Podcasts about fee for service

What if the most important care in the entire healthcare system is also the most underfunded? While hospitals and inpatient reimbursements rise with inflation, the physician fee schedule has quietly declined roughly 33% in real terms over 25 years — and this year it's facing another cut. In this episode, Jamie Preston sits down with Your Health CEO Matt Staub, just back from Capitol Hill, where he spent a record-setting 95-degree day meeting with seven legislative offices to advocate for physicians, providers, and the patients they serve across rural South Carolina, Georgia, and beyond. What follows is part field report, part reflection on why preventive primary care saves money and lives — and why we plan meticulously for weddings, retirement, and vacations, but treat our own health with a "call us if something happens" approach. In this conversation: Why a 2.5–5% physician fee cut hits frontline rural practices hardest The bipartisan doctors' caucus and the real appetite for reform Why winning can come from a loss — the Kobe Bryant mindset on process over outcome How a Disney ride (Spaceship Earth) reframes humanity's whole story around communication The case for proactive, team-based primary care over reactive sick visits Press play for a conversation about advocacy, communication, and a simple, powerful idea: the change you need to make starts with you.

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It was 3 o'clock in the morning when Scott Middleton finally signed the papers. The merger was official. And within days, he was already on the road — visiting facilities, riding along with providers, and spotting the same gap everywhere he went: brilliant clinicians doing real work that was completely invisible to the system. In this episode of The Disrupted Podcast, Jamie sits down with Scott Middleton, calling in from Boston, to unpack what he's discovering on the ground in the newly merged Your Health organization — and why tracking your time isn't about paperwork. It's about protection, proof, and getting paid for every minute of care you're already delivering. What you'll hear in this episode: The Dr. Jeeve story: a high-producing doc who managed a nursing home crisis by phone, saved a patient from an unnecessary ER visit — and never billed for it, leaving Medicare with no record of his intervention Why not documenting a visit before a hospitalization doesn't just cost you revenue — it makes you look like a bad provider, even when you did everything right How insurance companies like United Healthcare boldly take 15% off the top of every healthcare dollar — and why that math means providers can't afford to give their time away for free The TCPA pattern Scott keeps seeing: 15,000–18,000 visits a month, almost entirely in nursing homes, with zero follow-up once patients go home The new post-discharge standard: every patient leaving a nursing home gets a telehealth visit within 48 hours, then weekly follow-up for four weeks — no one gets left in the gap This episode is a masterclass in understanding that documentation isn't bureaucracy — it's how you tell your story, protect your reputation, and keep the care you've already given from disappearing. www.YourHealth.Org

Maternity care touches nearly every corner of the U.S. health system. About 25% of all hospitalizations involve a mother or newborn, and maternity spending accounts for roughly 0.8% of U.S. GDP — making it one of the most economically significant service lines in health care. Against that backdrop, a little noticed decision to unbundle maternity billing codes represents a generational shift in how pregnancy, delivery, and postpartum care are paid for. In this episode of Radio Advisory, host Rae Woods sits down with Neel Shah, MD, Chief Medical Officer at Maven Clinic, to break down what the new maternity billing codes mean for providers, health plans, and patients. Together, they explore why the old bundle broke down, how unbundling could reshape care delivery, and what health leaders should be doing now as 2027 approaches. We're here to help: Read Neel's article | The great unbundling - by Neel Shah, MD - The Preprint Episode | Ep. 261: Maven Clinic on how holistic women's health is the key to reducing cost and engaging employees Quick guide | Guide to today's top women's healthcare trends Learn more about Advisory Board's 2026 summit series. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

What does it actually cost when a doctor writes a verbal order over the phone instead of seeing the patient? Scott Middleton has the receipts — and the answer is going to make you rethink everything about how American healthcare spends its money. In this episode of The Disrupted Podcast, Scott announces a landmark three-way merger bringing Your Health together with Transitional Care Professionals of America (TCPA) out of Georgia and Providence Care, a hospice organization in South Carolina. The combined organization will serve approximately 55,000 active patients — not patients on a list, but people being seen regularly — and Scott lays out exactly how he's going to run it. What you'll hear in this episode: Why Scott's family owning 80% of the merged company changes everything about how decisions get made — and who they get made for The difference between fee-for-service and value-based care, and why the ACO model means every unnecessary hospitalization literally comes out of Your Health's pocket How Your Health's risk-adjustment-based visit model (16 visits per year per risk point) was independently validated by a new government study — and why it works The three things Scott is asking every new employee to do in the first weeks: align with a nurse practitioner, track every minute of care management, and recruit like their livelihood depends on it — because it does Why Scott's new management philosophy is six words: "Keep them out of the hospital and see your damn patients" This isn't a corporate announcement. It's a playbook for how healthcare can actually work when operators run the company, providers see their patients, and every minute of care gets counted. www.YourHealth.Org

