Transforming Pediatric Endocrinology Practice: An Insight with Dr. Rinku Mehra, MD, MBA

In this episode, hosts George and Herb are joined by Dr. Rinku Mehra to discuss the innovative model of boutique pediatric endocrinology and its benefits over traditional healthcare systems. Dr. Mehra, a physician executive with vast experience in managing complex diseases, shares her journey from working in large healthcare systems and insurance to starting her own practice. She explains her motivation behind specializing in pediatric care, the challenges faced in the current healthcare environment, and the advantages of direct-care models for managing chronic diseases. The episode provides unique insights into personalized patient care, diabetes management, and the future of pediatric endocrinology.

00:00 Introduction and Guest Welcome
00:54 Dr. Mehra's Background and Career Path
02:23 Transition to Anthem and Policy Changes
04:27 Challenges in Diabetes Management
09:01 Boutique Pediatric Endocrinology Practice
15:28 Business Model and Telehealth
24:34 Obesity and Weight Management Strategies
30:34 The Importance of Measuring Outcomes
31:43 Burnout and Rediscovering Fulfillment
32:50 Transition to Anthem and Gaining Confidence
34:04 Challenges of Running a Private Practice
35:26 Staffing Issues in Healthcare
39:32 The Role of GLP-1s in Pediatric Obesity
46:29 Future of Pediatric Endocrinology
50:15 Direct Care and Value-Based Models
53:57 Concluding Thoughts and Encouragement

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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.

Navigating Pediatric Medical Practice in the Modern Era with Dr. Richard Lander

In this episode, Dr. Richard Lander, a pediatrician with over 45 years of experience and an expert in pediatric coding and advocacy, joins the show to discuss the challenges and evolution of pediatric medical practice. The conversation covers many topics, including historical changes in medical billing, the impact of insurance companies, modern-day healthcare challenges such as the rise of behavioral health issues, and the importance of advocating for better systems and policies. Dr. Lander shares anecdotes and practical advice for keeping pediatric practices fiscally sound while providing high-quality care. The episode also highlights the power of collective advocacy and the role of pediatricians in influencing healthcare policies.

This episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore." Please visit their website and support our sponsors.

00:00 Introduction and Guest Overview
01:10 Dr. Lander's Journey to Pediatrics
02:04 Early Days of Pediatric Practice
03:01 Changes in Medical Practice and Insurance
05:24 Billing and Record-Keeping Evolution
11:00 Impact of Vaccines and Infectious Diseases
19:03 Challenges in Modern Pediatric Care
20:19 Navigating Coding and Insurance Issues
33:58 Advocacy and Fighting for Fair Compensation
43:37 Telemedicine in Pediatrics
45:10 The Importance of Telemedicine Scheduling
46:18 Challenges with Telemedicine and Billing
49:37 Mental Health and Pediatric Care
52:33 Advocacy and Insurance Issues
54:35 The Power of Collective Action
56:54 Navigating Insurance and Reimbursement
01:02:13 The Role of Pediatric Councils
01:21:53 The Future of Pediatric Practice

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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.

Innovative Pediatric Practice: A Pathway to Value-Based Care

In this podcast episode, Dr. Sian Jones, a dedicated pediatrician from Nebraska, shares insights into her integrated, value-based pediatric practice. The discussion covers various aspects of pediatric care, including value-based care, chronic disease management, integration of mental health, and the challenges modern pediatricians face. Dr. Jones emphasizes the importance of physician-led healthcare focused on building positive relationships with families and the healthcare team. The conversation explores efficient scheduling, chronic disease clinics, the role of AI in medical practice, and the future of pediatrics, highlighting Dr. Jones' well-run practice as a potential model for the future. The episode aims to shed light on the value of investing in pediatric care and the transformation needed in the healthcare system. We hope to have Dr. Jones back to expand on shared savings, a single payment for good care and preventive care, and a direct primary care model paid by either parents or employers.

This episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore." Please visit their website and support our sponsors.

00:00 Introduction and Guest Welcome
00:27 Dr. Sian Jones' Background and Passion
01:11 Pediatric Practice in Nebraska
02:46 Integrated Care and Chronic Disease Management
05:31 Challenges and Innovations in Asthma Care
08:55 Obesity Management and Remote Monitoring
13:28 Behavioral Health and Collaborative Care
18:37 Pediatric Care Crisis and Future Directions
25:29 Balancing Work and Family as Physicians
26:25 Understanding Physician Value and Burnout
27:51 Optimizing Physician Roles and Responsibilities
28:33 Challenges in Pediatric Care and AI Integration
36:42 Implementing Walk-In Clinics for Acute Care
39:29 Payer Advocacy and Collaboration
45:21 Value-Based Care in Pediatrics
49:49 Concluding Thoughts and Future Directions

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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.

