Off the Chart: A Business of Medicine Podcast

27 episodes scanned. 98% of ad slots promote the show's own products.

Recent Episodes

1. S1 Ep199: Your patients want a quick fix for their heart, with two Mayo Clinic cardiologists

   Nov 2, 2026

   Two Mayo Clinic preventive cardiologists, Dr. Francisco Lopez Jimenez and Dr. Kyla Laura Bridinger, discuss their co-authored book, the Mayo Clinic Guide to a Healthy, Happy Heart, with Medical Economics senior editor Richard Payerton. The conversation covers how primary care physicians can steer patients toward small, lasting behavior changes, set goals within patients' control, and use advanced cardiovascular markers, home blood pressure monitoring, and weight conversations that look beyond BMI. They also address prescribing GLP-1 receptor agonists in primary care without specialist support.

2. S1 Ep198: Medicare’s 2027 fee schedule won’t settle the physician pay debate, with four health policy experts

   Oct 29, 2026

   This episode features four health policy experts (Michael Chernu, Jonathan Ketchum, Miranda Yever, and David Meltzer) interviewed about the proposed 2027 Medicare physician fee schedule. The discussion covers the conversion factor and whether the 2027 change is truly a cut, the proposed same-day visit payment reduction and its effects on older patients, administrative burden and prior authorization, and whether alternative payment models or hybrid approaches can address physician pay.

3. S1 Ep197: Pay cuts, payer AI and the staff who keep leaving: What we heard at MGMA’s 100th annual conference

   Oct 26, 2026

   This episode is a recap of MGMA's 100th annual conference in San Antonio, drawing on on-site interviews and session takeaways. Acting MGMA CEO Akash Medaya discusses the conference's engagement and the value of peer connection, while other segments cover the proposed 2027 Medicare physician fee schedule, payer claims practices such as downcoding and AI-driven denials, staff turnover costs, and physician pay trends. The episode is hosted by Austin Latrell and Keith Reynolds of Medical Economics and Physicians Practice.

4. S1 Ep196: Treating patients with half the chart, with Sandra Johnson of CliniComp

   Oct 22, 2026

   Sandra Johnson, senior vice president of Client Services at CliniComp, discusses why interoperability remains unsolved, arguing that cost and business model now matter more than technology. She explains how siloed data forces clinicians to make decisions with only part of a patient's record, and why bolting new tools onto legacy systems won't close the gap. The conversation also covers data blocking, patient identity matching, AI running on fragmented data, and a CliniComp and Chime survey in which nearly half of health system CIOs named cost as their top barrier.

5. S1 Ep195: Using AI to fix the hiring mess AI made, with Dina Taylor of HireVue

   Oct 19, 2026

   Dina Taylor, chief evangelist at HireVue, explains how healthcare practices can use AI to sort through large volumes of applications, many of them AI-written, while keeping humans responsible for hiring decisions. She describes using AI to summarize and prioritize candidates, validating skills and behaviors such as empathy beyond the resume, and reshaping the interview into a more targeted conversation. The episode also covers why better-matched hires tend to stay longer and the common mistake of hesitating to adopt AI in healthcare hiring.

6. S1 Ep194: The revenue your practice is already losing, with MGMA Acting CEO Akash Madiah

   Oct 15, 2026

   Akash Madiah, acting CEO of the Medical Group Management Association (MGMA), speaks with Physicians Practice Managing Editor Keith Reynolds following MGMA's 2026 annual conference in San Antonio. The conversation covers what practices most often call MGMA about, including Medicare cuts and prior authorization, and what administrators should do this quarter as Medicare pay stays flat and costs rise. Madiah also discusses the association's first member pulse survey, its centennial-year priorities, and two practical steps practice leaders can take right away.

7. S1: Special Report: The leadership skills transforming health care today, with Kate Atchley of the Haslam College of Business

   Oct 13, 2026

   Kate Atchley, professor of practice at the University of Tennessee, Knoxville's Haslam College of Business, discusses why clinical expertise alone does not prepare physicians to lead. She covers the interconnected pressures facing healthcare leaders, the trade-offs they must manage, and five skills she considers essential: systems thinking, business fluency, leading through influence, change leadership, and curiosity. The conversation also addresses how organizations can build leadership pipelines earlier and advice for physicians seeking a stronger voice in how their organizations are run.

8. S1 Ep193: What’s holding direct primary care back, with Kenneth Qiu, M.D.

   Oct 12, 2026

   Family physician Kenneth Qiu, founder of the direct primary care practice UDoc in the Richmond, Virginia area, discusses the state of direct primary care (DPC) in this Medical Economics episode, including the findings of the DPC Alliance report he led. The conversation covers practice size and geography, how patient panels form and whether patients follow a physician out of fee-for-service, the Medicare opt-out rule that slows new practices, and why DPC is often confused with concierge medicine. They also discuss the business challenges of solo and growing practices and how medical school exposure affects interest in primary care.

9. S1 Ep192: The calls your practice isn't answering, with Amol Nirgudkar of Patient Prism

   Oct 8, 2026

   Amol Nirgudkar, co-founder and CEO of Patient Prism, discusses how unanswered patient phone calls cost medical practices both revenue and patient trust, citing an estimate that 25 to 30% of calls to healthcare offices go unanswered during business hours. He explains which front-office calls AI voice agents can handle today, such as after-hours coverage and routine scheduling, and which still need a human, and grades current voice agent technology a B minus at best. The conversation also covers staffing shortages in front offices, return on investment for AI receptionist services, and advice for physicians to fix one broken process at a time.

10. S1 Ep191: When a negative review becomes defamation, with Michael Pelagalli of Minc Law

    Oct 5, 2026

    Michael Pelagalli, partner at Minc Law, discusses the legal landscape of online reviews targeting physicians, explaining the distinction between protected opinion and actionable defamation. The episode covers practical steps practices can take when facing false reviews, HIPAA constraints on physician responses, and the John Doe lawsuit process used to unmask anonymous reviewers—including cases where competitors are behind the attacks.