Podcast appearances and mentions of larry kaskel

Guest: Kimber Stanhope, PhD, MS Host: Larry Kaskel, MD Which is worse: fructose-sweetened drinks or glucose-sweetened drinks? For some time, we have lacked consensus on the degree of punishment our bodies take from drinks sugared by these common saccharines. For now, fructose may again be wearing the crown, scoring unhealthy points in abdominal adiposity, and triglyceride and LDL levels, among other categories. Nutritional biologist Dr. Kimber Stanhope, from the University of California, Davis, joins host Dr. Larry Kaskel to shed some new light on this enduring debate. The lead author of a recent study published in the Journal of Clinical Investigation on the consumption of fructose-sweetened and glucose-sweetened beverages, Dr. Stanhope also explains that there is little value in directly applying these results to fruits, because fruits confer other important health benefits.

Guest: Kelly Brownell, PhD Host: Larry Kaskel, MD It has been billed as the biggest boon to public health since tobacco taxes. And a one-cent per ounce tax on sodas could bring in as much as $400 million of annual revenue for the state of New York alone. How would a tax on sugared beverages impact our health and health care budget? Would the general public throw enough support behind this policy shift for politicians to think about putting it on the books? Host Dr. Larry Kaskel wades into the debate over soda taxes with Dr. Kelly Brownell, director of the Rudd Center for Food Policy and Obesity at Yale University, where he is also a professor of epidemiology, public health and psychology. Dr. Brownell, who recently co-authored a New England Journal of Medicine article with then-New York City Health Commissioner Dr. Thomas Frieden in support of a soda tax, shares the scientific evidence that supports his position. He also considers other viewpoints in this debate: if a soda tax won't work, could we find a better way to discourage our insatiable taste for these sugary drinks?

Host: Larry Kaskel, MD Guest: Owen J. Dahl, MBA Thinking about adding an ancillary service to your practice? It's a move that certainly has the potential to be an additional source of revenue, but in order to make that happen, you'll need to do your due diligence research to ensure that it makes sense for your patients and your practice. Host Dr. Larry Kaskel gets some helpful guidance from Owen Dahl, nationally recognized medical practice management expert, on what you need to know to make your new toy a moneymaker: finding the necessary space within your facility, accruing needed sources of funding, and juxtaposing these items and much more with your patients' clinical needs.

Guest: William Hutton, MD Host: Larry Kaskel, MD Decisions on practice philosophy, finances, marketing, and much more are yours to make when starting your own medical practice. That's the good news. But it can also make the prospect of setting up your own shop seem extremely daunting. From picking a location, to creating a business plan, to seeking expert advice on accounting, credentialing and legal issues, how can you put it all together to create a successful private practice? Host Dr. Larry Kaskel welcomes Dr. William Hutton, founder and chairman of the board of MedSynergies, a medical practice management firm based in Irving, Texas, who provides pointers you can use when launching your own practice.

Guest: Judy Capko Host: Larry Kaskel, MD Inventory management is a fine balance. You want to have what you need when you need it, but you can run the risk of overstocking certain items. We hear a lot about the wasteful spending of our government, but we may look no further than our own medical practices to find the pork. How can you pare down wasteful spending on supplies, and how can your suppliers help you do this? Judy Capko, founder of the practice management and marketing firm, Capko & Company, provides you with some sound advice on inventory management, saving valuable dollars for your practice. Dr. Larry Kaskel hosts.

Guest: Judy Capko Host: Larry Kaskel, MD Focus on customer service. Participate in community activities to raise local visibility. Reward patients who bring referrals to your practice. These are just a few simple ways to market your practice, even on a limited budget. What is it about these strategies that will give you the biggest bang for your buck, and what else can you to keep your patient volume up during these leaner times? Judy Capko, founder of the practice management and marketing firm, Capko & Company, joins host Dr. Larry Kaskel to give you a range of helpful tips on marketing tactics that will give your practice the biggest bang for your buck.

