In this episode of The Pediatric Lounge, Dr. Rogu and Dr. Bravo welcome Chip Hart from PCC to discuss practical paths to fairer insurance reimbursement in pediatrics. They delve into the complexities of pediatric payment structures, including disparities in payments based on practice ownership and the impact of insurance models. The conversation also explores broader healthcare issues, including the economic implications of preventive care, the federal government's role in ensuring equitable healthcare, and potential solutions to make pediatric practices financially sustainable.

Highlighting successful practices that have thrived, the discussion underscores the importance of vision, business acumen, and an abundance mindset in pediatrics.

Additionally, the episode emphasizes the significance of the upcoming PMI (Pediatric Management Institute) conference, noting that it offers valuable opportunities for learning, networking, and professional growth. It is mentioned that PMI is fully sold out for in-person attendance but provides a streaming option, with speakers like Sandy Chung and Sue Kressley participating. Special attention is given to a T1D Mastermind Class at PMI with world-renowned pediatrician Dr. Kimber Simmons, showcasing the event as a pivotal occasion for anyone in the pediatric field.

00:00 Welcome to The Pediatric Lounge
00:32 Introducing Chip Hart and Today's Topic
01:02 Understanding Insurance Payments in Pediatrics
02:08 Private Equity and Practice Ownership
03:04 Medicaid and Payment Disparities
05:01 The Single Payer Model Debate
06:34 Value-Based Care in Pediatrics
07:55 Challenges in Preventive Care Funding
10:29 The Role of Managed Medicaid
14:02 Investment in Early Life Healthcare
19:41 Universal Coverage and Moral Hazards
20:14 Historical Context of Healthcare Policies
26:28 The Importance of Preventive Care
31:40 Public Schooling and Healthcare Parallels
40:27 Revisiting the Original Question
41:50 The Economics of Pediatric Care
42:53 Challenges with Insurance and Cash Payments
45:04 The Vaccine Debate and Physician Responsibility
47:29 Incentivizing Preventive Care
49:00 The Importance of Cash Systems in Healthcare
51:33 The New MSMS Codes and Payment Issues
01:01:39 Success Stories in Pediatric Practices
01:08:51 Upcoming PMI Conference and Final Thoughts

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
🐦 - TWITTER
📸 - Instagram
➡️ - Linkedin

The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

The Journey of Independent Pediatric Practice with Dr. Brian Birch

In this episode of The Pediatric Lounge, hosts George and Herbie welcome back Dr. Brian Birch to discuss his two years of experience running an independent pediatric practice. They explore the successes and challenges of starting the practice, the key technologies that have supported its operation, and the culture and values driving its mission. The conversation covers the use of AI ambient scribes, patient communication tools, and the importance of maintaining relationships with patients. Dr. Birch also shares insights into leadership, team building, and the complexities of vaccine hesitancy in a changing healthcare landscape.

00:00 Introduction to the Pediatric Lounge
00:24 Welcoming Dr. Brian Birch
00:39 Independent Practice Journey
01:19 Practice Operations and Team Structure
03:10 Technology in Practice
03:29 AI and Digital Scribes
18:12 Challenges and Solutions in Practice Management
24:31 Building a Positive Culture
29:25 The Courage to Prune for Growth
30:46 Enterprise First Mindset
31:55 Client Relationships and Non-Negotiables
32:52 Navigating Vaccine Hesitancy
36:41 Building Trust with Patients
46:36 Challenges in Pediatric Practice
47:13 Advocacy and Future Plans
51:54 Networking and Community Support
53:14 Conclusion and Farewell

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
🐦 - TWITTER
📸 - Instagram
➡️ - Linkedin

The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Applying Implementation Science to the New Paradigm of Autoimmune Diabetes: Preserving Beta Cells Through Early Screening

The Brain-Gut Connection: Exploring Pediatric Gastrointestinal Psychology

In this episode of The Pediatric Lounge, the hosts introduce Dr. Ali Navidi, a clinical psychologist and founder of GI Psychology. Dr. Vedi specializes in the brain-gut connection and works with children and families to manage chronic gastrointestinal and stress-related conditions. The conversation covers topics such as the significance of the brain-gut connection, the role of cognitive-behavioral therapy (CBT) and hypnosis in treating disorders like IBS, and the impact of diet, sleep, and exercise on mental health. Dr. Vedi discusses the importance of understanding and treating hypervigilance, catastrophic thinking, and visceral hypersensitivity in patients. The episode also explores hypnosis as a therapeutic tool, its applications in various conditions, and its integration with CBT. Additionally, the challenges of persuading parents to accept psychological explanations for their children's symptoms are highlighted, along with the complex interplay of trauma and gastrointestinal issues.

00:00 Introduction to The Pediatric Lounge
00:28 Upcoming Event Announcement
01:03 Guest Introduction: Dr. Ali Navidi
03:01 Understanding the Brain-Gut Connection
04:53 Impact of Lifestyle on Mental Health
06:20 Managing IBS with CBT
12:02 Challenges in Diagnosing Pediatric Conditions
20:31 Exploring Hypnosis in Clinical Practice
28:01 Entering the Flow State in Sports and Surgery
30:35 Hypnosis for IBS and Abdominal Pain
33:02 Hypnosis and Trauma Therapy
37:59 The Role of GI Psychology
39:32 Challenges with Medicaid and Insurance
52:45 Managing Chronic Pain with Mindfulness and Hypnosis
55:47 Concluding Thoughts and Farewell

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
🐦 - TWITTER
📸 - Instagram
➡️ - Linkedin

The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.