Podcasts about fee for service

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Best podcasts about fee for service

Latest podcast episodes about fee for service

Relentless Health Value
EP489: MARGIN! Margin That Creates a Path to Mission at a Multispecialty Group, With Dan Greenleaf

Relentless Health Value

Play Episode Listen Later Oct 16, 2025 26:15


Ben Schwartz, MD, MBA, wrote an article recently, and yeah, he makes a really compelling point. Dr. Schwartz wrote, “Ultimately, the most successful care models are those that create value inherently. The goal isn't simply cost arbitrage; it's creating a sustainable system that makes value attainable. Care delivery innovation is about more than optimizing for VC [venture capital] returns or maximizing operational efficiency.” For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. That mention of value and how to achieve it for real—like, actually create a care model that delivers value inherently—is a great segue to introduce the show this week. It's a continuation of our mission/margin theme, and this week, we're talking about the margin part of the “no margin, no mission” cliché. So, taking this from the top, last week—and go back and listen to that show if you have not yet (and you can listen to both of these parts in no particular order; you do you)—but last week, we talked mission. That part about value and creating value inherently? The tie-in here to mission and margin could be a value equation, really. Like, mission divided by margin is how you calculate the value delivered (less carrier spread), but that's a whole other show with Cynthia Fisher (EP457). So, let me introduce my guest this week, who was also my guest last week: Dan Greenleaf, CEO of Duly, which is a multispecialty group in Chicago. So, last week Dan and I talked mission, as I said; but today we're talking margin, which is, again, gonna be the denominator of so many value equations. Last week in that mission show, quick review (or spoiler alert, depending on the order in which you may be listening to these shows), but last week, Dan Greenleaf broke mission, Duly's mission, into four quadrants. The four quadrants of mission being affordability, access, consumer experience, and quality. In this conversation today, the margin conversation, Dan Greenleaf emphasizes that achieving these four quadrants reduces friction for patients and clinicians that leads to not only better care outcomes but also financial sustainability (ie, margin). Margin can therefore be a function of mission. And again, as Dr. Ben Schwartz put it, “Ultimately, the most successful care models are those that create value inherently.” So, here we go. To be noted with one big fat fluorescent highlighter marker, a big part of this mission that comes up over and over again last week, it's about making prices reasonable and predictable and transparent for patients. Financial toxicity is a thing. Financial toxicity not only is clinical toxicity when so many people are delaying needed care. And look, I don't often quote Marjorie Taylor Greene, but recently she was in the New York Times and was quoted as saying, “The cost of health care is killing people.” This is what we should be focusing on. I just read the other day that one-third of adults in this country are currently delaying or forgoing care due to cost. One-third! Not one-third of low income or something like that. One-third of adults in this country are delaying or forgoing care due to fear of cost. In today's world, affordability and price transparency is part of what customer experience means—not just, like, lemon water in the waiting room. This is what struck me the most about the conversation from last week. But wait. Does affordable for patients spell trouble when it comes to the margin part of the operation? Will an affordability mission wreak havoc on margin? Is this business model doomed? Is there even a successful care model that creates value inherently that is sustainable? Such a good question, which is why I ask it to Dan Greenleaf right out of the gate. So, just to sum this all up in the conversation that follows, Dan Greenleaf gets into the challenges and the strategies involved in balancing mission-driven healthcare with financial realities. Duly's approach to being fiscally solid includes, well, I'm just gonna say many of the same types of efficiency things to maintain and retain margin that other more mainstream health systems might deploy. But I'd say there's a really striking difference in the why and the how. And the impact of this why and how is striking when you look at Duly's prices and the impact it has on its overall community. So, even though it's using similar types of strategies, maybe, as big consolidated health systems or other organizations, the impact and what it all adds up to is, again, very, very different. This is what I mean. At health systems, and maybe my head is just lost in a couple of anecdotal bits of evidence right now, but I just had two conversations in the past two days with physician leaders at big health systems (different ones), but both of these individuals said variations of the same theme. And if you wanna picture the scene, picture the saddest expressions, and one of them had a martini and the other one had a big-boy glass of wine. And both of them said, Look, my organization has lost sight of patient care, but also my organization has lost sight of, like, financial goals in most parts of the organization. All I seem to do all day is play politics with a whole lot of middle managers or even senior leaders jockeying for position and having turf wars within these sprawling bureaucracies. These are just great people who are trying so hard to do the right thing and are just struggling to find the foothold to do so within their own organizations. So, let's just say it was refreshing to hear Dan Greenleaf talk about an alignment of incentives and hook the margin up with the mission train in a really tight way throughout the entire organization. And to do this really well—achieve that mission/margin alignment across the whole entire organization—Dan underscores the value of clinician involvement in leadership and having, as I just said, aligned incentives with clinical teams. Keep in mind, this is the margin show, where clinical leadership came up and the number of doctors on their board and the level of physician ownership in the organization. I'm highlighting that this is the margin show here because usually so-called dyad leadership with physicians in leadership roles only comes up in mission conversations, right? Like, in situations where somebody wants the doctor to be the defender of mission and the battle to keep the MBAs in check. And I say this as the comic book stereotype, obviously. But yeah, it's true often enough. But then we have Dan, who is thinking about clinicians who have, again, aligned incentives across the organization so you don't have your physician leaders day drinking while I'm sitting across from them finding myself quoting Sun Tzu The Art of War and helping them craft the perfect PowerPoint slide to weaponize a reorg. Honestly, in my experience, there's no better way to waste metric assloads of money than in an organization where personal power grabs start to supersede anything that smells vaguely like an organizational imperative. And again, these just big bureaucracies at many health systems … yeah, too big not to fail at this is often the way of it. Then lastly, I grilled Dan Greenleaf about capital partners and how to manage to achieve private equity (PE) funding, where there's support for a model that delivers inherent value—a model that benefits both patients and providers as well as investors. And I'm saying this, keeping all of the things that Yashaswini Singh, PhD, said in that episode (EP474) about private equity a few weeks ago. Go back and listen to that. And by the way, Dan Greenleaf in this show has roughly the same ideas as Tom X. Lee, MD (EP445), founder of One Medical and Galileo told me, and also Rushika Fernandopulle, MD (EP460), founder of Iora. Great minds think alike. So, should figuring out how to work with PE be a topic of interest, there you go. Listen to my conversation today with Dan Greenleaf and then go back and listen to those other two shows. Dan Greenleaf, CEO of Duly, my guest today, has been in healthcare for 30 years. He's a six-time CEO: three public companies and has also run three companies backed by private equity and thus very aware of the many different funding mechanisms that exist in the marketplace. This podcast is sponsored by Aventria Health Group, but I do just wanna mention that Duly offered Relentless Health Value some financial support, which we truly appreciate. So, call this episode not only sponsored by Aventria but also Duly. And with that, here is my conversation with Dan Greenleaf. Also mentioned in this episode are Duly Health and Care; Benjamin Schwartz, MD, MBA; Cynthia Fisher; Cristin Dickerson, MD; Yashaswini Singh, PhD; Tom X. Lee, MD; Galileo; Rushika Fernandopulle, MD; Vivian Ho, PhD; Scott Conard, MD; Stanley Schwartz, MD; Vivek Garg, MD, MBA; and Dave Chase. You can learn more at Duly Health and Care and follow Dan on LinkedIn. You can also email Dan at dan.greenleaf@duly.com.   Daniel E. Greenleaf is the chief executive officer of Duly Health and Care, one of the largest independent, multispecialty medical groups in the nation. Duly employs more than 1700 clinicians while serving 1.5 million patients in over 190 locations in the greater Chicago area and across the Midwest. The Duly Health and Care brand encompasses four entities—DuPage Medical Group, Quincy Medical Group, The South Bend Clinic, and a value-based care organization. Its scaled ancillary services include 6 Ambulatory Surgery Centers, 30 lab sites, 16 imaging sites, 39 physical therapy locations, and 100 infusion chairs. Its value-based care service line provides integrated care for 290,000 partial-risk and 100,000 full-risk lives (Medicare Advantage and ACO Reach). Dan has nearly 30 years of experience leading healthcare services organizations. He is a six-time healthcare CEO, including prior roles as president and CEO of Modivcare; president and CEO of BioScrip, Inc.; chairman and CEO of Home Solutions Infusion Services; and president and CEO of Coram Specialty Services. Dan graduated from Denison University with a bachelor of arts degree in economics (where he received the Alumni Citation—the highest honor bestowed upon a Denisonian) and holds an MBA in health administration from the University of Miami. A military veteran, he was a captain and navigator in the United States Air Force and served in Operation Desert Storm.   09:56 How does Dan achieve his mission given the realities of margin? 14:49 How Duly Health's approach and incentives differ from other health systems. 16:04 EP466 with Vivian Ho, PhD. 16:28 EP462 with Scott Conard, MD. 16:31 Summer Shorts episode with Stan Schwartz, MD. 17:27 EP460 with Rushika Fernandopulle, MD. 17:29 EP445 with Tom X. Lee, MD. 17:30 EP407 with Vivek Garg, MD, MBA. 18:50 How having physicians on the hospital board greatly improves margin and mission. 20:04 How Dan explains his approach to his capital partners. 22:23 Fee for service vs. institutional care.   You can learn more at Duly Health and Care and follow Dan on LinkedIn. You can also email Dan at dan.greenleaf@duly.com.   @d_greenleaf of @dulyhealth_care discusses #margin creating a path to #mission in #multispecialtycare on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Dan Greenleaf (Part 1), Mark Cuban and Cora Opsahl, Kevin Lyons (Part 2), Kevin Lyons (Part 1), Dr Stan Schwartz (EP486), Dr Cristin Dickerson, Elizabeth Mitchell (Take Two: EP436), Dave Chase, Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode)  