Guest: Leslie Ramirez, MD Host: Larry Kaskel, MD With tens of millions of people in the United States living without health insurance, lower prices for medicine and tests can mean the difference between seeking care and going without it. Even for those with insurance, lower prices can significantly ease out-of-pocket costs. How can we help patients find these lower prices, and might we also use price comparisons in our own practice? One physician has taken these issues into her own hands, creating a website that offers comparative pricing for tests and medications in the Chicagoland area. Host Dr. Larry Kaskel learns more about this website, leslieslist.org, from its founder, Dr. Leslie Ramirez, who also works full-time as a general internist. How has her work on the website changed her prescribing habits, and could they change yours too? Dr. Ramirez also shares a few tips for you to help your patients with bargaining on prices, and other ways to drive down costs.

Guest: Elizabeth Pector, MD Host: Larry Kaskel, MD Though healthcare is seemingly one of the more stable sectors of our turbulent economy, many practitioners are still struggling to subdue rising costs. For patients who may be unable to pay up front, can you employ effective payment plans that won't sidetrack your financial outlook? What else can we do to maintain our practice while dealing with the burdens of these tough times? Host Dr. Larry Kaskel welcomes Dr. Elizabeth Pector, a family physician practicing in Naperville, Illinois, just west of Chicago, and a member of the editorial board for Medical Economics magazine. Dr. Pector also delves into an assortment of other issues in medicine today: reimbursement increases, chronic illness management and wellness services merged into one office visit, and maintaining an office staff that can effectively balance good business acumen with respectful patient relations.

Guest: John Chuey, MD Host: Larry Kaskel, MD In the city that never sleeps, there's a new physician-staffed medical clinic that, well, doesn't sleep either. We all have a few night owls, night-shifters or insomniacs in our practice; we also have patients who may be bothered by pain or illness in the middle of the night, but will avoid a visit to the emergency at all costs. In New York City, at least, these patients have another option for late-night care. For more on this interesting new option for patient care, host Dr. Larry Kaskel welcomes Dr. John Chuey, senior physician at the 23rd Street Office of the Beth Israel Medical Group in New York City, a 24-hour medical clinic staffed round-the-clock by physicians.

Guest: Robert Lamberts, MD Host: Larry Kaskel, MD We've heard a lot about the economic stimulus funding for electronic medical records (EMR), but the central question for you is whether your practice or institution is ready to take on the effort to install it, maintain it and flourish with it. Stimulus money aside, it's a major investment of time, energy and other resources. When considering the purchase of an EMR, how can your practice ensure that you are buying the right product for the right reasons? Dr. Robert Lamberts, board-certified internist and pediatrician and an experienced lecturer on the subject of electronic medical records, shares a few tips to help you make sure it doesn't become an unnecessary hassle for your practice. Dr. Larry Kaskel hosts.

Guest: Nicholas Galantino, JD Host: Larry Kaskel, MD Many of our practices could be more efficient at checking in patients, or perhaps more precise in our record keeping. Insurance claims denials and the process of fighting them can be one source of time-consuming, money-draining aggravation for any practice. But we may be seeing a trend toward technologies that could ease these clerical and financial burdens. To learn a little more about the digital developments that are helping us validate patients' insurance eligibility in advance of their medical visit, host Dr. Larry Kaskel welcomes Nick Galantino, chief executive officer of the LoCicero Medical Group, a nine-provider internal medicine practice in Tampa, Florida, which uses one of the devices currently on the market.

Guest: Brian Morton, MBA Host: Larry Kaskel, MD Should you be asking your patients for more than just their co-pay at the time of their visit? With an assist from computer software, a patient's share of their health care costs can be estimated at or prior to the visit. Some experts believe this appraisal, known as real-time claims adjudication, will become much more common in the years ahead. Brian Morton, region executive and content expert for Halley Consulting, joins host Dr. Larry Kaskel to take a look at how your practice can introduce this concept without creating a stir among your patients.

