, and co-founder of Making Moves, the coaching company behind Chiro Ads Academy. After opening his practice during the 2020 lockdown, Travis helped grow it from roughly $12K to $70K per month in just a few months by bringing his marketing in-house and developing his own Facebook and Instagram advertising system. Since then, Travis and his team have helped more than 450 chiropractic practices implement their own ads, managing over $5 million in ad spend and generating more than $30 million in care plan revenue for clients. He also hosts *The Arena*, where he shares strategies for chiropractic practice growth, marketing, leadership, and entrepreneurship.Resources:Rich Doc Playbook: Secure your spot today!Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Rich Doc PlaybookLet's be honest. We've all been given the same playbook. Go to grad school. Become a great doctor. Open a clinic. Help enough people. Work hard. Build a successful practice. Make plenty of money. Be happy. That was the promise. Yet here you are. Maybe your clinic is thriving. Maybe you're still trying to get it off the ground. Either way, there's a good chance you're chasing the same thing almost every healthcare entrepreneur is chasing: the belief that the next milestone will finally make everything click. The Rich Doc Playbook was created to challenge that assumption. Not because building a successful clinic isn't important, but because we believe there's a bigger conversation our profession isn't having.Rich Doc PlaybookClinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind

In South Louisiana, hurricane season is treated like a fifth season of the year. Angela C. Johnson explains what that means for physicians and patients. She is an internal medicine physician and member of the American College of Physicians Board of Regents. This episode is based on her article "Physicians and natural disasters: the fifth season," published on KevinMD. You will hear what care looks like inside a medical shelter, where the exam rooms, the records, and the staffing are gone and the work comes back to a doctor and a patient. She describes who ends up in a shelter, why getting people home is its own problem, and why a community without power, water, or open doctor's offices is not ready to take them back. She also tells you what to bring and what to ask your providers before an evacuation, and why she watches storm intensity as closely as the count. Stay to the end for her case that the differences a storm exposes are the ones to work on between storms. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Making primary care more sustainable starts with giving physicians more time to care for patients. In this episode, I speak with Gadi Shenhar, Co-Founder and CEO of Droxi, about using AI to reduce the administrative workload that overwhelms primary care teams. Gadi shares how a medication error involving his grandmother led him to investigate the deeper problem of clinician burnout. He explains how Droxi brings relevant patient information directly into the EHR workflow, helping physicians manage their clinical inboxes with fewer clicks. We also discuss how listening to providers helped improve product adoption and how supporting advanced primary care management can help practices generate recurring revenue while strengthening care between visits. Tune in to learn how thoughtful AI design can reduce clinician burden and help build a more sustainable future for primary care! Resources: Connect with and follow Gadi Shenhar on LinkedIn. Follow Droxi on LinkedIn and explore their website!

What if medical AI judges you by how you write instead of what's actually wrong? A health care executive says it already does. Craig Hauben has spent 30 years in health care and the last several years researching AI, and he walks through studies showing that large language models trained on decades of human writing pick up on typos, misspellings, and emotional tone, then quietly route people away from the care they need. Close to 10 percent of the time patients who should have been seen were told not to come in, and women were hit hardest. This episode is based on his article "AI bias in health care reads the writer, not the symptom," published on KevinMD. You will learn why the bias survives even after the obvious warning signs are scrubbed, why ChatGPT-style tools can carry the same blind spots into the exam room, and why trusting the AI too quickly is the real trap. Press play to hear the three questions every clinician should ask before trusting AI with a patient. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Leaving medicine can feel like erasing 20 years of work. What if it isn't a loss at all, but a language problem you can solve? Physician executive Shveta Gupta, a pediatric hematologist-oncologist, joins to unpack why so many doctors quietly fuse their identity with the white coat, and why a change in role can feel like being sent back to zero. This episode is based on her article "Leaving medicine is a translation problem, not a loss," published on KevinMD. You'll hear the six words in a job interview that made her feel her whole career had been erased, why she calls this the "false zero," and how the multidisciplinary rounds and hard family conversations you already lead translate directly into the language of leadership. Along the way she makes the case that you don't need an MBA to do this, and that the healthcare world needs physician leaders whether it knows it or not. You'll come away with a new way to name your worth, and concrete first steps to act on it. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

This episode breaks down the upcoming sleep testing code changes and why they matter for sleep labs, physicians, technologists, vendors, and health systems. The STT Crew discuss how the new structure changes home testing, professional review, reimbursement, and patient triage.They also explain why so many people in sleep care still do not realize these changes are coming, and what teams should be doing now before the January 2027 rollout.Key topicsIn this episode, the hosts explain that the current home sleep testing codes are set to sunset at the end of the year, with a new framework expected to launch January 1, 2027.The Crew lays out the new home testing tiers:Low complexity — 3 to 4 channels, CPT 95X18Moderate complexity — 5 to 10 channels, CPT 95X19High complexity — 11 plus channels, CPT 95X20, which includes home PSGTimestamps(00:00) Sponsor messages and episode setup(02:02) Introducing the new PSG code changes(02:59) Why most sleep professionals missed the coming changes(04:15) Fragmented communication in sleep care(05:42) Technical and professional billing are separating(06:42) Home PSG and the new high-acuity testing tier(08:16) Why physicians may need to review more than AHI(09:41) Why vendors cannot yet define the new channels(10:50) What sleep providers should do right now(11:20) Early reimbursement estimates and operational concerns(12:31) Derived channels, device selection, and policy updates(13:23) Payer contracts and vendor agreements may need revision(14:45) The three home testing complexity tiers(16:15) Why in-lab sleep testing is not going away(17:13) CMS, utilization control, and triage strategy(20:07) More data at home, more access to care(23:36) Hospital screening and inpatient sleep apnea risk(25:22) Population health outreach using AI and EHR data(27:57) Final takeaways on preparation, uncertainty, and timing(31:02) Important dates — comment period, November release, January 1 launchShare your opinion and comment on the codes here:https://aasm.org/new-unattended-sleep-testing-cpt-codes-cms-proposed-rule/ A huge thanks to our sponsors:Fisher & Paykel Healthcare  Discover how F&P full-face masks have led millions of people to a great night's sleep at https://www.fphcare.com/curiosityhttps://www.fphcare.com/us/homecare/sleep-apnea/Philips Healthcare   See how Philips is supporting you and your patients with meaningful innovation. Visit https://www.philips.com/matters Soliish https://www.soliish.com/React Health  https://www.reacthealth.com/More resources for clinicians can be found at Sleep Review Magazine  https://sleepreviewmag.com/Credits:Audio/ Video: Diego R Mannikarote; Music: Pierce G MannikaroteHosts: J. Emerson Kerr, Robert Miller, Gerald George MannikaroteCopyright: ⓒ 2026 SleepTech Talk ProductionsEpisode 131The views and opinions expressed by guests on SleepTech Talk are their own and do not necessarily reflect those of the podcast hosts or SleepTech Talk as a whole. This podcast is intended for educational and informational purposes only and should not be considered medical advice. Listeners are encouraged to consult with a qualified healthcare professional for any medical concerns or questions.

Everyone agrees health care should reward better outcomes at lower cost. So why hasn't it happened? The answer isn't payment models or policy. It comes down to the everyday choices individual clinicians make, and whether anyone can actually see them. Jeanne Cohen, a health care analytics founder and CEO, argues that the value in value-based care lives in the quality of each clinical decision, not the contract structure around it. This episode is based on her article "The real reason value-based care has not delivered," published on KevinMD. You will hear why roughly a quarter of U.S. health care spending traces back to unwarranted variation, how ordering an unnecessary scan exposes patients to harm and pushes organizations out of financial alignment, and why the data infrastructure to fix this finally exists. Cohen also explains where AI can help, where it can't, and why it won't lower costs on its own. If you want to understand what actually stands between the health care system and the outcomes it keeps promising, this conversation names it directly. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Pediatrics, Trust, and the Age of AI: Evidence, AAP Policy, and Vaccine MandatesHosts Herb and George welcome back Dr. Jesse Hackell to discuss declining trust in medicine amid overwhelming information and AI summaries, emphasizing the need for physicians to critically appraise evidence rather than rely on authority or EHR prompts. They debate perceptions of the American Academy of Pediatrics (AAP) as a “corporation” versus a volunteer membership organization, how AAP governance works, and how AAP outputs (technical reports, clinical reports, policy statements, and more rigorous clinical practice guidelines) should be read as guidance, not gospel or standards of care, with evolving examples like peanut introduction and biliary atresia screening. The conversation covers malpractice implications, screening controversies (e.g., ferritin/iron, milk and anemia), COVID-era messaging failures and politicization, vaccine policy opposing non-medical exemptions as choice with consequences, nuanced school-entry requirements (e.g., Florida Hib/pneumococcal), and tees up a future discussion on insurance and coverage for all children.00:00 Show Intro01:40 AI Trust Crisis03:42 Reading Evidence Today07:16 AAP Critics And Mission09:48 Volunteerism Versus Pay12:56 AAP Guidance Not Gospel18:20 Governance And Elections24:03 Types Of AAP Reports33:48 Med Legal Standards42:36 COVID And Vaccine Trust47:01 RFK And Opinion Politics48:02 Fauci Versus RFK48:49 Natural Immunity Messaging50:41 How Science Pivots52:36 Peer Review Explained54:22 Evidence Bars And Coercion57:32 Bright Futures Screening Debate58:59 Ferritin Screening Controversy01:05:01 Cow Milk And Iron Loss01:06:51 AI And Trust Erosion01:11:37 School Vaccine Exemptions01:18:03 Community Versus Freedom01:19:40 Florida Hib And PCV Nuance01:24:41 Insurance Policy Teaser01:26:58 Wrap Up And CreditsSupport the show