Health Affairs This Week
Future of Primary Care: Bright or Broken? w/ Troyen Brennan

Health Affairs This Week

Play Episode Listen Later Oct 10, 2025 20:34 Transcription Available


Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers welcomes Troyen A. Brennan of Harvard T.H. Chan School of Public Health and former CMO at CVS Health to the pod to discuss his new book, Wonderful and Broken: The Complex Reality of Primary Care in the United States. The conversation touches on themes within the book, including the current state of primary care, the diffusion of ideas in the health care space, the paradox of value-based care driven by Medicare Advantage, innovation in the Medicaid space, and what opportunities there could be to improve health care outcomes. Subscribe to UnitedHealthcare's Community & State newsletter.

Seize The Moment Podcast
Troyen A. Brennan - America's Healthcare Is Broken — Can Primary Care Save It? | STM Podcast #244

Seize The Moment Podcast

Play Episode Listen Later Oct 5, 2025 56:05


On episode 244, we welcome Troyen Brennan to discuss the pitfalls of the US healthcare system, the fee-for-service model's implications for patient outcomes, primary care as a more viable alternative, Walmart's failed attempt to establish primary care clinics, Optum's contrasting success, how to incentivize primary care, AI streamlining prior authorizations, increasing government funding and venture capital for primary care, how preventative care keeps patients from falling through the cracks, and why medical professionals tend to dislike the business side of medicine. Troyen A. Brennan is an adjunct professor of health policy and management at the Harvard T. H. Chan School of Public Health. A former professor of medicine at Harvard Medical School and the former chief medical officer at CVS Health, he is the author of The Transformation of American Health Insurance: On the Path to Medicare for All and Just Doctoring: Medical Ethics in the Liberal State. His new book, available October 7, 2025, is called Wonderful and Broken: The Complex Reality of Primary Care in the United States. | Troyen A. Brennan | ► Website | https://www.researchgate.net/scientific-contributions/Troyen-A-Brennan-38805570 ► Linkedin | https://www.linkedin.com/in/troyen-brennan-494bb533 ► Wonderful and Broken Book | https://amzn.to/3KBnjQD Where you can find us: | Seize The Moment Podcast | ► Facebook | https://www.facebook.com/SeizeTheMoment ► Twitter | https://twitter.com/seize_podcast ► Instagram | https://www.instagram.com/seizethemoment ► TikTok | https://www.tiktok.com/@seizethemomentpodcast ► Patreon | https://bit.ly/3xLHTIa  

Yoga for Dentists
#64 FFS (And We Don't Mean Fee for Service) with Dr. Stephanie Mapp

Yoga for Dentists

Play Episode Listen Later Sep 26, 2025 35:20


Are you a dentist feeling stressed by dental insurance, PPO contracts, and hidden money leaks in your practice? In this episode, I interview Dr. Stephanie Mapp of Mappyourpractice.com, where she provides Dental Insurance Solutions that help dentists earn thousands more per year—without adding a single procedure or piece of equipment.We uncover the most common mistakes dentists make that add unnecessary stress and eat away at profits. As practicing dentists who now coach and consult, Stephanie and I share real-world stories of what we've seen behind the scenes and how you can avoid the same pitfalls in your own dental practice.

RDH Magazine Podcast
The Bright Side: Fee for Service Practice

RDH Magazine Podcast

Play Episode Listen Later Sep 23, 2025 12:57


Dr.Brian Edwards has built a practice around trust, autonomy, and genuine collaboration with his dental hygienists and team.  Becoming a fee-for-service practice provided challenges but offered more rewards.

Mortgage Business Uncut
Business Accelerator: Commission split or fee for service?

Mortgage Business Uncut

Play Episode Listen Later Aug 14, 2025 27:45


In this latest episode of Business Accelerator, host Alex Whitlock and co-host Jason Back delve into broker pay structures. The pros and cons of both the fee-for-service and commission-sharing models were unpacked. Which is better suited depends entirely on the business. Sometimes, brokers implement both at the same time depending on the type of loan.

Unconventional Wisdom
Navigating the Financial Advisor Title Trap: Why Fee-For-Service Planners Are the True Superheroes

Unconventional Wisdom

Play Episode Listen Later Aug 7, 2025 22:06


Are you ever confused by all the different titles that financial planners and advisors use?  What types of advice and services do they offer?  Which one offers what you are looking for? When you have real worries or questions about your money, “who you gonna call?” Who is the super-hero of advice? In my podcast episode you'll learn: When you want real advice, what are the most valuable types of advice to help you? What are the main titles planners & advisors use? What services and advice does each typically offer? Which type is the best to create a professional Financial Plan and confidence in your future? Which type offers on-going Full Service to be your financial guru and help you in all areas of your finances? Which types are unbiased, fee transparent, and have a fiduciary duty to you? Which types can help you with a wide range of investments and the best ones for you? Which ones are “Old Bay Street” and which are “New Bay Street? What would you look for to find your financial planner super-hero? Quick disclaimer: Terms like financial planner and financial advisor are broad and often used interchangeably. What I'm sharing reflects common patterns I've seen, not a blanket description of every professional using these titles. There are lots of exceptions!  

