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Off the Chart: A Business of Medicine Podcast
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…
Episodes
Off the Chart: A Business of Medicine PodcastS1 Ep143: Health care has an administrative crisis, with Anders Gilberg of MGMA
A new Medical Group Management Association (MGMA) report found that 95% of practices say administrative and regulatory burden has increased over the past…
Off the Chart: A Business of Medicine PodcastS1 Ep142: The legal risks of AI in your practice, with Dan Silverboard, J.D., of Holland & Knight
Artificial intelligence (AI) tools are proliferating fast in health care, but the legal framework around them is still catching up. In this episode, Dan…
Off the Chart: A Business of Medicine PodcastS1 Ep141: Meet the congressman trying to ban AI from Medicare, with Rep. Greg Landsman of Ohio
Medicare's Wasteful and Inappropriate Service Reduction (WISeR) Model launched January 1, 2026, in six states, immediately drawing fire from physicians…
Off the Chart: A Business of Medicine PodcastS1 Ep140: The AI enforcement era is here, with Pat Naples, J.D., of ArentFox Schiff
CMS's latest antifraud actions — withholding Medicaid funds from Minnesota, freezing enrollment for certain durable medical equipment suppliers and launching…
Off the Chart: A Business of Medicine PodcastS1 Ep139: Tariffs and the medical device industry, with Casey Hite, CEO of Aeroflow Health
When tariffs on medical devices and components were first announced, the initial figures were, as Casey Hite puts it, mind-blowing — potentially forcing…
Off the Chart: A Business of Medicine PodcastS1 Ep138: AI, layoffs and the law, with Christopher Mayer, J.D., of Frier Levitt
Artificial intelligence (AI) is already driving workforce decisions at major companies, and health care practices, large and small, are not immune. In this…
Off the Chart: A Business of Medicine PodcastS1 Ep137: The war on health care fraud, with Shannon Sumner, CPA, CHC, of PYA
Health care fraud enforcement recovered more than $6 billion last year. Shannon Sumner, CPA, CHC, expects this year to be even larger. In this episode, Sumner…
Off the Chart: A Business of Medicine PodcastS1 Ep136: The financial forces threatening independent practice, with John Pack of Mitsubishi HC Capital America
Nearly half of all physicians are now employed by or affiliated with a hospital system, and the forces behind that consolidation aren't slowing down. John…
Off the Chart: A Business of Medicine PodcastS1 Ep135: The promises and limits of virtual care, with Sarah Matt, M.D., MBA
Virtual care has reshaped medicine since COVID-19, but the shift to the screen comes with real trade-offs. In this episode, Sarah Matt, M.D., MBA — practicing…
Off the Chart: A Business of Medicine PodcastS1 Ep134: MIPS update, with 'MIPS Geek Guru' Holly Black of Sightview
The Merit-based Incentive Payment System (MIPS) has been around since 2017, but that doesn't mean the program has gotten easier to navigate. Holly Black…
Off the Chart: A Business of Medicine PodcastS1 Ep133: State policy and the future of independent practice, with Charles Miller, J.D., of Texas 2036
Texas has long carried the highest uninsured rate in the country — but research by Texas 2036 found the reasons why are more complicated than most people…
Off the Chart: A Business of Medicine PodcastS1 Ep132: PAs, AI and the onboarding problem, with Kelly Villella of Wolters Kluwer Health
A new Wolters Kluwer survey of physician assistants found that 96% feel confident walking into patient interactions on day one, but 87% say they still need…
Off the Chart: A Business of Medicine PodcastS1 Ep131: The rise of osteopathic medicine, with Robert Cain, D.O., of AACOM
Osteopathic medicine has grown from a single school in the 1890s to 73 campuses across 36 states, now accounting for nearly 30% of all U.S. medical students…
Off the Chart: A Business of Medicine PodcastS1 Ep130: The true cost of workplace violence, with Andrea Greco of CENTEGIX
Workplace violence in health care settings isn't just a safety issue — it's a financial and operational one. In this episode, Andrea Greco, SVP of healthcare…
Off the Chart: A Business of Medicine PodcastS1 Ep129: Staffing shortages and AI self-diagnosis, with Rosemarie Aznavorian, D.N.P., RN
It's no secret that health care has a staffing problem. But are patients really resorting to artificial intelligence (AI) chatbots when they can't get in to…
Off the Chart: A Business of Medicine PodcastS1 Ep128: Fraud, chargebacks and the future of medical payments, with Stephanie O’Connor of Wind River Payments
Payment processing has become more complex for medical practices — and more vulnerable to fraud. Medical Economics Managing Editor Todd Shryock sat down with…
Off the Chart: A Business of Medicine PodcastS1 Ep127: When ICE shows up: What medical practices need to know, with Katie Russell, J.D.
