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Sara Pastoor, M.D., M.H.A., FAAFP, and Manisha Goud of Elation Health explain how practices can reclaim time, reduce overhead and deliver better care by fixing the behind-the-scenes systems that quietly drain revenue.
Hidden costs can chip away at a practice’s efficiency and revenue without anyone noticing. In the Medical Economics' June Practice Academy session, “Navigating hidden costs in your practice: Strategies for financial stability and quality care in 2025,” Sara Pastoor, M.D., M.H.A., FAAFP, and Manisha Goud of Elation Health unpacked how fragmented tech, documentation burdens and outdated payment structures undermine performance.
They called out burnout fueled by disconnected EHR systems and redundant tasks, and highlighted the value of integrated, flexible tools that support clinical and business goals. The duo also explored care models that move beyond fee-for-service, giving physicians more control and patients more value
Manisha Goud, vice president of solutions, Elation Health.
Manisha Goud is Elation Health's Vice President of Solutions, leading front-line teams focused on enabling independent primary care organizations to implement technology and workflow solutions that drive success in the ever-changing healthcare landscape. Manisha's experience has focused on ensuring clinicians and their organizations have the tools they need to drive clinical and financial outcomes in traditional Fee-for-Service and Direct Primary Care models to advanced value-based care arrangements. Manisha holds Bachelors Degrees in Biological Sciences and Political Science, as well as a Masters in Public Health, with an emphasis in Health Policy and Services, from the University of Southern California.
Sara Pastoor, M.D., M.H.A., FAAFP, head of primary care advancement, Elation Health.
Elation's leader in primary care advocacy, Pastoor is board-certified and a clinically-active family medicine physician. As an experienced primary care innovator in military medicine, academic medicine, private practice and employer-sponsored delivery models, Pastoor is an accomplished primary care champion and leader in patient-centered workflow, EHR optimization and health system transformation. Pastoor received her M.D. from Rosalind Franklin University of Health Sciences and M.H.A. from Trinity University.
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