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Revenue Cycle Optimized: Medicare Fee for Service Meets Prior Authorization

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Aug 5, 2025 17:13


CMS is rolling out prior authorization for traditional Medicare. This Office Hours panel breaks down what the WISeR model means for providers, how AI is involved, and what steps to take now—whether you're in a test state or watching for what's next. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Revenue Cycle Optimized
Medicare Fee for Service Meets Prior Authorization

Revenue Cycle Optimized

Play Episode Listen Later Jul 22, 2025 17:13


CMS is rolling out prior authorization for traditional Medicare. This Revenue Cycle Optimized panel breaks down what the WISeR model means for providers, how AI is involved, and what steps to take now—whether you're in a test state or watching for what's next.Brought to you by www.infinx.com

Relentless Health Value
Take Two: EP445: What Does It Take for an Indie Primary Care Practice to Survive Right Now? With Tom X. Lee, MD

Relentless Health Value

Play Episode Listen Later Jul 17, 2025 46:19 Transcription Available


In this second take on episode host Stacey Richter speaks with Dr. Tom Lee, founder of One Medical and Galileo. The discussion centers on the survival of independent primary care practices in the current healthcare economy, the associated challenges, and the paradox of primary care.  Topics include reducing ER visits, managing downstream specialty spend, and the imbalance between CMS and commercial carrier payments to primary care practices.  Dr. Lee highlights the importance of 'enlightened leadership' and a 'value-focused mindset' in balancing efficient service operations with quality care. He also touches on the complexities of integrating technology and human-centered care, the importance of operational efficiency, and the challenges posed by current reimbursement models. For a bonus sidebar conversation with Dr. Lee, click here. === LINKS ===

Everyday Practices Podcast
Strengthening Your Marketing Core Muscles (E.290)

Everyday Practices Podcast

Play Episode Listen Later Jun 4, 2025 36:02 Transcription Available


What if your marketing had six-pack abs? In this episode, discover how to build a lean, powerful dental brand that does the heavy lifting, attracting the right patients, converting with confidence, and creating momentum that doesn't wear out.

Think Smart with TMFG
Episode 305: Fee-Based vs. Fee-for-Service: Choosing the Right Financial Advisor

Think Smart with TMFG

Play Episode Listen Later Apr 22, 2025 17:26 Transcription Available


Welcome to this week's episode of Think Smart with TMFG! Join Senior Financial Advisors Rob McClelland and Mike Connon from Asante Capital Management as they break down the key differences between fee-based and fee-for-service advisors, helping you figure out which model best supports your financial goals. Are you overpaying for financial advice? And how much does your advisor's fee structure really affect how well your financial plan gets implemented? Rob and Mike dive deep into the real costs, levels of accountability, and execution challenges that come with different types of financial planning. Learn why implementation can be one of the toughest parts—and how choosing the right advisor can make all the difference in keeping your investments, retirement, and estate planning on track. Tune in, and don't miss this chance to cut through the noise and get smarter about your financial future!

Contested Loving Discourse from the Oak Guild Institute
Episode 18: A deep dive into 2 drivers of health care costs- Pharmacy Benefit Managers and Fee for Service vs Capitated Models

Contested Loving Discourse from the Oak Guild Institute

Play Episode Listen Later Apr 19, 2025 62:09


The American healthcare system is complex, but two of the most urgent cost drivers offer places to start exploring possible reforms: prescription drug pricing and how providers are paid. In this episode, we examine the conflicting incentives at the heart of the U.S. healthcare system between insurers, providers, pharmaceutical companies, and patients. These competing priorities shape everything from access to care to drug affordability. Through conversations with healthcare experts, we unpack the role of Pharmacy Benefit Managers (PBMs) and compare fee-for-service and capitated payment models. PBM diagram referred to in the podcast: https://www.healthcarehuddle.com/p/drug-supply-chain. Healthcare policy articles by ScriptsPro CEO and journalist Ken Perez: https://www.hfma.org/author/ken-perez/.

McKnight's Newsmakers Podcast
Beyond fee-for-service: How practice groups are evolving in the age of value-based care

McKnight's Newsmakers Podcast

Play Episode Listen Later Apr 10, 2025 22:26


The healthcare landscape is shifting—fast. As the industry moves away from Fee-For-Service (FFS) and toward Value-Based Care (VBC), practice groups must rethink how they deliver and get paid for care. But making the leap isn't just about changing contracts—it's about transforming the way care is coordinated, risks are managed, and success is measured. In this episode, our expert panel breaks down what it takes to thrive in a value-based world.

JAMA Network
JAMA Internal Medicine : Telemedicine Adoption and Low-Value Care Use and Spending Among Fee-for-Service Medicare Beneficiaries

JAMA Network

Play Episode Listen Later Feb 24, 2025 13:29


Interview with Ishani Ganguli, MD, MPH, and David Cutler, PhD, authors of Telemedicine Adoption and Low-Value Care Use and Spending Among Fee-for-Service Medicare Beneficiaries. Hosted by Eve Rittenberg, MD. Related Content: Telemedicine Adoption and Low-Value Care Use and Spending Among Fee-for-Service Medicare Beneficiaries

JAMA Internal Medicine Author Interviews: Covering research, science, & clinical practice in general internal medicine and su
Telemedicine Adoption and Low-Value Care Use and Spending Among Fee-for-Service Medicare Beneficiaries

JAMA Internal Medicine Author Interviews: Covering research, science, & clinical practice in general internal medicine and su

Play Episode Listen Later Feb 24, 2025 13:29


Interview with Ishani Ganguli, MD, MPH, and David Cutler, PhD, authors of Telemedicine Adoption and Low-Value Care Use and Spending Among Fee-for-Service Medicare Beneficiaries. Hosted by Eve Rittenberg, MD. Related Content: Telemedicine Adoption and Low-Value Care Use and Spending Among Fee-for-Service Medicare Beneficiaries

Shared Practices | Your Dental Roadmap to Practice Ownership | Custom Made for the New Dentist
Growing a Fee for Service Group Practice with Dr. Jesspreet Parmar

Shared Practices | Your Dental Roadmap to Practice Ownership | Custom Made for the New Dentist

Play Episode Listen Later Feb 17, 2025 53:11


Dr. Jesspreet Parmar shares his incredible journey from solo doctor to scaling a thriving fee-for-service group practice—but it wasn't all smooth sailing. From navigating a rocky practice acquisition and staff drama to unlocking massive growth through hygiene, leadership, and internal marketing, Dr. Parmar reveals the hard lessons and game-changing strategies that took his practice to $2.4 million in collections. Tune in as he and Shared Practices coach Caitlin Embree break down the mindset shifts and tactical moves that made it all possible!

The Lebanese Physicians' Podcast
Episode 108: Beyond the Fee-for-Service: A Look at Lebanon's Pay-For-Perfomance Model

The Lebanese Physicians' Podcast

Play Episode Listen Later Jan 1, 2025 36:05


Pay-for-Perfomance in medicine gained in popularity after the advent of the Affordable Care Act in the US and it has had its positive and negative aspects. In this episode with Jade Khalife and co-hosted with MohammadAli Jardaly, we explore the concept of pay for performance in the Lebanese healthcare system. We delve into how this innovative model led to decreased hospital admissions for common diseases. Listeners will be able to navigate the complexities of healthcare financing and the role that incentives can play in value based care. Listeners will also be able to learn the cultural aspects that need to be taken into consideration in healthcare policy in different countries.  This episode can also be found on YouTube: https://youtu.be/gr9KXWC-Fzw and on all podcast apps #pay-for-perfomance #valuebasedcare #medicalcare #Lebanon  

The Dictionary
#F52 (feed to fee-for-service)

