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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 Host Keith Reynolds with feedback, questions, guest suggestions and more.
www.medicaleconomics.com/podcasts

Off the Chart: A Business of Medicine Podcast

Medical Economics
Management & Marketing
137 episodes
S1 Ep97: AI, malpractice and the future of physician liability
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 S...
21m • Oct 30
21m
S1 Ep96: Less paperwork, more patients, with David Ford, CEO of CMA Physician Services
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 (https://medwaydocs.com/) is a subscription-based management service designed to handle HR, payroll, benefits, insurance and other...
35m • Oct 27
35m
S1 Ep95: The case for independent practice, with Paul Merrick, M.D., and Dan Greenleaf of Duly Health and Care
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...
38m • Oct 23
38m
S1 Ep94: When ICE shows up at your practice, with Katie P. Russell, J.D., partner at Brown Immigration Law
Katie P. Russell, J.D., partner at Brown Immigration Law (https://www.brown-immigration.com/) 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...
19m • Oct 20
19m
S1 Ep93: Unpacking Medicare’s $15B skin substitute boom, with HHS-OIG Regional Inspector General David Tawes, M.A.
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...
26m • Oct 16
26m
S1 Ep92: Building true wealth, with Bryan Jepson, M.D., CFP
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 (http://stock....
24m • Oct 13
24m
S1 Ep91: The telehealth crisis of 2025, with Kyle Zebley, senior VP of public policy at the American Telemedicine Association
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 di...
35m • Oct 09
35m
S1 Ep90: Medicine's broken workflow, with Kevin Schulman, M.D., MBA
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 indust...
37m • Oct 06
37m
S1 Ep89: Staying resilient with Andrew Swanson, M.P.A., FACMPE, of MGMA
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 practice...
15m • Oct 02
15m
S1 Ep88: Women in medicine month, with Yalda Jabbarpour, M.D., and Annie Koempel, Ph.D., M.A., RDN, LD
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 alread...
28m • Sep 29
28m
S1 Ep87: Challenging your limits, with Justin Osmond
Justin Osmond, international keynote speaker, best-selling author, producer and humanitarian, joins the show to share his journey of overcoming profound hearing loss and breaking through self-imposed limits. In conversation with Keith Reynolds, editor of Physicians Practice, Osmond explains how leaders can reframe setbacks, build supportive teams and use mindset as a powerful tool to turn chall...
22m • Sep 25
22m
S1 Ep86: The future of medical research, with Donald Berwick, M.D., M.P.P., senior fellow at the Institute for Healthcare Improvement
In the U.S., billions of dollars are spent each year on medical research and drug development, but too often those dollars don't match up with the diseases and patient needs that matter most. In this episode of Off the Chart: A Business of Medicine Podcast, Donald Berwick, M.D., M.P.P., president emeritus and senior fellow at the Institute for Healthcare Improvement, and former director of the...
37m • Sep 22
37m
S1 Ep85: Branding for physicians, with Scott Bartnick, CEO of Otter Public Relations
In today’s digital marketplace, a physician’s reputation is no longer shaped only by word-of-mouth — it’s built online through reviews, search results and digital presence. In this episode of Off the Chart, Scott Bartnick, co-founder & CEO of Otter Public Relations, sits down with Medical Economics Managing Editor Todd Shryock to explore how physicians can create strong, credible personal brand...
25m • Sep 18
25m
S1 Ep84: Food as medicine and the future of physician training, with David Eisenberg, M.D.
David Eisenberg, M.D., director of culinary nutrition at the Harvard T. H. Chan School of Public Health, founding co-director of the Healthy Kitchens, Healthy Lives conference, and founder and former executive director of the Teaching Kitchen Collaborative, joins the show to talk about the importance of nutritional education for physicians. "Proposed Nutrition Competencies for Medical Students...
35m • Sep 15
35m
S1 Ep83: Community, leadership and mental health in medicine, with AOA President Robert Piccinini, D.O.
