Off the Chart

Rosemarie Aznavorian, D.N.P., RN, joins the show to discuss how nurse shortages are affecting patient access and why more patients are turning to AI tools for medical advice.

Stephanie O’Connor joins the show to explain how medical practices can modernize payment systems, reduce fraud and protect revenue without compromising the patient experience.

Immigration attorney Katie Russell, J.D., joins the show to explain how shifting ICE enforcement priorities and new visa rules are affecting medical practices in 2026.

Shannon Sims, M.D., Ph.D., and Matthew Bates, M.P.H., join the show to break down what Vizient’s 2026 State of the Industry report means for physician access, team models and financial sustainability.

Christopher Whaley, Ph.D., joins the show to explain how site-neutral payment reform could reshape Medicare reimbursement, hospital consolidation and the future of independent practice.

Richard Anderson, M.D., FACP, CEO of The Doctors Company and TDC Group, joins the show to break down the state of the industry and the top risks facing physicians in 2026.

Amber Maraccini, Ph.D., M.A., joins the show to discuss how patients are using AI tools before visits, and what that means for trust, communication and care.

Anders Gilberg, senior vice president of government affairs at MGMA, joins the show to explain how shifting federal policy decisions are affecting physician practices and what medical groups should be watching in 2026.

Melissa Lucarelli, M.D., FAAFP, talks with Ronald M. Epstein, M.D., FAAHPM, about how mindfulness, presence and communication shape patient care, physician well-being and medical culture.

Peter Reilly, North American health care practice leader at HUB International, joins the show to break down the top risks facing physician practices in 2026.

Rihan Javid, D.O., J.D., co-founder and president of Edge, joins the show to discuss how staffing pressures are landing inside medical practices in 2026.

Carl White, MBA, president of MarketVisory Group, joins the show to explain why good care is no longer enough and what independent practices must do to stay visible and competitive in 2026.

Colleen Denny, M.D., FACOG, joins the show to break down what patients are hearing online, how medical misinformation shows up in the exam room and why physicians still play a central role in restoring trust.

Michael Jerkins, M.D., M.Ed., a practicing physician and co-founder of Panacea Financial, joins the show to discuss financial independence, physician debt and why financial decisions can quietly take control of a physician's time.

AMGA President Jerry Penso, M.D., MBA, and Practicing Excellence founder Stephen Beeson, M.D., discuss their new partnership and why physician training is shifting away from seminars toward in-the-workflow development.

Pediatrician David Higgins, M.D., M.P.H., M.S., explains why true vaccine hesitancy is rarer than headlines suggest, how social media distorts the picture and what physicians can do to rebuild trust one conversation at a time.

Keith and Austin prepare for the Off the Chart holiday party.

Greg Grant, the chief operating officer of Specialdocs Consultants, joins the show to explore why 2026 may be a pivotal year for physicians considering the transition to membership-based care.

Bill Heller, CEO at CHG Healthcare, joins the show to talk about physician engagement and other key takeaways from their 2025 Physician Sentiment Survey.

Paul Offit, M.D., joins the show to talk about the state of vaccine and public health skepticism, and what it means for physicians.

Daniel Krajcik, D.O., MBA, a primary care physician with the Cleveland Clinic, joins the show to break down the real-world considerations of bringing rapid testing into the office.

American College of Physicians President Jason Goldman, M.D., MACP joins the show to talk about medical misinformation.

Jared Rhoads, M.S., M.P.H., joins the show with a different take on private equity.

Retired MGMA senior fellow David Gans, MSHA, FACMPE, joins the show to break down the rising costs, flat reimbursement, staffing strain and tech decisions shaping medical practice performance heading into 2026.

Krista Blackwell, Ph.D., joins the show to break down the new CDC and American Heart Association reports on ultraprocessed foods.

Loren Adler, fellow and associate director at the Brookings Institution’s Center on Health Policy, joins the show to discuss how payer ownership is reshaping primary care and what it means for independent physicians.

Physician mental health remains overshadowed by stigma, culture and outdated licensing barriers. Daniel Saddawi-Konefka, M.D., MBA, and Christine Yu Moutier, M.D., break down why physicians still struggle to seek help and what reforms could finally move the needle.

Anders Gilberg, senior vice president of government affairs at MGMA, joins the show to explain how the temporary funding agreement affects Medicare claims, telehealth and payment stability.

Clarissa Riggins, chief product officer at Experian Health, joins the show to talk why denied claims are increasing and how AI can help practices prevent revenue loss.

The editors behind Medical Economics and Physicians Practice mark 100 episodes of Off the Chart with a roundtable on how the business of medicine has evolved.