Send us Fan MailMost doctors leave insurance… but still run their practice like they're in-network.I did the same thing at first.I thought direct care simply meant putting cash prices on my services and charging patients per visit. But staying fee-for-service kept my practice transactional, unpredictable, and financially stuck.In this episode, I'm sharing why I shifted away from CPT-code thinking and started building packages, memberships, and long-term patient relationships instead. Because patients don't just want appointments — they want a clear plan, real results, and someone who can guide them from pain to solution. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com

Send us Fan MailMost doctors leave insurance… but still run their practice like they're in-network.I did the same thing at first.I thought direct care simply meant putting cash prices on my services and charging patients per visit. But staying fee-for-service kept my practice transactional, unpredictable, and financially stuck.In this episode, I'm sharing why I shifted away from CPT-code thinking and started building packages, memberships, and long-term patient relationships instead. Because patients don't just want appointments — they want a clear plan, real results, and someone who can guide them from pain to solution. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com

Send us Fan MailFor decades, value-based care has been healthcare's promised future. Most health systems have stayed in upside-only arrangements, and the data infrastructure needed to manage real risk has never quite caught up to the ambition.That may finally be changing. David Snow, Chairman & CEO of Cedar Gate Technologies, an IQVIA business, joins host David E. Williams to discuss why CMS's first mandatory bundled payment model signals the end of voluntary experimentation, and why the fragmented data problem that has undermined value-based care for a generation is only now finding a real solution.

Ready to shift from reactive to architect? Discover how one dentist rebuilt her career and her practice model from the inside out. In this conversation, Dr. Sandra Calleros pulls back the curtain on her journey from high-volume clinics to designing a fee-for-service practice that feels more like a spa than a traditional dental office. Anne Duffy and Dr. Calleros dive deep into how Gallup StrengthsFinder reveals the unique ways we lead and grow: from “activator” energy that makes things happen fast, to the power and pitfalls of positivity, influence, and focus in shaping both business and team relationships. You will hear firsthand how Dr. Calleros used her top strengths to transform her practice, moving away from insurance headaches toward true autonomy, even when the leap felt risky. She shares lessons on continuous learning (she's still front row at major conferences!), the importance of mentorship and coaching, and building a culture where patients and your team feel at home. Whether you're navigating early career uncertainties or plotting your next big leap, Dr. Calleros' story will inspire you to leverage your strengths and never stop learning, no matter where you are on your professional journey. What You'll Learn in This Episode: The real-world impact of Gallup StrengthsFinder traits on leadership style. Key strategies for transitioning a practice from insurance-based to fee-for-service. The upsides (and challenges) of an “activator” personality in a dental team. How lifelong learning shapes career satisfaction and patient care. Ways that focus, positivity, and influence (woo) can drive a thriving practice culture. The importance of mentorship, coaching, and identifying what you don't want. Practical advice for creating a warm, unique patient experience. How to set boundaries and freedoms around practice policies (like fees and discounts). Tips on balancing personal growth with professional reinvention at any career stage. Hit play and discover how to lead boldly, learn endlessly, and build the dental career you truly want! Learn More About Dr. Sandra Calleros Here! Email: sandicalleros@gmail.com Cell/Text: 310-200-1958 Ready to be part of a movement of women shaping the future of dentistry? Join Dental Entrepreneur Woman for masterminds, education, exclusive events, and a supportive community designed to help you grow, lead, and leave your mark on the industry. Become a member at: https://dew.life/membership/ Mentions & Links: Events: The DeW Life Retreat Tools/Education: Gallup CliftonStrengths (2.0) Spear Education Kois Center People: Dr. Effie Habsha Dr. Bethany Piziks Dr. Sharon Parsons Dr. Michael Apa

