Episode # 103 – Brianna Greenspan is a Medical Miracle and is That for 1000’s of Others with Rare Conditions. Hear What She Did to Go from Wheelchair to Fully Functional.

In this episode Ron chats with Brianna Greenspan, Genetics Consultant at Gene By Gene & Co-Author of “Miracle Morning Art of Affirmations”. Brianna has lived her whole life with a rare chronic illness that was not diagnosed until she was an adult. Here, she shares her deeply personal story of growing up with the illness and her path to having it diagnosed. She also talks about what did and did not work along the way and how difficult this trial-and-error process can be for people suffering from a rare illness. This experience has turned her in to a champion and resource for others who are in the position she was. She has dedicated her life to bringing joy to those around her. Brianna even shares the touching story of how she ended up meeting her husband.

Brianna Greenspan was born with a chronic illness that went undiagnosed until her 20’s. Defying the logic of doctors and the temptation to be a victim, Brianna has dedicated her life to healing herself while empowering others to take ownership over their own physical, mental, emotional and spiritual health. Brianna’s health journey sparked her thirst for knowledge in neuroscience, mindfulness, permaculture, appreciative inquiry facilitation, ancient healing methods and habit stacking to increase vibrational frequencies. She is also the co-author of multiple books including one with the Miracle Morning series. Her life’s work is centered around using her superpower as a master connector to facilitate all the good she can in collaborative settings to uplift global wellbeing mainly focused in medical genetics and education.

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Episode # 102 – Dr. Anand Mehta Started his Own Direct Primary Care Clinic After Considering All Alternatives After Launching the First Walmart Health Clinic. The Hard Evidence Why to Make Such a Radical Move is Obvious After Hearing This.

In this episode, Ron brings Dr. Anand Mehta back on the show. Since his last time on the show, Anand has gone on to start a new direct primary care clinic called Stand Up Family Medicine. Here, he dives into what inspired him to start is own DPC clinic and how it feels to be independent vs working for a larger corporation. He talks about his biggest takeaways from his time at Walmart Health and why he feels the direct primary care model is truly the model of the future. Anand also discusses how the name for his new clinic was inspired by his hobby of being a stand up comedian and his love of humor.

Dr. Anand Mehta is dedicated family physician who is board certified by the American Board of Family Medicine. He was born and raised in Buffalo, NY where he attended SUNY Buffalo. He later graduated Medical School from Kasturba Medical College, India. His residency was completed at Hunterdon Medical Center in Flemington, NJ. Dr. Mehta then worked for the hospital group before moving to Georgia in 2014.

Since the move to GA, Dr. Mehta worked as a solo family physician for WellStar Health System for five years in Roswell, GA. His most recent position was as a Medical Director of Walmart Health in Dallas, GA. Dr Mehta and his team were able to make the very first Walmart Health in the nation a growing success. During this time, he has created a reputation for himself as a caring and compassionate provider.

Dr. Mehta takes the time to listen to the needs of his patients. He is an extrovert known to make people laugh, is empathetic, kind and welcoming, with extensive medical knowledge. His character is spoken highly by patients, both in New Jersey and in Georgia. He has received remarkable patient satisfaction scores, coupled with providing exceptional care to his patients. He is known to his former coworkers and employees as a great team leader, always lending kind words, a smile and strives to provide his patient’s ultimate care.

Dr. Mehta is a doting husband and busy father to three young children. When he is not busy with family life, he has been seen around Atlanta doing stand-up comedy, playing basketball, or watching the Buffalo Bills. He is extremely excited to start his own practice, continue building strong relationships with his patients, and bringing back traditional medicine like it used to be through Stand Up Family Medicine.

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Episode # 101 – Meet Dr. Tim Raderstorf, The First Chief Innovation Officer from Nursing and the Chief Operating Officer for NursesEverywhere. Nursing Will be the Source of Innovation. Here’s How.

In this episode Ron chats with Tim Raderstorf, Chief Innovation Officer at The Ohio State University College of Nursing and Chief Operating Officer at NursesEverywhere. Here, they have a lively discussion around the role of nurses in healthcare. Tim talks about how much innovation and out of the box thinking comes from nurses, even though they are often underappreciated in their role on the front lines of medicine. He dives into ways to empower nurses by allowing them to perform at the top of their abilities. Tim also shares his thoughts on innovation in the healthcare space and how the focus should shift more towards preventative care instead of sick care.

