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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 medical practices today. New episodes release every week. 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, Austin Littrell Inquiries: Please email

business management & marketing

All Episodes

22:32

S1 Ep107: In defense of private equity, with Jared...

Off the Chart: A Business of Medicine Podcast ·

2025/12/04

Jared Rhoads, M.S., M.P.H., founder of the Center for Modern Health and senior lecturer of health policy at the Dartmouth Institute for Health Policy and Clinical Practice, joins the show to talk about private equity’s role in health care and how politics are reshaping policy. Rhoads offers a different take on private equity, arguing that current research is too mixed and fragmented to justify sweeping conclusions or aggressive regulation. He notes that outcomes differ widely across sectors and

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27:25

S1 Ep106: The realities of running a medical...

Off the Chart: A Business of Medicine Podcast ·

2025/12/01

David N. Gans, MSHA, FACMPE, retired senior fellow at MGMA, joins the show to talk about the real pressures facing practices today — rising costs, flat reimbursement, staffing strain and the push for efficiency. Gans breaks down the key metrics leaders should watch in 2026, the compliance gaps he sees most often, and how to evaluate new technologies like automation and artificial intelligence. He also shares why private-practice profits may have peaked and what that means for administrators

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27:28

S1 Ep105: Understanding ultraprocessed foods in the...

Off the Chart: A Business of Medicine Podcast ·

2025/11/27

Krista Blackwell, Ph.D., clinical assistant professor of biomedical sciences at the University of South Carolina School of Medicine, Greenville, joins the show to talk about two new reports from the U.S. Centers for Disease Control and Prevention (CDC) and the American Heart Association (AHA) examining ultraprocessed foods and their growing role in the American diet. Blackwell explains why youth consumption stood out in the data, how convenience, family routines, school meals and food marketing

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34:33

S1 Ep104: Payer ownership and the future of primary...

Off the Chart: A Business of Medicine Podcast ·

2025/11/24

Loren Adler, fellow and associate director at the Brookings Institution's Center on Health Policy, joins the show to talk about his new Health Affairs study examining the rise of insurer-owned primary care practices. Adler breaks down how quickly payer ownership has expanded, why certain markets are seeing far higher concentrations and what this consolidation means for costs, competition, Medicare Advantage and independent physicians. He also discusses the data sources behind the research, the

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30:04

S1 Ep103: Physician mental health: A silent crisis,...

Off the Chart: A Business of Medicine Podcast ·

2025/11/20

Mental health remains a silent crisis among physicians. Medical Economics Senior Editor Richard Payerchin sat down with Daniel Saddawi-Konefka, M.D., MBA, and Christine Yu Moutier, M.D., to learn more about the rising rates of depression and suicidal ideation among physicians, why stigma and licensing questions still keep many from seeking help, and how to separate burnout from true mental health conditions. They also outline practical steps that can make care safer and more accessible for

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32:13

S1 Ep102: The shutdown is over — now what? A...

Off the Chart: A Business of Medicine Podcast ·

2025/11/17

After the longest federal shutdown in U.S. history, the government is finally open again — but for medical practices, the relief is short-lived. In this episode, Physicians Practice editor Keith Reynolds sits down with Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association (MGMA), to talk about what the reopening actually means for medical groups.Gilberg breaks down the temporary deal that extends key health policies only through January 30,

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23:43

S1 Ep101: Denied claims and AI, with Clarissa Riggins...

Off the Chart: A Business of Medicine Podcast ·

2025/11/13

Denied claims are cutting deeper into practice revenue — and the numbers are getting worse. In this episode, Medical Economics Managing Editor Todd Shryock talks with Clarissa Riggins, chief product officer at Experian Health, about the company’s 2025 State of Claims Report. Riggins explains why claim denials are rising, how inaccurate patient data and staffing shortages are fueling the problem, and where artificial intelligence (AI) can make a measurable difference. She also discusses how

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22:51

S1 Ep100: 100 episodes of Off the Chart: A Business...

Off the Chart: A Business of Medicine Podcast ·

2025/11/10

In the 100th episode of Off the Chart: A Business of Medicine Podcast, host Austin Littrell is joined by Todd Shryock, Richard Payerchin, and Keith Reynolds — the editors from Medical Economics and Physicians Practice who helped build Off the Chart into what it is today. Together, they look back on favorite conversations, memorable guests and defining trends from the show’s first 100 episodes.From the rise of artificial intelligence and new liability concerns to the return of independent practice,

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35:25

S1 Ep99: New lessons in lifestyle medicine, with...

Off the Chart: A Business of Medicine Podcast ·

2025/11/06

Jennifer Trilk, Ph.D., FACSM, DipACLM, professor of biomedical sciences and director of lifestyle medicine programs at the University of South Carolina School of Medicine Greenville, joins the show to discuss how her program is reshaping physician education through lifestyle medicine.Trilk explains how training future doctors in nutrition, physical activity, behavior change and self-care is key to preventing chronic disease — and why prevention needs to be valued as highly as treatment. She also

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30:09

S1 Ep98: Fighting burnout, with Stefanie Simmons,...

Off the Chart: A Business of Medicine Podcast ·

2025/11/03

Stefanie Simmons, M.D., FACEP, chief medical officer of the Dr. Lorna Breen Heroes’ Foundation, joins the show to talk about the state of burnout in health care and what’s being done to fix it. She explains how the foundation is working to remove stigmatizing mental health questions from licensing and credentialing forms, and why addressing burnout requires systemic change — not just resilience training. Simmons also shares what’s giving her hope, how organizations can better support their teams

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20:33

S1 Ep97: AI, malpractice and the future of physician...

