They Way Most Docs are Paid Doesn’t Lead to Healthier Patients

The Short Coat (Audio): An Inside Look at Getting Into and Getting Through Medical School · Sep 4, 2025 · 1h 11m

How the system pays doctors can change healthcare outcomes—sometimes in scary ways. The way docs are paid can make patients sicker…or can lead to healthier ones. The payment schemes most docs work under incentivize them to fix patients, while others motivate them to prevent illness—and geriatrician Dr. Jonathan “Nathan” Flacker is here to explain why. This episode rips the curtain off RVUs, fee-for-service traps, and the real reason your doc is rushing through your visit (hint: it’s not personal, it’s math). We dig into ChenMed’s wild idea: what if clinics got paid to keep you out of the…