Guest: Matthew A. Menza, MD Host: Larry Kaskel, MD Could tricyclic antidepressants be more effective at treating depression in patients with Parkinson's disease? They have been used since the 1950s for treatment of depression, but in recent years, selective serotonin reuptake inhibitors (SSRIs) have become the predominant form of therapy. New research is suggesting that SSRIs may not be the best antidepressant option for our patients with Parkinson's. The lead author of this research, Dr. Matthew Menza, professor of psychiatry and neurology, and interim chair of psychiatry at the Robert Wood Johnson Medical School, speaks with host Dr. Larry Kaskel about the potential implications of his study on how we care for our Parkinson's patients who are also suffering from depression. Dr. Menza also explores a few other relevant issues: the reticence, among many of those with Parkinson's, to speak with their physician about depression, and the concurrent reluctance, among many in the medical community, to recognize and treat their patients' vulnerability to depression.

Guest: Steven I. Kern, JD Host: Larry Kaskel, MD Will openness and honesty about medical errors help you avoid medical litigation? By quickly disclosing errors, offering apologies and, when necessary, providing fair compensation, some medical centers around the country are trying to get out in front of their medical mistakes. Yet, this may not be the best approach for all practitioners. Host Dr. Larry Kaskel reviews your options and a few specific cases with Steven Kern, a health law attorney with Kern, Augustine, Conroy & Schoppmann, a firm representing physicians and other health professionals.

Guest: Hyunmi Choi, MD Host: Larry Kaskel, MD Is brain surgery better than medicine for temporal lobe epilepsy? Host Dr. Larry Kaskel talks with Dr. Hyunmi Choi, assistant professor of clinical neurology at Columbia University Medical Center in the Comprehensive Epilepsy Center, about her research into the benefits of brain surgery over continued medication management.

Guest: Joshua J. Freemire, JD In 2009, doctors who prescribe medication through electronic means became entitled to a year-end bonus payment from Medicare. What are Medicare's reasons for the incentive, and what are the program's parameters? Joshua J. Freemire, an associate in the health practice law firm Ober|Kaler in Baltimore, Maryland, explains. Dr. Larry Kaskel hosts.

Guest: Joshua J. Freemire, JD What is medical identity theft? What is the physician's responsibility as far as protecting patients from this threat? Attorney Joshua J. Freemire, with the firm Ober|Kaler, discusses identity security issues and your practice, with host Dr. Larry Kaskel.

Guest: Mike Katke Host: Larry Kaskel, MD What are medical foods? Are they good for patients, and what exactly are the benefits? Host Dr. Larry Kaskel investigates these products with Mike Katke, co-founder of Metagenics, Inc., a manufacturer and distributor of medical foods.

Host: Larry Kaskel, MD Guest: Mike Katke Scientific evidence shows that therapeutic lifestyle programs are the most cost effective programs to prevent, improve, or cure chronic diseases such as diabetes. Host Dr. Larry Kaskel discusses with Mike Katke, co-founder of Metagenics, Inc., the elements of a therapeutic lifestyle program and the practical requirements for implementing a program. Tune in to hear how primary care physicians can easily establish a therapeutic lifestyle program that will benefit their patients' health and be financially rewarding.

Guest: Jun Ye, PhD Host: Larry Kaskel, MD Diagnosing life threatening diseases and other medical conditions could soon be as easy as breathing. June Ye, a physics professor at the University of Colorado-Boulder and his graduate student, Michael Thorpe, discuss their research on a technique that uses lasers to detect specific chemical compounds in the breath of patients. They explain to host Dr. Larry Kaskel the underlying mechanisms of this technology, which is known as optical frequency comb, and how that it is able to derive health information from the patient's breath. Tune in to hear how this technology, once perfected, will improve the efficiency of diagnosing and monitoring diseases, as well as save patients thousands of dollars on diagnostic testing.