What if the people case-managing your care had a financial reason to keep you sicker? That's the uncomfortable question Scott Middleton puts on the table in this episode — recorded live from the American Case Managers Conference in Orlando, where Scott went to learn, and ended up being told Your Health didn't "fit" because they weren't a hospital. Jamie and Scott unpack what the nurse case manager role actually looks like at Your Health — and why moving case management out of hospitals and into patients' homes isn't just better care, it's better economics. Scott shares the research proving the model works: 50% reduction in Medicare spend when patients are seen at the right frequency by the right people. In this episode: Why hospitalists may be "the demise of the American healthcare system" The difference between nurse practitioners (diagnose and treat) and nurse case managers (assess and guide) — and why blurring them costs patients The 16.05-visits-per-risk-point model David Clemens' research validated How coding departments are quietly diagnosing patients with diseases they don't have Why Medicare's 6-year insolvency window may be the disruption we need Head-to-toe assessments, delegation rights, and the real job of an RN in the home If you've ever suspected the system is working exactly as designed — just not for the patient — press play. www.YourHealth.Org

From bouncing at bars to building a client base of thousands, Alan Borthwick shares how he went from zero industry experience to founding Dux Financial with his business partner. Alan also discusses why he believes the future of advice lies in long-term thinking, not short-term transactions.➤ Why product advice alone fails, and what advisers must do instead➤ The power of looking after “small” clients, and how they become your best referrals➤ How Dux Financial operates with no sales targets, no lock-in contracts, and still grows➤ What most advisers can learn about client retention and staff agreements➤ How offering workplace financial counselling opened a new business channelIdeal for mortgage advisers, insurance specialists, and financial planners who want to build trust, run ethical businesses, and future-proof their advice in an evolving NZ industry.

What happens when you stop letting insurance define your patient experience in one of the world's toughest markets?In this episode, Dr. Fatina Shtivelman opens up about what it takes to not only build a pediatric dental practice from scratch in Manhattan, but also completely reinvent its business model. She describes the emotional and mental “second baby” her practice became, alongside the constant juggle of refining systems, surviving a pandemic, and keeping both her team and vision aligned in the heart of New York City. Dr. Shtivelman shares the pivotal decision to leave insurance networks behind, revealing why she shifted toward a boutique, fee-for-service model and how this move (while nerve-wracking) ultimately elevated every aspect of her practice.You'll hear honest stories about hiring and leadership, from tracking interview punctuality in a city obsessed with time to watching her office manager grow from assistant to hygienist to leader. Dr. Shtivelman details the exact systems she's built to safeguard consistency, minimize burnout, and empower every team member. She shows us the marketing, review, and tech strategies that help her attract the right families, boost profitability, and reclaim peace of mind. If you're a dental practice owner or dreaming of becoming one, her practical insights will help you create a practice that's both deeply personal and truly exceptional.What You'll Learn in This Episode:The mental realities of running a high-stakes pediatric dental practice in ManhattanConsiderations and steps for shifting from in-network to out-of-network modelsStrategies for managing patient expectations and navigating tough financial conversationsHow to build and align a cohesive, growth-minded dental teamPractical hiring methods for finding staff who fit your vision and valuesConcrete systems for accountability, efficiency, and minimizing daily stressGround marketing tactics and event best practices to attract ideal patientsHow to generate and track quality Google reviews every monthKeys to integrating technology (Open Dental, Modento, Dental Intelligence) for smooth operationsDr. Shtivelman's leadership routines for handling pressure and avoiding burnoutLet's listen to Dr. Shtivelman's hard-won practice-building secrets today!‍Sponsors:‍Net32: Founded by a dentist, for dentists. Net32 is the leading online marketplace for dental supplies, helping dental and medical professionals save on high-quality products for over 25 years. Start saving today at: https://www.net32.com/dentalmarketer‍Click here for a special offer!‍CallRail: Call tracking + AI that turns calls into campaigns that convert, quality patients, and cost savings. Click our link to start a free trial today! https://sta.mx/vz69Click here for a special offer!Guest: Dr. Fatina ShtivelmanPractice Name: Gramercy Kids SmilesCheck out Fatina's Media:Practice: https://www.gramercykidssmilesnyc.com/Instagram: https://www.instagram.com/gramercykidssmiles/TikTok: https://www.tiktok.com/@thetoothfairynyc‍Host: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Love the Podcast? Subscribe on Your Favorite App! https://lnkfi.re/TDMPod‍

