Off the Chart

Nearly 40% of Gen Z patients don't have a primary care physician, and Andrea Giamalva, M.D., FAAFP, says urgent care is quietly stepping in to fill the gap.

John Cianca, M.D., FAAPMR, left institutional medicine 22 years ago to build a cash-only solo practice. He says the care he delivers is better for it.

Why medical groups miss budget for reasons that have nothing to do with money, and how finance professionals become strategic advisers.

Two Physicians Foundation experts discuss why where a patient lives may shape their health more than the care they receive and what physicians can actually do about it.

Panacea Financial's 2026 survey found that physician financial confidence barely budges across an entire career. The reasons why go deeper than income.

Carlos Cardenas, M.D., explains why a CMS request for information may signal the most significant opening for physician-owned hospitals since the Affordable Care Act slammed the door 15 years ago.

Pediatric neurosurgeon and author Leon Moores, M.D., makes the case that every physician is already a leader and shares what it takes to guide a team through uncertain times.

Prosper Beyond VBC's Doral Jacobson on why most practices lose negotiations before they even get in the room, and what to do differently.

Lumeris CMO David Carmouche, M.D., makes the case that AI's biggest opportunity in primary care isn't replacing physicians, it's giving them back the time and cognitive space to actually practice medicine.

Skillsoft's Asha Palmer, J.D., explains why banning artificial intelligence (AI) doesn't stop your staff from using it — and what a practical governance plan actually looks like for smaller practices.

GeoVax President and CEO David Dodd makes the case that the U.S. vaccine system isn't quite broken, but it is badly in need of better communication, clearer processes and a lot more listening.

Orthopedic surgeon and author Erica Rowe Urquhart, M.D., Ph.D., MBA, joins Melissa Lucarelli, M.D., FAAFP, for a candid conversation about what's really working against physicians and their patients.

Arrow founder and CEO Roshan Patel explains why health care payment processing is a mess, and what practices can actually do about it.

Four primary care experts unpack a landmark report showing that investing in primary care isn't just good medicine — it's the most powerful cost-reduction strategy the U.S. isn't using.

Kem Tolliver breaks down how to build a strategic revenue cycle work plan, get payer friction under control and stop the hidden leaks draining your practice's cash flow.

Robert Wachter, M.D., chair of the Department of Medicine at UCSF, takes us inside the AI scribe era.

MGMA's Anders Gilberg joins the show to break down the group's new regulatory burden report.

Health care attorney Dan Silverboard, J.D., breaks down the legal risks physicians and practices face when using AI.

Rep. Greg Landsman (D-Ohio) explains why he wants to ban the WISeR model, and why AI should be used to fix prior authorization, not make it worse.

ArentFox Schiff's Pat Naples, J.D., breaks down the legal basis behind CMS's latest antifraud push and what physician practices need to do before investigators come knocking.

Aeroflow Health CEO Casey Hite explains how tariffs forced his company to innovate faster, and why the rest of the health care industry should take the same approach.

Employment attorney Christopher Mayer, J.D., breaks down what physician practice leaders need to know about AI-driven layoff decisions and the fast-changing landscape for non-compete agreements.

PYA's Shannon Sumner, CPA, CHC, breaks down what the federal government's escalating fraud enforcement push means for physician practices.

Mitsubishi HC Capital America's John Pack breaks down why mid-size practices keep hitting a wall with traditional financing. Here's what owners need to understand about cash flow, debt and growth before it's too late.

Sarah Matt, M.D., MBA, makes the case that virtual care can expand access and strengthen patient relationships — if physicians, health systems and technology vendors stop assuming they know what patients need.

Sightview Software's Holly Black, often called a "MIPS Geek Guru," breaks down what's changed in MIPS for 2026 and what practices can still do right now to protect their Medicare revenue.

Texas 2036's Charles Miller, J.D., breaks down the market consolidation, pricing failures and coverage gaps that are making it harder than ever for independent physicians to survive.

Kelly Villella of Wolters Kluwer Health breaks down a new survey of physician assistants.

Robert Cain, D.O., joins the show to discuss the remarkable growth of osteopathic medicine and why the profession's whole-person philosophy may be more relevant now than ever.

CENTEGIX's Andrea Greco joins the show to explain why workplace violence is now a balance sheet problem every practice leader needs to take seriously.