Guest: Sandy Praeger Host: Larry Kaskel, MD Sandy Praeger, past-president of the National Association of Insurance Commissioners (NAIC), joins host Dr. Larry Kaskel to discuss the NAIC's July 2008 survey that analyzed how consumers handle healthcare expenditures.

Guest: John Sweet, MBA Host: Larry Kaskel, MD Medical office buildings are a safe and stable bet for some real estate investors. John Sweet, a managing director at the Ziegler Healthcare Real Estate Fund, discusses the ins and outs of medical real estate. Mr. Sweet highlights the impact of the current economic climate on the healthcare industry, and the benefits of medical properties. Tune in to hear host Dr. Larry Kaskel, as he explores the real estate opportunities within the medical market, and the current opportunities for physicians.

Guest: Craig T. Standen, MBA Craig Standen, senior vice president of Ziegler Healthcare's finance team, reports to host Dr. Larry Kaskel the effects of the capital crunch and sub-prime debacle on hospitals and healthcare systems, and ultimately physicians. Mr. Standen explains how many hospitals and private practices began to depend on cheap credit that is no longer available, and have halted capital expenditures and reduced expenses accordingly in order to deal with the limited access to cash. Tune in to hear Mr. Standen's comments on the effects of the crisis on hospitals, smaller practice groups, and patients, as well as strategies for managing internal cash flow, and how this may impact access to care.

Guest: Christopher Ruhm Host: Larry Kaskel, MD One would think that the health of the nation would suffer during an economic downturn. But strange as it may seem, bad times can be good for the health of entire societies. Forgetting about individual health, Christopher Ruhm, professor of economics, explains the results of his study that showed that during a recession, traffic accidents, obesity, alcohol consumption, smoking and even deaths from heart disease go down. Professor Ruhm discusses these counterintuitive results with host Dr. Larry Kaskel, which also shows this interesting relationship between the health of an economy and its population.

Guest: Owen J. Dahl, MBA Host: Larry Kaskel, MD Many successful Fortune 500 companies have used 'Six Sigma' for years to systematically increase their revenue and operational efficiencies. Mr. Owen Dahl, president of Owen Dahl Consulting, discusses with host Dr. Larry Kaskel how those same proven principles can be applied to patient scheduling and other medical office operations. Mr. Dahl specifically outlines how a physician could analyze the patient scheduling process by focusing on the quality of each process step.

Guest: Owen J. Dahl, MBA Host: Larry Kaskel, MD Do you know what it costs you to see a patient? How can you improve the profitability of your practice? Owen Dahl, author of Think Business! Medical Practice Quality, Efficiency, Profits, talks with host Dr. Larry Kaskel about the costs of running a medical practice, and provides real-world advice.

Guest: Brian Rank, MD Host: Larry Kaskel, MD Executive physicals are marketed widely as the ultimate medical checkups for discerning consumers. Dr. Brian Rank, the medical director of HealthPartners Medical Group and Clinics of Minnesota, discusses with host Dr. Larry Kaskel the basis for his belief that the popularity of executive physicals isn't good for medicine or the patients who undergo them. Tune in to hear Dr. Rank explain why executive physicals can be harmful to one's health, are a waste of healthcare resources, and create anxiety and a false sense of wellness.

Guest: Theodore Eisenberg, JD Host: Larry Kaskel, MD According to the results of a recent study, the use of statins for primary prevention in women is not supported by clinical-trial data. Theodore Eisenberg, a law professor at Cornell University, discusses the scope of the meta-analyses of the primary prevention clinical statin trial, and the conclusion, which found no statistically significant evidence of cardioprotective effect for women. Mr. Eisenberg explores with host Dr. Larry Kaskel the important questions raised by these findings, including whether the drugs should be used in the primary prevention in women and how the unqualified marketing and advertising claims of protection are misleading to physicians and consumers.

