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

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SOCIAL Media Pages ===============================
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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

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SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
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📸 - 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

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Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
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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.

Article: https://www.contemporarypediatrics.com/view/redefining-type-1-diabetes-early-identification-staging-and-clinical-implications-for-pediatric-care

Table: https://thepediatriclounge.com/screening-to-prevent-dka

Petiete Trial: https://link.springer.com/article/10.1007/s00125-025-06586-1#Sec5

Prevent Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2308743

Screening Summit: https://medschool.cuanschutz.edu/barbara-davis-center-for-diabetes/news-profdev/conferences-events/8th-childhood-diabetes-prevention-symposium---november-10th-11th--2025

In this episode, Herb Bravo is joined by Dr. Andrew Cagel, a pediatric endocrinologist, and Dr. Dan Feiten, a pediatrician , to discuss groundbreaking advancements in Type 1 Diabetes (T1D) care. The episode delves into their recent publication, 'Redefining Type 1 Diabetes: Early Identification, Staging, and Clinical Implications of Pediatric Care,' highlighting the critical importance of early detection and intervention. The guests emphasize the urgent need for universal screening.

00:00 Introduction to the Pediatric Lounge
00:45 Meet the Guests: Dr. Andrew Cagel and Dr. Dan Fen
01:08 Redefining Type 1 Diabetes
01:36 Personal Stories and Experiences
01:52 The Importance of Early Detection
04:40 Advancements in Type 1 Diabetes Treatment
13:55 The Role of EHR and AI in Pediatric Care
19:13 Future Directions and Guidelines
29:06 Pivotal Study in Pediatric Diabetes
30:45 The Protect Trial: Slowing Disease Progression
33:19 Challenges in Screening and Implementation
37:46 The Role of Pediatricians and Influencers
43:03 Advocacy and Future Directions
56:22 Conclusion and Final Thoughts

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.

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.

Setting Goals for 2026 in Pediatric Private Practices

In this episode of The Pediatric Lounge, Dr. Bravo and Dr. Click and Clack (George and Herb), discuss the importance of setting intentional goals for pediatric private practices as they approach 2026. They cover topics such as the integration of technology, operational efficiencies, and the importance of clinical quality goals. The conversation also touches on managing practice finances, patient satisfaction, and navigating the challenges of maintaining a successful independent practice in a rapidly changing healthcare landscape. Additionally, the episode explores the emotional toll of recent societal events and the need for positive language and mindset shifts in the medical community.

00:00 Introduction to The Pediatric Lounge
00:27 Setting Goals for 2026 in Pediatric Practice
00:43 The Multifaceted Role of Pediatricians
01:26 Addressing Burnout and Intentional Goal Setting
01:52 End of Year Reflections and Optimism
03:55 The Importance of Setting Practice Goals
05:43 Challenges in Implementing Clinical Goals
06:46 Navigating New Medical Practices and Products
22:23 The Impact of Private Equity and Hospital Systems
31:28 Adapting to Changes in Medical Guidelines
36:50 Real-Life Case: Early Diabetes Detection
37:42 Challenges in Pediatric Diabetes Screening
39:47 Physician Burnout and Job Satisfaction
43:47 Operational Efficiencies in Medical Practice
54:38 Financial and Business Goals for Pediatric Practices
01:04:06 Top 10 Goals for Pediatric Practices
01:08:00 Final Takeaways and New Year Wishes

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.

Transforming T1D Care: Innovations, Early Detection, and Empowered Pediatric Practice

Article: https://www.contemporarypediatrics.com/view/redefining-type-1-diabetes-early-identification-staging-and-clinical-implications-for-pediatric-care

Therapy: https://www.contemporarypediatrics.com/view/novel-therapies-for-type-1-diabetes

Table: https://thepediatriclounge.com/screening-to-prevent-dka

Petiete Trial: https://link.springer.com/article/10.1007/s00125-025-06586-1#Sec5

Prevent Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2308743

Screening Summit : https://medschool.cuanschutz.edu/barbara-davis-center-for-diabetes/news-profdev/conferences-events/8th-childhood-diabetes-prevention-symposium---november-10th-11th--2025

In this episode of The Pediatric Lounge, host Herb Bravo is joined by Dr. Andrew Cagel, a pediatric endocrinologist, and Dr. Dan Feiten, a pediatrician and Chief Medical Officer of Office Practicum, to discuss groundbreaking advancements in Type 1 Diabetes (T1D) care. The episode delves into their recent publication, 'Redefining Type 1 Diabetes: Early Identification, Staging, and Clinical Implications of Pediatric Care,' highlighting the critical importance of early detection and intervention. The guests emphasize the urgent need for universal screening.