Robert G.G. Piccinini, D.O., D.FACN, an adult, geriatric and forensic psychiatrist and recently-appointed president of the American Osteopathic Association (AOA), joins the show to talk about leadership, mental and behavioral health and his goals as president. Music Credits: Rooftops by Buurd - stock.adobe.com (http://stock.adobe.com/) Relaxing Lounge by Classy Call me Man - stock.adobe.com (h...
38m • Sep 11
38m
S1 Ep82: Practice leadership, with Kem Tolliver, FACMPE, CPC, CMOM, of Medical Revenue Cycle Specialists
Kem Tolliver, FACMPE, CPC, CMOM, president and CEO of Medical Revenue Cycle Specialists, joins the show to talk leadership in medicine, including key insights into the importance of innovation, vulnerability and teamwork, and how to recognize and reduce burnout and prepare for upcoming changes in medicine. Kem will also be the opening keynote speaker at the HCLA Virginia 2025 Fall Conference (...
32m • Sep 08
32m
S1 Ep81: AI safety and governance in health care, with Kedar Mate, M.D., of Qualified Health
Kedar Mate, M.D., founder and chief medical officer of Qualified Health, joins the show to talk about the promise and risks of artificial intelligence (AI) in health care. He discusses the importance of proper oversight and governance, the need for HIPAA-compliant tools and how health systems can operationalize ethical frameworks to ensure safe and effective AI use. Mate also shares lessons fr...
28m • Sep 04
28m
S1 Ep80: Health equity and medical misinformation, with Gary Price, M.D., MBA, president of The Physicians Foundation
Gary Price, M.D., MBA, joins Medical Economics senior editor Richard Payerchin to discuss The Physicians Foundation’s latest initiatives, including open grants addressing social drivers of health and physician well-being. Price reflects on the legacy of Richard “Buz” Cooper, M.D.’s research linking poverty and health care costs, highlights examples of community-driven solutions and explains how...
35m • Sep 01
35m
S1 Ep79: The state of health care policy, with Anders Gilberg, SVP of government affairs at MGMA
Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association (MGMA), joins the show with updates from Washington on the most important topics affecting medical groups and health care policy. Speaking with Keith A. Reynolds, editor of Physicians Practice (https://www.physicianspractice.com/) , Gilberg talks about the impact of recent health care legisl...
27m • Aug 25
27m
S1 Ep78: What the 2026 Medicare Physician Fee Schedule means for RPM, with Lucienne Marie Ide, M.D., Ph.D.
Lucienne Marie Ide, M.D., Ph.D., founder and CEO of Rimidi (https://rimidi.com/) , joins the show to discuss the proposed 2026 Medicare Physician Fee Schedule and its impact on remote patient monitoring (RPM) programs. Ide shares insights on new billing codes, increased flexibility for physicians, the role of artificial intelligence (AI) and the evolving integration of RPM into standard health ...
29m • Aug 18
29m
S1 Ep77: What's broken in health care, with Marschall Runge, M.D., Ph.D.
Marschall Runge, M.D., Ph.D., dean of the University of Michigan Medical School, CEO of Michigan Medicine and author of The Great Healthcare Disruption, joins the show to dissect exactly what's broken in U.S. health care — and what we can do to fix it. Music Credits: Moonlit Walk by Buurd - stock.adobe.com (http://stock.adobe.com/) Relaxing Lounge by Classy Call me Man - stock.adobe.com (http:...
30m • Aug 11
30m
S1 Ep76: What AI can (and can't) do for prior authorizations, with Brad Boyd of BDO USA
Brad Boyd, principal of management consulting at BDO USA, joins the show to talk about how artificial intelligence (AI) and other health technologies are helping physicians navigate the prior authorization process, reduce administrative burdens and improve patient care. Music Credits: CHILL LOFI HIPHOP (AGATE LEVELS) NO MEL by Tasty Tunes - stock.adobe.com (http://stock.adobe.com/) Relaxing Lo...
35m • Aug 04
35m
Special Report: 60 years of Medicare
This is an Off the Chart Special Report. 60 years ago today, on July 30, 1965, President Lyndon B. Johnson signed the Medicare and Medicaid Act — also known as the Social Security Amendments of 1965 — into law at the Truman Library in Independence, Missouri. Years earlier, in 1945, it was President Harry S. Truman who first proposed a comprehensive national health insurance program to Congres...