Patients now choose doctors the way they shop for everything else, judging your practice online before they walk in. Ashley Gay, a branding expert, argues that a strong brand is not about ego but about earning trust, and that physicians who ignore this are quietly losing patients and talent to competitors who look more polished. This episode is based on her article "Branding a medical practice is not vanity, it is trust," published on KevinMD. You will hear why a logo is not a brand, why owning your website and ranking locally beats showing up for generic medical searches, and where an AI logo generator falls short. You will learn how the whole patient experience shapes your brand, from the first online impression to the phone call to the waiting room, and why private equity already treats this as an edge. Press play to hear why your brand may matter more than your credentials, and where to focus your first dollars. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Social media says to spike your fiber intake as fast as you can. That is where the bloating starts. Lisa Talamini is a registered dietitian nutritionist and senior vice president of clinical solutions at Wondr Health. This episode is based on her article "How to eat more fiber without the bloating," published on KevinMD. You will hear why fibermaxxing with pills, powders, and fortified bars tends to bring gas, bloating, and sometimes diarrhea while delivering few of the nutrients whole food carries. Lisa explains fiberlayering instead, adding one small whole food at a time to meals you already eat, and why water decides whether the fiber you add helps or hurts. You will also hear the roughly 25 grams a day she works from, why the Mediterranean pattern is layering in practice, and how to raise the subject in the few minutes a primary care visit leaves for nutrition. She closes on the red flags to watch for in the next fiber video, and the case for the middle ground over the maximum. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Is your marketing actually growing your business—or are you just posting on social media and hoping something happens? What if the problem isn't your content, your follower count, or the algorithm, but the fact that you've never built a true marketing ecosystem around your business?Dr. Lauryn sits down with Whitney Abraham, founder of Your CMO & Co., to break down what strategic marketing looks like beyond Instagram. They explore the role of a fractional CMO, turning an audience into revenue, knowing when to delegate marketing, and why successful entrepreneurs often wait too long to address burnout and resentment. Whitney also shares why certainty is one of the strongest predictors of entrepreneurial success—and her simple formula for building confidence through self-talk, action, and repetition.Key TakeawaysSocial media is only one piece of a successful marketing strategy. Sustainable business growth requires an integrated marketing ecosystem that connects content, email, launches, partnerships, messaging, and sales around a clear objective.A fractional CMO can bring executive-level marketing strategy without the expense of hiring a full-time C-suite executive. The goal is not simply to create more content, but to orchestrate the entire marketing operation around revenue and growth.A large audience does not automatically equal a profitable business. Before monetizing followers, business owners need to understand why people followed them, whether that audience aligns with what they want to sell, and how to strategically convert attention into opportunity.Certainty and self-trust are critical to entrepreneurial success. Whitney's confidence formula—positive self-talk + action + repetition—helps entrepreneurs build proof that they can solve problems, make decisions, and continue moving forward.About the GuestWhitney Abraham is the founder of Your CMO & Co., a marketing agency built for business owners who want to leverage the internet to strategically scale their companies. A serial entrepreneur, Whitney has built multiple seven-figure online businesses and an eight-figure business from the ground up. She has spent nearly a decade in digital marketing and has coached thousands of women on building, launching, and scaling businesses of their own. After years of watching entrepreneurs struggle to execute the strategies they were learning, Whitney created Your CMO & Co. to provide the complete marketing ecosystem of a fractional CMO combined with hands-on implementation and operational support.Book a Call with WhitneyFollow Whitney on InstagramResources:Rich Doc Playbook: Secure your spot today!Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Clinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind

Dr. Sarai Ambert-Pompey opened Libélula Primary Care in Boise, Idaho. "Libélula" is Spanish for dragonfly, chosen for transformation. One year in, she joins Dr. Maryal Concepcion to talk about what changed when she left the VA for Direct Primary Care.Her path is unconventional: CompUSA and GameStop, Sony PlayStation reviewer training, oncology research at OHSU, then internal medicine residency in Boise. At the VA she joined a Primary Care Center of Excellence and helped launch the Boise Clinical Resource Hub, delivering clinic-to-clinic telehealth to rural sites across the Northwest, then trained physicians in telemedicine through the Ada County Medical Society during the pandemic.In this episode:Why time is the intervention - patients arrive never having been told their A1C goal, their blood pressure goal, or what their medications are for. Longer visits keep high ER utilizers out of the ER.Culturally responsive care in Idaho - Boise is predominantly white, but farming communities and employers like Micron bring diversity the traditional system was never built to serve. Healthcare trauma can take several visits to overcome before a patient consents to a blood draw.Telehealth done right - her top three: screen whether the visit is appropriate, build an emergency protocol and know your state's consent law, and actually perform a physical exam on video. Most clinicians skip that last one.How to vet an EHR - test customer service response time first, ask about interoperability, run a full patient walkthrough instead of the salesperson's highlight reel, get pricing broken out line by line, ask how an AI scribe stores data, and watch for 12-month contracts.Community as marketing - she launched a Walk with a Doc chapter before the clinic opened. Chamber involvement, immigration medical exams, and one paid social promo that returned its investment in a week.Leaving the system - 15 pounds lost, sleep restored, weekends back. "I tell anyone who will listen: I wish I had done it earlier."Mentioned: IN -PERSON DPC SUMMIT COMING IN OCT 2026! Illinois DPC Summit, first week of October, open to out-of-state physicians - register at caradirectcare.com/summit · Walk with a Doc · Latino Conservation Week · Idaho Hispanic Chamber of CommerceFree DPC startup checklist, the Physician Owner's Planner, and the DPC Toolkit Magazine: mydpcstory.com Leave a voice message for the show: mydpcstory.com/contact Follow @mydpcstory · Leave a 5-star review on Apple PodcastsCONGRATULATIONS Dr. Oropeza!!!! Learn more about Oropeza Family Health at https://oropezahealth.com/ Get your copy of the Physician Owner's Planner today at mydpcstory.com/library Learn more about Hint Summit at: https://go.hint.com/45zknvf Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

A man told his doctor he was struggling with addiction. The doctor told him this was not something he could help with. Devika Bhushan is a public health physician and a former acting surgeon general of California. This episode is based on her article "How addiction stigma in health care costs lives," co-written with medical student Taylor Moss and published on KevinMD. You will hear what happened when about 500 clinicians read the same patient described two ways, as a substance abuser in one version and as a person with a substance use disorder in the other. Devika explains why fewer than 1 in 5 people with addiction ever get appropriate treatment, why they receive 30 percent less guideline-based care for conditions like heart disease and diabetes, and why life expectancy can run up to almost 24 years shorter. You will also hear which words open doors in addiction care and which close them, plus six things patients and families can do when a clinician will not listen. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

