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PODCAST

Off the Chart: A Business of Medicine Podcast

Medical Economics

Off the Chart: A Business of Medicine Podcast features lively and informative conversations with health care experts, opinion leaders and practicing physicians about the challenges facing doctors and medical practices. New episodes release every Monday and Thursday morning. Brought to you by Medical Economics and Physicians Practice. Off the Chart: A Business of Medicine Podcast Staff Hosts: Keith Reynolds, Austin Littrell Contributors: Chris Mazzolini, Todd Shryock, Richard Payerchin, Keith

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All Episodes

34:30

S1 Ep138: AI, layoffs and the law, with Christopher...

Off the Chart: A Business of Medicine Podcast ·

2026/04/02

Artificial intelligence (AI) is already driving workforce decisions at major companies, and health care practices, large and small, are not immune. In this episode, Christopher Mayer, J.D., a specialist in employment law with the firm Frier Leavitt, explains how generative AI is being used to guide layoff decisions, why practice leaders can never simply accept what an AI tool recommends, and what the legal exposure looks like when AI-influenced reductions in force create disparate impact across

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28:26

S1 Ep137: The war on health care fraud is coming for...

Off the Chart: A Business of Medicine Podcast ·

2026/03/30

Health care fraud enforcement recovered more than $6 billion last year. Shannon Sumner, CPA, CHC, expects this year to be even larger. In this episode, Sumner, managing principal of PYA's Nashville office and the firm's chief compliance officer, explains how enforcement has shifted from targeting large health systems to going after individual physicians and practice leaders. She walks through the highest-risk areas regulators are focused on in 2026, including billing and coding integrity,

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18:16

S1 Ep136: The financial forces threatening...

Off the Chart: A Business of Medicine Podcast ·

2026/03/26

Nearly half of all physicians are now employed by or affiliated with a hospital system, and the forces behind that consolidation aren't slowing down. John Pack, vice president of health care finance at Mitsubishi HC Capital America, explains to Physicians Practice Managing Editor Keith A. Reynolds what's driving independent practices toward consolidation, and why mid-size practices in particular get stuck in a lending no man's land. He walks through what lenders are actually looking at when they

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17:26

S1 Ep135: The promises and limits of virtual care,...

Off the Chart: A Business of Medicine Podcast ·

2026/03/23

Virtual care has reshaped medicine since COVID-19, but the shift to the screen comes with real trade-offs. In this episode, Sarah Matt, M.D., MBA — practicing physician, health technology strategist, author of "The Borderless Healthcare Revolution" and a recent addition to the Medical Economics editorial advisory board — joins Managing Editor Todd Shryock to explore what's actually at stake when care moves online. She explains what gets lost in a virtual encounter, why certain patient populations

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21:56

S1 Ep134: MIPS update, with 'MIPS Geek Guru' Holly...

Off the Chart: A Business of Medicine Podcast ·

2026/03/19

The Merit-based Incentive Payment System (MIPS) has been around since 2017, but that doesn't mean the program has gotten easier to navigate. Holly Black, project manager for regulatory affairs and compliance at Sightview Software — and often referred to as a "MIPS Geek Guru" — walks through the most consequential changes for 2026, including the removal of the three-point scoring floor for large practices and new documentation requirements for security risk assessments. She explains why MIPS

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33:54

S1 Ep133: State policy and the future of independent...

Off the Chart: A Business of Medicine Podcast ·

2026/03/16

Texas has long carried the highest uninsured rate in the country — but research by Texas 2036 found the reasons why are more complicated than most people assume. In this episode, Charles Miller, J.D., director of health and economic mobility policy for Texas 2036, unpacks what the organization learned when it went directly to uninsured Texans to ask why they hadn't enrolled in coverage many of them could get for free. He also explains how a bipartisan Texas law called premium alignment has quietly

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20:06

S1 Ep132: PAs, AI and the onboarding problem, with...