In this episode, Dr. Bravo and Dr. Rogu speak with Dr. Molly O'Shea, a pediatrician and owner of a holistic family practice in Michigan. They discuss the emerging field of personalized medicine in Michigan and Dr. O'Shea's journey into pediatrics. Dr. O'Shea shares her experiences, detailing her innovative practice model, including home visits and a holistic approach. She also delves into the significance of genetic screening in early childhood and her work with rare diseases. The conversation covers pediatric care's challenges and potential future, touching on the importance of mental health, the microbiome, and the evolving role of primary care in pediatrics.

This episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore." Please visit their website and support our sponsors.

00:00 Introduction and Setting the Scene
00:09 Meet Dr. Molly O'Shea
01:02 Dr. Molly's Journey to Pediatrics
04:42 Family Influence and Childhood Challenges
06:26 Resilience and Overcoming Adversity
13:20 Innovative Pediatric Practice
24:48 Personalized Medicine and Rare Diseases
34:00 Advocacy and Future Projects
37:29 The Illusion of Deleting Social Media Data
38:10 Understanding Genetic Conditions: Monogenic vs Polygenic
44:25 Penetrance and Its Role in Genetic Conditions
51:47 Challenges in Pediatric Genetic Screening
56:06 Future of Pediatrics: Personalized Medicine and Microbiome
01:00:20 The Financial Struggles in Pediatric Care
01:06:57 The Role of Extenders in Pediatric Practice
01:12:49 Concluding Thoughts and Future Meetings

Support the show

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Read more on the TPL Website

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 State of Pediatric Healthcare: Challenges, Advocacy, and Systemic Reforms

This episode is made possible by the sponsorship of Freed.ai, which Dr. Rogu and Dr. Bravo use in the clinic. Please visit their website and support our sponsors as they make the show possible.

In this episode, hosts delve into pediatricians' multifaceted challenges, touching on key topics such as the Pediatrician's Bill of Rights, the financial and administrative struggles within the pediatric healthcare system, and the pressing need for systemic reforms. Dr. John Sutter shares his 40 years of experience, highlighting the motivations behind his advocacy for better pediatric care and the inefficiencies within the current healthcare framework. The discussion showcases the dire state of pediatric healthcare, emphasizing underfunding, disparities in reimbursement rates, and the negative impact of value-based care systems. It also explores financial burdens related to Medicaid and vaccine administration, the role of policy changes, and the importance of public awareness and legislative action. Personal anecdotes and the urgent call for reform underscore the need to prioritize children's health and support pediatricians through advocacy and community efforts.

00:00 Introduction and Guest Welcome
00:27 Dr. Sutter's Background and Motivation
01:33 The Pediatrician's Bill of Rights
02:52 Challenges in Pediatric Care
03:52 The Role of Organizations in Healthcare
05:38 Financial Realities and Legislative Issues
19:39 Value-Based Care and Its Implications
29:24 Medicaid and Healthcare Disparities
39:05 Pediatricians' Workload and Compensation
39:48 Insurance Companies' Exploitation
40:15 Case Study: Medicaid Expansion in North Carolina
42:43 Challenges with Vaccine Payments
57:49 Administrative Burdens in Healthcare
01:00:37 Attracting Talent to Pediatrics
01:01:56 The Financial Sacrifice of Pediatricians
01:10:52 Proposals for Legislative Change
01:16:06 Conclusion and Future Steps

Support the show

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SOCIAL Media Pages ===============================
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👥 - 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.

Top Insights for Managing Partners in Pediatric Practice

In this episode, the host records from Rochester, New York, following a dinner with Dr. David Sullo, MD, a pediatrician, and the topic of discussion is the top five things a managing partner should know about their practice. Dr. Sullo shares his journey from aspiring astronaut to pediatrician and highlights the importance of knowing oneself, understanding the practice's strengths and structures, managing staff effectively, being aware of financial intricacies, and having a vision for the future. The discussion delves into the challenges faced by pediatric practices, the efficiency of operations, and the impact of monopolistic healthcare systems on access: Dr. Sullo and the host exchange insights on sustainable practice management amidst the evolving healthcare landscape.