In a lot of towns there is only one health insurer left, and that is starting to show up in patient care. Rita Agarwal is a pediatric anesthesiologist who started asking why colleagues in a specialty she loves are heading for the door. This episode is based on her article "Insurance consolidation is a patient safety problem," published on KevinMD. She explains why anesthesiology went from a top residency choice to the specialty with the highest intent to leave, and what happens to a team when the people in the room have never worked together. You will hear how a single-payer market leaves a hospital with no room to negotiate, why federal Medicaid cuts hit rural and pediatric hospitals hardest, and what it looks like when patients drive hours for care that used to be down the road. She is candid that most physicians, including her, sat out this fight for years. Press play to hear why she thinks this is unsustainable, and what she is asking physicians to do about it. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A peeler's jacket, a wizard hiding in glass, and a cuckoo singing somewhere in May. This week runs from a French village to Donegal Bay, from the heart of Buffalo to a lay sung in old Gaelic. Fifteen artists, one hour, and not a dull mile in it. It's the Irish & Celtic Music Podcast #773.  -  -  Subscribe now at CelticMusicPodcast.com! Caitlin Finley & Will Woodson, Boxing Robin, Almost Seamus, Cedar Dobson and Debojyoti Sanyal, Brian Quigley, Brobdingnagian Bards, Hildaland, The Leftovers, Tara's Folk, Ned Bigham, The Edinburgh Quartet & Màiri Macmillan, The McDades, Irish Millie, River Driver, MacCumhaill and the Gang, Trí GET CELTIC MUSIC NEWS IN YOUR INBOX The Celtic Music Magazine is a quick and easy way to plug yourself into more great Celtic culture. Enjoy seven weekly news items with what's happening with Celtic music and culture online. Subscribe now and get 34 Celtic MP3s for Free. VOTE IN THE CELTIC TOP 20 FOR 2026 This is our way of finding the best songs and artists each year. You can vote for as many songs and tunes that inspire you in each episode. Your vote helps me create this year's Best Celtic music episode. You have just three weeks to vote this year. Vote Now! THIS WEEK IN CELTIC MUSIC 0:02 - Intro: Robert Eby 0:18 - Caitlin Finley & Will Woodson  -  "The Peeler's Jacket / The Duke of Leinster" from Once Through the Hall 2:43 - WELCOME 5:09 - Boxing Robin  -  "Derriere Chez Nous / Chypre / Congo de Captieux" from Land of the Noon - Day Moon (pronunciation: deh - ree - EHR shay NOO / SHEEP - ruh / KOHN - goh duh kap - SYUH) 8:30 - Almost Seamus  -  "Danny Boy" from Almost Seamus 12:49 - Cedar Dobson and Debojyoti Sanyal  -  "Sí Bheag, Sí Mhór" from From Kolkata to Dublin (pronunciation: SHEE - vig, SHEE - vore; often anglicized "Sheebeg, Sheemore") 15:21 - Brian Quigley  -  "Galway Bay" from Joys, Fears, Laughter, and Tears 19:31 - FEEDBACK 22:21 - Brobdingnagian Bards  -  "Paddy McCollough" from Songs of Ireland 25:46 - Hildaland  -  "The Brushy Fork Of John's Creek" from Fiddle Tunes  -  EP 28:53 - The Leftovers  -  "The Old Man" from Heart of Buffalo 33:10 - Tara's Folk  -  "Lockdown" from remember how we fall 36:35 - Ned Bigham, The Edinburgh Quartet & Màiri Macmillan  -  "Laoidh Dhiarmaid (the Lay of Diarmaid)" from The Heroic Ballads  -  Laoidhean nan Gaisgeach  -  EP (pronunciation: LOY YEER - mij) 42:19 - THANKS 44:40 - The McDades  -  "Gardener's Child" from Thread The Light 48:41 - Irish Millie  -  "End Is Due" from Can You See Me? 52:32 - Blaggards "Leaving of Liverpool" from Live in Texas 55:59 - MacCumhaill and the Gang  -  "Wizard in Glass" from 2 58:17 - CLOSING 59:16 - Trí  -  "Fiddle without a bow" from The cuckoo sings in May 1:02:35 - CREDITS Support for this program comes from Dr. Annie Lorkowski of Centennial Animal Hospital in Corona, California. Support for this program comes from John Sharkey White, II. Support for this program comes from International speaker, Joseph Dumond, teaching the ancient roots of the Gaelic people. Learn more about their origins at Sightedmoon.com Support for this program comes from Cascadia Cross Border Law Group, Creating Transparent Borders for more than twenty five years, serving Alaska and the world. Find out more at   www.CascadiaLawAlaska.com Support for this program comes from Hank Woodward. The Irish & Celtic Music Podcast was produced by Marc Gunn, The Celtfather and our Patrons on Patreon. The show was edited by Mitchell Petersen with Graphics by Miranda Nelson Designs. Visit our website to follow the show. You'll find links to all of the artists played in this episode. Todd Wiley is the editor of the Celtic Music Magazine. Subscribe to get 34 Celtic MP3s for Free. Plus, you'll get 7 weekly news items about what's happening with Celtic music and culture online. Best of all, you will connect with your Celtic heritage. Please tell one friend about this podcast. Word of mouth is the absolute best way to support any creative endeavor. Finally, remember: clean energy is good news. Solar and wind are now the cheapest power sources in history. That means lower bills for families like yours. It means cleaner air in the towns we love. You can be part of it. Ask your energy provider about renewable options today. Every small step counts. A brighter future is ours to build, together. Promote Celtic culture through music at http://celticmusicpodcast.com/. WELCOME THE IRISH & CELTIC MUSIC PODCAST * Helping you celebrate Celtic culture through music. I am Marc Gunn. I'm a Celtic musician and also host of Pub Songs & Stories. Every song has a story, every episode is a toast to Celtic and folk songwriters. This podcast is for fans of all kinds of Celtic music. We are here to build a diverse Celtic community and help the incredible artists who so generously share their music with you. If you hear music you love, please email the artists to let them know you heard them on the Irish & Celtic Music Podcast. Because we are more than just a radio show. We are a community. A community of Celtic music and culture lovers. We support small and local artists. We spend money on things that truly matter. The personal and heart felt. You can do that with each of the artists on today's show OR your favorite artists. Buy a CD, Album Pin, Shirt, Digital Download, or join their community on Patreon. You can find a link to all of the artists in the shownotes, along with show times, when you visit our website at celticmusicpodcast.com. CELTIC PODFEST AND ARTS MARKET The 2026 Celtic PodFest was a tremendous success. Kinnfolk and The Muckers joined me for our first festival at The Lost Druid Brewery in Avondale Estates, Ga. The festival happened because of many of my listeners who pledged at our start - of - the - year Kickstarter. We had a great turnout, but we could've done better if we had planned it more than a month out. There is now a Kickstarter Pre - Launch Page for our Second Celtic PodFest. You'll find a link in the shownotes. This fundraiser will hopefully allow us to bring a second festival to you. The Kickstarter will launch in September. Will you help? ALBUM PINS ARE CHANGING THE WAY WE HEAR CELTIC MUSIC Looking for a fresh way to support the music you love? Meet the Album Pin. Album Pins are lapel pins themed to a specific album — and each one comes with a digital download. Wear your music. All of my latest pins are wood - burned and locally produced, which means a smaller footprint and a one - of - a - kind feel you won't find anywhere else. Pick yours up at magerecords.com THANK YOU PATRONS OF THE PODCAST! Here's where your support goes. Every month, your patronage buys the music you hear on this show, straight from the independent artists who made it. It keeps our audio engineer polishing every episode until it shines. It pays the server bills that carry the podcast to listeners in every corner of the world. None of it happens without you. So thank you. As a patron, you get episodes free of ads, music - only editions of the show for when you just want the tunes, and a vote in the Celtic Top 20 that shapes what everyone hears. Small thanks for keeping this whole thing afloat. Want to be part of it? Come find your people at SongHenge.com. Special thanks to our newest Patron of the Podcast: Katy K HERE IS YOUR THREE STEP PLAN TO SUPPORT THE PODCAST Go to our Patreon page. Decide how much you want to pledge every month, $4, $12, $30. Keep listening to the Irish & Celtic Music Podcast to celebrate Celtic culture through music. You can become a generous Patron of the Podcast on Patreon at SongHenge.com. TRAVEL WITH CELTIC INVASION VACATIONS Every year, I take a small group of Celtic music fans on the relaxing adventure of a lifetime. We don't see everything. Instead, we stay in one area. We get to know the region through its culture, history, and legends. You can join us with an auditory and visual adventure through podcasts and videos. I am now accepting applications for people to join the Celtic Invasion of Isle of Skye hiking trip in 2027 at http://celticinvasion.com/ CELTIC CHRISTMAS MUSIC The podcast is now being funded by you. Want Christmas music by Celtic musicians. Make a pledge. #celticmusic #irishmusic #celticmusicpodcast I WANT YOUR FEEDBACK What are you doing today while listening to the podcast? Send me a photo. If you're in a Celtic band, send me an audio recording of you performing live. Just audio. I'll use it in a podcast episode later this year. Email me at follow@bestcelticmusic. Troy of The Secret Commonwealth emailed a sad follow up back in March to the news about his friend who was illegally held in ICE custody: "Marc, thank you so much for sharing the fundraiser for my friend on your new episode. It is with profoundly heavy heart that I have to tell you that my friend died last Sunday of a heart attack. He had been moved to a hospital in Mississippi and apparently suffered two successive attacks. His body is being returned now. To say we are devastated and infuriated would be inadequate to describe our state of being. We had just been sending his lawyers important records and documents that we felt, along with his obvious serious health conditions, had a very good chance of securing his release. We'll never know now if that would have proven to be true, but we just needed him to endure a little while longer, which he ultimately could not. He died one month short of a year since being detained by ICE. I have not yet publicly announced this in an update to our fundraiser because, frankly, it's still too fresh and painful to address. But any proceeds we've made will obviously now be put toward the cost of his funeral service. Sorry to impart this bad news, but I mostly wanted to express my gratitude to you for your kind support on behalf of Pejman's family, my girlfriend (who was his dearest friend in the world and who spearheaded this fight for his freedom) and for me. Best to you,"

In this episode, Rhiannon Doherty, DHA, APRN, Director of Usability and Clinical Optimization at Baptist Health, shares how human-centered design, change management and frontline engagement helped drive adoption during a major EHR communication transition. Moderated by Stephanie Lahr, MD, Chief Medical Officer at uPerform, the conversation explores turning resistance into insight and putting users first.This episode is sponsored by uPerform.

At the Collaborative Clinical Trials meeting in Prato, Italy, Mike Grocott and co-host Mark Priestley speak with Sachin Kheterpal, University of Michigan Medical School's Associate Dean for Research Information Technology and the Robert B Sweet Professor and Kelley M. Kidwell, Chair of the Department of Anesthesiology and Professor of Biostatistics at the University of Michigan School of Public Health and Senior Associate Dean for Faculty Affairs . Kidwell explains sequential multiple assignment randomized trials (SMART) as multi-stage designs that randomize at key decision points to evaluate treatment sequences, distinguishing them from adaptive trials and addressing misconceptions about sample size. Kheterpal describes the University of Michigan–led Multi-Center Perioperative Outcomes Group (MPOG), contrasting EHR-based automated extraction and individual provider feedback with manually collected programs like NSQIP, and discussing alignment with AQI/NACOR and inspiration from UK National Audit Projects to improve documentation for future inference. They note emerging use of large language models to extract outcomes from free-text notes, discuss pragmatic trial designs including THRIVE, and emphasize the value of close statistician–clinician collaboration and scientific humility, highlighting a BMJ talk on countering misinformation. For more information on EBPOM Dingle, go here now: www.ebpom.org

You can have five doctors and still have no one actually in charge of your care. That gap is where patients get lost. In this episode, retired surgeon and patient advocate Alan P. Feren walks through a common case where the surgeon, primary care, and specialists each assume someone else is directing the plan, and no one is. This episode is based on his article "Fragmented care needs clinical direction, not more data," published on KevinMD. You will hear why coordination is not the same as clinical direction, how disconnected medical records leave patients to piece their own care together, and why confusion can look like progress from the outside. He also explains where AI can genuinely help patients and where it falls short. Hear the exact questions he says every patient with multiple doctors should be asking. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

For community health centers with limited staff, a request for thousands of medical records can quickly become an overwhelming administrative burden. In this episode, Joe Van de Graaff, VP of Growth at Sherpas Healthcare Solutions, explains how Sherpas helps healthcare providers and payers securely find and release medical records while reducing the operational burden of audits, compliance reviews, and data requests. He discusses why FQHCs are particularly well-suited to Sherpas' mission and business model, how automation and EHR interoperability can streamline record retrieval, and why AI could play an increasingly important role in transforming manual healthcare workflows. Joe also shares what he is seeing across the community health landscape as organizations balance limited resources with growing administrative demands. Tune in to learn how smarter medical record workflows can help community health centers spend less time carrying the administrative load and more time serving their patients! Resources: Connect with and follow Joe Van de Graaff on LinkedIn. Follow Sherpas Healthcare Solutions on LinkedIn and explore their website.