Guest: Neal Goldstein, JD Host: Larry Kaskel, MD On October 30, 2008, the Centers for Medicare & Medicaid Services (CMS) published the 2009 Physician Fee Schedule, which includes revisions to the Stark regulations that tighten the prohibition on physician referrals and the anti-markup rules for diagnostic testing. Attorney Neal Goldstein explains that the changes made by CMS are an attempt to create a formulation that preserves the legitimate provision of in-office diagnostic services, while also cutting back on the proliferation of arrangements that have allowed physicians to profit from the diagnostic work of pathologists, radiologists and other specialists. Mr. Goldstein highlights the key tests for establishing compliance with the new anti-markup rules, though acknowledges that these revised regulations may unwittingly cause controversy within the pathology laboratory industry. Host Dr. Larry Kaskel explores the practical implications of these changes for the private and group physician practice.

Guest: William Jessee, MD Host: Larry Kaskel, MD Each year the Medical Group Management Association produces a report on practice operating costs and profitability. Dr. Larry Kaskel discusses the most recent results with Dr. William Jessee, president of Medical Group Management Association. The critical finding is that practice-operating costs are increasing at a higher rate than practice revenue in all areas of medicine. Dr. Jessee reports that the greatest driver of costs is labor due to shortages of healthcare workers and resulting increases in salaries. Notwithstanding, Dr. Jessee notes that practices with more FTE support staff were more profitable than those with fewer FTE support staff, highlighting the importance of proper staffing for the job function. Dr. Jessee discusses the importance of real-time adjudication and the developing trend of more hospital-owned practices.

Guest: Caleb Alexander, MD Out-of -pocket costs account for approximately one fifth of healthcare expenditures. Dr Caleb Alexander,an assistant professor of medicine at the University of Chicago, discusses with host Larry Kaskel, MD, the findings of his recent study that focused on patient-physician communications regarding out-of-pockets costs for outpatient treatment. An unfortunate finding is that doctors rarely communicate with patients about these costs, notwithstanding the fact that patients are quite burdened by these expenses. Tune in to hear Dr. Alexander discuss the key barriers to communications between physicians and patients and the recommendations for overcoming such hurdles. Interestingly, Dr. Alexander's research has found that giving patients free drug samples can often increase a patient's out-of-pockets costs, rather than reduce these expenses.

Guest: Wayne Peters, MD Host: Larry Kaskel, MD Recent studies indicate that some patients may not obtain the full benefits of aspirin's antiplatelet effects Guest Dr. Wayne Peters discusses with host Dr. Larry Kaskel the benefits of aspirin to prevent and manage heart disease, and the tests available to measure aspirin resistance or platelet function. Dr. Peters outlines the clinical importance of these tests and the various factors that can affect absorption including medications such as ibuprofen, smoking and high cholesterol. Tune in to hear how a simple urinary test will provide the primary care physician the information to effectively use aspirin for the prevention and management heart disease in combination with other prevention mechanisms.

Guest: Kathleen Franco, MD Host: Larry Kaskel, MD Imagine being told on the first day of medical school that your graduate education would be at no charge. You may think this is impossible unless you are a student at The Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. Dr Kathleen Franco, associate dean for Admissions, explains to host Dr. Larry Kaskel the decision of Clinic's medical school to offer a tuition free medical education, the funding mechanisms instituted to support this decision indefinitely, and the impact on the students and medical community.

Guest: Donald Patrick, MD, JD Host: Larry Kaskel, MD Medical license applications have jumped 58% since Texas approved tort reform legislation that limited non-economic damages in medical liability cases to $250,000 among other provisions. Dr. Donald Patrick, JD, the former executive director of the Texas Medical Board discusses with host Dr. Larry Kaskel the key elements of the legislation and the role of the state's medical board in fixing the medical crisis that affected Texas.

Guest: Stephen Kritchevsky, PhD For much of the past 40 years, doctors have been telling patients vulnerable to heart disease to avoid eating eggs because of a mistaken belief that cholesterol-rich eggs increased one's risk of coronary heart disease. Guest Dr. Stephen B. Kritchevsky, director of the Claude D. Pepper Older Americans Independence Center supported by the National Institute on Aging, reviews the scientific research concerning cardiovascular disease and egg consumption with host Dr. Larry Kaskel.

