Welcome to another episode of Patients Win! Today, we’re diving into the evolving world of direct specialty care with Dr. Sean Stanga, an allergist who’s redefining patient access and transparency in allergy and immunology. Joined by hosts Dr. Jonathan Bushman and Troy Reichert, we explore the pitfalls of traditional hospital employment, from RVU-driven patient churn to inadequate reimbursement for complex specialty procedures, and how direct care models offer a refreshing alternative.

Dr. Stanga shares his journey from hospital-based pediatrics in North Dakota to pioneering a direct specialty allergy practice in Iowa, breaking down why patients and providers alike are gravitating towards transparent pricing, reduced wait times, and a restored focus on quality, unhurried care. We’ll hear about innovative therapies like intralymphatic immunotherapy, the real impact of insurance reimbursement limitations, and why so many specialists are now reaching out to learn how they too can bring joy and better outcomes back to their practices.

If you’re curious about the future of specialty care, and what happens when patients—and doctors—finally “win,” stay tuned!

Link to Dr. Stanga's Specialty Clinic - allergenix.com/patientswin

Timestamps:

00:00 Considering a Career in Neonatology

05:55 Challenges of RVUs in Allergy Care

07:37 Impact of RVUs on Allergists

11:30 Explaining the RUC Committee

16:32 Insurance misunderstandings in allergy specialty

19:32 Benefits of direct care

21:18 Pricing and educating in healthcare

26:37 Health insurance and personal autonomy

28:13 Transparent pricing in medical practice

31:12 Telemedicine and cross-state licensing

35:35 New allergy treatment method

39:09 Discussing allergy treatment options

40:48 Intralymphatic method explained

45:07 Challenges in Offering Specialized Allergy Treatment

47:07 Experiences with European medical treatments

50:34 Future topics and direct care benefits

Show Website - https://thepatientswin.com/

Primed Healthcare - https://primedhealthcare.com/

Troy Reichert - Show Host - LinkedIn - https://www.linkedin.com/in/troy-reichert-67606b5/

Dr. Jonathan Bushman - Show Host - LinkedIn - https://www.linkedin.com/in/jonathan-bushman-do-106821191

Media Partner - TopHealth - https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

On this episode of Patients Win, Dr. Jonathan Bushman and Troy Reichert set aside business models and policy talk to get personal, digging into the real patient stories that have shaped their mission in healthcare. From moments of heartbreak and frustration to examples of advocacy that truly changed lives, they explore how deeply the patient experience drives their commitment to challenging the healthcare status quo. You’ll hear powerful reminders of how the system’s complexity, lack of price transparency, and broken trust can literally be life or death, and how reimagining healthcare around real people can make all the difference. Tune in for a raw, honest conversation that puts people, not profits, at the center of every decision.

Timestamps:

00:00 Impact of patient experiences

03:15 Discovering clinician roles in decision-making

06:49 Complexity of Medical Billing

11:38 Combining plan design and patient care

14:41 Exceptional patient care experience

17:34 Finding affordable medication options

20:29 The essence of helping others

23:10 Negotiating contract terms

28:31 Surgery postponed, patient stays local

32:04 Rethinking Medical Decision-Making

34:40 Being a physician as an advantage

39:22 Educating colleagues on health benefits

42:12 Educating about healthcare costs

46:35 Impact of provider sellout on care

48:01 Concerns about healthcare costs and delays

54:00 Seeing problems from new angles

55:05 Cost-effective cochlear implants

Show Website - https://thepatientswin.com/

Primed Healthcare - https://primedhealthcare.com/

Troy Reichert - Show Host - LinkedIn - https://www.linkedin.com/in/troy-reichert-67606b5/

Dr. Jonathan Bushman - Show Host - LinkedIn - https://www.linkedin.com/in/jonathan-bushman-do-106821191

Media Partner - TopHealth - https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

Welcome to another episode of Patients Win. Today, Dr. Jonathan Bushman and Troy Reichert are joined by Dr. Lane Peyton, a passionate psychiatrist from Oklahoma City, known for his dedication to integrative medicine and bringing together primary care and mental health for better patient outcomes. In this conversation, Dr. Peyton shares the winding path that led him from resisting a medical career to becoming a leader in psychiatry, shaped by vivid formative experiences and a commitment to addressing patient suffering on every level.

Together, they delve into the importance of listening and meeting patients where they are, even when their immediate needs seem small compared to larger health issues. The episode explores the evolution of mental health care, the power of community and connection, and the challenges and promise of new treatments for depression and PTSD. Throughout, listeners will hear stories of real patients, lessons learned from mistakes, and a hopeful vision for the future grounded in compassion, self-care, and building stronger relationships in and outside the clinic.