Attachment repair is a skill, not just insight. Swedish clinical psychologist and SecureBase Lab founder Martin Jonsson explores how attachment healing extends beyond individual therapy and into relationships and community. Martin shares how peer support, shared experiences, and practical secure-relating skills can create opportunities for attachment repair, while exploring the roles of spirituality, sexuality, and belonging in building deeper, more secure connections. “Community is about horizontal empathy, not hierarchy.” – Martin Jonsson Attachment Isn't Solo Work: Healing Through Community with Martin Jonsson (310) 02:21 Spirituality and its role in therapy 09:21 Community as a space for attachment repair 11:23 Difference between groups and communities 14:54 Horizontal empathy and attachment in community 19:56 The integration of attachment theory in recovery models 22:26 Peer support and corrective emotional experiences 25:52 Language of attachment and shared understanding 28:27 Accessibility and inclusivity in attachment work 30:44 Sexuality and attachment patterns 34:09 Impact of attachment on intimacy and boundaries 40:44 Working with unconscious shadow aspects in community 45:16 The role of mentalization and affect regulation 49:38 Resources and upcoming workshops About our Guest – Martin Jonsson  Martin Jonsson is a licensed clinical psychologist, educator, and founder of Secure Base Lab, an attachment-informed therapeutic community integrating attachment science, experiential psychotherapy, and relational approaches to support psychological growth and relational wellbeing. For more than twenty years, Martin has worked at the intersection of psychotherapy, education, and transformational learning. Alongside his clinical practice, he has facilitated groups, trained professionals, and designed experiential learning programs across healthcare, education, social services, and personal growth. His academic training includes degrees in Clinical Psychology and Sexology, complemented by extensive postgraduate training in attachment-based therapies, including experiential dynamic therapies, as well as supervision training. His work is further informed by contemporary attachment research, affective neuroscience, interpersonal neurobiology, and experiential psychotherapy. Today, Martin combines clinical practice, teaching, writing, and facilitation with the ongoing development of Secure Base Lab. His work is dedicated to bridging rigorous psychological science with the timeless human need for belonging, helping people move beyond understanding themselves toward experiencing—and creating—the kinds of relationships in which lasting change becomes possible. Click Here to see Martin’s full bio.  Resources for Attachment Isn't Solo Work: Healing Through Community with Martin Jonsson (310) The Secure Base Lab – Website, resources, workshops and more @TheSecureBaseLab – Official Instagram page Please support our sponsors – they keep our podcast free and accessible to all!  SimplePractice is an all-in-one EHR that is HIPPA compliant, HITRUST certified and built specifically for therapists. If you are ready to simplify the business side of your practice, now is a great time to try SimplePractice. Start with a 7-day free trial, then get 50% off your first three months. Just go to SimplePractice.com to claim the offer. Beyond Attachment Styles – Deepening Security in Yourself and Fostering More Secure Relationships Course available NOW!  LIVE Q&A SEPTEMBER 25TH! Everyone’s heard of attachment styles – but you likely don’t know how much the popular press gets wrong and what the science actually says about how to improve your relationships long term (including how we relate to ourselves).  This course is for anyone wanting to more deeply understand attachment (styles vs patterns), unconscious defense activation patterns, implicit scripts… and most importantly, what to do once you do get activated!  Online, Self-Paced, Asynchronous Learning with Quarterly Live Q&A’s! Earn 6 Continuing Education Credits – Available at Checkout. As a listener of this podcast, use code BAS15 for a limited-time discount. Or read Marriott & Kelley’s critically-acclaimed book, Secure Relating: Holding Your Own in an Insecure World (HarperCollins,2023) for the most in-depth experience of learning about Secure Relating. Therapists love it, but it’s accessible to everyone.  If you aren’t interested in the background science, just start at Part 2 and we will be talking directly to you – it’s fun! You are invited!  OK for those of you who refer others to the pod, use it professionally or consider yourself nerdy and just love this stuff, hello, you are our people! Join our exclusive community to get exclusive bonus content, early access to training opportunities, and an ad-free, private podcast feed. It’s this warm community that allows us to donate half of all corportate profits to mental health access for marginalized peoples.  Sign up for our premium Neuronerd plan!! Click here!! 

A resident read a student's personal statement and asked why she didn't just use ChatGPT. The comment landed like a wound. In this episode, certified coach and professor Kathleen Muldoon returns to unpack what a residency personal statement is actually for, and why an algorithm can't do it for you. This episode is based on her article "Why ChatGPT can't write your residency personal statement," published on KevinMD. You will hear why the product was never the essay but the self-knowledge that comes from writing it, how AI tends to average out the distinctive voice and sharp edges that make an applicant feel human, and where a tool like ChatGPT can still help without taking over the whole process. She also weighs whether AI detection tools unfairly flag applicants whose first language isn't English. Hear why she says the real question was never whether AI wrote it, but whether the person still comes through. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

There is a startup delay that often goes undetected: source preparation. Ken Getz, executive director at the Tufts Center for the Study of Drug Development, and Rick Ward, chief commercial officer at CRIO, break down what their joint research reveals about protocol-guided source preparation and why it quietly dictates when the first patient can actually enroll. With guest host Deena Bernstein, vice president of business development at Transformative Pharmaceutical Solutions, they walk through the surprising lag sites can face waiting for “final” source materials, why EHR-to-EDC integration is not a universal fix, and the steps sponsors, CROs, and sites can take to reduce startup friction and improve site experience. The Scope of Things podcast explores clinical research and its possibilities, promise, and pitfalls. Clinical Research News senior writer, Deborah Borfitz, welcomes guests who are visionaries closest to the topics, but who can still see past their piece of the puzzle. Focusing on game-changing trends and out-of-the-box operational approaches in the clinical research field, the Scope of Things podcast is your no-nonsense, insider's look at clinical research today.  

What if your clinic is profitable, your schedule is full—and you're still financially handcuffed to patient care? In this episode, Dr. Lauryn sits down with Dr. Daniel Herzberg to unpack why high income alone doesn't create freedom, and why doctors need a strategy that extends beyond simply earning more, saving more, or waiting until the practice hits the next revenue milestone.Together, they explore the shift from active income to capital that works for you, why doctors often delay investing, how lifestyle creep and risk aversion can stall wealth building, and the importance of coordinating taxes, cash flow, investing, risk management, and business operations. Daniel also breaks down hard money lending, private investments, and the family office approach—giving practice owners a framework for building wealth, optionality, and a future where working is a choice rather than an obligation.Key TakeawaysHigh income does not automatically create financial freedom. If your income still depends on how many patients you personally see, you're continuing to trade time for money regardless of how successful your practice becomes.Doing nothing with your money is still an investment decision. Risk aversion can protect doctors from bad opportunities, but years of financial inaction can also mean losing valuable time, compound growth, and opportunities to build income outside the clinic.Stop treating wealth building like a collection of disconnected financial products. Taxes, cash flow, investments, business operations, risk management, and long-term goals should work together as one coordinated wealth strategy.Your capital can become your best employee. Building assets and passive income allows your money to work independently of your clinical hours, ultimately giving you the freedom to practice because you want to—not because you financially have to.About the GuestDr. Daniel Herzberg is a physician freedom coach, founder of the Intelligent Investor Forum, and creator of the Physician Freedom Plan, a strategic framework designed to help physicians and high-income professionals reduce financial stress, build income beyond their careers, and create greater freedom over their time and future. With more than 33 years of experience and over 9,000 clients served, Daniel helps clients identify the gap between where they are financially and where they want to be, then coordinate strategies around investing, taxes, cash flow, risk management, business operations, and wealth building to help close that gap.Find all the resources the Intelligent Investor Forum has to offer!Follow Dr. Daniel: LinkedInResources:Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:INSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubClinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind

One month shy of five years. That is how long Big Trees MD ran on the electronic health record it opened with, and this month, that ended. Not because Dr. Maryal Concepcion went looking for something shinier, but because the terms under which her patients' data lived changed, and she could not accept them.In this solo episode, Dr. Concepcion documents the switch in real time from her rural Direct Primary Care practice in Arnold, California, which she owns with her husband, Dr. Jeremiah Fillo, and runs with a fully virtual team. No vendor names, on purpose. The names change. The framework does not.Built from The Toolkit's Battle of the EHRs issue, where over 200 DPC EHR users shared what they use and why, this episode walks through how to choose an electronic health record that grows with your practice instead of boxing you in:Why an EHR is the memory of your practice, and why the DPC version of this decision is nothing like the fee-for-service versionThe 10 categories to score every EHR on, from membership billing and charting speed to support quality and scalabilityThe 5 questions to ask before you switch, starting with "what problem am I really trying to solve?"How to run a demo on your terms: build a fake patient, count clicks out loud, ask about migration before features, and ask the question nobody asks, which is "how do I leave you?"Why you should research who owns the EHR company, especially as private equity and venture capital creep into Direct Primary CareRunning the real math: subscription, add-ons, switching costs, and exit costs over a three year horizon, plus what an hour of your life is actually worthThe hidden costs no spreadsheet captures: patient trust, the emotional weight of change, and the 90 day post-switch reality checkThings have changed since the Summer 2025 issue published, and the second Battle of the EHRs opens for voting in Q1. The only way to vote is through the My DPC Story newsletter, so sign up at mydpcstory.com.FREE from The Toolkit at mydpcstory.com:How to Interview Electronic Health Records comparison worksheetPatient handout on choosing healthcare vs. health insurance (perfect for open enrollment season)The Lean Startup Business PlanThe First Year RoadmapEvery issue of The Toolkit, including the new Battle of the Support StackFollow the full switch in real time: demos, migration answers, the four-bucket spreadsheet, and the second guesses, all inside the My DPC Story Patreon community. Leave a voice message with your question, challenge, or win at mydpcstory.com/contact and you might hear it on a future episode.If this episode helped you, a five star review on Apple Podcasts helps other physicians find these stories when they need them most.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Kourtney Moore is a multi-passionate entrepreneur, mother of four, advocate, and community builder working at the intersection of technology, healthcare, and human connection. She is the co-founder and CEO of the Missing Piece App, a resource directory and EHR platform helping families with children on the autism spectrum find diagnosis, treatment, and community resources. Kourtney is also a doctoral engineering student specializing in AI and machine learning and hosts the Warrior Her podcast. Her entrepreneurial journey has taken her from working multiple jobs and learning sales in an unexpected environment to building businesses, working in tech sales, and ultimately creating a mission-driven technology company. On this episode we talk about: How Kourtney's first experience with sales and entrepreneurship came from working as a shot girl and learning how to sell, market, and understand profit Why experimenting with different jobs and career paths can help you discover your strengths and build a unique skill stack What Kourtney learned from her failed $30,000 CrossFit gym and how those mistakes shaped her approach to business and partnerships How her experiences in healthcare, ABA, sales, and technology eventually led to the creation of the Missing Peace App Why building a mission-driven business makes it easier to navigate challenges, rejection, and the uncertainty of entrepreneurship Top 3 Takeaways You don't have to have your entire career figured out. Trying different jobs, industries, and experiences can help you identify the skills and interests you want to carry forward. Build a skill stack from your experiences. Kourtney's background in sales, marketing, staffing, leadership, healthcare, and technology all eventually became valuable pieces of her entrepreneurial journey. Find something you genuinely care about. Kourtney learned that making money isn't enough to keep her committed to a business. When the mission is personal, she's much more willing to push through the inevitable challenges of entrepreneurship. Notable Quotes "I really never thought of it because I wasn't really exposed to anybody that was an entrepreneur." "I fully immerse myself and then when I realize this is not for me, it's like let's pivot to the next thing." "It doesn't matter how much money is possibly gonna be made if I don't actually care about it." Connect with Kourtney Moore: LinkedIn: Kourtney Moore Other: The Missing Piece App A Word from Our Sponsors: - The most successful business owners don't do it all themselves — they delegate. Upwork lets you build a team of highly skilled specialists for every function your business needs, so you can focus on what you do best and let experts handle the rest. Visit Upwork.com right now and post your job for free! - Go to Leesa.com for 30% OFF select mattresses (through September 13, 2026) PLUS get an extra $50 off with promo code TMM, exclusive for my listeners Learn more about your ad choices. Visit megaphone.fm/adchoices

Food as Medicine: Why Medical Nutrition Therapy and Medically Tailored Meals Belong in Modern Healthcare: Registered dietitian nutritionist Leyla Muedin argues that food should be treated with the same rigor as medication through medical nutrition therapy (MNT) and “diet prescriptions,” integrating nutrition into treatment plans rather than leaving it as optional advice. She cites evidence that medically tailored meals (MTMs) can improve outcomes and reduce costs, including a Health Affairs simulation estimating $23.7B in first-year net savings nationwide and a Nature Medicine analysis of a Massachusetts Medicaid demonstration (2020–2023) showing MTM recipients had 31% fewer hospitalizations, 20% fewer emergency visits, and $3,433 lower total healthcare costs, offsetting 98% of program costs. She discusses food insecurity, expanding Medicaid coverage via Section 1115 waivers, EHR integration, and how MTMs support adherence for conditions such as diabetes, cardiovascular disease, chronic kidney disease, depression, and IBS (including low FODMAP).

The Derm on RheumNow podcast is a review of recent citations and content curated for dermatologists – addressing Psoriasis, PsA, CLE, vasculitis, HS, CTD skin disorders. dermatology drugs, biologics, andJAK inhibitors - their use, efficacy and side effects. Features Dr. Jack Cush, Editor at RheumNow.com. Show Notes: Latest #s: EHR estimates from 6 large US medical systems, estimated prevalence of autoimmune Dz (AID) to be 15 million (4.6% US population); 34% have 2+ AID. Women have 2x risk. Sex ratio of 1.7:1 F:M. https://buff.ly/fYgRfZ0 POETYK PsA-1: Deucravacitinib in Biologic-Naïve PsA POETYK PsA-1 trial tested the disease modifying efficacy of deucravacitinib, a tyrosine kinase 2 (TYK2) inhibitor, in PsA patients and was shown to be superior vs to placebo for clinical responses, patient-reported outcomes, https://t.co/VjwpCVKPz0 MoonLake announced positive phase 3 data from its IZAR-1 RCT using its dual A/F IL-17 inhibitor sonelokimab, showing significant responses at week 16: 66% ACR20, 42% ACR50, 41% minimal disease activity (MDA), & 61% PASI90 at week 16. a 2nd IZAR-2 PsA RCT is in progress https://t.co/eX0cxekRKG British Dermatology Biologics registry (BADBIR) 18976 #PSO pts had incidence serious infxns (SIE) 28 SEI/1000 Pt-Yrs; higher if they had prior infxn (79/1000 PYs). SIE signif lower w/ RIZankizumab (HR 0.74-.80) vs BROAD, ETN, other standards Rxs. SIE deaths rare (1.81/1000 PYs) https://t.co/GTr3DLCVXs 39 studies compared Juvenile systemic sclerosis (jSSc) & adult SSc. 935 jSSc vs 15,451 aSSc pts; jSSc had more diffuse cutaneous dz (70% vs 41%), more overlap myositis (33% vs. 5%), arthritis (33% vs 18%), digital ulcers (51% vs 20%), less renal crisis (0% vs 6%) & lower mortality jSSc (7.7% vs. 20.4%) https://t.co/vflarmwSyv Italian SPRING cohort of #SSc pts found only 5.3% (of 1689 pts) without the typical scleroderma pattern on nailfold change by NVC. They had milder dz, with less vascular dz (pitting scars 33 vs 48%), telangiectasias (52 vs 74%), calcinosis 3.4 vs 12%) & higher DLCOs at 12, 24, https://t.co/AoNAhVYfII Review of CAR-T 29 trials in systemic sclerosis (SSc): 27/29 target CD19 (other CD20, BCMA), 20/29 autologous. Only 2 RCTs; 1 w/ RTX comparator. Most included CREST. Schetts largest series had 6 dcSSc w/ skin/lung improvements. Need fewer & larger multicenter RCTs https://t.co/Me28HbaFhR SLE & Dermatomyositis rashes maybe classically red or violaceous in Whites,but different in people of color, where erythema often appears brown/violaceous, Gottron papules can be mistaken for "dry skin." This delays dx, especially in anti-MDA5+ RP-ILD, where rash may be the https://t.co/Savx5IOTcG Yesterday the EMA approved upadacitinib (Rinvoq) for the Treatment of Adults and Adolescents with Non-Segmental Vitiligo - the 1st therapy approved for the most common form of vitiligo. Based on positive results from the Phase 3 Viti-Up trials https://t.co/MMv5LjZclQ 3 Rx are FDA approved for hidradenitis supprativa (secukinumab, adalimumab, bimekizumab). New JAK1i Povorcitinib in STOP-HS1 and STOP-HS2 ph 3 PCTs (608/619 pts). Povo showed HiSCR50 ~42% vs PBO 29% @wk12. AE: acne, pharyngitis https://t.co/n3FJUOjNuo

What happens when healthcare spends decades and hundreds of billions of dollars digitizing medical records — but clinicians still can't see the whole patient?On this episode of Straight Outta Health IT, Christopher Kunney sits down with healthcare technology veteran Jonathan Bush, Founder & CEO of Zus Health and co-founder of athenahealth, for an unfiltered conversation about the problem hiding in plain sight: healthcare has plenty of data but too much of it is trapped in silos.Jonathan doesn't mince words.He calls out “data defensiveness” the instinct across health systems, vendors and physician organizations to treat healthcare data as something to control rather than something to share for the benefit of the patient.And then there's the bigger problem:The EHR was built to store data. It wasn't built to orchestrate care.So what happens when we stop treating the medical record like a filing cabinet and start treating it like a living, shared picture of the patient?Christopher and Jonathan go deep on:- Why today's EHR infrastructure wasn't designed for value-based care- Data defensiveness and why it can work against better outcomes- The shift from fee-for-service to value-based care- Federated medical records and the idea of a common patient record- Why healthcare organizations can be reluctant to share data- Why the “fourth D” may be data- How AI can turn buried clinical information into actionable intelligence- Why AI may finally unlock the value sitting inside the medical record- What happens when AI agents become part of always-on care- The future of always-on, coordinated healthcare- Why the patient — not the claim, encounter or health system — needs to become the center of the record--Jonathan also shares lessons from his journey from EMT on the streets of New Orleans and U.S. Army combat medic to co-founding athenahealth and ultimately building Zus Health around a vision for a more connected healthcare ecosystem. The episode traces that journey directly into the problem he's trying to solve today.One of the most striking moments comes when Jonathan points out that even organizations using the same system were once faxing medical records to one another illustrating just how fragmented healthcare data has remained.And then there's AI.Jonathan explains how AI can go beyond simply surfacing structured data by actually reading attachments and identifying clinically relevant information buried in the narrative creating a much richer picture of the patient.This isn't just a conversation about technology.It's about who controls healthcare data, who gets access to it, how healthcare gets paid, how AI changes clinical work, and whether the infrastructure underneath American healthcare is finally ready for what comes next.--

