『Off the Chart: A Business of Medicine Podcast』のカバーアート

Off the Chart: A Business of Medicine Podcast

Off the Chart: A Business of Medicine Podcast

著者： Medical Economics
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 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 medical practices today. New episodes release every week. Brought to you by Medical Economics and Physicians Practice.

Off the Chart: A Business of Medicine Podcast Staff

Hosts: Keith Reynolds, Austin Littrell
Contributors: Chris Mazzolini, Todd Shryock, Richard Payerchin, Austin Littrell
Inquiries: Please email Host Keith Reynolds with feedback, questions, guest suggestions and more.MJH Life Sciences 経済学
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  • S1 Ep77: What's broken in health care, with Marschall Runge, M.D., Ph.D.

    S1 Ep77: What's broken in health care, with Marschall Runge, M.D., Ph.D.
    2025/08/11
    Marschall Runge, M.D., Ph.D., dean of the University of Michigan Medical School, CEO of Michigan Medicine and author of The Great Healthcare Disruption, joins the show to dissect exactly what's broken in U.S. health care — and what we can do to fix it.

    Music Credits:
    Moonlit Walk by Buurd - stock.adobe.com
    Relaxing Lounge by Classy Call me Man - stock.adobe.com
    A Textbook Example by Skip Peck - stock.adobe.com

    Editor's note: Episode timestamps and transcript produced using AI tools.
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    30 分
  • S1 Ep76: What AI can (and can't) do for prior authorizations, with Brad Boyd of BDO USA

    S1 Ep76: What AI can (and can't) do for prior authorizations, with Brad Boyd of BDO USA
    2025/08/04
    Brad Boyd, principal of management consulting at BDO USA, joins the show to talk about how artificial intelligence (AI) and other health technologies are helping physicians navigate the prior authorization process, reduce administrative burdens and improve patient care.

    Music Credits:
    CHILL LOFI HIPHOP (AGATE LEVELS) NO MEL by Tasty Tunes - stock.adobe.com
    Relaxing Lounge by Classy Call me Man - stock.adobe.com
    A Textbook Example by Skip Peck - stock.adobe.com

    Editor's note: Episode timestamps and transcript produced using AI tools.

    Introduction to the Episode (00:00:21)     Overview of the podcast, episode focus on prior authorizations, and introduction of guest Brad Boyd.

    Biggest Pain Points in Prior Authorization (00:01:36) Discussion of administrative burdens, labor shortages, increased denials, and financial pressures on providers.

    AI’s Immediate Impact on Prior Authorization (00:04:47) How automation and AI can reduce administrative workload and free up clinical staff.

    Rules-Based vs. Generative AI (00:06:26) Differences between rules-based automation and generative AI in revenue cycle management.

    Data Requirements for AI Solutions (00:09:26) Discussion on the need for organized, governed data for effective AI implementation.

    Provider vs. Payer AI Systems (00:10:54) Exploration of incentives, trust issues, and the divide between provider and payer AI tools.

    AI “Battles” and Denial Increases (00:13:23) Concerns about AI systems on both sides increasing denials and administrative gamesmanship.

    Integrating AI into EHR Workflow (00:16:14) Importance of embedding AI tools into existing clinical and administrative workflows.

    AI Access for Small and Rural Practices (00:19:46) Challenges and opportunities for smaller practices to adopt AI, including reliance on vendors and clinical alignment.

    Management Minute: Employee Red Flags (00:21:56) Three red flag behaviors that signal it’s time to let an employee go in a medical practice.

    Are We at a Tipping Point? (00:23:09) Discussion on regulatory attention, public uproar, and whether technology can finally solve prior auth issues.

    Ethics of AI in Prior Authorization (00:25:40) Ethical concerns, data protection, and responsible use of AI in healthcare.

    How to Start Streamlining Prior Auth with AI (00:28:01) Advice on developing a strategy, prioritizing use cases, and building sustainable AI programs.

    Final Thoughts and Emphasis on Strategy (00:32:38) Importance of a thoughtful, long-term strategy for AI adoption in healthcare revenue cycle management.

    Episode Wrap-Up (00:34:09) Closing remarks, subscription reminders, and production credits.
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    35 分
  • Special Report: 60 years of Medicare

    Special Report: 60 years of Medicare
    2025/07/30
    This is an Off the Chart Special Report.
    60 years ago today, on July 30, 1965, President Lyndon B. Johnson signed the Medicare and Medicaid Act — also known as the Social Security Amendments of 1965 — into law at the Truman Library in Independence, Missouri.

    Years earlier, in 1945, it was President Harry S. Truman who first proposed a comprehensive national health insurance program to Congress. During the ceremony in 1965, President Johnson called Truman "the real daddy of Medicare," presenting the former President and the former first lady, Bess Truman, with the first and second Medicare cards.

    Today, 60 years later, more than 66 million Americans are dependent on Medicare.

    In this episode, Medical Economics Senior Editor Richard Payerchin is joined by Clifton Truman Daniel, President Truman's eldest grandson, and Mark Adams, the director of the Truman Library.

    They reflect on Medicare’s legacy, Truman’s push for universal care and what his ideas still mean for health policy today.

    Music Credits
    Cup of Coffee by Ionics - stock.adobe.com
    Relaxing Lounge by Classy Call me Man - stock.adobe.com
    A Textbook Example by Skip Peck - stock.adobe.com

    Editor's note: Episode timestamps and transcript produced using AI tools.

    Introduction and Historical Context (00:00:00)     Overview of Medicare’s 60th anniversary, President Truman’s early advocacy, and introduction of guests.

    Guest Introductions (00:01:17) Clifton Truman Daniel and Mark Adams introduce themselves and share their backgrounds.

    Medicare’s Historic Connection to Truman (00:03:47) Discussion of why LBJ signed Medicare at the Truman Library and the Truman-Johnson relationship.

    Personal Anecdotes: Truman and Johnson Families (00:07:03) Stories about the friendship between the Truman and Johnson families, including the portrait incident.

    Truman’s Vision for Health Care (00:08:51) Truman’s 1945 message to Congress and why health care was central to his Fair Deal agenda.

    Physician Leadership and Opposition (00:11:47) Truman’s views on physician leadership, AMA opposition, and his preference for decentralized health care.

    Supporters and Opponents of Truman’s Health Initiatives (00:13:12) Who supported and opposed Truman’s health care proposals, including labor unions and conservative groups.

    Historical Context: 1945–1965 (00:15:51)     Social and political developments that led to Medicare and Medicaid, including the Great Society.

    Truman’s Post-Presidency Involvement (00:17:10)     Truman’s continued interest in national affairs and his relationships with later presidents.

    Recurring Health Care Challenges (00:19:50) Discussion of persistent health care issues from Truman’s era to today and his likely reaction.

    Decentralization in Health Care (00:23:28) Truman’s emphasis on state and local involvement in health care delivery.

    Impact on Life Expectancy (00:25:51) Improvements in American life expectancy since Medicare’s passage and Truman’s likely response.

    Personal Health and Family Legacy (00:27:24) Truman family health stories and the importance of health in their lives.

    Closing Remarks and Podcast Outro (00:30:42) Thanking guests, encouraging subscriptions, and podcast credits.
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    32 分
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