America spends nearly double what the fourth-ranked country spends on healthcare per capita — and still ranks among the worst in outcomes. So what exactly are we paying for? In this episode of the Experiencing Healthcare Podcast, Jamie Preston and Your Health CEO Matt Staub examine what happens when healthcare gets treated like gasoline: something people expect to be available, can't easily compare on quality, and ultimately choose based on price or convenience. When brand and price stop mattering, the only differentiator left is how patients are made to feel — and whether they trust the person across from them enough to actually change. What you'll hear in this episode: Why Matt ranks service above outcomes and access — and the patient story that changed how he thinks about both The "Chick-fil-A problem": how your healthcare experience is now being compared to your best service experience anywhere, not just the clinic down the street What provider burnout really looks like when a clinician closes their notes at 11pm wondering if their patient listened How insurance billing creates distrust that bleeds directly into the patient-provider relationship — and what healthcare organizations can do about it Why the most caring thing a doctor can do sometimes feels like the worst customer service in the room If you've ever felt like a number in a waiting room — or if you've ever been the one trying to help someone who wouldn't listen — this conversation will stay with you. Press play.

Podcast Summary (Show Notes Style)In this episode, Jordon Comstock talks with Dan from Elevation Association about why dental insurance—especially Delta Dental—is becoming a bigger threat to independent practices, and how practices can successfully transition to fee-for-service without destroying their schedule.Dan explains that Delta is making aggressive moves, including owning dental practices, which gives insurers more control locally and reduces their reliance on independent offices. He also warns dentists not to assume associations will protect them, arguing the industry landscape is shifting fast.The conversation then turns practical: Dan breaks down what it really takes to exit PPOs strategically. The key is preparation—especially having a patient membership / benefit plan in place before going out of network, so patients can move “laterally” into the practice's own plan. He emphasizes aligning the entire team around the mission, using incentives when appropriate, and building strong patient communication to counter misleading insurer letters that make patients think they “can't” stay with the practice.Dan shares that the transition isn't instant—it can take about a year to stabilize, with the first quarter or two feeling messy as hygiene schedules fluctuate and patients test the financial impact. The practices that win dedicate staff to proactive recall/outreach, driven by real data (they use Dental Intel), to refill the schedule and reduce attrition.The episode closes with the payoff: the move is described as freeing and energizing, with fewer write-offs, more control, and the ability to slow down while improving focus and profitability—especially when practices don't try to do it alone and instead leverage coaching, tools, and a clear plan.TL;DR (30 seconds)Delta is tightening control (even buying practices), so dentists need a strategy to regain power: prep your team + track key KPIs + build a membership plan first + over-communicate + run recall/outreach, and expect a ~12-month stabilization period after the PPO exit. The result: less write-off pain and way more freedom.

In this episode of the Nifty Thrifty Dentists Podcast, Dr. Glenn Vo sits down with Dr. Jim Arnold, Founder and CEO of Foundation Dental Alliance, to talk about what it really takes to build a successful fee for service dental practice. If you are feeling squeezed by insurance reimbursements, rising overhead, and the pressure to see more patients just to stay profitable, this conversation will resonate with you. Dr. Arnold shares: • Why insurance driven dentistry is leading to burnout • The mindset shift required to move toward fee for service • How leadership and culture directly impact profitability • Why relationship based care creates long term stability • The six pillars needed to build a freedom based practice This is not about dropping PPOs overnight. It is about building clarity, confidence, and a strategy that protects your future. If you have ever wondered whether there is a better way to practice dentistry, this episode is worth your time.

Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  Episode Description In part one of this two-part conversation, Dr. Brian Vence shares a deeply thoughtful and experience-driven perspective on what it actually takes to build a successful fee-for-service practice—one rooted not in persuasion or sales tactics, but in trust, diagnosis, and meaningful human connection. With more than three decades of clinical experience and a career dedicated to interdisciplinary, comprehensive care, Dr. Vence reframes treatment planning as a behavioral and relational process, not a transactional one. He challenges the idea that comprehensive dentistry is something that must be "sold," and instead positions it as a process of helping patients clarify their own values, goals, and tolerance for risk—at their pace, not ours. This episode explores how dentists can meet patients where they are without abandoning ideal diagnosis. Dr. Vence explains why patients often fixate on a single tooth or isolated concern, and how honoring that starting point—when done thoughtfully—can open the door to deeper, more comprehensive care over time. Rather than overwhelming patients with full-mouth solutions on day one, he advocates for sequencing conversations, building psychological safety, and creating space for patients to envision what's possible. A major theme of the discussion is the concept of "Pathways to Essential and Meaningful Treatment." Dr. Vence walks through how environment, language, and timing directly influence patient decision-making—and why treatment planning conversations are often better held outside the operatory, away from the fight-or-flight associations many patients carry with dentistry. In this episode, you'll hear: Why fee-for-service dentistry begins with mindset and culture—not insurance policies How to stop "convincing" patients and instead become a clear, unbiased sounding board Why comprehensive treatment planning is fundamentally about behavior, not procedures How environment and language influence whether patients feel safe enough to future-focus The importance of honoring patient autonomy while still holding space for ideal diagnosis Dr. Vence also shares practical insights into new patient workflows, from the first phone call to in-office consultations, emphasizing the value of curiosity, listening, and slowing down. He highlights why efficiency often crowds out effectiveness—and why the most productive clinical days are rarely about volume, but about depth of connection. This conversation is especially relevant for dentists who feel tension between practicing the dentistry they know is right and navigating patient hesitancy, financial concerns, or insurance-driven expectations. If you've ever felt frustrated trying to align comprehensive care with patient readiness, this episode offers a grounded, humane, and sustainable way forward. Part one sets the philosophical and relational foundation. In part two, the conversation continues into diagnosis, case presentation, and how to guide patients through complex decisions without coercion. This is not an episode about selling dentistry. It's about helping patients—and clinicians—make clearer, more meaningful choices.  

Surgeon and health tech strategist Sarah Matt discusses her article "Why fee-for-service reform is needed." Sarah analyzes the friction between efficient digital health tools and an outdated payment system that rewards activity over quality. She proposes replacing analog metrics like visit volume with shadow KPIs that track actual health outcomes such as time-to-resolution and preventable hospitalizations. The discussion outlines a practical strategy to utilize existing billing codes for remote patient monitoring while simultaneously gathering data to negotiate shared savings agreements. Listen to learn how clinicians can drive the transition toward a more logical health care economy. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Filling your chairs is one thing; filling them with patients who value your expertise and fee-for-service model is another!This episode peels back the curtain on Dr. Rahul Kallianpur's first year as the founder of Hudson Dental Co., revealing the realities behind the glossy finish of cosmetic and surgical dentistry in Pleasantville, New York. Discover how Dr. Kallianpur navigates the unique challenges of running a fee-for-service practice, from crafting laser-focused marketing strategies that attract the right patients to adapting to dramatic demographic changes triggered by the pandemic.In the conversation, Dr. Kallianpur shares the hard-won lessons of assembling a hospitality-driven team and creating systems that ensure every patient encounter feels personal and seamless (starting from the very first phone call.) Explore the balancing act of refining operations through trial and error, the influential role of mentorship during inevitable setbacks, and insights into how AI may shape the future of dental care. With honest stories about staying committed to his vision amidst operational hurdles, this episode delivers practical wisdom and inspiration for dentists reimagining what it means to lead a boutique practice today.What You'll Learn in This Episode:Ways to identify and attract ideal patients for a niche dental practiceHow local demographic shifts impact practice strategies and marketing effectivenessThe importance of a hospitality-focused team and patient-centric systemsTips for designing memorable new patient experiences from the first touchpointStrategies for evolving marketing from generalist tactics to laser-focused outreachWhy patient retention often matters more than new patient acquisitionThe value of mentorship and peer support for new practice ownersReal-world examples of problem-solving through trial and errorThe emerging role of AI technology in contemporary dentistryInsights into the emotional and operational realities of niche practice ownershipTune in now to hear Dr. Kallianpur's honest advice on navigating the complex, rewarding journey of boutique dental practice ownership!‍Sponsors:‍Oryx: All-In-One Cloud-Based Dental Software Created by Dentists for Dentists. Patient engagement, clinical, and practice management software that helps your dental practice grow without compromise. Click or copy and paste the link here for a special offer! https://thedentalmarketer.lpages.co/oryx/‍Guest: Dr. Rahul KallianpurPractice Name: Hudson Dental Co.Check out Rahul's Media:‍Website: https://www.hudsondentalco.com/Practice Instagram: https://www.instagram.com/hudsondentalco/Dr. Kallianpur's Instagram: https://www.instagram.com/dr.kallianpur/‍Host: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Love the Podcast? Let Us Know How We're Doing on Apple Podcasts!