In this episode, Keith Reynolds, managing editor of Physicians Practice, speaks with Katie Russell, J.D., partner at Brown Immigration Law in Cleveland, Ohio…
Off the Chart: A Business of Medicine PodcastS1 Ep126: Health care's reset, with Shannon Sims, M.D., Ph.D., and Matthew Bates, M.P.H.
Rising patient acuity. Aging demographics. Tight margins. Artificial intelligence (AI) moving from buzzword to workflow tool. Medical Economics sat down with…
Off the Chart: A Business of Medicine PodcastS1 Ep125: Site-neutral payment and independent practice, with Christopher M. Whaley, Ph.D.
Medicare often pays dramatically different rates for the exact same service depending on where it’s delivered. That difference has helped fuel hospital…
Off the Chart: A Business of Medicine PodcastS1 Ep124: The state of health care in 2026, with Richard Anderson, M.D., FACP, CEO of The Doctors Company and TDC Group
The health care system is changing quickly, and the legal and regulatory systems that govern it are struggling to keep up. Medical Economics Associate Editor…
Off the Chart: A Business of Medicine PodcastS1 Ep123: When patients ask AI first, with Amber Maraccini, Ph.D., M.A., of Medallia
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…
- Off the Chart: A Business of Medicine Podcast
S1 Ep122: Policy uncertainty in 2026, with Anders Gilberg of MGMA
Government funding deadlines, expiring coverage subsidies and temporary policy fixes are creating real-world disruptions for physician practices — often with…
Off the Chart: A Business of Medicine PodcastS1 Ep121: Attending to patients and ourselves, with Melissa Lucarelli, M.D., FAAFP, and Ronald M. Epstein, M.D., FAAHPM
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…
Off the Chart: A Business of Medicine PodcastS1 Ep120: The biggest risks for physicians in 2026, with Peter Reilly of HUB International
In 2026, physicians are facing a familiar mix of pressure — reimbursement uncertainty, rising labor and supply costs, staffing shortages and growing exposure…
Off the Chart: A Business of Medicine PodcastS1 Ep119: The staffing squeeze, with Rihan Javid, D.O., J.D., of Edge
Rising minimum wages, fierce labor competition and persistent turnover are reshaping how physician practices operate — and higher pay alone isn’t solving the…
Off the Chart: A Business of Medicine PodcastS1 Ep118: How to market an independent practice in 2026, with Carl White of MarketVisory Group
Independent medical practices are facing more competition than ever — from hospital systems, urgent care chains, private equity–backed groups and other local…
Off the Chart: A Business of Medicine PodcastS1 Ep117: What patients are hearing, with Colleen Denny, M.D., FACOG
Patients are making health decisions in a very different information environment — one shaped by social media, search engines, generative artificial…
Off the Chart: A Business of Medicine PodcastS1 Ep116: Financial independence, with Michael Jerkins, M.D., M.Ed.
Physicians spend years mastering medicine, but many leave training with little guidance on managing money, debt or long-term financial decisions. Michael…
Off the Chart: A Business of Medicine PodcastS1 Ep115: Reinventing physician training, with AMGA President Jerry Penso, M.D., MBA, and Practicing Excellence founder Stephen Beeson, M.D.
Health systems and medical groups are fighting the same three-headed problem: money, access and staffing. In this episode, American Medical Group Association…
Off the Chart: A Business of Medicine PodcastS1 Ep114: What we get wrong about vaccine hesitancy, with David Higgins, M.D., M.P.H., M.S.
