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Latest / Off the Chart: A Business of Medicine Podcast

S1 Ep158: Cash-only practice, with John C. Cianca, M.D., FAAPMR, president of the American Academy of Physical Medicine and Rehabilitation

The consolidation of outpatient medicine has swept many independent physicians into larger systems, private equity arrangements or hospital employment. John C. Cianca, M.D., FAAPMR, a physiatrist in Houston, Texas, and president of the American Academy of Physical Medicine and Rehabilitation, went the other way.

More than two decades ago, he left his Baylor-affiliated medical college to build a true solo, cash-only practice — no front desk, no MAs, no prior authorizations, no step therapy requirements.

Medical Economics Senior Editor Richard Payerchin talks with Cianca about why he made that…

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