The revenue your practice is already losing, with MGMA Acting CEO Akash Madiah

Akash Madiah has seen the Medical Group Management Association (MGMA) from both sides. He used its data to redo physician compensation plans while working in practice finance, and he now leads the association as acting CEO in its centennial year. Following MGMA’s 2026 annual conference in San Antonio, he sat down with Physicians Practice Managing Editor Keith Reynolds to talk about what practices are calling MGMA about most, what administrators should do this quarter as Medicare pay stays flat and costs keep rising, and what the association’s first member pulse survey says it still needs to fix. He closes with two things any practice leader can start on Monday.

Register for the Physicians Practice Practice Academy Series: Protecting Your Practice’s Revenue, a virtual event on Thursday, Oct. 29, from 12 to 4 p.m. ET: https://registration.physicianspractice.com/990031/

Music Credits:
Coffee Shop Sketches by Buurd - stock.adobe.com
A Textbook Example by Skip Peck - stock.adobe.com

Editor’s note: Episode timestamps and transcript produced using AI tools.

0:00 – 0:32 | Cold open Madiah on finding the revenue a practice is already losing before chasing new revenue.

0:32 – 1:44 | Introduction Austin Littrell introduces the episode and the guest and previews the Physicians Practice Practice Academy on Oct. 29.

1:44 – 3:13 | What practices are calling MGMA about Medicare cuts and prior authorization top the list, echoing the town hall Anders Gilberg led at the conference.

3:13 – 4:11 | From data user to association leader Madiah describes using MGMA data to redo physician compensation plans and why he judges every offering by how members will use it “on Monday morning.”

4:11 – 5:54 | What he heard in the hallways Reimbursement and administrative burden dominated the conversation in San Antonio, along with members asking how to get involved and volunteer.

5:54 – 7:44 | What MGMA still needs to get right MGMA’s first member pulse survey found trust is strong, but members want easier access through digital tools, education and local engagement.

7:44 – 9:12 | What administrators should do this quarter Know your numbers, collect what you’ve already earned before adding volume, invest in retention and benchmark against peers.

9:12 – 10:08 | P2 Management Minute Keith Reynolds shares practice management tips and invites listeners to submit their own workflow ideas.

10:08 – 13:23 | Preparing for MGMA’s second century Madiah outlines three priorities: evolving MGMA’s data products, engaging members from early-career staff to veterans, and building the association’s voice as an industry leader.

13:23 – 15:12 | Two things to start on Monday Pick the one metric that matters most to your organization and review it every week, then schedule one conversation with a peer outside your organization.

15:12 – 16:21 | Closing thoughts Madiah reflects on MGMA’s role in taking work off physicians’ plates so they can focus on patients.

16:31 – [END] | Outro Littrell thanks listeners and reminds them about the Oct. 29 Practice Academy.