In this episode of The Disrupted Podcast, Scott Middleton returns from the JP Morgan healthcare conference with a blunt takeaway: the future of care is not a magic pill, another telehealth platform, or a clever financial structure — it's showing up. Scott breaks down why healthcare has become unnecessarily complicated, how fee-for-service incentives distort decision-making, and why “easy-entry” models won't hold up long-term.He makes the case that Your Health's home-based care model is hard to replicate because it requires operational excellence—routing, scheduling, team coordination, and intentional touchpoints. Scott also challenges internal culture issues: finger-pointing, poor communication, inefficient scheduling, and employees misunderstanding the mission. The solution is both simple and demanding: build systems that make weekly in-person encounters possible for high-risk patients and hold the line on execution. www.YourHealth.Org

What are the real-world secrets behind building a successful fee-for-service dental practice in New York City?In this inspiring episode, Dr. Arti Jagirdar reveals the unexpected path from aspiring physician to celebrated Manhattan dentist (one deeply shaped by her roots as the child of immigrants and entrepreneurs.) She opens up about how discovering art in high school transformed the way she approaches dentistry and why her own open heart surgery became a pivotal moment, fueling a new level of empathy for her patients. Dr. Jagirdar shares how these personal milestones helped her cultivate a uniquely patient-centric philosophy, pairing technical expertise with genuine, heartfelt care.Discover the behind-the-scenes journey of building a thriving fee-for-service practice amidst Manhattan's competitive landscape. Dr. Jagirdar walks us through the pivotal business decisions she made, from legal preparedness to strategic partnerships, and how she leverages both advanced dental technology and human connection to create an exceptional patient experience. Her candid stories (spanning trademark challenges, crafting strong referral networks, and the ongoing role of continuous education) offer powerful insights into what it takes to create a truly modern, holistic dental practice.What You'll Learn in This Episode:How deeply personal experiences can reshape your entire approach to patient careThe role of art and creativity in building a distinctive dental practiceEssential legal and financial strategies for opening a fee-for-service officeThe keys to finding trustworthy consultants, vendors, and IT partnersHow holistic, patient-focused care leads to loyal referrals in a crowded marketWays to navigate and overcome legal challenges, including trademark disputesTips for using social media and online reviews to boost your reputationWhy mentorship, community, and ongoing education are cornerstones of successInsight into advanced dental procedures like sleep apnea treatmentThe impact of empathy and thoroughness on business growth and patient trustListen now for a masterclass in blending technical excellence with heart, and discover what it truly takes to build patient trust and success in modern dentistry!(This episode originally aired on 2/29/24)‍Sponsors:‍Net32: Founded by a dentist, for dentists. Net32 is the leading online marketplace for dental supplies, helping dental and medical professionals save on high-quality products for over 25 years. Start saving today at: https://www.net32.com/dentalmarketerGuest: Dr. Arti JagirdarPractice Name: Flatiron DentalCheck out Arti's Media:Website: https://www.flatirondentalnyc.com/Instagram: https://www.instagram.com/flatirondental/Flatiron Dental Playlist: https://open.spotify.com/playlist/5qHLpjIikJHlEOVv3Y7dYY?si=5d09cbd507704653‍Host: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Love the Podcast? Let Us Know How We're Doing on Apple Podcasts!