Off the Chart: A Business of Medicine Podcast ·

2026/03/12

A new Wolters Kluwer survey of physician assistants found that 96% feel confident walking into patient interactions on day one, but 87% say they still need more training on artificial intelligence (AI).Kelly Villella, segment leader and director of product management at Wolters Kluwer Health, unpacks what those numbers mean for the practice managers responsible for hiring and onboarding PAs. She explains why documentation keeps emerging as a friction point, what practices should be doing right now

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31:51

S1 Ep131: The rise of osteopathic medicine, with...

Off the Chart: A Business of Medicine Podcast ·

2026/03/09

Osteopathic medicine has grown from a single school in the 1890s to 73 campuses across 36 states, now accounting for nearly 30% of all U.S. medical students. In this episode, Robert Cain, D.O., FACOI, FAODME, president and CEO of the American Association of Colleges of Osteopathic Medicine (AACOM), walks through the association's inaugural workforce and economic impact report, which found that roughly half of D.O. graduates go into primary care — more than twice the rate of their M.D. counterparts

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18:48

S1 Ep130: The true cost of workplace violence, with...

Off the Chart: A Business of Medicine Podcast ·

2026/03/05

Workplace violence in health care settings isn't just a safety issue — it's a financial and operational one. In this episode, Andrea Greco, SVP of healthcare safety at CENTEGIX, breaks down key findings from the company's 2026 Healthcare Trends Report, including why duress alerts now spike nearly 300% during morning hours, why hallways and exam rooms remain the most dangerous spaces in a practice, and what a realistic ROI looks like when evaluating safety technology. She also addresses staff

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18:28

S1 Ep129: Staffing shortages and AI self-diagnosis,...

Off the Chart: A Business of Medicine Podcast ·

2026/03/02

It's no secret that health care has a staffing problem. But are patients really resorting to artificial intelligence (AI) chatbots when they can't get in to see a physician?Medical Economics Associate Editor Austin Littrell sat down with Rosemarie Aznavorian, D.N.P., RN, CENP, CCWP, CCRN, senior vice president of client services and chief clinical officer at MedPro Healthcare Staffing, to talk about the growing gap between patient demand and available clinical staff.Aznavorian explains how lower

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24:46

S1 Ep128: Fraud, chargebacks and the future of...

Off the Chart: A Business of Medicine Podcast ·

2026/02/26

Payment processing has become more complex for medical practices — and more vulnerable to fraud.Medical Economics Managing Editor Todd Shryock sat down with Stephanie O’Connor, director of merchant experience at Wind River Payments, to talk about the evolving risks tied to digital payment platforms in health careO’Connor explains how practices can unintentionally expose themselves to card testing attacks, friendly fraud and costly chargebacks when they rush to adopt trending payment tools without

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36:46

S1 Ep127: When ICE shows up: What medical practices...

Off the Chart: A Business of Medicine Podcast ·

2026/02/23

In this episode, Keith Reynolds, managing editor of Physicians Practice, speaks with Katie Russell, J.D., partner at Brown Immigration Law in Cleveland, Ohio, about what recent shifts in immigration enforcement really mean for medical practices. Russell explains why enforcement has moved toward employer-focused compliance audits, particularly I-9 documentation and visa adherence. She outlines what practices often misunderstand about their obligations, how to distinguish between judicial and

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24:28

S1 Ep126: Health care's reset, with Shannon Sims,...

Off the Chart: A Business of Medicine Podcast ·

2026/02/19

Rising patient acuity. Aging demographics. Tight margins. Artificial intelligence (AI) moving from buzzword to workflow tool.Medical Economics sat down with Shannon Sims, M.D., Ph.D., FAMIA, chief product officer at Vizient, and Matthew Bates, M.P.H., managing director at Kaufman Hall, to talk about Vizient's 2026 State of the Industry Report and what it calls a "reset" moment for U.S. health care.Sims and Bates explain how AI is already reducing documentation burdens through ambient listening and

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25:54

S1 Ep125: Site-neutral payment and independent...