The Dictionary

Play Episode Listen Later Dec 10, 2024 40:43


I read from feed to fee-for-service.     The word of the episode is "feeding frenzy".     Use my special link https://zen.ai/thedictionary to save 30% off your first month of any Zencastr paid plan.    Create your podcast today! #madeonzencastr     Theme music from Tom Maslowski https://zestysol.com/     Merchandising! https://www.teepublic.com/user/spejampar     "The Dictionary - Letter A" on YouTube   "The Dictionary - Letter B" on YouTube   "The Dictionary - Letter C" on YouTube   "The Dictionary - Letter D" on YouTube   "The Dictionary - Letter E" on YouTube   "The Dictionary - Letter F" on YouTube     Featured in a Top 10 Dictionary Podcasts list! https://blog.feedspot.com/dictionary_podcasts/     Backwards Talking on YouTube: https://www.youtube.com/playlist?list=PLmIujMwEDbgZUexyR90jaTEEVmAYcCzuq     https://linktr.ee/spejampar dictionarypod@gmail.com https://www.facebook.com/thedictionarypod/ https://www.threads.net/@dictionarypod https://twitter.com/dictionarypod https://www.instagram.com/dictionarypod/ https://www.patreon.com/spejampar https://www.tiktok.com/@spejampar 917-727-5757

The Pediatric Lounge
169 Boutique Pediatric Endocrinology as a Fee for Service Model

The Pediatric Lounge

Play Episode Listen Later Nov 26, 2024 56:39


Transforming Pediatric Endocrinology Practice: An Insight with Dr. Rinku Mehra, MD, MBAIn this episode, hosts George and Herb are joined by Dr. Rinku Mehra to discuss the innovative model of boutique pediatric endocrinology and its benefits over traditional healthcare systems. Dr. Mehra, a physician executive with vast experience in managing complex diseases, shares her journey from working in large healthcare systems and insurance to starting her own practice. She explains her motivation behind specializing in pediatric care, the challenges faced in the current healthcare environment, and the advantages of direct-care models for managing chronic diseases. The episode provides unique insights into personalized patient care, diabetes management, and the future of pediatric endocrinology.00:00 Introduction and Guest Welcome00:54 Dr. Mehra's Background and Career Path02:23 Transition to Anthem and Policy Changes04:27 Challenges in Diabetes Management09:01 Boutique Pediatric Endocrinology Practice15:28 Business Model and Telehealth24:34 Obesity and Weight Management Strategies30:34 The Importance of Measuring Outcomes31:43 Burnout and Rediscovering Fulfillment32:50 Transition to Anthem and Gaining Confidence34:04 Challenges of Running a Private Practice35:26 Staffing Issues in Healthcare39:32 The Role of GLP-1s in Pediatric Obesity46:29 Future of Pediatric Endocrinology50:15 Direct Care and Value-Based Models53:57 Concluding Thoughts and EncouragementSupport the show

Less Insurance Dependence Podcast
Improving Your Practice Without Completely Committing To Fee-for-Service

Less Insurance Dependence Podcast

Play Episode Listen Later Nov 21, 2024 18:57


Ever wondered how to Improve Your Practice Without Completely Committing To Fee-for-Service? Gary and Naren take on a discussion throughout this episode about ways to improve a dental practice without fully committing to a fee-for-service model. They address the benefits of gradually reducing participation in PPO plans, allowing practices to increase profitability while maintaining flexibility. Gary shares a compelling case study of a dental practice that successfully transitioned out of PPO networks, increasing collections and reducing overhead. Tune in and get inspired to make small, impactful changes that could transform your practice's future. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/

Less Insurance Dependence Podcast
How Inflation and a Weak Economy are Making Fee-For-Service an Appealing Option

Less Insurance Dependence Podcast

Play Episode Listen Later Nov 14, 2024 17:16


In this episode, co-hosts Gary Takacs and Naren Arulrajah discuss the rising appeal of fee-for-service dental care as inflation and economic challenges strain insurance-based practices. They explore how increasing costs, especially in wages, and declining reimbursements from PPOs are pushing many dentists to consider dropping insurance plans altogether. By reducing insurance dependence, dentists can regain control over their fees, enhance practice profitability, and offer high-quality care. This episode highlights the benefits of transitioning to fee-for-service as a sustainable path to a thriving, independent dental practice.

Viva Learning Podcasts | DentalTalk™
Ep. 608 - Making the Jump from Insurance-based to Fee-for-Service

Viva Learning Podcasts | DentalTalk™

Play Episode Listen Later Oct 9, 2024 16:00


A fee-for-service practice doesn't have to be this pie-in-the-sky far reaching goal - it is attainable with the right mindset, good communication and keeping your eye on the prize. To tell us more about it is our guest Dr. Lauren Rainey. Dr. Rainey works as a general dentist and currently teaches a broad array of subjects to dentists in the US & Canada. Thanks to our episode sponsors: BISCO - https://www.bisco.com/ 3M - https://www.3m.com/clarity-aligners-flex/

The Catalyst: Sparking Creative Transformation in Healthcare
Make Your Fee-For-Service Model “Functional Friendly”

The Catalyst: Sparking Creative Transformation in Healthcare

Play Episode Listen Later Sep 27, 2024 17:13


“Functional medicine is slow cook, not fast food,” says Dr. Lara Salyer as she talks about the challenges of running a fee-for-service model in functional medicine. While it's a common approach, this model can struggle to support the ongoing, holistic care that functional medicine requires. Dr. Salyer emphasizes practical strategies, like booking follow-up appointments before patients leave and setting clear expectations for long-term treatment. She also highlights the value of using digital tools to keep patients connected between visits.   Beyond these tactics, Dr. Salyer explores creative options such as group visits and loyalty programs, which can increase patient motivation while fostering a sense of community and accountability. Are there areas in your practice where you could incorporate more of these ideas? Dr. Salyer encourages practitioners to be open to different models—whether it's fee-for-service, membership-based, or a blend—so they can create environments that truly engage their patients, leading to better care and a more rewarding practice.   Quotes “We have an initial tidal wave of enthusiasm when we open our practice, because anybody that is into health and wellness is curious and they'll book appointments with you. But after that initial tidal wave of interest, we often have this shrinking of our revenue, and not as many patients making appointments. That's an opportunity to look at your systems and see where we can make improvements that will lead to more revenue and patient flow.” (01:54 | Dr. Lara Salyer)  “You have to be proactive in scheduling. There's no two ways about it.” (04:33 | Dr. Lara Salyer) “Functional medicine is slow cook, not fast food. It's much like you would envision seeing a physical therapist. They're not going to teach you your exercises once and then say bye-bye. They usually want you to come back, reassess the pain, the mobility, check your form, see if those exercises still apply, and maybe give you new ones. It's the same exact thing.” (06:18 | Dr. Lara Salyer) “Use digital tools as much as you can. Start curating a private video archive of online classes. They can do some of that heavy lifting for you in between office visits. So patients feel supported, and they feel less embarrassed that they don't know anything.” (09:24 | Dr. Lara Salyer) “You deserve to have the practice of your dreams, whether it is fee-for-service, membership, packages, whatever works for you. And let's borrow Lego company's mission, which is to inspire and develop the builders of tomorrow. That is you, my friend. You are a catalyst, and you are transforming healthcare.” (15:35 | Dr. Lara Salyer)    Links Brainstorm: https://drlarasalyer.as.me/discovery Catalyst Advantage 1:1 session (use "LISTENER" code for discount!): https://drlarasalyer.as.me/advantage   Connect with Lara:  Website: https://drlarasalyer.com The Catalyst Way: https://drlarasalyer.com/catalyst Instagram: @drlarasalyer Facebook: https://www.facebook.com/drlarasalyer Linked-In: https://www.linkedin.com/in/drlarasalyer/ YouTube:  https://www.youtube.com/c/DrLaraSalyer TikTok: @Creativity.Doctor   Podcast production and show notes provided by HiveCast.fm