In this episode of The Dish on Health IT, Tony Schueth, CEO of Point-of-Care Partners (POCP), welcomes Angel Ballew, Head of Pharmacy Clinical Programs & Services at Centene Corporation, along with Seth Joseph, Managing Director of Summit Health Advisors, and Jason Reed, Senior Consultant at Point-of-Care Partners, for a discussion about what it will take to scale pharmacist-delivered clinical services. The conversation builds on findings from the NCPDP Foundation-funded white paper, A Business Model Framework to Scale Pharmacy-Delivered Clinical Services, developed with contributions from Point-of-Care Partners and Summit Health Advisors. The research starts from an important premise: there is already significant evidence that pharmacist-delivered clinical services can improve patient outcomes. The harder question is how to make those services operationally and financially sustainable at scale. Tony begins by asking Angel about the role pharmacists can play in closing care gaps, particularly for vulnerable and rural populations. Angel notes that Centene serves approximately 3.5 million people living in rural communities, but emphasizes that access challenges extend beyond geography to transportation, housing, food insecurity, and other social determinants of health. Against that backdrop, pharmacists can be among the most accessible healthcare professionals in a community and may interact with patients more frequently than physicians or other providers. Angel describes opportunities for pharmacists to reinforce medication adherence, identify medication-related concerns, provide immunizations, support test-and-treat services, conduct screenings, and perform other clinical services. As states continue expanding pharmacists' scope of practice and provider recognition, she sees opportunities to further integrate pharmacists into the healthcare team, particularly in communities with limited provider access. Seth and Jason broaden the discussion by sharing what emerged from the stakeholder interviews and industry research behind the white paper. Pharmacist-delivered services are already being piloted or implemented across areas including gaps-in-care counseling, test-and-treat programs, medication counseling and medication therapy management, immunizations and preventive screenings, and chronic disease management. Jason notes that pharmacists can play an important role between physician visits for patients managing conditions such as diabetes and hypertension. The conversation then turns to one of the biggest obstacles to scale: reimbursement and credentialing. Angel describes the tension between generating enough patient volume to make participation worthwhile for pharmacies and demonstrating enough outcomes and value to justify health plan investment. She discusses Centene's work to make credentialing requirements clearer for pharmacy partners, including the internal education required to bring pharmacy into processes traditionally designed around other healthcare providers. Tony asks Seth what the research suggests needs to change. Seth explains that the findings pointed strongly toward health plans and pharmacies working together to lead the development of sustainable models. Pharmacy benefit managers remain important participants with established relationships, networks, technology, and processes, but Seth describes the difficulty an innovative program champion within a PBM can face when they must first secure a client and then assemble participating pharmacies. Health plans may have greater ability to initiate programs and bring the necessary parties together, although their different lines of business and geographic markets add their own complexity. Angel shares how some of this has played out at Centene. The organization has worked directly with pharmacy communities and industry partners, often state by state because of differences in pharmacist scope-of-practice requirements. At the same time, Centene has developed a national program with consistent quality measures and an infrastructure that can support additional pharmacy service opportunities. That experience provides a real-world look at what scaling can require. Angel describes participation approaching 73 percent nationally and nearly 30,000 pharmacies contracted to participate in the program, including growth of more than 10,000 pharmacies over the past several years. She points to consistency as an important part of building participation. Rather than continually replacing programs with something new, Centene has gathered feedback and iterated, helping pharmacy partners gain confidence that the opportunity is stable enough to warrant their investment. The discussion then returns to a central finding of the white paper: the “cold start,” or chicken-and-egg, problem. Pharmacies may hesitate to invest in technology, staffing, workflow redesign, and clinical capabilities until sufficient patient volume exists, while health plans want sufficient pharmacy participation before investing in programs and measuring outcomes. Meanwhile, differences in credentialing, enrollment, reimbursement, contracting, and reporting continue to create practical barriers. Tony introduces the concept of regional Pharmacy Health Alliances for Reimbursable Medical Services, or PHARMS, as one potential approach to addressing the cold-start problem by bringing health plans and pharmacies together within a geographic market. Angel agrees that the concept begins with the right problem. The industry does not lack evidence that pharmacists can improve outcomes or help address gaps created by provider shortages. What remains less aligned is the business model. She cautions, however, that health plan operations vary considerably across lines of business, patient populations, benefit designs, quality priorities, and state Medicaid requirements. A regional model therefore needs enough flexibility to account for those differences. Seth explains that this variation is precisely why the research pointed toward regional collaboration rather than attempting to solve every issue nationally at once. The goal is not necessarily complete standardization, but identifying enough commonality among health plans and lines of business to prioritize a smaller number of services and begin building the infrastructure needed to support them. Angel views those complexities as design considerations rather than reasons not to pursue regional collaboration. She also sees the potential for lessons and common approaches developed regionally to eventually contribute to greater standardization nationally, particularly within individual product lines. Jason brings the discussion back to the pharmacy perspective. Pharmacies need confidence that services will be reimbursed before they can reasonably invest in technology, redesign workflows, train staff, and begin documenting clinical care differently. Regional collaboration among multiple payers could give pharmacies greater confidence that those investments will support sufficient patient volume while creating value for patients, pharmacies, and payers. From there, the conversation moves to another critical requirement for advanced pharmacy practice: data interoperability. Tony points out that pharmacists cannot effectively close care gaps if relevant clinical information remains siloed. Angel agrees that pharmacists need timely, actionable clinical information and enough context beyond the dispensing system to intervene effectively. At the same time, she cautions against overwhelming pharmacists with more information than they can realistically use within their workflows. She also challenges the idea that interoperability must be an all-or-nothing proposition. While the industry continues working toward a more ideal interoperability environment, imperfect data exchange should not prevent health plans and pharmacies from making progress today. Jason expands on the interoperability challenge by discussing the emerging concept of a pharmacy EHR. Pharmacy management systems are highly effective at supporting medication dispensing and claims transactions, but advanced clinical services require additional information. He argues that the answer is not simply to deliver the entire EHR to the pharmacist. Instead, the industry needs to identify the minimum actionable clinical information pharmacists need to make better decisions and perform specific services. Just as importantly, Jason emphasizes that pharmacy interoperability must be bidirectional. Pharmacists increasingly generate clinically valuable information through patient interactions, and that information also needs to reach providers and other members of the care team. Angel notes that Centene already receives some information back from pharmacies, including through programs involving social determinants of health, although the more seamless bidirectional infrastructure envisioned by the group is still developing. Looking ahead five years, Seth describes himself as a “data-driven optimist.” He points to momentum across private-sector organizations, national and independent pharmacies, state governments, and policy initiatives. While significant reimbursement, policy, and infrastructure challenges remain, he believes many of the pieces needed to overcome the cold-start problem are beginning to come together. Angel shares that optimism. Her hope is that pharmacists become a much more integrated and visible part of frontline healthcare delivery. The COVID-19 pandemic demonstrated how accessible and valuable pharmacists can be when the healthcare system needs them, and she sees an opportunity to continue moving the profession beyond its traditional dispensing role. Jason adds that demographic pressures, including an aging population and primary care capacity challenges, will continue creating demand for pharmacists to practice at the top of their licenses. He expects states to continue expanding pharmacist prescribing authority and clinical roles while technology, interoperability, and potentially AI help pharmacies operate more efficiently and support broader clinical services. Tony closes with the question asked of every guest on The Dish on Health IT: what is one habit or perception healthcare stakeholders should change or revisit starting tomorrow? Angel challenges listeners to think about pharmacists as more than medication experts. They are also access experts. In a healthcare system facing provider shortages, increasing complexity, barriers to care, and pressure to improve quality, she encourages healthcare leaders to ask how they can better leverage one of the most accessible healthcare professionals available in nearly every community. Rather than focusing only on what pharmacists dispense, Angel leaves listeners with a broader question: What can pharmacists prevent or help solve? The episode closes, as always, with the reminder that Health IT is a dish best served hot. Prefer video? Catch episodes on the POCP YouTube channel

An eye surgeon who used to see forty patients a day now sees one to three in a morning, and he has no staff. Oren Fass, a board-certified ophthalmologist and cataract surgeon, has been an employed physician, a practice owner, and an owner who sold to private equity, and he now runs a solo micro practice. This episode is based on his article "The hidden variable in the physician burnout debate," published on KevinMD. You will hear how his agents read incoming faxes, start the scheduling, and apply his billing rules, and why he says this was not feasible three years ago. He is direct about why doctors feel stuck, from the six to twelve month timelines on licenses and insurance panels to the second shift of charting that starts at six in the evening. He also argues that ownership and creativity are the two bets worth making now, and that the salaried job may be the riskier one. You will hear where he thinks the model fits, and where it does not. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Self-regulation is the ability to recognize and manage our emotional, mental and physical responses to stress so we can think clearly, make sound decisions, and engage effectively with others. In healthcare and other high-pressure environments, self-regulation helps individuals move beyond instinctive "fight, flight or freeze" reactions and respond with intention, empathy and professionalism. In this episode of Caring Greatly, Jennifer Luer, DNP, RN, CPPS, CPHQ, System Director of Employee Safety and Wellbeing at SSM Health, explores the powerful role of self-regulation in healthcare leadership and workplace safety. Drawing on her journey from critical care nurse to system leader, Jennifer shares how personal experience, patient safety work, and a passion for supporting care team members shaped her approach to building a healthier, safer work environment at SSM.Jennifer also discusses why employee wellbeing deserves dedicated focus, how self-regulation helps individuals stay grounded under pressure, and why creating a culture of safety requires both personal skills and system-level support. From workplace violence (WPV) prevention to leadership communication, self-regulation techniques allow individuals to regain balance during challenging moments, reduce burnout, improve communication, strengthen relationships, and maintain the capacity to provide safe, high-quality care and effective leadership.Jennifer is a registered nurse and system leader specializing in healthcare safety and quality through evidence-based best practices and continuous improvement. Her work centers on advancing emotional, physical and psychological safety for care team members and patients alike. Pursing her passion and purpose as a nurse, she joined SSM Health in 2007. Jennifer also has than 11 years of experience in process improvement, event investigation and root cause analysis. In June 2021, she transitioned into her role as System Director of Employee Safety, following leadership of Regulatory, Infection Prevention, Risk, Quality and Patient Safety. Jennifer has been instrumental in designing and implementing the Care for Caregivers program, including systemwide education on the second-victim phenomenon. She has also helped lead key initiatives such as the rollout of WPV prevention training, simplified single-icon WPV reporting, proactive EHR workflows for violence risk, and standardized tools that support a holistic approach to care team safety. Dr. Jennifer Luer is a leader who cares greatly.Related links:Article: Built on safety, powered by peopleJennifer Luer on LinkedInThe views and opinions expressed in this podcast are those of the speakers and do not necessarily reflect the views or positions of Stryker. The provided resources may contain links to external websites or third-party content. We do not endorse, control or assume any responsibility for the accuracy, relevance, legality or quality of the information found on these external sites. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Caring Greatly, Stryker. All other trademarks are trademarks of their respective owners or holders.