Guest: Tom Charland Host: Larry Kaskel, MD Recent reports tell us that the number of retail health clinics is declining, but according to Tom Charland, chief executive officer of Merchant Medicine, this data incorrectly implies that the retail clinic model is an unsuccessful fad. Mr. Charland clarifies with host Dr. Larry Kaskel what he characterizes as misconceptions, held by members of the medical community, concerning retail health clinics, and further explains that continued expansion by retailer-owned in-store clinics is likely to result in overall growth. Mr. Charland also sheds light on other myths on patient populations, patient care practices, insurance coverage, and prescription-writing habits of retail-clinic operations.

Guest: Tom Charland Host: Larry Kaskel, MD Guest Tom Charland, chief executive officer of Merchandise Medicine, a research and consulting firm specializing in retail healthcare clinics, reports on the status of the retail clinics nationwide. Mr. Charland explains to host Dr. Larry Kaskel the different structures of retail health clinics and the emerging hospital system-owned retail clinic. Tune in to hear Mr. Charland make sense of the conflicting data reported in the newspapers concerning the growth and success of the various retail health clinic models.

Guest: Akira Sekikawa, MD, MPH, PhD Host: Larry Kaskel, MD Japan's unusually low mortality rate from coronary heart disease may be tied to the large amount of fish in the Japanese diet. Dr. Akira Sekikawa, assistant professor of epidemiology at the University of Pittsburgh Graduate School of Public Health, discusses with host Dr. Larry Kaskel the results of his recent study showing how fish consumption may protect against heart disease. They explore the benefits of fish oil, and the unique attributes of this study compared to other studies examining the relationship between fish intake and heart disease.

Guest: Patrick O'Doherty Host: Larry Kaskel, MD Patrick O'Doherty, vice president of the ProAssurance Insurance Company and a leading expert on insurance coverage and potential liability exposure, explains the new federal rule of civil procedures, regarding the discovery of electronic records, to which medical practices are now being exposed. Mr. O'Doherty talks with host Dr. Larry Kaskel about the new requirements for electronic document management, which include employee e-mails, and the limitations of professional liability coverage with respect to this risk. Mr.O'Doherty also outlines the scope of this supplemental coverage and the value in terms of litigation management, given the relatively low cost of coverage.

Guest: Emile Allen, MD Host: Larry Kaskel, MD Dr. Emile Allen, an urologist and founder of Practice Pearls, discusses the disabling injury he suffered while practicing medicine, and how his experience as a patient gave rise to his new career. Practice Pearls is a website that provides doctors strategies to improve and grow their practice. Dr. Allen informs host Dr. Larry Kaskel about other information available on the website, including advice to reduce one's malpractice exposure and risk of employee and partnership litigation.

Guest: Jeffrey N. Hausfeld, MD, MBA Host: Larry Kaskel, MD Is there more cash in your practice than you know? Dr. Jeffrey Hausefeld, associate clinical professor of surgery at George Washington University School of Medicine and Health Sciences and managing director of FMS Financial Solutions, shares with host Dr. Larry Kaskel, practical tips on how to find more cash in your practice. Learn to negotiate payment terms and drug return policies with suppliers. Consider implementing an inventory tracking system. Purchase supplies through a buying group. Negotiate bank rates and consider purchasing an automated teller machine. These tips alone can save a practice thousands of dollars a year.

Guest: Jeffrey N. Hausfeld, MD, MBA Host: Larry Kaskel, MD Is it time to send reinforcements after your delinquent patients? Dr. Jeffrey Hausfeld, associate clinical professor of surgery at George Washington University School of Health Sciences and managing director of FMS Financial Solutions, tells us how to make debt collections more manageable. Find out how to collect more efficiently, and learn if your practice would be better off outsourcing. Are your practice strategies in line with the collection company? Dr. Larry Kaskel hosts.