Dr. Tim Raderstorf is the Chief Innovation Officer at The Ohio State University College of Nursing, The Head of Academic Entrepreneurship at the Erdős Institute and the Chief Operations Officer for NursesEverywhere. From TED talks to textbooks, Tim uses every platform he can find to empower those at the frontlines to change healthcare.

As the first nurse to hold the Chief Innovation Officer title in academia, he takes pride in educating the world on the role of the nurse as an innovator. He is the founder of the Innovation Studio, a makerspace that democratizes innovation, providing every interprofessional team that pitches their innovation with the funding, tools, and mentorship needed to turn ideas into actions. In addition to this work, Tim is an Assistant Professor of Clinical Practice in the Masters of Healthcare Innovation program at Ohio State.

Throughout his career, Tim has founded multiple businesses and has been the first employee for a profitable healthcare startup. His new textbook co-authored with Bern Melnyk, Evidence-Based Leadership, Innovation and Entrepreneurship in Nursing and Healthcare: A Practical Guide for Success, was a #1 new release upon its debut in December 2019.  Some of Tim’s recognitions include the Early Career Innovator of the Year and Distinguished Recent Alumni at the Ohio State University, the Innovation Studio being named Non-Profit of the year by Columbus Business First in 2019, and he was most recently inducted into the 2020 Class of 40 under 40 by Columbus Business First.

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Episode # 100 – There are So Many Gold Nuggets That Guests Have Shared with Our Host, Ron Barshop. So, He Will Distill Them Down in the Annual Ten Lies in Primary Care (and by Extension Healthcare) Show. Here is What You Can Expect in 2021….

These ten lies in healthcare are really the ten opportunities. Here is who and what is being fixed on the fringes in 2021 in Primary Care with Ron Barshop, Host of the Show.

Ten lies 2021:

  • Independent PCPs are soon dinosaurs. You gotta work for a big.
  • There are not enough PCPs.
  • Our health always declines or at best maintains – as individuals, and as a nation.
  • Costs of care only rise.
  • COVID almost singlehanded killed our hospitals.
  • There is no Superman or Wonder Woman to save us.
  • Docs are powerless to radically reverse bad habits.
  • Money solves most of healthcare’s ginourmous headaches.
  • Your insurance broker or advisor cares about you.
  • There are no easy fixes in healthcare.

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Episode # 99 – Dr. Regi Herzlinger has Taught Healthcare Economics for 5 Decades, Sat on Dozens of Boards of the Bigs and Writes About Solutions That Work.

In this episode Ron chats with the Legendary Regina Herzlinger, Nancy R. McPherson Professor of Business Administration at the Harvard Business School. Here they do a deep dive into her thoughts on how to improve the American Healthcare System. They also discuss her career and how even as an outside the box thinker that was never afraid to speak her mind, she still was able to land numerous high-profile roles on large company boards. She shares her thoughts on the lockdowns and their impact on small businesses, Medicare for all, some family history, and more.

Regina E. Herzlinger is the Nancy R. McPherson Professor of Business Administration at the Harvard Business School. She was the first woman to be tenured and chaired at Harvard Business School and the first to serve on a number of corporate boards. She is widely recognized for her innovative research in health care, including her early predictions of the unraveling of managed care and the rise of consumer-driven health care, a term that she coined. Her work was key to introducing consumer-driven health plans and “focused health factories,” such as centers for orthopedics, cardiology, and cancer care.

She teaches an MBA course, Innovating in Health Care and two related field study courses. Based on that work, she is currently completing three text and cases books on Innovating in Health Care for the life sciences, healthcare insurance, and healthcare delivery. In 2013, she launched a new HBS Executive Education program “Business Innovations in Global Health Care.” In 2012, she launched a continuing series of conferences, “21st-Century Health Care Management Education: Confronting Challenges for Innovation with a Modern Curriculum,” with 156 global academic attendees.