In fast-growing companies and competitive tech hubs, culture can quietly become the deciding factor between loyal, engaged teams and constant turnover. Today's guest, Heather Page, Culture and Experience Manager at AdvancedMD, shares how her journey from hand-coding websites in the early days of the internet to building brand and people-first initiatives prepared her to design an environment where nearly 700 team members feel connected, valued, and excited to show up on Monday. In this episode of Marketer of the Day, Heather reveals how her background in UX and digital experience naturally evolved into human experience and internal culture. She explains why the same questions you ask when designing a great product “Does this feel intuitive? Does it create connections? Does it reflect who we are?” should guide how you design your company culture. Instead of treating culture as perks and free sodas, Heather focuses on what people are really thinking and feeling on Sunday night: are they dreading Monday, or excited to plug back in? Heather walks us through her journey from web designer to culture leader, including how she volunteered for culture committees, paid attention to cross-functional teams, and ultimately had a role created specifically for her at AdvancedMD. She shares practical examples of how she and her team listen to employees through twice-yearly anonymous surveys and, crucially, act on the data instead of letting it collect dust. For Heather, people-first isn't a slogan, it's a pillar that drives decisions, programs, and daily behavior. We also dive into AdvancedMD's medical office software and how it's helping doctors reclaim their time, reduce burnout, and reconnect with the human side of healthcare. Heather explains how AI-enabled digital charting, automation, and integrated EHR/practice management tools free physicians from after-hours note-taking and clunky legacy systems. With strong onboarding and hands-on professional services, AdvancedMD doesn't just sell software; they guide practices through the change so the whole team feels supported, not overwhelmed. https://youtu.be/jzUqj0sMaTs?si=wfnr5SshZmJGn-11 Throughout the conversation, Heather emphasizes that rapport, curiosity, and genuine human connection are timeless superpowers. She encourages employees at every level to stop waiting for permission: sit with support, learn how sales thinks, understand your colleagues' worlds, and build real relationships. Promotions, opportunities, and innovation often follow the people who are genuinely interested in others, not just in climbing the ladder. If you want to: Build a culture where people feel seen, valued, and eager to stay. Reduce job-hopping by creating a true culture fit instead of surface-level perks. Use AI and better systems to give professionals (especially doctors) their time and focus back. Lead with empathy, listening, and follow-through in a way that never goes out of style; then this episode with Heather Page will give you a fresh, people-first lens on both culture and customer experience. Quotes: “Culture, to me, is a lot like a well-designed product: it's intentional, it evolves, and it's built for the people using it every day.” “If you take care of your people inside your company, they will take care of people outside your company, and that's a win-win.” “Each of us brings our own culture to the table every day, and sometimes those cultures mesh, and sometimes it's oil and vinegar.” Contact Details: Stop Letting Admin Work Slow Your Practice Down: See AdvancedMD In Action Today Connect With Heather Page On LinkedIn Follow Heather Page On Facebook Listen To The AdvancedMD Podcast On Apple Podcasts

Is your practice website actually helping patients choose you, or is it just a digital brochure listing your services? In this episode, Dr. Lauryn sits down with branding strategist Alexa Torres to unpack what makes a healthcare brand connect, convert, and stand out in 2026. They explore why great marketing starts with making patients feel seen, not simply telling them how qualified you are.Alexa breaks down emotional selling, identifying your primary audience, creating a website that functions like a pre sales conversation, and designing for both quick decision makers and analytical buyers. They also dive into using AI to develop your brand voice, write better content, build websites, and even create an AI twin that helps you show up consistently without constantly being on camera.Key TakeawaysPatients buy outcomes, not services. Effective healthcare marketing speaks to the emotional problem behind what a patient is experiencing so they immediately recognize that your practice understands them.Your website should operate like a sales conversation. Strategic messaging, clear positioning, intentional calls to action, and a series of small “yeses” can pre sell prospective patients before they ever contact your practice.Your personal brand matters, but your patient should remain the focus. Establish your expertise and personality without making the homepage a résumé about your education, credentials, and accomplishments.AI works best when you give it your ideas instead of asking it to invent them. Detailed prompting, voice training, AI assisted website building, and tools like AI twins can make marketing faster while still preserving the perspective that makes your brand unique.Guest BioAlexa Torres is a creative director and branding strategist who has built more than 200 brands and websites since beginning her career in 2009. After shifting her focus exclusively to healthcare in 2016, Alexa and her team have helped more than 100 health entrepreneurs transform their ideas into magnetic brands that attract ideal patients, communicate their value clearly, and inspire action. Through her branding agency, Care Identity, and educational platform, The Clinician's Atelier, she helps healthcare entrepreneurs strengthen their branding, websites, messaging, and marketing while leveraging emerging AI tools to work more efficiently.For ways to work with Alexa, visit The Kliˈnishen's AtelierFollow Alexa on InstagramResources:Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:INSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubClinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind

Send us Fan MailA patient's right to control their own health data now depends almost entirely on which state they live in or happen to seek care in. The patchwork is growing, and the clinical and compliance consequences are catching up fast.Leigh Burchell, Vice President of Policy and Public Affairs at Altera Digital Health and Chair of the Electronic Health Record Association, joins host David E. Williams to discuss why states moving in opposite directions on sensitive health data are creating real patient safety risks, and what it costs EHR vendors in hundreds to thousands of engineering hours every time another state writes its own version of the rules.

The Department of the Navy announced Tuesday that Barry Tanner will serve as the chief information officer for both the Navy and Marine Corps on a permanent basis. Tanner enters the role having served as the department's acting CIO following Jane Rathbun's departure from the position in 2025. Prior to taking on that job, he served as the Department of the Navy's deputy CIO beginning in 2024 and has held a number of IT leadership posts in both the military and private sector. As CIO, Tanner will be tasked with overseeing a number of ongoing modernization efforts within the Navy and the Marine Corps. He will primarily focus on the department's enterprise-wide adoption of artificial intelligence, implementation of zero-trust cybersecurity, securing cryptographic modernization and improving overall cyber readiness, according to the DON. While serving as deputy and acting CIO, Tanner was instrumental in several Department of the Navy efforts to modernize its IT infrastructure — including Operation Cattle Drive and the Naval Enterprise Networks program. An electronic health records modernization contract between the Department of Veterans Affairs and Oracle is getting a nearly $17 billion boost, according to an award notice posted Wednesday. The massive contract to overhaul how the department tracks health information for veterans will raise its current almost $10 billion ceiling to nearly $27 billion, the notice said and the VA confirmed. This new estimated value is “based on historical work executed to date, the standard deployment model, and all other requirements necessary to deploy and sustain the EHR under the approved accelerated deployment schedule, which is required to meet VA requirements and Veteran's needs,” proposed contract modification documents released last week said. The documents cited “unanticipated complexities in deploying this system, extensive site-specific customizations, as well as the other factors … VA has reached the current contract ceiling sooner than originally planned.” The modification would not make any changes to the nature of the work, the documents said, and would add three one-year firm-fixed-price optional ordering periods, allowing for the contract to extend to May 16, 2031. The Daily Scoop Podcast is available every Monday-Friday afternoon. If you want to hear more of the latest from Washington, subscribe to The Daily Scoop Podcast  on Apple Podcasts, Soundcloud, Spotify and YouTube.