00:00 Introduction to the Pediatric Lounge
00:45 Meet the Guests: Dr. Andrew Cagel and Dr. Dan Fen
01:08 Redefining Type 1 Diabetes
01:36 Personal Stories and Experiences
01:52 The Importance of Early Detection
04:40 Advancements in Type 1 Diabetes Treatment
13:55 The Role of EHR and AI in Pediatric Care
19:13 Future Directions and Guidelines
29:06 Pivotal Study in Pediatric Diabetes
30:45 The Protect Trial: Slowing Disease Progression
33:19 Challenges in Screening and Implementation
37:46 The Role of Pediatricians and Influencers
43:03 Advocacy and Future Directions
56:22 Conclusion 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 Pediatric Lounge: Setting Goals and Improving Practice with Dr. Cliff James

In this episode of The Pediatric Lounge, hosts George and Dr. Bravo are joined by Dr. Cliff James to discuss setting goals for 2026 in the pediatric practice. Dr. James, an experienced pediatrician and author, shares insights on change management and implementation, building a profitable practice, and the importance of having structured systems and clear goals. He also discusses his personal journey through health challenges and divorce, and how it has influenced his work. The conversation covers topics such as creating a marketing strategy, subscription-based care models, and the importance of mentoring young physicians. Dr. James emphasizes the need for continuous improvement, setting achievable goals, and investing in oneself for long-term success.

00:00 Introduction to The Pediatric Lounge
00:44 Meet Dr. Cliff James: Goals for 2026
02:15 Dr. James' Personal Journey and Professional Mission
04:22 Challenges and Realities in Pediatric Practice
05:34 Financial Success in Pediatrics
07:57 The Importance of Mentorship and Practice Culture
14:33 Setting and Achieving Goals
27:17 The Value of Business Education and Mentorship
29:04 Implementing Effective Business Strategies
39:17 The Role of Competition and Innovation in Pediatrics
44:37 Setting Goals and Managing Patients
45:03 Balancing Quality of Life and Business
45:43 Patient Selection and Practice Management
47:57 The Importance of Long-Term Patient Relationships
50:17 Innovative Approaches to Pediatric Care
51:04 Challenges and Successes in Autism Treatment
52:34 The Business Side of Pediatric Practice
01:00:01 Concierge and Subscription Models in Pediatrics
01:12:38 Marketing Strategies for Pediatric Practices
01:16:41 Top 10 Goals for Next Year
01:20:10 Final Thoughts and Advice

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.

Gratitude and Reflection in Pediatrics: Thanksgiving 2025

In this special episode recorded on the Tuesday before Thanksgiving 2025, hosts Dr. Rogu and Dr. Bravo discuss what they're thankful for within the field of pediatrics.

Celebrating milestones such as 50,000 podcast downloads and robust support from their medical community, they reflect on the importance of friendships, the dedication of colleagues, and the significance of mentoring the next generation of physicians. They also explore the challenges and changes in healthcare, including the impact of private equity on medical practices and the evolution of technology in medical record-keeping. The episode concludes with heartfelt gratitude for family, friends, and listeners.

00:00 Introduction and Thanksgiving Special
00:11 Gratitude in Pediatrics
00:39 Podcast Milestones and Community Support
01:41 Friendship and Podcast Beginnings
03:38 Challenges in Pediatric Practice
05:33 Healthcare System Critiques
15:16 Medicaid and Pediatric Care
17:01 Diabetes Screening and AAP Resolutions
22:12 COVID-19 and Pediatric Admissions: A Comparative Analysis
23:18 The Role of Social Media in Public Health Debates
23:34 Focus on Effective Interventions in Pediatrics
24:23 Collaboration in Pediatric EHR Systems
26:34 The Future of AI in Healthcare
27:30 Challenges and Benefits of EHR Systems
36:46 Gratitude and Reflections on Medical Practice
44:03 Concluding Thoughts and Thanksgiving Wishes

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.