Timestamps:

00:00 Choosing Psychiatry and Early Practice

08:18 Reflecting on career and upbringing

10:45 Discussing patient experiences

17:58 Listening to a personal story

25:24 Discussing modern mental health crises

28:41 Balancing behavioral health and science

33:54 Cultural practices and prion diseases

41:54 Handling psychiatric emergencies

46:26 Discussing treatments for PTSD

50:22 Discussing psychedelic drug regulations

55:26 Pharma challenges with psilocybin therapy

59:34 Opioid withdrawal and treatment challenges

01:03:19 Prioritizing Self-Care for Success

Show Website - https://thepatientswin.com/

Primed Healthcare - https://primedhealthcare.com/

Troy Reichert - Show Host - LinkedIn - https://www.linkedin.com/in/troy-reichert-67606b5/

Dr. Jonathan Bushman - Show Host - LinkedIn - https://www.linkedin.com/in/jonathan-bushman-do-106821191

Media Partner - TopHealth - https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

Welcome to another episode of Patients Win. Today, we’re joined by Dr. Saju Joseph, a renowned surgeon based in Las Vegas with a fascinating journey from surgical training in Boston to an extraordinary fellowship in Scotland. Alongside hosts Dr. Jonathan Bushman and Troy Reichert, we dive deep into Dr. Saju Joseph’s evolution from oncology research to cutting-edge regenerative and sports medicine, and his unique, patient-centered approach to care.

In this candid and insightful conversation, we’ll explore the challenges and joys of practicing medicine today, the importance of returning to basic science, and the ways in which Dr. Saju Joseph has built a practice focused on true patient outcomes and community impact. We’ll also discuss the struggle to find and redefine joy in medicine, the failure of traditional reimbursement models, and the power of mentorship and collaboration.

Join us as we discuss stories that highlight what it means to truly put patients first, how small changes can create positive ripples across entire communities, and what the future might hold for both physicians and patients striving for better healthcare experiences.

Timestamps:

00:00 Unique surgical fellowship experience

09:01 Balancing surgery and academic training

13:55 Explaining stress and hernias

16:52 Discussing patient-doctor relationships

23:16 Understanding osteoarthritis and blood flow

30:45 Balancing work and family life

36:43 Office visits and unexpected benefits

39:47 Personal goals and family aspirations

49:14 Managing a Small Practice

50:53 Flexible curriculum in medical school

58:24 Helping a School Counselor

01:01:00 Dr. Joseph's values in medicine

Show Website - https://thepatientswin.com/

Primed Healthcare - https://primedhealthcare.com/

Troy Reichert - Show Host - LinkedIn - https://www.linkedin.com/in/troy-reichert-67606b5/

Dr. Jonathan Bushman - Show Host - LinkedIn - https://www.linkedin.com/in/jonathan-bushman-do-106821191

Media Partner - TopHealth - https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

In this episode of Patients Win, Dr. Jonathan Bushman sits down with longtime friend, colleague, and next-door clinic neighbor Dr. Charles Jantzen for an honest conversation about resilience, burnout, and rediscovering joy in medicine. The two reflect on their journeys from the early days of medical school and rural residency in Enid, Oklahoma, through the challenges of changing healthcare systems, administrative frustrations, and personal struggles that led both to question their place in the profession.

From the camaraderie and hands-on learning of rural medicine, to the painful closure of their residency program and the impact of corporate changes on their daily work, Dr. Jantzen and Dr. Bushman share candidly about what led them to the brink of leaving medicine and what brought them back. Together, they explore the difficult emotions around quitting, the importance of peer support, and how finding new models like direct primary care has helped them reclaim satisfaction and patient connection in their work.

Whether you’re a physician feeling the weight of burnout or a patient curious about what your doctor faces behind the scenes, this episode is a powerful reminder that taking care of ourselves is often the first step to making sure that patients win.

Timestamps:

00:00 Early days in medical school

09:40 Reflecting on a mountain hike

13:21 Residency program closure frustration

18:20 Leaving the Hospital for the Clinic

24:06 Challenges with medical scheduling

28:40 Discussion on Physician Economic Impact

36:19 Clinic relocation and budget concerns

40:00 Leaving the job and notifying patients

47:53 Changes in medical clinic culture

53:36 Joining Owasso Urgent Care Team

58:58 Reflecting on a breakthrough moment

01:03:24 Finding joy in medicine again

Show Website - https://thepatientswin.com/

Primed Healthcare - https://primedhealthcare.com/

Troy Reichert - Show Host - LinkedIn - https://www.linkedin.com/in/troy-reichert-67606b5/

Dr. Jonathan Bushman - Show Host - LinkedIn - https://www.linkedin.com/in/jonathan-bushman-do-106821191

Media Partner - TopHealth - https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

Welcome to another episode of Patients Win. Today, we explore what it truly means to move healthcare upstream, shifting the focus from reactive disease treatment to proactive, whole-person care. We’re joined by Dr. Scott Conard, a family physician and leader in value-based care, who shares his transformative journey from traditional allopathic medicine to embracing integrative and preventative health. Dr. Conard recounts how personal loss early in his career compelled him to question the conventions of medicine and motivated his mission to become not just a doctor, but a healer focused on the entire individual - body, mind, and spirit.