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…
Off the Chart: A Business of Medicine PodcastS1 Ep113: The 2025 Off the Chart Holiday Spectacular
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…
Off the Chart: A Business of Medicine PodcastS1 Ep112: Why leading physicians will move to concierge medicine in 2026 with Greg Grant of Specialdocs
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…
Off the Chart: A Business of Medicine PodcastS1 Ep111: The physician engagement crisis, with Bill Heller of CHG Healthcare
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…
Off the Chart: A Business of Medicine PodcastS1 Ep110: Vaccine skepticism, with Paul Offit, M.D.
Vaccine conversations have changed. Sure, there have always been skeptics, but since the COVID-19 pandemic — and especially since Robert F. Kennedy, Jr., has…
Off the Chart: A Business of Medicine PodcastS1 Ep109: Point-of-care testing with Daniel Krajcik, D.O., MBA
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…
Off the Chart: A Business of Medicine PodcastS1 Ep108: Confronting misinformation, with ACP President Jason Goldman, M.D., MACP
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…
Off the Chart: A Business of Medicine PodcastS1 Ep107: In defense of private equity, with Jared Rhoads, M.S., M.P.H., of the Center for Modern Health
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…
Off the Chart: A Business of Medicine PodcastS1 Ep106: The realities of running a medical practice, with David N. Gans, MSHA, FACMPE
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…
Off the Chart: A Business of Medicine PodcastS1 Ep105: Understanding ultraprocessed foods in the American diet, with Krista Blackwell, Ph.D.
Krista Blackwell, Ph.D., clinical assistant professor of biomedical sciences at the University of South Carolina School of Medicine, Greenville, joins the show…
Off the Chart: A Business of Medicine PodcastS1 Ep104: Payer ownership and the future of primary care, with Loren Adler of the Brookings Institution
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…
Off the Chart: A Business of Medicine PodcastS1 Ep103: Physician mental health: A silent crisis, with Daniel Saddawi-Konefka, M.D., MBA, and Christine Yu Moutier, M.D.
Mental health remains a silent crisis among physicians. Medical Economics Senior Editor Richard Payerchin sat down with Daniel Saddawi-Konefka, M.D., MBA, and…
- Off the Chart: A Business of Medicine Podcast
S1 Ep102: The shutdown is over — now what? A conversation with Anders Gilberg of MGMA
After the longest federal shutdown in U.S. history, the government is finally open again — but for medical practices, the relief is short-lived. In this…
Off the Chart: A Business of Medicine PodcastS1 Ep101: Denied claims and AI, with Clarissa Riggins of Experian Health
Denied claims are cutting deeper into practice revenue — and the numbers are getting worse. In this episode, Medical Economics Managing Editor Todd Shryock…
Off the Chart: A Business of Medicine PodcastS1 Ep100: 100 episodes of Off the Chart: A Business of Medicine Podcast
In the 100th episode of Off the Chart: A Business of Medicine Podcast, host Austin Littrell is joined by Todd Shryock, Richard Payerchin, and Keith Reynolds —…
Off the Chart: A Business of Medicine PodcastS1 Ep99: New lessons in lifestyle medicine, with Jennifer Trilk, Ph.D., FACSM, DipACLM
Jennifer Trilk, Ph.D., FACSM, DipACLM, professor of biomedical sciences and director of lifestyle medicine programs at the University of South Carolina School…
Off the Chart: A Business of Medicine PodcastS1 Ep98: Fighting burnout, with Stefanie Simmons, M.D., FACEP, CMO of the Dr. Lorna Breen Heroes’ Foundation
Stefanie Simmons, M.D., FACEP, chief medical officer of the Dr. Lorna Breen Heroes’ Foundation, joins the show to talk about the state of burnout in health…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 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…
- Off the Chart: A Business of Medicine Podcast
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 in Cleveland, Ohio, joins the show to explain what physicians and practice managers should do if…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 Ep91: The telehealth crisis of 2025, with Kyle Zebley, CEO, 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…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 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…
Off the Chart: A Business of Medicine PodcastS1 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…