The Raving Patients Podcast
Why the Team Is the Biggest Barrier at Fee-for-Service Dental Practices | Naiara Wireman

The Raving Patients Podcast

Play Episode Listen Later Aug 23, 2024 34:10


Is your fee-for-service (FFS) practice struggling to stand out and get new patients? Beyond quality care, there are several things at play when it comes to marketing an FFS practice, and today we uncover the biggest barrier…your team. My guest is Naiara Wireman, a practice development coach at SMC, and she specializes in delivering exceptional patient experiences and developing effective internal marketing strategies.  We dive into the importance of patient experience in fee-for-service practices, highlighting the need for consistent systems that ensure every patient interaction is top-notch. Naiara shares actionable strategies for internal marketing, training staff to communicate your practice's unique value, and why your team's mentality is crucial in a fee-for-service model. We also discuss innovative marketing approaches, ways to enhance the employee experience, and tips for handling patient calls effectively. Tune in to discover how to elevate your practice and turn satisfied patients into raving fans. PS. If you own a fee-for-service practice or work at one and are looking to grow your raving patients, book a free marketing strategy call with Naiara at SMC. — Key Takeaways: Introduction (00:00) Meet Naiara Wireman & her entry into dentistry (01:45)  New ways to enhance patient experience (05:08) The crucial role of team education in fee-for-service practices (10:21) Enhancing the employee experience in the practice (15:37) Marketing ideas for fee-for-service practices (20:05) Free marketing strategy call offer + lightning round Q&A (28:40) — Connect with Naiara: Facebook Instagram LinkedIn Email: Naiarawireman@gmail.com — Learn about the upcoming Supercharge Your Dental Practice 2-day event in September here. Use code RAVING to save $100 on registration. — Learn proven dental marketing strategies and online reputation management techniques at DrLenTau.com. This podcast is sponsored by Dental Intelligence. Learn more here. This podcast is sponsored by The Doc Sites, the leading provider of websites and online marketing for dentists. Find out more here. Raving Patients Podcast is your go-to place for the latest and best dental marketing strategies that will help you skyrocket your practice. Follow us for more!  

Relentless Health Value
Encore! EP402: What Physicians Trying to Clinically Integrate Care in the Real World Need to Know, With Amy Scanlan, MD

Relentless Health Value

Play Episode Listen Later Aug 15, 2024 32:50 Transcription Available


This encore episode is with Amy Scanlan, MD. It was, in fact, one of our most popular episodes of the past year. It is still just as relevant today in a slightly different way. It's interesting how things which were said maybe a year ago have shades of meaning which become evident as time goes on. So, I liked this show a lot in the second listen with the advantage of time passing. To read the show notes with mentioned links and a transcript, head over to our site. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Complicating fact of current life, it's becoming increasingly obvious that in order to stand up a practice that can take advantage of value-based care payments—payments where primary care docs mainly at this time can get paid more and likely more fairly to care for patients well—you need a lot of infrastructure. You need data, you need tech, you need a team. Translation: You need money, maybe a lot of money, to invest in all of this. These are the external realities that hit anyone trying to do right by patients from every direction. But on the other hand (or maybe different fingers on the same hand), as Dr. Amy Scanlan says in this healthcare podcast, physicians are the backbone of this system. Dr. Scanlan talks in the interview today about the opportunity, and maybe the responsibility, that physicians have here for patients; but also the Eric Reinhart article comes up again about rampant physician moral injury (unpaywalled link with my compliments). Right now might be a great time to read something from Denver Sallee, MD. He wrote to me, and he wrote, “Like many physicians, I did not have much understanding of the business side of medicine, as I mistakenly thought as long as I helped take great care of patients that I was doing my job. More recently, it became apparent to me that by ceding the management of medicine to nonclinical administrators and to companies interested primarily in value extraction for the benefit of shareholders that I needed more education in order to truly help patients.” Today as aforementioned, I'm talking with Amy Scanlan, MD, who is chief medical officer of the clinically integrated network (CIN) that is the joint venture between Intermountain Health and UCHealth in Colorado. We talk about what it's like to be in the kind of messy middle of transformation to integrate care in a clinically integrated network, trying to figure out how to help physician practices and the CIN itself navigate the external environment in a way that empowers different kinds of practices at different points in their transformation journey that empowers physicians to be in charge, and considering clinical and financial outcomes (ie, the business of healthcare). Dr. Scanlan brings up four main factors to consider when plotting strategy from here to there. Listen to the episode or read the show notes to learn about the four factors. 06:35 How is Dr. Scanlan thinking about the transformation process and the shift to value? 09:16 “It is really trying to think about, how do we help practices get there?” 11:48 “The hard part is the in-between spaces.” 13:21 EP407 with Vivek Garg, MD, MBA. 14:12 “Team-based care done badly is really just a series of handoffs.” 15:52 “We have to get to that point where the culture of collaboration is more pervasive.” 19:58 “How do we as healthcare providers step in and solve this problem?” 20:06 Why do providers have a responsibility to step in and try to fix the healthcare system? 20:22 Article (unpaywalled) by Eric Reinhart, MD, PhD. 21:51 Why do physicians need to be accountable for the cost of care as well as outcomes? 23:38 Why does physician burnout give Dr. Scanlan hope? 24:26 What is the solution to changing fee-for-service incentives? 25:43 What are some of the challenges facing changing incentives? 27:16 Why is data so important? 28:54 EP393 with David Muhlestein, PhD, JD. 30:13 “It's important to understand that we are in the middle of this change.” 31:18 Dr. Scanlan's advice for those trying to stand up a CIN.  

Outcomes Rocket
Exploring Fee-For-Service 2.0 with Chuck Feerick, VP of Sales for Clarify Health Solutions

Outcomes Rocket

Play Episode Listen Later Jul 30, 2024 9:47


Trust and collaboration between payers and providers are crucial for better healthcare outcomes. In this episode of the AHIP 2024 series, Chuck Feerick, VP of Sales for Clarify Health Solutions, discusses the evolving dynamics between payers and providers, with a focus on AI's role and the integration challenges it faces. Chuck explains fee-for-service 2.0, which lets providers act as if they're in a value-based contract, and emphasizes the importance of trust and collaboration in payer-provider relationships, highlighting Clarify's tools for assessing provider performance and improving care quality. He underscores the need for standardized healthcare contracts and data's role in creating opportunities, noting that Clarify aims to reduce friction and improve healthcare flow by combining health plans and provider data. Chuck also talks about how AI in healthcare faces challenges like hallucination and emphasizes the need for accurate data input while also stressing that innovation in healthcare is driven by everyone involved, from providers to payers. Tune in and learn how value-based care is evolving, focusing more on outcomes than processes! Resources:  Watch the entire interview here. Connect and follow Chuck Feerick on LinkedIn. Learn more about Clarify Health Solutions on their LinkedIn and website.

Redeye
Canada falls short in primary care compared to other OECD countries: Study (encore)

Redeye

Play Episode Listen Later Jul 28, 2024 16:20


More and more Canadians are unable to access public primary healthcare, according to a study published in the Canadian Medical Association Journal at the beginning of December, 2023. In fact, about 20% of Canadians have no family doctor at all, and many more have irregular access to clinicians. The CMAJ study compares the Canadian primary care system with New Zealand and eight countries in Europe including France, Germany, Italy and the UK. Dr Tara Kiran is the senior author of the study and a family physician and scientist at St. Michael's Hospital and the University of Toronto.