32m • Jul 30
32m
S1 Ep75: Physician struggles, with AMA President Bobby Mukkamala, M.D. (Part 2)
Bobby Mukkamala, M.D., president of the American Medical Association (AMA) joins the show to talk about what the AMA is doing for pressing issues like prior authorizations, private practice, artificial intelligence and scope of practice. This is part two of our conversation with Mukkamala. If you haven't already, be sure to check out part one, "From patient to president, with AMA President Bob...
21m • Jul 28
21m
S1 Ep74: From patient to president, with AMA President Bobby Mukkamala, M.D. (Part 1)
Bobby Mukkamala, M.D., president of the American Medical Association (AMA) joins the show to discuss the AMA's mission in the year ahead, health care policy, challenges facing primary care and his personal health journey. This is part one of a two-part interview with Mukkamala. Don't miss part two — where he talks about reimbursement struggles, prior authorization frustrations, the potential o...
25m • Jul 21
25m
S1 Ep73: Why physicians are suing RFK Jr., with attorney Richard H. Hughes IV, J.D., M.P.H.
Richard H. Hughes IV, J.D., M.P.H., joins the show to talk about the recent lawsuit filed against Health and Human Services Secretary Robert F. Kennedy, Jr., by major medical groups — including the American Academy of Pediatrics, the American College of Physicians, the Society for Maternal-Fetal Medicine and a "Jane Doe" pregnant physician — regarding the removal of the COVID-19 vaccination for...
15m • Jul 14
15m
S1 Ep72: Medicare reform with Susan Dentzer of America's Physician Groups
Susan Dentzer, president and CEO of America's Physician Groups, joins the show to talk Medicare reform and the specific proposals included in America's Physician Group's latest report, "Medicare Done Right. (https://www.apg.org/wp-content/uploads/2025/04/Medicare-Done-Right-Final-4.1.25.pdf) " Download the full report: https://www.apg.org/wp-content/uploads/2025/04/Medicare-Done-Right-Final-4....
28m • Jul 07
28m
S1 Ep71: Agentic AI with Isaac Park of Keebler Health
Isaac Park, CEO of Keebler Health, joins the show to talk agentic AI and how it can be used in health care. Music Credits: Saxophonia by Offenbach Project - stock.adobe.com (http://stock.adobe.com/) Relaxing Lounge by Classy Call me Man - stock.adobe.com (http://stock.adobe.com/) COCKTAIL by Mythical Audio - stock.adobe.com (http://stock.adobe.com/) Editor's note: Episode timestamps and trans...
23m • Jun 30
23m
S1 Ep70: The state of private practice with Paul Berggreen, M.D., of AIMPA
Paul Berggreen, M.D., president of the American Independent Medical Practice Association (AIMPA), joins the show to talk about the current state of private practice, as well as the findings of the American Medical Association's (AMA's) Physician Practice Benchmark Survey (https://www.ama-assn.org/about/ama-research/physician-practice-benchmark-survey) . Find the AMA survey here: https://www.am...
34m • Jun 23
34m
S1 Ep69: The physician shortage with Brian McKillop of AMN Healthcare
Brian McKillop, president of AMN Healthcare's locum tenens division, joins the show to talk projections, causes and solutions for the U.S. physician shortage. Find AMN Healthcare's latest report, "The Physician Shortage: Projections, Causes, and Solutions (https://online.flippingbook.com/view/787974745/) ," here: 🔗 https://online.flippingbook.com/view/787974745/ Music Credits: MUCHOS BESOS b...
21m • Jun 16
21m
S1 Ep68: Hidden risks of prescribing GLP-1 drugs with Ericka L. Adler, J.D., of Roetzel & Andress
Ericka L. Adler, J.D., a shareholder and manager of the health care group at Roetzel & Andress, joins the show to discuss the hidden risks of prescribing GLP-1 medications — like semaglutide and tirzepatide — that physicians need to know, from ensuring informed consent to navigating long-term safety data. Music Credits: After Hours by Yigit Atilla - stock.adobe.com (http://stock.adobe.com/) Re...
