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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

business management & marketing

All Episodes

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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29:43

S1 Ep118: How to market an independent practice in...

Off the Chart: A Business of Medicine Podcast ·

2026/01/22

Independent medical practices are facing more competition than ever — from hospital systems, urgent care chains, private equity–backed groups and other local practices just down the road.Medical Economics Content Vice President Chris Mazzolini sat down with Carl White, president and founder of MarketVisory Group, to talk about what it actually takes for independent practices to stay visible, relevant and competitive.White explains why simply providing good care is no longer enough, how practices

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25:54

S1 Ep117: What patients are hearing, with Colleen...

Off the Chart: A Business of Medicine Podcast ·

2026/01/19

Patients are making health decisions in a very different information environment — one shaped by social media, search engines, generative artificial intelligence (AI) and increasingly politicized medical claims.Medical Economics Senior Editor Richard Payerchin sat down with Colleen Denny, M.D., FACOG, chief ethics officer for the American College of Obstetricians and Gynecologists (ACOG), to talk about where patients are hearing medical misinformation, how it's showing up in exam rooms and what

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21:34

S1 Ep116: Financial independence, with Michael...

Off the Chart: A Business of Medicine Podcast ·

2026/01/15

Physicians spend years mastering medicine, but many leave training with little guidance on managing money, debt or long-term financial decisions.Michael Jerkins, M.D., M.Ed., an internal medicine and pediatrics physician and co-founder of Panacea Financial, sits down with Medical Economics Senior Editor Richard Payerchin to break down what financial pressures look like at every stage of a physician’s career — from residency cash-flow strain and student loans to practice ownership and long-term

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31:14

S1 Ep115: Reinventing physician training, with AMGA...

Off the Chart: A Business of Medicine Podcast ·

2026/01/12

Health systems and medical groups are fighting the same three-headed problem: money, access and staffing. In this episode, American Medical Group Association (AMGA) President and CEO Jerry Penso, M.D., MBA, and Practicing Excellence founder Stephen Beeson, M.D., discuss their new partnership meant to strengthen physician development without pulling clinicians out of the exam room. They explain why traditional half-day seminars have lost their edge, how context-driven micro-coaching powered by

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30:39

S1 Ep114: What we get wrong about vaccine hesitancy,...

Off the Chart: A Business of Medicine Podcast ·

2026/01/08

Pediatrician and author David Higgins, M.D., M.P.H., M.S., joins the show to unpack what’s really happening with vaccine confidence. Higgins explains why true anti-vaccine activists are a tiny minority, how media coverage can exaggerate hesitancy and why most parents still want vaccines for their children — even if they come in with questions. He also digs into the role of social media algorithms in amplifying misinformation and the policy risks of assuming “everyone” is skeptical of shots.Higgins

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25:47

S1 Ep113: The 2025 Off the Chart Holiday Spectacular

Off the Chart: A Business of Medicine Podcast ·

2025/12/22

Two hours. One studio. Zero confetti (almost).In the 2025 Off the Chart Holiday Spectacular, Off the Chart hosts Keith Reynolds and Austin Littrell race to clean the studio before a holiday party — and along the way, revisit some of the most important conversations of the year. Listeners hear from Anders Gilberg of MGMA on what 2026 health care policy could actually bring for physician payment, prior authorization and value-based care. Deepika Srivastava breaks down how artificial intelligence is

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44:06

S1 Ep112: Why leading physicians will move to...

Off the Chart: A Business of Medicine Podcast ·

2025/12/22

Today’s episode is brought to you by Specialdocs Consultants, and our topic today is the growing popularity of concierge medicine. As physician burnout, payer pressures, and patient expectations reach new inflection points, many doctors are rethinking how they practice medicine. For this episode, Medical Economics Content Vice President Chris Mazzolini sat down with Greg Grant, the Chief Operating Officer of Specialdocs Consultants to explore why 2026 may be a pivotal year for physicians

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30:04

S1 Ep111: The physician engagement crisis, with Bill...

Off the Chart: A Business of Medicine Podcast ·

2025/12/18

Most physicians say they’re satisfied with their jobs — but far fewer say they feel engaged at work. That disconnect is at the center of CHG Healthcare’s 2025 Physician Sentiment Survey, which draws on responses from more than 900 physicians nationwide.In this episode of Off the Chart, Medical Economics Assistant Editor Austin Littrell speaks with Bill Heller, chief operating officer at CHG Healthcare, about what’s driving low engagement despite relatively high satisfaction. They break down the

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32:09

S1 Ep110: Vaccine skepticism, with Paul Offit, M.D.

Off the Chart: A Business of Medicine Podcast ·

2025/12/15

Vaccine conversations have changed. Sure, there have always been skeptics, but since the COVID-19 pandemic — and especially since Robert F. Kennedy, Jr., has headed Health and Human Services (HHS) — debates have only intensified.For physicians, what used to be occasional questions in the exam room have become daily conversations that are more emotional, more complex and more consequential for public health. Paul Offit, M.D., one of the nation’s leading vaccine experts, joins the show to talk

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21:30

S1 Ep109: Point-of-care testing with Daniel Krajcik,...

Off the Chart: A Business of Medicine Podcast ·

2025/12/11

Point-of-care testing has become a core part of how many primary care practices diagnose, treat and manage patients — but deciding which tests to offer, how to implement them and whether the investment makes sense isn’t always straightforward.Daniel Krajcik, D.O., MBA, a primary care physician with the Cleveland Clinic, joins the show to break down the real-world considerations of bringing rapid testing into the office. He talks about which low-cost tests make sense for small practices, how to

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36:15

S1 Ep108: Confronting misinformation, with ACP...

Off the Chart: A Business of Medicine Podcast ·

2025/12/08

American College of Physicians President Jason Goldman, M.D., MACP joins the show to talk about one of the most difficult realities in clinical practice today: medical misinformation.Goldman discusses the ripple effects he sees in the exam room — confused patients, politicized vaccine debates and growing skepticism toward scientific evidence. He also shares his perspective on the broader challenges weighing on primary care, including stagnant reimbursement, administrative overload and the

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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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129 results

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