Matt Brown sits down with Dr. Tom Orent (The Gems Guy) to discuss his journey from PPOs to a successful fee-for-service dental practice. Dr. Orent shares what sparked the transition, how to improve patient flow and case acceptance, and why clear communication and mindset are critical during change. A concise, practical conversation for dentists looking to build a more profitable and fulfilling practice.Click here to join our free study club! https://chat.whatsapp.com/H746zQhOps161RNOv5Meut?mode=hqrt3

Happy holidays—and let's be real: the markets, the economy, and “the plan” don't look clean right now.In this 12 Days of Giving episode, Shana Orczyk Sissel comes back with a story that hits every advisor (and every client) right between the eyes: a young advisor leaves a firm, starts from zero, and lands a $25M client… not by sounding smarter… but by asking better questions and bringing REAL options to the table.Here's the uncomfortable truth: most advisors are selling the same portfolio with a different logo on it. Same playbook. Same funds. Same “set it and forget it” pitch. Shana breaks down why alternatives—private credit, direct lending, and other non-traditional tools—can be a legit way to differentiate… IF you're actually doing planning and not just product-pushing.Then we go straight at the elephant in the room: crypto and “controversial” investments. If your advisor's entire view is “it's a scam,” that's not wisdom—that's laziness. You don't have to love crypto to be qualified. But you DO have to have a thoughtful, educated stance. Because the future client is already there, already curious, already investing… and they're not waiting for the industry to catch up.We also talk about where advice is headed: less AUM worship, more fee-for-service, coaching, and real-life decision support. Translation: if you can't deliver value people can't get from a brokerage app, you're going to get left behind—fast.Watch the full episode here:https://youtu.be/Wv8sctzRALQAs always we ask you to comment, DM, whatever it takes to have a conversation to help you take the next step in your journey, reach out on any platform!Twitter, FaceBook, Instagram, Tiktok, LinkedinDISCLOSURE: Awards and rankings by third parties are not indicative of future performance or client investment success. Past performance does not guarantee future results. All investment strategies carry profit/loss potential and cannot eliminate investment risks. Information discussed may not reflect current positions/recommendations. While believed accurate, Black Mammoth does not guarantee information accuracy. This broadcast is not a solicitation for securities transactions or personalized investment advice. Tax/estate planning information is general - consult professionals for specific situations. Full disclosures at www.blackmammoth.com.

Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  In Part 2 of this powerful series, Dr. Melissa Seibert continues her in-depth conversation with cosmetic dentist and AACD leader Dr. David Eshom, exploring the deeper psychological, business, and interpersonal frameworks that underpin a thriving fee-for-service practice. Together, they unpack the realities of transitioning away from insurance dependence, the emotional traps dentists fall into, and the communication strategies that safeguard both the patient relationship and the dentist's peace of mind. Dr. Eshom offers decades of wisdom on how to recognize patient readiness, how to present comprehensive treatment without triggering defensiveness, and how to gracefully identify patients who may not be ideal candidates for complex care. He shares the subtle behavioral cues that differentiate collaborative patients from those who may become litigious, overly exacting, or misaligned with your practice philosophy—and how to exit these relationships ethically and respectfully when needed. The episode also tackles some of the profession's most pressing realities: Why the insurance model forces dentists into ethical and financial corners How to communicate a fee-for-service structure without alienating patients The psychology behind presenting conditions and consequences—not pressure and sales Why slowing down for deeper exams ultimately accelerates practice growth How to block your schedule, restructure hygiene exams, and build time for meaningful conversations The importance of discernment: knowing when a patient is truly a "yes," when they're a "not now," and when they're a "no" Dr. Eshom also walks through his workflow for large aesthetic cases—from shade decisions to motivational mock-ups and trial smiles—while highlighting how these tools improve clarity, set expectations, and reduce risk for both patient and provider. The conversation concludes with a reflective discussion about building a freedom-based business, attracting aligned patients, and creating a practice model that delivers exceptional dentistry without compromising your wellbeing, your values, or your clinical standards. If you've ever wondered how to elevate your practice beyond the constraints of insurance, identify ideal patients, or cultivate a career defined by autonomy and fulfillment, this episode is a masterclass in sustainable, relationship-driven dentistry.

In this episode of the Less Insurance Dependence Podcast, co-host Don Adeesha sits down with Naren Arulrajah, CEO of Ekwa Marketing, to unpack one of the biggest opportunities in dentistry today: attracting more fee-for-service patients. With nearly half of Americans lacking dental insurance, dentists have a massive untapped market—but many are stuck thinking like PPO-based providers instead of value-based clinicians. Naren explains the essential mindset shift dentists must make, how to communicate value with confidence, and the marketing foundations that help practices break free from PPO dependence. From SEO and Google reviews to membership plans and long-term patient relationships, this episode provides a clear roadmap for dentists ready to elevate their practice, charge what they're worth, and attract patients who genuinely value quality care. 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/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

On today's episode, we're talking with an inspiring young dentist whose story is nothing short of amazing. Meet Dr. Luis Abrahante—he came to the U.S. from Cuba at just 18 years old, not knowing a word of English. Fast forward to age 31, and he's already paid off his dental school loans, bought his own practice, and turned it into a fully digital, high-end aesthetic dentistry hub. He shares with us how he did it along with his favorite dental materials.