26m • Jun 09
26m
S1 Ep67: Immigration policy and the physician shortage with Thomas E. Price, M.D.
Thomas E. Price, M.D., an orthopedic surgeon and the 23rd secretary of the U.S. Department of Health and Human Services (HHS), joins the show with an idea to address the health care workforce shortage: legal, employment-based immigration. According to a recent Staffing Stream article, "An overlooked answer to the US healthcare crisis: Skilled immigration (https://www.staffingindustry.com/edito...
14m • Jun 02
14m
S1 Ep66: AI diagnostic tools with Mark Daly of Digital Diagnostics
Mark Daly, chief technology officer of Digital Diagnostics, joins the show to unpack artificial intelligence (AI) diagnostic tools, and what must be done to maintain both patient and physician trust. Be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: Feel Good Flow by Droppin Q - stock.adobe.com (http://stock.adobe...
26m • May 27
26m
S1 Ep65: Patient autonomy with Jeffrey A. Singer, M.D.
Jeffrey A. Singer, M.D., a general surgeon and senior fellow at the Cato Institute, joins the show to talk about patient autonomy — which also happens to be the subject of his new book, "Your Body, Your Health Care." For more from Singer, read his article in Medical Economics (https://www.medicaleconomics.com/view/-your-body-your-health-care-a-study-of-physicians-patients-and-informed-consent-...
33m • May 19
33m
S1 Ep64: The new standard for medical malpractice with Daniel G. Aaron, MD, JD
Daniel G. Aaron, MD, JD, an associate professor of law at the University of Utah's S.J. Quinney College of Law, joins the show to talk about the American Law Institute's revised legal standard for assessing medical negligence. For more, check out Aaron's JAMA article, "A New Legal Standard for Medical Malpractice (https://jamanetwork.com/journals/jama/article-abstract/2830847) ." Be sure to c...
19m • May 12
19m
Physician panel: Navigating the 2025 vaccination crisis
2025 has brought new heights for vaccine innovation — and new lows in public trust. Medical Economics and Infection Control Today convened a panel of frontline physicians, policy leaders and infectious disease experts to unpack recent policy shifts, the impact of vaccine hesitancy and how we move forward with evidence, empathy and action. Panelists William Schaffner, M.D., Professor of Prevent...
56m • May 07
56m
S1 Ep63: Healthy eating with Chef Dr. Mike
Michael S. Fenster, MD, FACC, FSCA&I, FRSM, MAINE, PEMBA — the cardiologist and professional chef better known as Chef Dr. Mike — joins the show to talk about a healthy diet and the importance of nutrition in primary care. For more from Chef Dr. Mike, check out his deep dive on ultraprocessed foods (https://www.medicaleconomics.com/view/trump-wants-rfk-jr-to-make-america-healthy-again-this-is-...
34m • May 05
34m
S1 Ep62: Physician financial mistakes with The White Coat Investor
James M. Dahle, MD, FACEP, founder of The White Coat Investor, joins the show to talk about common financial mistakes that physicians make — and what they should be doing instead. For more financial advice, check out Dahle's Medical Economics article, "Achieving financial success as a physician: Mastering 5 money activities (https://www.medicaleconomics.com/view/achieving-financial-success-as-...
30m • Apr 28
30m
S1 Ep61: Prior authorization with Heather Bassett, MD
Heather Bassett, MD, chief medical officer of Xsolis, joins the show to talk about prior authorizations and how artificial intelligence (AI) could change everything. Be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: Lo-Fi ChillHop by Mit-Rich - stock.adobe.com (http://stock.adobe.com/) Relaxing Lounge by Classy Ca...
30m • Apr 21
30m
S1 Ep60: Strategic planning with Stephen A. Dickens of SVMIC
Stephen A. Dickens, JD, MAEd, FACMPE, vice president of medical practice services at State Volunteer Mutual Insurance Company (SVMIC), joins the show to talk strategic planning and why it's so important for practices to stay prepared in times of uncertainty. Be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: Restle...