Today's RDH Dental Hygiene Podcast
Audio Article: 5 Benefits of Fee-for-Service vs. Dental Insurance From a Dental Hygienist's Perspective

Today's RDH Dental Hygiene Podcast

Play Episode Listen Later Jun 14, 2024 9:32


5 Benefits of Fee-for-Service vs. Dental Insurance From a Dental Hygienist's Perspective By Kristen King, RDH, BS Original article published on Today's RDH: https://www.todaysrdh.com/5-benefits-of-fee-for-service-vs-dental-insurance-from-a-dental-hygienists-perspective/ Need CE? Start earning CE credits today at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://rdh.tv/ce⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get daily dental hygiene articles at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.todaysrdh.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Today's RDH on Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/TodaysRDH/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Kara RDH on Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/DentalHygieneKaraRDH/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Kara RDH on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/kara_rdh/⁠⁠⁠⁠⁠⁠

Radio Advisory
208: Authors Jim and Bob Rebitzer ask, "Why can't healthcare be better and cheaper?" (Live from The Players 2024 Championship)

Radio Advisory

Play Episode Listen Later May 14, 2024 44:25


According to economist Jim Rebitzer and healthcare consultant Bob Rebitzer, the healthcare industry has failed in achieving what many other sectors have accomplished – improving products, while simultaneously reducing costs over time. In this episode, recorded live at The Players 2024 Championship, host Rachel (Rae) Woods invited Jim and Bob to discuss the central premise of their book, Why Not Better and Cheaper? They discussed the root causes of this challenge – including incentives, prevailing professional and social norms, and competition – that the industry must confront to deliver better and cheaper healthcare. Links: Learn more about the Rebitzer brothers and their new book, Why Not Better and Cheaper? Our Financial Impact playlist This spring Radio Advisory is celebrating four years of production. Thank you for listening! Truly personalized care is possible. Here's how to make it a reality. Learn about Advisory Board On-Demand Courses Learn about Advisory Board Fellowship A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.

Radio Advisory
206: 24th Secretary of HHS Alex Azar shares his vision on healthcare transformation

Radio Advisory

Play Episode Listen Later Apr 30, 2024 57:59


As healthcare leaders continue to contend with workforce shortages, technological shifts, and fragile financials it can be hard to predict what the future looks like for their organizations and the transformation that needs to happen to improve healthcare for all. In this episode, host Rachel (Rae) Woods invites the 24th Secretary of the U.S. Department of Health and Human Services Alex Azar to discuss what "transformation" actually means, what conditions need to be in place to mitigate financial loss, and what leaders can do to advance towards industry-wide transformation. Links: Our Value-based Care playlist Around the nation: CMS hints at more prior authorization rules Our Strategy playlist Truly personalized care is possible. Here's how to make it a reality. [Webinar, May 14] Bespoke care, part 1: What it is and how it's transforming care delivery A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.

Dental Business RX
Ep. 136: Charting Your Path to Fee-for-Service Dentistry

Dental Business RX

Play Episode Listen Later Apr 22, 2024 36:15


We're in a “reimbursement crisis” right now in dentistry, and it's only going to get worse with every passing month. So this week, Jeff takes a look at the current insurance model, what it really means to be “fee-for-service,” and how you would design a strategy to smoothly transition out-of-network—so you can start getting paid your full fee for every procedure.   Your Roadmap to a Fee-for-Service Practice - https://www.mgeonline.com/roadmap Wasserman Guide - https://wasserman-medical.com/shop/product/national-dental-advisory-service-2024-fee-report-book Insurance Plan Calculator - https://www.mgeonline.com/raise-your-fees

Totally Oral Podcast
Erik Zundo Bills Insurance the Better Way

Totally Oral Podcast

Play Episode Listen Later Apr 8, 2024 41:44


Russell and Clint speak with Erik Zundo of West Lafayette, Indiana, a Fee For Service dentist who has found success in the Hoosier State.  They discuss insurance fees and reimbursement, the Overton Window and ADA meetings and associated fees.  The beginning of the conversation got cut off, but it was mainly Clinton discussing vexillology in the Southern Hemisphere, so no loss, really. 

My DPC Story
Transforming a Fee-For-Service Practice: DPC in Cincinnati!

My DPC Story

Play Episode Listen Later Apr 7, 2024 56:22 Transcription Available


Dr. Michael Chunn of Chunn Family Medicine Direct Primary Care is sharing his story today! From his days of being a phlebotomist, he shares what drove him into Family Medicine, and he also shares about his career, steppingstones that led him to eventually transforming his fee for service clinic with around 4000 patients to his Direct Primary Care clinic to find freedom from burnout!  On day, one of opening, he had over 200 patients remain with him.  MORE EXCLUSIVE CONTENT FROM Dr. Chunn and other guests on our PATREON! JOIN THE MY DPC STORY PATREON COMMUNITY for EVEN MORE CONTENT! Check out our EXCLUSIVE CONTENT, including ADDITIONAL FULL-LENGTH INTERVIEWS and MORE! patreon.com/mydpcstoryfan -> SPRUCE HEALTH: NEW USERS get 20% off your SPRUCE HEALTH paid plan with code: MARYAL20 REGISTER HERE TODAY! Join our Virtual ASK THE EXPERT Q&A with Dr. Lauren Hedde April 30th! Tickets are PAY WHAT YOU CAN!Support the show*SPONSOR THE POD! Book a sponsor meeting to learn more HERE*Have a DPC question?!? LEAVE US A VOICEMAIL HERE!*Visit the DPC SWAG store HERE!*Let's get SOCIAL! Follow My DPC Story! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Real Estate Rockstar Radio - With Your Coach Borino
Rockstars Jam Session: Changing times in real estate; what should we do?

Real Estate Rockstar Radio - With Your Coach Borino

Play Episode Listen Later Mar 21, 2024 32:26


Real Estate Coach Mike Cribbin discusses the NAR decision fallout and how it will impact you as an agent / Realtor. The sky is not falling!

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Dr. K. sits down with Dr. Mark McClellan, Director and Professor of Business, Medicine and Policy at the Duke-Margolis Center for Health Policy at Duke University. They discuss moving from a Fee For Service payment model to Value Based Care payment model by integrating Primary Care Providers (PCPs) with Specialists to create a patient focused model built on high-touch, proactive care. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Less Insurance Dependence Podcast
What does it really mean to be Fee-for-Service?

Less Insurance Dependence Podcast

Play Episode Listen Later Mar 8, 2024 19:04


In this episode of The Less Insurance Dependence podcast, co-hosts Gary Takacs and Naren Arulrajah delve into the topic of what it truly means to be fee-for-service (FFS) in dentistry. They emphasize that being FFS entails charging your full fees and receiving them directly from patients without involvement from insurance companies. They address common misconceptions about FFS dentistry and advocate for a patient-friendly approach. They highlight the importance of continuing to provide excellent care and support to patients, regardless of their insurance status. Additionally, they discuss practical strategies for navigating the transition from being in-network with insurance plans to becoming FFS. This includes insights on handling insurance claims, retaining patients, and effectively marketing a practice. Ultimately, the episode provides valuable guidance for dental practitioners seeking to reduce their dependence on insurance and create a thriving FFS practice.