Off the Chart: A Business of Medicine Podcast ·

2026/02/16

Medicare often pays dramatically different rates for the exact same service depending on where it’s delivered. That difference has helped fuel hospital acquisition of physician practices and reshaped the structure of U.S. health care.Medical Economics Senior Editor Richard Payerchin sat down with Christopher Whaley, Ph.D., associate professor in the Department of Health Services, Policy and Practice at the Brown University School of Public Health, to learn more.Whaley breaks down site-neutral

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37:30

S1 Ep124: The state of health care in 2026, with...

Off the Chart: A Business of Medicine Podcast ·

2026/02/12

The health care system is changing quickly, and the legal and regulatory systems that govern it are struggling to keep up.Medical Economics Associate Editor Austin Littrell sat down with Richard Anderson, M.D., CEO of The Doctors Company and TDC Group, to talk about the organization’s annual predictions report, Healthcare on the Horizon: Predictions for U.S. Healthcare Through 2026.Anderson explains why artificial intelligence may soon become part of the standard of care — and why clinician trust,

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20:08

S1 Ep123: When patients ask AI first, with Amber...

Off the Chart: A Business of Medicine Podcast ·

2026/02/09

Artificial intelligence (AI) is moving closer to patients, often before they ever step into the exam room. Tools like ChatGPT Health and other health-focused AI platforms are shaping how patients interpret test results, prepare questions and form expectations about care.Medical Economics Associate Editor Austin Littrell sat down with Amber Maraccini, Ph.D., M.A., vice president and head of health care and life sciences at Medallia, to talk about what that shift means for physicians.Maraccini

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24:37

S1 Ep122: Policy uncertainty in 2026, with Anders...

Off the Chart: A Business of Medicine Podcast ·

2026/02/05

Government funding deadlines, expiring coverage subsidies and temporary policy fixes are creating real-world disruptions for physician practices — often with little warning.Keith Reynolds, managing editor of Physicians Practice, sat down with Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association (MGMA), to talk about how recent federal policy decisions are landing inside medical groups.Register now for Physicians Practice's Practice Academy event:

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49:12

S1 Ep121: Attending to patients and ourselves, with...

Off the Chart: A Business of Medicine Podcast ·

2026/02/02

When patients talk about what they want from a visit with their physician, the answer is often simpler than the system makes it feel: they want to feel understood.Melissa Lucarelli, M.D., FAAFP, a family physician, owner of Randolph Community Clinic and longtime editorial advisor for Medical Economics speaks with Ronald Epstein, M.D., FAAHPM, professor of family medicine and palliative care at the University of Rochester and author of "Attending: Medicine, Mindfulness and Humanity."Their

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27:17

S1 Ep120: The biggest risks for physicians in 2026,...

Off the Chart: A Business of Medicine Podcast ·

2026/01/29

In 2026, physicians are facing a familiar mix of pressure — reimbursement uncertainty, rising labor and supply costs, staffing shortages and growing exposure to legal and cyber risk.Medical Economics Managing Editor Todd Shryock caught up with Peter Reilly, North American health care practice leader at HUB International, to talk about what those risks look like in practice, and which ones physicians can no longer afford to ignore.Reilly explains why reimbursement instability is unlikely to ease in

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13:34

S1 Ep119: The staffing squeeze, with Rihan Javid,...

Off the Chart: A Business of Medicine Podcast ·

2026/01/26

Rising minimum wages, fierce labor competition and persistent turnover are reshaping how physician practices operate — and higher pay alone isn’t solving the problem.Rihan Javid, D.O., J.D., a psychiatrist and co-founder and president of Edge, a remote staffing organization, about how staffing pressures are landing inside medical practices in 2026.Javid explains why small practices and rural hospitals are feeling the impact first, which roles are hardest to replace, and how frequent turnover

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144 results

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