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Artwork for Off the Chart: A Business of Medicine Podcast

Off the Chart: A Business of Medicine Podcast

Medical Economics
Artificial Intelligence
Medicare
Burnout
Primary Care
Patient Care
Healthcare
Vaccination
AI In Healthcare
Artificial Intelligence In Healthcare
Covid-19 Pandemic
Physician Burnout
Prior Authorizations
Healthcare Costs
Telehealth
Vaccine Hesitancy
Patient Management
Independent Medical Practices
CDC
Public Health
Mental Health

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: Kei... more

PublishesTwice weeklyEpisodes205Founded6 years ago
Number of ListenersCategory
Business

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Artwork for Off the Chart: A Business of Medicine Podcast

Latest Episodes

Physician compensation has never been simple, but in 2026 it is especially fraught. Medical groups and health systems are contending with workforce shortages, flat or declining reimbursement, rising operating costs and the regulatory limits that come... more

For the first time in years, physician compensation and productivity have moved in opposite directions — pay is up, encounter volume is down — and practice leaders are trying to work out what it means heading into a turbulent year. Physicians Practic... more

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For years, Medicare and Medicaid effectively excluded coverage for the medications proven to treat obesity. That is starting to change. In 2026, CMS rolled out two new programs, the Medicare GLP-1 Bridge and the Medicaid-focused BALANCE Model, that o... more

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Health care hiring is in a strange place. Clinical job applications jumped 10% at the start of 2026, yet the gap between open positions and actual hires keeps widening, a sign that getting candidates in the door is only half the battle.

In this epis... more

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Key Facts

Accepts Guests
Accepts Sponsors
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Recent Guests

Trent Cotton
Head of Talent Insights
iSim (iCIMS)
Episode: S1 Ep162: From hello to hired, with Trent Cotton of iCIMS
Kevin Baker
Director of Business Development
Emergency Care Partners
Episode: S1 Ep160: How to sell your practice, with Kevin Baker of Emergency Care Partners
Andrea Giamalva
Chief Medical Officer at Experity Health
Experity Health
Episode: S1 Ep159: The new front door to health care, with Andrea Giamalva, M.D., FAAFP, of Experity
John Cianca
President of the American Academy of Physical Medicine and Rehabilitation; private practitioner in Houston, TX
American Academy of Physical Medicine and Rehabilitation
Episode: S1 Ep158: Cash-only practice, with John C. Cianca, M.D., FAAPMR, president of the American Academy of Physical Medicine and Rehabilitation
Melinda Mastel
Financial Advisor at the Medical College of Wisconsin
Medical College of Wisconsin
Episode: S1 Ep157: From spreadsheets to strategy, with Melinda Mastel, MBA, MS, of the Medical College of Wisconsin
Dhruv Khullar
Physician, practicing physician at Weill Cornell; Health Services Researcher
Weill Cornell Medical College
Episode: S1 Ep156: Why where you live may matter more than how you're treated, with experts from the Physicians Foundation
Paul Harrington
Former Executive Vice President of the Vermont Medical Society; board member of the Physicians Foundation
Physicians Foundation
Episode: S1 Ep156: Why where you live may matter more than how you're treated, with experts from the Physicians Foundation
Dr. Michael Jerkins
President and Co-Founder of Panacea Financial
Panacea Financial
Episode: S1 Ep155: What doctors don't know about their own finances, with Michael Jerkins, M.D., M.Ed., and Jillian Vestal, J.D., of Panacea Financial
Jillian Vestal
Head of Legal Services at Panacea Legal
Panacea Legal
Episode: S1 Ep155: What doctors don't know about their own finances, with Michael Jerkins, M.D., M.Ed., and Jillian Vestal, J.D., of Panacea Financial

Hosts

Keith Reynolds
Host of the show and managing editorial presence; long-running contributor across episodes
Austin Littrell
Co-host and editor; central on multiple episodes and editor roles

Reviews

5.0 out of 5 stars from 10 ratings
  • Should be required listening

    If you are interested in all other aspects of medicine and the business of medicine that affect you as a practicing physician, you need to read the journal and listen to this excellent podcast.

    Apple Podcasts
    5
    x0Mango0x
    United States9 months ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Useful for sponsors looking to reach clinicians and practice executives.
Thoughtful, data-driven take on the business of medicine.
Consistent coverage of AI governance and payer negotiations.
High-quality guests and actionable insights for practice leadership.
Great source for physician-led care policy and practical practice management tips.

Talking Points

Recent interactions between the hosts and their guests.

S1 Ep160: How to sell your practice, with Kevin Baker of Emergency Care Partners
Q: What's the biggest mistake physicians make when thinking about selling their practice?
The biggest mistake is not building the right advisory team early and relying on last-minute decisions; having advisors who understand the industry, like CPAs or attorneys, helps you evaluate not just price but deal structure and future post-close realities.
S1 Ep161: The No Surprises Act's new payment dispute rule, with Anders Gilberg of MGMA
Q: Does this rule, is this a sign of a broader shift on how it's approaching the No Surprises Act? And what should practices watch for next?
Anders explains that while this rule isn't framed as a harbinger of broader shifts, it represents ongoing refinement to support providers, with hopes for legislative and enforcement support and clearer timelines on future issues.
S1 Ep156: Why where you live may matter more than how you're treated, with experts from the Physicians Foundation
Q: Why is primary care central to addressing these issues, and what risks exist if it is underfunded?
Primary care is the longitudinal point of care for communities and plays a crucial role in addressing social needs; underfunding risks eroding the base of the healthcare system and worsening patient outcomes.
S1 Ep156: Why where you live may matter more than how you're treated, with experts from the Physicians Foundation
Q: What is being done at the policy level to support social drivers of health, and what should physicians do to get involved?
Policy work at federal and state levels is encouraging experimentation and flexibility; physicians should engage with their state medical societies and provide feedback on health policy based on frontline experience.
S1 Ep156: Why where you live may matter more than how you're treated, with experts from the Physicians Foundation
Q: How can payment systems incentivize clinicians to address social drivers of health?
By developing billing codes that recognize and reimburse activities related to social determinants of health, and aligning incentives to support linking patients to social resources with sustainable funding.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

Listeners per Episode
Gender Skew
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Frequently Asked Questions About This Podcast

What is This Podcast about and what kind of topics does it cover?

Off the Chart: A Business of Medicine Podcast features in-depth conversations with healthcare experts, physicians, and industry leaders about the business, policy, and practicalities of medical practice. Recent episodes skew toward physician-led models, payer negotiation strategies, AI and automation in care delivery, and the regulatory and administrative pressures shaping modern medicine. A standout pattern is the blend of clinical insight with policy, legal, and financial perspectives, often anchored by practical takeaways for practice leaders. The show frequently hosts senior editors and executives from medical economics and related outlets, giving it a data-informed, practitioner-focused angle that appeals to practice managers, physicia... more

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1. The Podcast by KevinMD
2. Masters in Business
3. Sound Investing
4. The Ezra Klein Show
5. Dwarkesh Podcast

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this podcast launched 6 years ago and published 205 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on this podcast?

Recent guests on this podcast include:

1. Trent Cotton
2. Kevin Baker
3. Andrea Giamalva
4. John Cianca
5. Melinda Mastel
6. Dhruv Khullar
7. Paul Harrington
8. Dr. Michael Jerkins

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