The Social Dentist - Dr. Yazdan
Episode 239 - Become More Fee For Service

The Social Dentist - Dr. Yazdan

Play Episode Listen Later Feb 29, 2024 10:22


In this episode of The Social Dentist Dr. Desiree Yazdan wants to help you become more fee-for-service based in your business. Dr. Yazdan has helped so many dentists just like you make more money by adopting a fee-for-service model. If you are already running a fee for service practice, this is still a worthwhile listen because Dr. Yazdan has advice for you too. Because Dr. Yazdan is a dentist herself, she knows your pain points, and is able to address them one-by-one in this podcast episode. She knows it's hard to explain fees and dental insurance to your patients; she knows it can be hard to get your staff on board; and she knows how important your own mindset is when it comes to becoming a fee for service provider. That's why she addresses each of those topics and more in this episode. Now is the time to sign up for Million Dollar Mentorship with Dr. Yazdan, which starts March 21st! ENROLL INTO MILLION DOLLAR MENTORSHIP: https://dryazdan.lpages.co/million-dollar-mentorship-sales-page-march-2024/ Sign up for Dr. Yazdan's Free Masterclass, Instagram Patients - www.dryazdan.com/newpatients Watch Dr. Yazdan's Make More Money Video - www.dryazdancoaching.com/mdm Join Dr. Yazdan's Coaching Waitlist - www.dryazdancoaching.com/waitlist Schedule a Free Consult with Dr. Yazdan - https://dryazdan.com/schedule Sign up for Dr. Yazdan's Newsletter - https://dryazdan.com/email Follow Dr. Yazdan on Instagram - https://www.instagram.com/dryazdan/ Follow Dr. Yazdan on Facebook - https://www.facebook.com/DrDYazdan/

Code WACK!
'You're not safe': How middlemen are corrupting traditional Medicare

Code WACK!

Play Episode Listen Later Feb 19, 2024 19:01


This time on Code WACK!    You've probably heard about the dangers of Medicare Advantage, but did you know that traditional Medicare is being privatized too? How is this corrupting our healthcare system even more and what does this mean for patients?   To find out, we spoke to Dr. Ana Malinow,  who spent three decades working as a pediatrician with immigrant, refugee and underserved children in Ohio, Texas, Pennsylvania, and California before retiring as Clinical Professor of Pediatrics from the University of California San Francisco School of Medicine. She's past president of Physicians for a National Health Program and is currently a lead organizer for National Single Payer and The Movement to End Privatization of Medicare. This is the first episode in a two-part series with Dr. Malinow.   Check out the Transcript and Show Notes for more!  

The Podcast by KevinMD
From fee-for-service to value-based care

The Podcast by KevinMD

Play Episode Listen Later Feb 9, 2024 17:30


Join Michael Poku, a physician executive, as we delve into the challenges and solutions for transforming the U.S. health care system. Explore how the fee-for-service model perpetuates health inequities, the importance of value-based care, and the impact on patient outcomes. Discover how prioritizing patients and making strategic investments can lead to a more equitable and cost-effective health care model. Michael Poku is a physician executive. He discusses the KevinMD article, "How value-based care can address health inequities." Our presenting sponsor is Nuance, a Microsoft company. Do you spend more time on administrative tasks like clinical documentation than you do with patients? You're not alone. Clinicians report spending up to two hours on administrative tasks for each hour of care provided. Nuance, a Microsoft company, is committed to helping clinicians restore the balance with Dragon Ambient eXperience – or DAX for short. DAX is an AI-powered, voice-enabled solution that helps physicians cut documentation time in half. DAX Copilot combines proven conversational and ambient AI with the most advanced generative AI in a mobile application that integrates directly with your existing workflows. DAX Copilot can be easily enabled within the workflow of the Dragon Medical application to bring the power of ambient technology to more clinicians faster while leveraging the proven and powerful capabilities used by over 550,000 physicians. Explore DAX Copilot today. Visit https://nuance.com/daxinaction to see a 12-minute DAX Copilot demo. Discover clinical documentation that writes itself and reclaim your work-life balance. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/pgWQRW Powered by CMEfy.

My DPC Story
Embracing Change: Dr. Anand Mehta's Transition from Walmart Health to Stand Up Family Medicine and DPC

My DPC Story

Play Episode Listen Later Feb 4, 2024 56:54 Transcription Available


In this episode of "My DPC Story," host Dr. Maryal Concepcion talks with guest Dr. Anand Mehta, a passionate advocate for Direct Primary Care (DPC). Dr. Mehta shares his transition from Walmart Health to establishing Stand Up Family Medicine, a thriving DPC clinic in Marietta, GA. They delve into the DPC model's emphasis on building deep patient relationships, the significance of genuine and compassionate care, and the transformative impact on physician burnout and work-life balance. Dr. Mehta's story reflects the shift towards value-based care and personalized medicine, showcasing the powerful impact of DPC in alleviating physician burnout and revitalizing the healthcare experience. The conversation also addresses the strategic utilization of SEO to promote DPC and resonate with audiences seeking authentic, patient-focused care. This episode resonates deeply with both physicians and patients, acknowledging the vitality of human connections within the modern healthcare landscape while championing the DPC movement as a beacon of genuine, compassionate care. Originally aired 2022.Doctor, I have a questionWilliam L Hoover, II, M.D. and Gordon L MacPherson, Medical Media Producer, will dig...Listen on: Apple Podcasts Spotify2024 Take Back Medicine conference Feb 10-11th (in-person or virtually): REGISTER HEREDPC Coalition Steering Committee and Fly-In Feb 26-27th (in-person or virtually): LEARN MORE HERE Check out our DPC Swag Shop: HERE Support the show*SPONSOR THE POD! Book a sponsor meeting to learn more HERE*Have a DPC question?!? LEAVE US A VOICEMAIL HERE!*Visit the DPC SWAG store HERE!*Let's get SOCIAL! Follow My DPC Story! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Partner Path
E24: Healthcare's New Era: AI Insights with Jacob Effron (Redpoint)

Partner Path

Play Episode Listen Later Jan 24, 2024 30:30


We're excited to chat with Jacob Effron, a Partner at Redpoint Ventures.  Before joining Redpoint in San Francisco, Jacob served as a product manager at Flatiron Health.  In addition to being an investor, Jacob hosts two podcasts, Unsupervised Learning and Vital Signs. Jacob sheds light on the impact of artificial intelligence in healthcare, the influence of large language models (LLMs) on drug discovery, the current importance of value-based care, and the future prospects of AGI!Episode Chapters:Economic Development in East Africa - 1:26Breaking down the Product Manager Role - 2:54Redpoint's Strategy - 4:42Healthcare AI Themes - 7:32AI Meets Drug Discovery - 10:20The Impact of AI on Clinical Trials - 14:35Value-Based-Care versus Fee-For-Service - 17:40Technology Paired with VBC - 21:00Artificial General Intelligence (AGI) - 24:24Evaluating a Founder - 27:30Ending Questions - 28:54As always, feel free to contact us at partnerpathpodcast@gmail.com. We would love to hear ideas for content, guests, and overall feedback.

Redeye
Canada falls short in primary care compared to other OECD countries: Study

Redeye

Play Episode Listen Later Jan 21, 2024 15:46


More and more Canadians are unable to access public primary healthcare, according to a study published in the Canadian Medical Association Journal at the beginning of December. In fact, about 20% of Canadians have no family doctor at all, and many more have irregular access to clinicians. The CMAJ study compares the Canadian primary care system with New Zealand and eight countries in Europe including France, Germany, Italy and the UK. Dr Tara Kiran is the senior author of the study and a family physician and scientist at St. Michael's Hospital and the University of Toronto.

Confessions From A Dental Lab
Dr. Lee Brown Joins the Show To Talk Being a Dentist in Ohio, Total Health Conversations, and Fee-For-Service Implementation Advice!