Off the Chart: A Business of Medicine Podcast ·

2025/10/30

Artificial intelligence (AI) is entering everyday care, so of course it’s raising questions about malpractice. In this episode, we sat down with three national experts shaping how AI liability will evolve: Sara Gerke, associate professor of law at the University of Illinois Urbana-Champaign; David A. Simon, J.D., LL.M., Ph.D., associate professor of law at Northeastern University; and Deepika Srivastava, chief operating officer at The Doctors Company.They explain how AI could redefine the standard

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34:39

S1 Ep96: Less paperwork, more patients, with David...

Off the Chart: A Business of Medicine Podcast ·

2025/10/27

David Ford, CEO of MedWay, joins the show to discuss how the California Medical Association’s (CMA's) new business support program is helping independent physicians take control of their practices without taking on more administrative work.Launched in 2025, MedWay is a subscription-based management service designed to handle HR, payroll, benefits, insurance and other day-to-day business operations for smaller, physician-owned practices. Ford explains how the program was built, what kinds of

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38:01

S1 Ep95: The case for independent practice, with Paul...

Off the Chart: A Business of Medicine Podcast ·

2025/10/23

Paul Merrick, M.D., and Dan Greenleaf of Duly Health and Care join the show to discuss why independent medical practices deliver high-quality care at lower costs — and why that matters for the future of U.S. health care. They share insights from a Duly study on health care spending, the importance of physician autonomy and how independent groups can stay competitive amid industry consolidation. Learn more about their report, “Chicago provider market trends: Key considerations for employers,”

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19:28

S1 Ep94: When ICE shows up at your practice, with...

Off the Chart: A Business of Medicine Podcast ·

2025/10/20

Katie P. Russell, J.D., partner at Brown Immigration Law in Cleveland, Ohio, joins the show to explain what physicians and practice managers should do if Immigration and Customs Enforcement (ICE) comes knocking at their practice door. She discusses how to identify valid warrants, protect patient information under HIPAA, and prepare staff with clear response plans. Russell also shares how practices that employ international medical graduates can stay compliant and avoid costly mistakes. Music

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25:57

S1 Ep93: Unpacking Medicare’s $15B skin substitute...

Off the Chart: A Business of Medicine Podcast ·

2025/10/16

David Tawes, regional inspector general in the Office of Evaluation and Inspections at HHS’ Office of Inspector General, joins the show to discuss the agency’s new report on the massive rise in Medicare spending for skin substitutes. He explains what’s driving the surge — from changing billing practices to outright fraud — and how policymakers can balance patient access with stronger oversight. Tawes also shares what physicians should know about potential red flags and how to report suspicious

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24:07

S1 Ep92: Building true wealth, with Bryan Jepson,...

Off the Chart: A Business of Medicine Podcast ·

2025/10/13

Bryan Jepson, M.D., CFP, joins the show to explain what “true wealth” really means for physicians, and why retirement planning goes far beyond money. He explains how to balance financial goals with personal fulfillment, tackle student debt and make smart decisions about saving, investing and enjoying life along the way. Music Credits: Distant Memories by Buurd - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com A Textbook Example by Skip Peck - stock.adobe.com Editor's

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35:25

S1 Ep91: The telehealth crisis of 2025, with Kyle...

Off the Chart: A Business of Medicine Podcast ·

2025/10/09

Kyle Zebley, senior vice president of the American Telemedicine Association (ATA) and executive director of ATA Action, joins the show to talk about what happened when Medicare’s telehealth flexibilities expired during the federal government shutdown earlier this month. In discussion with Medical Economics Senior Editor Richard Payerchin on October 3, 2025, Zebley explains how the lapse has disrupted care for patients and physicians nationwide, what Congress can do to fix it and why making

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36:57

S1 Ep90: Administrative burdens, with Kevin Schulman,...

Off the Chart: A Business of Medicine Podcast ·

2025/10/06

Kevin Schulman, M.D., MBA, professor of medicine, clinical excellence research center at Stanford University, joins the show to talk about why the U.S. spends more on health care administration than many countries spend on care itself. Schulman explains how complexity in billing and payment drives up costs, why current processes are still stuck in the analog era and how ideas from other industries could help create more efficient, digital systems. The conversation also explores the role of AI, the

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15:05

S1 Ep89: Staying resilient with Andrew Swanson,...

Off the Chart: A Business of Medicine Podcast ·

2025/10/02

At the MGMA Leaders Conference 2025 in Orlando, Florida, Andrew Swanson, M.P.A., FACMPE, spoke with Physicians Practice Editor Keith Reynolds about the pressures facing practices, from shrinking reimbursements to rising costs. He shared why technology, stronger leadership and a focus on patient experience are key to staying resilient — and why finding community and even humor can help practices weather today’s challenges. Check out all of our MGMA 2025 coverage:

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28:17

S1 Ep88: Women in medicine month, with Yalda...

Off the Chart: A Business of Medicine Podcast ·

2025/09/29

As Women in Medicine Month comes to a close, Yalda Jabbarpour, M.D., director of the Robert Graham Center at the American Academy of Family Physicians and Annie Koempel, Ph.D., M.A., RDN, LD, qualitative scientist at the American Board of Family Medicine, join the show to discuss their recent study on early career women in family medicine.They share insights on how women physicians are already leading in unrecognized ways, why traditional definitions of leadership often miss their contributions

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113 results

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