00:00 Introduction and Guest Introduction
00:45 Journey to Pediatrics
03:03 Panorama Pediatrics Overview
07:13 Managing Partner Insights
16:17 Data-Driven Practice Management
27:51 Embracing AI in Medical Practices
28:14 Challenges of Integrating New Systems
30:07 Effective Staff Management Strategies
33:35 Hiring and Accountability Systems
38:54 Financial Management for Medical Practices
42:55 Future Planning and Strategic Thinking
45:29 Healthcare Market Dynamics and Challenges
57:12 The Impact of Monopolies in Healthcare
01:01:15 Closing Remarks and Final Thoughts

Support the show

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SOCIAL Media Pages ===============================
📝 - Substack
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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.

In this episode, George and his co-host are joined by Dr. Bradley Block, a pediatric and adult ENT specialist from Long Island, New York. They explore his medical career journey and the specifics of otolaryngology, including minimally invasive procedures for children and the impact of vaccines on reducing infections. Dr. Block contrasts his practice with other ENT subspecialties and discusses the role of medical assistants in enhancing patient care. The conversation also covers the nuances of diagnostic ethics and the importance of maintaining physician autonomy. Additionally, Dr. Block shares his experiences as a seasoned podcaster, highlighting challenges in monetization and the benefits of podcasting in opening public speaking and consulting opportunities. The episode underscores the value of diversifying interests beyond a medical career for personal fulfillment.

00:00 Introduction and Guest Welcome
00:49 Dr. Block's Journey to Becoming an ENT
03:03 The Role and Impact of Vaccinations
04:05 Challenges in Diagnosing Strep and Other Illnesses
05:07 The Importance of Access to Care
06:20 Managing Patient Expectations and Treatment
15:02 Complications and Considerations in ENT Practice
31:02 The Structure and Functioning of Dr. Brock's Medical Group
37:21 Understanding the C-Suite and Board Dynamics
37:45 Comparing Different Medical Practice Models
38:50 Balancing Fixed and Variable Expenses
39:27 Challenges and Rewards of High Patient Volume
40:11 Burnout and Career Transitions in Medicine
42:17 The Importance of Autonomy in Large Medical Groups
43:25 Pursuing Passions Outside of Medicine
48:54 Work-Life Balance and Family Time
52:56 The Role of Communication in Medical Practice
59:41 The Impact of AI and Technology in Healthcare
01:10:22 Monetizing and Managing a Medical Podcast
01:14:14 Final Thoughts and Advice for Physicians

Support the show

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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.

Tackling the Pediatric Workforce Crisis: Ensuring a Brighter Future for Children's Health

In this episode, the host celebrates Dr. Jesse Hackell for receiving the 'Buzzy' Award, recognizing his contributions to children's health. The discussion centers on the growing crisis in the pediatric workforce, driven by compensation issues and the undervaluation of pediatric services. Key topics include revisiting the 'Medicaid for All Children' policy for better access to preventive care, addressing the rise in mental health and chronic disease cases, and overcoming technological and administrative barriers. Proposed solutions focus on fair compensation, advocacy for systemic changes, and stronger support for pediatric professionals to secure comprehensive care and a sustainable future for children's health.

00:00 Introduction and Editorial Note
00:22 Addressing the Workforce Crisis in Primary Care
00:32 Medicaid for All Children Policy Discussion
01:16 Preparing for NCE and Introducing Dr. Jesse Hackell
01:29 Pediatric Workforce Issues and Potential Resolutions
02:29 Role and Challenges of COPAM
05:17 Pediatric Workforce Crisis: Current Trends and Challenges
06:47 Changing Demographics and Health Needs in Pediatrics
11:44 Impact of Technology and Documentation on Pediatric Care
15:39 Burnout and Moral Injury in Pediatrics
28:29 Economic Disparities in Pediatric Subspecialties
50:09 The Cost of Preventive Care for Children
50:29 Insurance and Preventive Care: A National Commitment
52:42 The Role of Federal Government in Healthcare Funding
53:31 Advocacy and Political Influence in Child Healthcare
56:23 Challenges in Medicaid and Preventive Care
59:00 The Importance of Preventive Care Codes
01:01:56 Medicaid for All: Pros and Cons
01:07:58 The Role of Pediatricians and the Academy
01:30:25 Administrative Burdens in Healthcare
01:33:46 The Future of Pediatric Care

Support the show

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Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
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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.