Confessions From A Dental Lab

Play Episode Listen Later Nov 3, 2023 26:03


Dr. Lee Brown is a dentist born and raised in Cincinnati, Ohio. He focuses on "Total Health Conversations" which factor in sleep, nutrition, exercise and more. He also offers advice on Fee-for-Service practice methods, dental labs, and dental mentorship. Do not miss this episode! Ladies & Gentlemen, you are listening to "Confessions From A Dental Lab" and we're happy you're here. Subscribe today and tell a friend so we can all get 1% better :) Connect with Dr. Brown and email him at brownlee23@gmail.com Follow KJ & NuArt on Instagram: @lifeatnuartdental Learn more about the lab at nuartdental.com

Art of Dental Finance
How to Run a Fee-for-Service Dental Practice

Art of Dental Finance

Play Episode Listen Later Oct 25, 2023 61:03


In your dental practice, it's important to build patient relationships and work diligently to meet your patients' needs. When you are feeling burdened or forced to work in a fast-paced environment, it can take away the personalized care you are hoping to provide. In today's episode of “The Art of Dental Finance and Management,” Art Wiederman talks with Dr. Natasha Lee, former president of the California Dental Association. Dr. lee talks about how to refocus, review your benefits plan and ensure your reimbursement plan is good enough for you to slow down.

Feeling Good: A Podcast for Dentists
Bonus Episode: FFS Guest Appearance: Going out of Network & the Mental Blocks Dentists Face

Feeling Good: A Podcast for Dentists

Play Episode Listen Later Oct 17, 2023 73:28


On this special episode of The Fee For Service dental podcast with Dr. Sonny Spera, Drs. Mach and Spera discuss how difficult it is for dentists to mentally face the concept of going fee for service. And, more importantly, what you can do to overcome those blocks. Listen in on this exciting podcast presentation with Dr. Laura being on the guest side of the podcast. Listen now to learn more.  Resources and links for Dr. Laura Mach: Link to Episode on FFS Podcast  Watch Laura's podcasts on YouTube: Love Your Practice! Laura's email: DrLauraMachDDS@gmail.com Laura's website: LoveYourPractice.net Laura's podcast: Love Your Practice! Laura's TikTok: https://www.tiktok.com/@drlauramach Laura's Instagram: https://www.instagram.com/drlauramachdds/?hl=en Laura's Facebook pages: Love Your Practice with Dr. Laura Mach Love Your Practice  Laura's personal page Thank you so much for tuning in to this podcast! I would love it if you would share it with others and leave a review for others to see! ~ Laura

Dentistry Unmasked: A Roundtable Podcast
Is FFS Right For You? With Dr. Roger Levine

Dentistry Unmasked: A Roundtable Podcast

Play Episode Listen Later Aug 29, 2023 36:04


Fee For Service versus PPO versus Medicaid versus All of the above. Who's right? Which model is the best? Go on social media - everyone is an armchair expert - so we decided to scrap affirmation and bring you real INFORMATION. Data drives our best decisions in life and Dr. Roger Levin brought big data. When you want to be better more than being right - LISTEN IN.  Links  https://levingroup.com/  https://levingroup.com/free-resources/tip-of-the-day/ 

Dentistry: The Business Bite with Grace Rizza
Unlocking Success in a Fee-for-Service Dental Practice

Dentistry: The Business Bite with Grace Rizza

Play Episode Listen Later Jul 20, 2023 38:39


Podcast Description: In this Dentistry's Growing with Grace event, Grace Rizza sits down with Dr. Delaney Spaulding for an insightful discussion on dropping insurance participation and embracing a fee-for-service approach in the dental industry. Discover the challenges encountered and the repercussions of patient attrition throughout this transformative process. Prepare yourself for an engaging conversation packed with valuable insights and practical tips to help dentists grow their practices and lead with positivity. Meet Grace Rizza: Grace Rizza is the CEO and founder of Identity Dental Marketing, which serves practices nationwide with ethical, effective marketing solutions. Today the company has helped to propel over 1,500 businesses to new levels of success. In her tenure as a business owner, Grace has authored countless industry-specific articles, podcasts, and blogs. She has spoken at dozens of dental meetings, including the Chicago Dental Society Midwinter Meeting, The Hinman Dental Meeting and the Greater New York Dental Meeting. Meet Dr. Delaney Spaulding: Dr. Delaney Spaulding is the proud owner of Ross Bridge Dentistry, which has been serving the Hoover community for over a decade. Dr. Spaulding is a graduate of the University of Georgia with a Bachelor of Science in Biology. She pursued her dream of becoming a dentist at the Henry M. Goldman School of Dental Medicine, where she earned her Doctorate of Dental Medicine. She is an active member of the American Dental Association and the Alabama Dental Association.  Dr. Spaulding enjoys making a positive impact on the lives of patients and makes sure to put a smile on the faces of everyone she encounters. According to her, “I care genuinely about my patients and their health.” I want to ensure that their treatment plan is comprehensive and thorough. I listen carefully to find out what the most important goal is for each of my patients.” Dr. Spaulding is dedicated to ensuring Ross Bridge Dentistry offers the best patient experience possible. She genuinely cares about each patient and treats them as if they were part of her family.

Lionhearted with Dr. Steve Rasner
Becoming Fee-For-Service w/ Dr. Nicole Vane Pt. 2

Lionhearted with Dr. Steve Rasner

Play Episode Listen Later Jul 18, 2023 60:30


This is a follow up to last week's podcast featuring Dr. Nicole Vane. Dr. Vane received her Doctorate in Dental Medicine from Tufts University in Boston, graduating at the top of her class, and above the 95th percentile on both National Dental Board exams. She is the recipient of numerous awards, including the induction to the Pierre Fauchard International Honor Society. Together, Dr. Rasner and Dr. Vane discuss the challenges of becoming fee-for-service. You can find Dr. Vane's  practice here: https://www.moonlightbeachdental.com     ------------------------------------------------------------------------------------------ Thank you for tuning in each week as we meet you where you are. Thank you for those who reach out and let us know what to discuss. Email DrRasner@aol.com with any questions or comments you may have, as well as topics for discussion.   View the full video of this podcast on our YouTube channel: https://www.youtube.com/c/RasnerInstitute    On the web here https://rasnerinstitute.com/ On Facebook here https://www.facebook.com/RasnerInstitute/   and here https://www.facebook.com/DrRasner 

Lionhearted with Dr. Steve Rasner
How To Become Fee-For-Service w/ Dr. Nicole Vane

Lionhearted with Dr. Steve Rasner

Play Episode Listen Later Jul 11, 2023 35:39


This is the first guest ever on the Lionhearted Dentists podcast! Dr. Vane received her Doctorate in Dental Medicine from Tufts University in Boston, graduating at the top of her class, and above the 95th percentile on both National Dental Board exams. She is the recipient of numerous awards, including the induction to the Pierre Fauchard International Honor Society. Together, Dr. Rasner and Dr. Vane discuss the challenges of becoming fee-for-service. You can find her practice here: https://www.moonlightbeachdental.com     ------------------------------------------------------------------------------------------ Thank you for tuning in each week as we meet you where you are. Thank you for those who reach out and let us know what to discuss. Email DrRasner@aol.com with any questions or comments you may have, as well as topics for discussion.   View the full video of this podcast on our YouTube channel: https://www.youtube.com/c/RasnerInstitute    On the web here https://rasnerinstitute.com/ On Facebook here https://www.facebook.com/RasnerInstitute/   and here https://www.facebook.com/DrRasner  On Instagram here https://www.instagram.com/stevenl.rasner/?hl=en  And on Twitter here https://twitter.com/RasnerInstitute  He also runs a Facebook group for dentists who wish to remain independent here Lionhearted: Clinicians Who Won't Quit.