In this episode, Lester De Alwis is joined by Joanne Villani, co-founder of PreVu Software. Joanne shares her 35+ years of experience in dentistry and the biggest lessons she's learned about case acceptance. You'll discover why patients say no, how to build trust, and how powerful visuals like smile simulations can boost case acceptance. If you're looking to reduce your insurance dependence and grow your revenue with fee-for-service treatments, this episode is packed with practical insights you can act on right away. 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/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Dr. Wilner would love your feedback! Click here to send a text! Thanks!Many thanks to Heather Signorelli, DO, for joining me on The Art of Medicine with Dr. Andrew Wilner. Heather is a practicing pathologist and owner of a medical billing company. Heather's interest in medicine and business began at an early age. Her father was an obstetrician for his entire career, and her mother was involved in hospital management.At medical conferences, physicians who struggled with running their offices frequently asked Heather for help and inspired her to start her company. Heather began her medical billing business with her husband five years ago. Currently, she supervises 70 employees and assists 200 physician practices in collecting payments for their services. The current complexity of the number of carriers, plans, and rules conspires to prevent physicians from receiving prompt reimbursement for their services. The industry average is 40 days to get paid, although Heather's company tries to shorten this considerably. Heather explained the top 3 things that physicians can do to improve collections. During our 30-minute discussion, we explored the growing concept of the Concierge Practice, which is a cash-based model. We also addressed the role of AI in streamlining office procedures and controlling overhead.Micro-practices, as presented on this program by Kara Pepper, MD, on August 31, 2025, are another option to traditional insurance-based practices. Both Dr. Pepper and Dr. Signorelli have studied with business guru and pediatrician Please click "Fanmail" and share your feedback!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. Follow me on Instagram: @andrewwilnermd X: @drwilner linkedin.com/in/drwilner Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: https://locumstory.com/?source=DSP_directbuy_drwil...

The fee-for-service model isn't just failing your clients; it's actively burning out the very doctors they're supposed to trust. My guest this week, Dr. John Van Der Veer, isn't just a critic of this broken model; he's a refugee from it. After hitting his own breaking point as a primary care doc and Chief Medical Officer, he built the alternative: a Direct Primary Care (DPC) practice. In this episode, Dr. Van Der Veer gives you a doctor's firsthand account of why the FFS system is designed to fail. We get into the new framework that DPC provides, how it actually aligns incentives to save your clients money, and how he's scaling it through a massive partnership with Hy-Vee. This is the proof you need to finally lead your clients away from the problem and toward the solution.▶▶ Sign Up For Your Free Discovery Callhttps://calendly.com/aneary/strategy-sessionKEY MOMENTS(00:00:00) A Doctor's Take On How Fee-For-Service Is Failing Your Clients (00:09:05) The DPC Fix: Realigning Incentives with Patient Care (00:09:24) The Gateway to Smarter, Cheaper Advanced Care (00:11:29) More Time, Better Outcomes: The DPC Patient Experience (00:24:01) Scaling the Solution: The Hy-Vee Partnership (00:32:22) The Engagement Strategy: Getting People to Actually Use DPC CONNECT WITH ANDY NEARY

In this episode of the Less Insurance Dependence Podcast, host Lester De Alwis is joined by dental consultant Sandy Baird to share a practical, step-by-step approach for dentists who want to reduce PPO participation and build a stronger, more profitable practice. From tracking the right numbers to identifying which plans to drop first, Sandy outlines how to start the transition with confidence — without overwhelming your team or losing patient trust. Whether you're just starting to question the value of insurance plans or you're ready to take action, this episode offers real-world advice you can use right away to take back control and grow your practice on your terms. 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/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/   

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)  

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.

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  

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.

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.

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

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

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 ===

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.

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/.

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

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

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!

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  

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

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

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/

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.

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.  

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.