What can DBT teach us about turning invalidation into joy? Dr. Kiki Fehling and Dr. Ann Kelley explore how chronic invalidation can shape emotional regulation, identity, and self-worth, particularly for queer and trans individuals. Through the lens of DBT and minority stress, Kiki shares how understanding these experiences can help challenge internalized shame, build resilience, and move beyond simply healing – and make space for authenticity, connection, and queer joy. “Internalized shame can be healed through community.” – Dr. Kiki Fehling Time Stamps for DBT, Chronic Invalidation & Finding Queer Joy with Dr. Kiki Fehling (309) 00:27 Understanding chronic invalidation in parenting and garegiving 02:05 How invalidations lead to emotional dysregulation 04:37 Adult consequences of childhood invalidations 07:00 Invalidation beyond parenting: Queer identity and society 07:59 Minority stress and queer invalidations 14:51 Using DBT to cultivate joy and self-acceptance 23:06 Practical tools: Books and resources for self-directed DBT About our Guest – Dr. Kiki Fehling Dr. Kiki Fehling (they/she) is a licensed psychologist, author, speaker, and DBT-Linehan-Board-certified expert in Dialectical Behavior Therapy (DBT). Passionate about making evidence-based mental health information more accessible, Kiki focuses on advocacy and public education around suicide prevention, LGBTQIA+ mental health, borderline personality disorder, and the intersection between mental health and heart health. She is the author of The LGBTQ+ Mental Health Workbook, Self-Directed DBT Skills, and DBT Cards for Coping Skills. Kiki also writes the Substack newsletter How To Queer Joy, volunteers for nonprofits Now Matters Now and WomenHeart, and shares DBT skills and mental health resources across social media @dbtkiki.    Resources for DBT, Chronic Invalidation & Finding Queer Joy with Dr. Kiki Fehling (309) The LGBTQ+ Mental Health Workbook – Find Emotional Resilience, Self-Love, and Queer Joy with Dialectical Behavior Therapy Self-Directed DBT Skills – 3-Month DBT Workbook Dr. Kiki Fehling’s website – Additional resources and information @DBTKiKi – Official Instagram page @DBTKIKI – Official Tiktok page DBTKIKI – Official Youtube channel How To Queer Joy – Official Substack Please support our sponsors – they keep our podcast free and accessible to all!  SimplePractice is an all-in-one EHR that is HIPPA compliant, HITRUST certified and built specifically for therapists. If you are ready to simplify the business side of your practice, now is a great time to try SimplePractice. Start with a 7-day free trial, then get 50% off your first three months. Just go to SimplePractice.com to claim the offer. Beyond Attachment Styles – Deepening Security in Yourself and Fostering More Secure Relationships Course available NOW!   Everyone’s heard of attachment styles – but you likely don’t know how much the popular press gets wrong and what the science actually says about how to improve your relationships long term (including how we relate to ourselves).  This course is for anyone wanting to more deeply understand attachment (styles vs patterns), unconscious defense activation patterns, implicit scripts… and most importantly, what to do once you do get activated!  Online, Self-Paced, Asynchronous Learning with Quarterly Live Q&A’s! Earn 6 Continuing Education Credits – Available at Checkout. As a listener of this podcast, use code BAS15 for a limited-time discount. Or read Marriott & Kelley’s critically-acclaimed book, Secure Relating: Holding Your Own in an Insecure World (HarperCollins,2023) for the most in-depth experience of learning about Secure Relating. Therapists love it, but it’s accessible to everyone.  If you aren’t interested in the background science, just start at Part 2 and we will be talking directly to you – it’s fun!   You are invited!  OK for those of you who refer others to the pod, use it professionally or consider yourself nerdy and just love this stuff, hello, you are our people! Join our exclusive community to get exclusive bonus content, early access to training opportunities, and an ad-free, private podcast feed. It’s this warm community that allows us to donate half of all corportate profits to mental health access for marginalized peoples.  Sign up for our premium Neuronerd plan!! Click here!! 

In 2024, Mass General Brigham, the largest health system in Massachusetts, piloted an AI-powered, ambient note-taking and transcription program among a subset of clinicians to address increasing rates of staff burnout and turnover --  largely driven by the administrative burden of clinical documentation in the electronic health records (EHR). Early results showed promising reductions in clinician burnout, intention to leave, and increased physician efficiency. But concerns about the technology, including the generation of inaccurate notes with errors or hallucinations made physicians resistant to learn and adopt it into their workflows. Harvard Business School Associate Professor Susanna Gallani and host Brian Kenny discuss the challenges leadership at the health care organization anticipated as they considered scaling the AI technology responsibly in the case: The AI Scribe: Enhancing Physician Presence and Curbing Burnout at Mass General Brigham

Want to watch this episode on video? Check it out here on YouTube: https://youtu.be/wBpDGK0AnFUIn this episode, I introduce ClinicMonk™, the CRM I created specifically for therapy practice owners. I explain how it helps you organize leads, automate follow-ups, track your marketing, improve conversion rates, and build a practice that can grow with more ease and freedom.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[02:18] What a CRM is and how it differs from an EHR.[05:15] Why Google Ads leads do not always become bookings.[06:32] How ClinicMonk™ tracks bookings and lead sources.[09:10] How automation reduces friction and improves booking rates.[12:49] The key metrics tracked inside ClinicMonk™.[17:28] Why one intake coordinator can improve conversions.Links From The Episode:Join the ClinicMonk™ waitlist here for updates on the launch party→https://clinicmonk.com/Here is the Janeapp link for TWO free months on us! https://janesoftware.partnerlinks.io/ytg4vn Use Coupon: MCCANCE2MOThe 22 Immutable Laws of Marketing by Al Ries and Jack Trout: https://amzn.to/453Gbip (US) https://amzn.to/4uuDTnf (CAD)Mentioned in this episode:3 Day Accelerator Mid-Roll AdSign up for my FREE 3 Day Accelerator - How I Built and Sold a 7-Figure Therapy Practice in 3 Years → https://mccancemethod.com/free-3-day-live-course/

Do you actually know why you do what you do, or have you just gotten really good at describing what you do? Most personality assessments explain how you behave, but Dr. Gary Sanchez believes the deeper question is what fundamentally drives you. In this episode, Dr. Lauryn explores the WHY.os framework and discovers just how clearly knowing your WHY, HOW, and WHAT can explain your career, leadership style, relationships, and business decisions.Dr. Gary breaks down the nine WHYs, walks through Lauryn's personal operating system, and shows how this framework can transform everything from marketing to hiring. They discuss finding the right people for the right roles, why misalignment can look like burnout, how your WHY shapes your ideal clients, and why understanding your team's motivations could make hiring and leadership dramatically easier.Key TakeawaysStart with who, then what. Understanding the motivation behind how you operate can bring clarity to your career, leadership style, personal brand, and the work that actually gives you energy.Your WHY can sharpen your marketing. When you clearly articulate what you believe and why you do what you do, you can attract patients and clients who share those beliefs instead of competing primarily on price or services.Hiring is about alignment, not just qualifications. Mapping a team's WHY, HOW, and WHAT can help practice owners identify whether people are in roles that naturally fit how they think, work, and contribute.Different motivations belong in different seats. The traits that make someone exceptional at challenging the status quo, building trust, simplifying systems, solving problems, or contributing to others may make them perfect for one role and miserable in another.Guest BioDr. Gary Sanchez, also known as “Dr. WHY,” is the founder and CEO of the WHY Institute and creator of the WHY Discovery and WHY.os framework. A former dentist who practiced for 32 years, Dr. Gary turned his fascination with purpose and human motivation into a system designed to help individuals and teams understand the WHY, HOW, and WHAT behind the way they operate. Today, he is an international speaker, author, inventor, and thought leader whose work helps leaders, businesses, and individuals gain greater clarity around their strengths, relationships, careers, messaging, and purpose.She Slays listeners can get The Why Discovery for free (normally $47) by visiting this link.Follow Dr. Gary on InstagramLearn more about The Why Institute and all their resources and programsResources:Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:Clinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic MindINSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing Hub

For many speech-language pathologists, occupational therapists, and myofunctional providers, billing and documentation feel like navigating an ever-shifting maze. Between selecting appropriate CPT codes, justifying medical necessity, and adhering to strict scope-of-practice guidelines, clinicians often struggle to ensure proper reimbursement while remaining compliant.In this episode, Hallie Bulkin breaks down the essential mechanics of billing for myofunctional therapy services. She addresses common points of confusion around core codes - such as CPT 92526 (treatment of swallowing dysfunction and/or oral function for feeding) and 92507 (speech/language treatment) - and offers practical strategies for documenting functional gains accurately.Hallie also previews upcoming CPT code updates slated for 2027, shedding light on how these structural changes will impact private pay practices, electronic health records (EHRs), and clinical workflows. Whether you are navigating insurance reimbursement or operating an out-of-network practice, this episode equips you with the clarity needed to code with confidence and integrity.Key Topics & TakeawaysDeconstructing CPT 92526 vs. 92507: Clarifying the distinct clinical applications for swallowing/feeding dysfunction versus speech and language treatment.The 2027 CPT Code Shift: Preparing your practice, EHR templates, and clinical documentation for upcoming coding structure changes.Scope of Practice & Provider Eligibility: Understanding state licensing, board regulations, and billing qualifications across different therapeutic disciplines.Defensible Documentation: Crafting objective, function-focused clinical notes that justify medical necessity and withstand insurance audits.Out-of-Network & Private Pay Strategies: Equipping cash-pay practices with accurate super/ superbill documentation to help patients seek reimbursement seamlessly.Soundbites"A CPT code isn't just a billing number - it is a translation of your clinical documentation and direct scope of practice.""When preparing for coding changes, proactive documentation systems protect both your practice and your patients.""Bill for what you treat, document what you see, and ensure every note clearly establishes functional necessity."Timestamps 00:00:00 - 3 Verification Steps Before Coding00:04:23 - Deep Dive: Myo & CPT Code 9252600:06:37 - Reporting 92526 & 92507 Together00:09:45 - Provider Scope & License Boundaries00:13:47 - Dental Hygienist (RDH) Reimbursement Reality00:15:53 - Strong vs. Weak Documentation Examples00:18:16 - Private Pay & Superbill Responsibilities00:19:42 - 2027 Deletion of 9250700:20:47 - Why 92507 Was Flagged by AMA/CMS00:26:26 - Private Practice Transition Strategy00:27:43 - Clinical Reasoning vs. Endless Exercises00:29:01 - Immediate Action PlanLinks & ResourcesFast Myo Screening Tool: Streamline your intake documentation and baseline evaluations at FastMyoScreening.com.WORTH A LISTEN: CONTINUE YOUR JOURNEYScreening vs. Assessment vs. Treatment: Why Every Clinician Needs to Know the Difference.How Root Cause Assessment Changes Feeding and Speech Outcomes.STAY CONNECTED