22m • Apr 14
22m
S1 Ep59: AI and claim denials with Neal K. Shah, co-founder of Counterforce Health
Neal K. Shah, CEO of CareYaya Health Technologies and co-founder of Counterforce Health, joins the show to talk about claim denials and how AI can help fight them. Be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: Cozy Evening Time Coffee by BJBeats - stock.adobe.com (http://stock.adobe.com/) Relaxing Lounge by Cl...
22m • Apr 07
22m
S1: Special Report: Medical Economics Insider
Medical Economics Editorial Director Christopher Mazzolini and Senior Editor Richard Payerchin join the podcast to discuss the new issue of Medical Economics Insider (https://www.medicaleconomics.com/view/medical-economics-insider-march-2025-save-your-practice) ,  our brand-new premium interactive digital edition designed to provide physicians with the in-depth insights and practical tools need...
10m • Mar 31
10m
S1 Ep58: Patient safety with Leah Binder of The Leapfrog Group
Leah Binder, president and CEO of The Leapfrog Group, joins the show to talk about notable trends in patient safety. Be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: Daydreaming by Mit-Rich - stock.adobe.com (http://stock.adobe.com/) Relaxing Lounge by Classy Call me Man - stock.adobe.com (http://stock.adobe.com/...
29m • Mar 31
29m
S1 Ep57: Tariffs and the medical device industry with Rohit Harve of PA Consulting
Rohit Harve, a technical operations partner and health care expert with PA Consulting, joins the show to talk tariffs and their impact on the medical device industry. Be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: In Your Embrace by GrayMic/Jamendo - stock.adobe.com (http://stock.adobe.com/) Relaxing Lounge by ...
19m • Mar 24
19m
S1 Ep56: Leading a successful practice with Zed Williamson of Physician Growth Accelerator
Zed Williamson, founder and CEO of Physician Growth Accelerator, joins the show to talk about common challenges physicians face in private practice, explaining how to manage a successful practice without sacrificing patient care. For more from Zed and his team, check out the Physician Growth Accelerator website (https://www.physiciangrowthaccelerator.com/) , podcast (https://podcasts.apple.com/...
28m • Mar 17
28m
S1 Ep55: Selling your practice with Ericka Adler of Roetzel & Andress
Ericka Adler, JD, of Roetzel & Andress, joins the show to discuss factors you should consider before selling your practice. For more, be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: CHILL RELAXED JAZZ (DR SMOOTH) by Tasty Tunes - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by...
24m • Mar 10
24m
Breakthroughs in Atopic Dermatitis, with Linda Stein Gold, MD
Linda Stein Gold, MD, FAAD, discusses the late-breaking tapinarof cream 1% data from a new analysis of the ADORING-3 clinical trial. Interview recorded at the 2025 American Academy of Dermatology conference in Orlando, Florida. Topics discussed include: Key insights from the new analysis of the ADORING-3 clinical trial on the use of tapinarof cream, 1% in patients with atopic dermatitis. Long...
5m • Mar 09
5m
S1 Ep54: Medicare cuts and physician challenges with Norman K. "Kip" Beals III, MD
Norman K. “Kip” Beals, MD, is executive director of primary care for Independence Health System in western Pennsylvania. He is board certified in family medicine and sports medicine. A physician practicing for 35 years, Beals has worked in independent practice and as a physician leader and chief innovation officer for health systems. Beals joins the show to discuss the evolving landscape of he...
29m • Mar 03
29m
S1 Ep53: Practice employee safety with Andrea Greco of CENTEGIX
Andrea Greco, senior vice president of health care safety at CENTEGIX, joins the podcast to discuss keeping practices safe and how failing to do so can impact patient care. For more, be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know. Music Credits: Retro Rhythm by BJBeats - stock.adobe.com (http://stock.adobe.com/) COCKTAIL by My...
15m • Feb 24
15m
S1 Ep52: Private equity and hospital consolidation with Yashaswini Singh, PhD, MPH
Yashaswini Singh, PhD, MPH, a health care economist and assistant professor at Brown University's School of Public Health, joins the show to discuss her recent research article, "Growth of Private Equity and Hospital Consolidation in Primary Care and Price Implications (https://jamanetwork.com/journals/jama-health-forum/fullarticle/2829224?resultClick=1) ," published in JAMA Health Forum. For ...
21m • Feb 17
21m

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