In this conversation, you’ll hear candid stories about the shortcomings and perversions of value-based care, how data and risk management can be harnessed to save lives before crises strike, and how innovative care models are both saving lives and challenging the financial incentives of traditional healthcare systems. Together with hosts Dr. Jonathan Bushman and Troy Reichert, we’ll discuss empowering patients to take control of their own health, building systems that identify risk before it becomes reality, and the ongoing battle to align healthcare incentives with true wellness. Get ready for a deep dive into the future of medicine, the power of data, and the courage it takes to lead change that puts patients first.

Timestamps:

00:00 Transitioning from Doctor to Healer

04:11 Rethinking allopathic medicine basics

08:58 Building health literacy and relationships

11:27 Discussing patient post-surgery recovery

15:11 Mindset and Physical Transformation

17:50 Using data to prevent health issues

22:42 Using a whole person risk score

24:08 Expanding and diversifying clinic services

29:51 NDA and deciding to leave

32:34 Discussing healthcare financial conflicts

33:34 Frustrations with insurance and patient care

37:59 Improving Patient Care and Services

40:44 Innovations in healthcare cost reduction

45:01 Commitment to healthcare reform

48:36 Hospital reimbursement rates increase

50:54 Discussing US healthcare costs

Show Website - https://thepatientswin.com/

Primed Healthcare - https://primedhealthcare.com/

Troy Reichert - Show Host - LinkedIn - https://www.linkedin.com/in/troy-reichert-67606b5/

Dr. Jonathan Bushman - Show Host - LinkedIn - https://www.linkedin.com/in/jonathan-bushman-do-106821191

Media Partner - TopHealth - https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

Welcome to another episode of Patients Win, the podcast dedicated to reimagining healthcare so it truly works for the people it serves - the patients. In today's show, the conversation focused on the vital role of health coaching and its intersection with mainstream healthcare. The discussion explored how health coaching goes far beyond simple diet and exercise advice, digging into personalized support, shame reduction, and the foundational lifestyle changes that lead to meaningful transformation.

A key theme that emerged was the immense gap between knowledge and action, why so many people know what they "should" do, but struggle to make and sustain change on their own. Several points were raised, including the emotional hurdles patients face, like shame and past failures, and how a supportive coaching relationship can help break down those barriers. The episode also takes a closer look at how lifestyle medicine, built on six pillars including nutrition, sleep, stress management, and social connection, can empower patients to regain control over their health, 1% at a time.

Listeners will hear stories of real transformation, the surprising elements of health coaching that patients don't expect, and how integrating coaching into employer health plans can lead to dramatic cost savings and better health outcomes. If you've ever felt stuck in your health journey or questioned the role of supportive relationships in true healing, this conversation is for you. At the end of every healthcare decision, one question remains: Did the patient win? Let's find out.

Timestamps:

00:00 Introduction to Patients Win the Show

03:51 Studying health and lifestyle globally

08:22 Foundations of lifestyle medicine

11:11 Setting personal health goals

13:56 Creating a safe space to share

19:08 Intro to the lifestyle program

22:08 Transformational personal growth journey

23:59 Importance of human connection

29:44 Supporting Healthcare for Employers

30:52 Coaching success before medication

36:48 The importance of seeking help

37:20 Encouraging collaborative patient care

41:24 Overcoming excuses to start now

44:49 Appreciating Cecilia's contributions

Show Website - https://thepatientswin.com/

Primed Healthcare - https://primedhealthcare.com/

Troy Reichert - Show Host - LinkedIn - https://www.linkedin.com/in/troy-reichert-67606b5/

Dr. Jonathan Bushman - Show Host - LinkedIn - https://www.linkedin.com/in/jonathan-bushman-do-106821191

Media Partner - TopHealth - https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

Welcome to another episode of Patients Win, the podcast dedicated to making healthcare work for the people it serves - the patients. Today, we dive into the intersection of healthcare and technology with David Comiskey of HealthMe. With a unique background that spans national security, the pet care industry, and now healthcare innovation, David Comiskey brings a fresh perspective on how transparency and direct care models can rebuild trust and transform the patient experience.

Join Troy Reichert and Dr. Jonathan Bushman as they explore how legacy technology has disrupted the doctor-patient relationship, why pricing transparency is key to restoring trust, and how HealthMe’s platform is simplifying access, costs, and quality for both patients and providers. Hear real-life stories of patients saving thousands and getting the care they need faster, and discover why mission-driven innovation from outside traditional healthcare might just be what patients need to win.

Timestamps:

00:00 Starting in the Defense Department

03:33 Building a pet care tech company

06:52 Technology's role in healthcare change

11:13 Benefits of direct care models

14:14 Discussing a simplified service platform

18:28 Discussing trust in healthcare

20:02 Patients using AI in healthcare

24:22 Implementing prospective pricing in healthcare

28:50 Improving healthcare accessibility

32:36 Saving on surgery costs

35:20 Thanking Dave for his contributions

Show Website - https://thepatientswin.com/

Primed Healthcare - https://primedhealthcare.com/

Troy Reichert - Show Host - LinkedIn - https://www.linkedin.com/in/troy-reichert-67606b5/

Dr. Jonathan Bushman - Show Host - LinkedIn - https://www.linkedin.com/in/jonathan-bushman-do-106821191

Media Partner - TopHealth - https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”