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Commentary

Video

June 25, 2025

Navigating hidden costs in your practice: Strategies for financial stability and quality care in 2025

Author(s):

Sara Pastoor, M.D., M.H.A., FAAFP,Manisha Goud

Fact checked by:

Chris Mazzolini,Austin Littrell

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.

EP: 1.Using Your Data to Drive Practice Optimization & Growth

EP: 2.Mastering Revenue Cycle Management: In-House Versus Outsourcing

EP: 3.The Medical Malpractice Market: What MPL Consumers Need to Know and Understand

EP: 4.Creating a Practice Culture of Self-Care, Prevention and Well-being

EP: 5.The Changing Alzheimer’s Treatment Landscape - how to prepare your practice

EP: 6.Preventing coding denials

EP: 7.Tips for dealing with prior authorizations

EP: 8.Opening a new practice

EP: 9.Contract negotiation best practices for physicians

EP: 10.Building practice growth through business credit cards

EP: 11.What to do when your practice is an acquisition target

EP: 12.Find the hidden gems in your Medicare billing: Under-used codes that can generate revenue

EP: 13.Unlocking financial independence: Strategies to help doctors retire on their own terms

EP: 14.How to increase the power of your individual and group disability programs

EP: 15.How CareCredit Can Help Minimize Administrative Burden that Can Contribute to Staff Burnout

EP: 16.Navigating Social Media in Health Care

EP: 17.Inside the 95th Physician Report: Exclusive data on Practice Finance, Salaries, and More

EP: 18.Identifying Revenue Leakage in Your Organization

EP: 19.Beyond the malpractice basics: Occurence, claims-made and tail insurance explained

EP: 20.Rowing together: How to rally your team to achieve practice goals

EP: 21.Unlocking audit-proof revenue: Insider secrets for E&M excellence

EP: 22.High-impact KPIs for revenue improvement: What to track and how to fix it

Now Viewing

EP: 23.Navigating hidden costs in your practice: Strategies for financial stability and quality care in 2025

EP: 24.AI hype vs. reality in health care billing

EP: 25.Hot button tips from a health care lawyer

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

About the presenters

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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