Guest: Bill Cleveland, MBA, CPA, Host: Larry Kaskel, MD Personal financial decisions are often less clear for us than making tough medical calls. How much disability insurance should we carry, if any at all? Should we pay insurance premiums with pre-tax dollars? If we have income outside of our primary working situation, can we--and should we--contribute to a 401k? Host Dr. Larry Kaskel quizzes Bill Cleveland, a certified financial planner from Preston & Cleveland Wealth Management, about key money management strategies.

Guest: Bill Cleveland, MBA, CPA, Host: Larry Kaskel, MD Where and how should you invest in a down market? What strategies have been used by some of the wealthiest investors over time? Join host Dr. Larry Kaskel as he explores personal finance with Bill Cleveland, a certified financial planner with Preston & Cleveland Wealth Management. What are some of the best strategies for doctors? How do you find opportunities in a down market? What are keys to a well rounded portfolio? Listen in to find out.

Guest: Marc Halley, MBA Host: Larry Kaskel, MD Using philosophies borrowed from the property management field, Marc Halley, president of Halley Consulting Group, shares with host Dr. Larry Kaskel the key to efficient utilization of the support staff within a medical practice. Mr. Halley highlights the importance of delegation within a well managed practice, which means that the physician should delegate all paperwork to support staff. Mr. Halley also discusses the concept of "closing the visit", and how to analyze a practice to determine those responsibilities that should be shared. Lastly, Mr. Halley outlines the role of management within a medical practice and the key role it plays in the success of a practice.

Guest: Marc Halley, MBA Host: Larry Kaskel, MD As hospitals get back into the game of owning and running medical practices what must they do to succeed? Our guest Marc Halley, president of Halley Consulting Group, a firm specializing in services to hospital-owned primary care networks shares with host Dr. Larry Kaskel his 8 initiatives for success including improving worker productivity and maximizing receivables management to name just a few. Tune in to learn all 8.

Guest: Xavier Sevilla, MD, FAAP Host: Larry Kaskel, MD Dr. Xavier Sevilla, practicing pediatrician and the Academy of Pediatrics representative to NCQA's Advisory Panel on the patient-centered medical home, walks us through the experience of building a medical home from the ground-up. From staffing to record-keeping, he considers the components that have helped him to develop a pediatric practice with the elements of a medical home. How can you use his experience to shape your practice? Hosted by Dr. Larry Kaskel.

Guest: Xavier Sevilla, MD, FAAP Host: Larry Kaskel, MD What makes a medical home any different than the primary care model in which we have practiced for years? Join host, Dr. Larry Kaskel speak with our guest, Dr. Xavier Sevilla, Practicing Pediatrician and the Academy of Pediatrics representative to NCQA's Advisory Panel on the Patient Centered Medical Home. Dr. Sevilla warns, "This is the last time for us to get it right to practice primary care." We need to get rid of fragmented care and provide patients with superb access with their primary clinician. Learn the key elements that make a practice a medical home and also how fee structures work in a medical home.

Guest: Kerri Remmel, MD, PhD Host: Larry Kaskel, MD Late in 2007 the University of Louisville began utilizing an RP7 robot system to provide neurology support to surrounding county hospitals without on site neurologists. Dr. Kerri Remmel, interim chair of the Department of Neurology and director of the University of Louisville Stroke Program joins us host Dr. Larry Kaskel to discuss the successes of this program since its onset. Dr. Remmel provide an inside look at how physicians, staff and patients have implemented and adapted to telemedicine as a tool to evaluate and treat neurology patients.

Guest: David Wright, MD Host: Larry Kaskel, MD Our guest, Dr. David Wright shares news of a new device currently being tested to screen for mild congnitive impairment, one of the earliest signs of Alzheimer's. Is this a device you should have in your office? Join host Dr. Larry Kaskel to find out.