Regina Herzlinger received her Bachelor’s Degree from MIT and her Doctorate from the Harvard Business School.

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Episode # 98 – We Welcome Back Dr. Leah Houston. She Teaches Us Docs are the Only Profession That Goes into $350,000 of Debt to Work 3 Years Plus at Janitor’s Wages for the Privilege to Help Others in their Most Dire Time of Need. And So Much More…

In this episode Ron brings Dr. Leah Houston back on the show. Here she discusses the deeply personal story of her recent health journey with her mother and what she has learned from it. She explains how even as a doctor, the healthcare system can be extremely confusing and difficult to navigate, and how that needs to change. She also talks about how her patient identity was stolen and the headaches that has caused her. Leah also gives an update on her company, HPEC, and what she sees in its future.

Leah Houston, MD is a board-certified Emergency Physician. While practicing emergency medicine across the US for nearly 10 years she recognized a common problem: uncompensated administrative burdens related to physician employment and credentialing are a leading cause of administrative waste and physician burn out.

She began HPEC in 2018 when realizing that Blockchain could solve the obstructive regulatory problems in healthcare with its distributed ledger technology. HPEC is building a platform that will give every physician a self-sovereign digital identity attached to their credentials in order to create the Decentralized Autonomous Organization of physicians and surgeons. This is essentially a democratic physicians guild. HPEC will streamline the current antiquated and laborious process of credentialing, reduce administrative waste, improve access to care and give physicians sovereign ownership of their data and employment rights. The organization will also create an opportunity for physicians to communicate more efficiently about policy and practice and in turn improve patient care.

A lifelong advocate, innovator, and investor she has spent time lobbying for public policy and healthcare reform. She understands the problems that plague the healthcare system from the inside and out, and has dedicated her time to repairing the current global healthcare crisis. HPEC will restore physician autonomy to the practice of medicine, will begin in the United States and expand.

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Episode # 97 – Dr. Mike Magee Rose to Senior Ranks at Pfizer, a Hospital System, and as a Surgeon. Now, as a Medical Historian and Podcaster, He Has a Broad Overview of National and State Solves That Work to Cure Primary Care and Healthcare Overall.

In this episode Ron chats with Dr. Mike Magee, author of CODE BLUE: Inside the Medical-Industrial Complex. Here Mike discusses the medical industrial complex and how it has evolved in America since WWII. He states that scientific progress was not synonymous with human progress and nothing could be farther than the truth. The reality is that you cannot provide health simply by conquering one disease or another. You can only provide health by having a full and complete life and pursuing not only healing and not only health but staying whole within your families and within the community. Mike says that a great healthcare system is more important than a singular cure. He also dives into why almost every other developed nation beats the United States in terms of quality measures, even though healthcare here is significantly more expensive. He also talks about moving away from fee for service, his thoughts on single payer, how COVID-19 has impacted healthcare in the US, and more.

Mike Magee MD is the author of CODE BLUE: Inside the Medical-Industrial Complex which received a Kirkus Star review. He is a medical historian and journalist at the President’s College at the University of Hartford. He has held similar roles in a range of academic institutions. He was a Honorary Master Scholar at NYU School of Medicine, and a Distinquished Alumnus award recipient from the University of North Carolina. Beginning as a country doctor in western New England, he rose to the highest levels of his profession holding senior executive positions at Pennsylvania Hospital in Philadelphia, and as head of global medical affairs for Pfizer. He is editor of the blog HealthCommentary.org.

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Episode # 96 – Praveena Jaidev MD is One of 127,000 Foreign Medical Graduates Who Struggle to Join the American Medical Workforce Despite Severe Shortages. She’s Doing Something About it in Congress.

In this episode, Ron chats with Praveena Jaidev, a Hospitalist at SwedishAmerican and Member of Physicians for American Healthcare Access, a group dedicated to increasing healthcare access in underserved communities. They advocate for legislative solutions to protect Immigrant Physicians. Here she discusses the difficulties foreign born doctors face while trying to work in America and how they are often more willing to work in rural or underserved communities. She also talks about the importance of The Healthcare Workforce Resilience Act, which would help foreign born doctors and nurses get their green cards, helping with severe physician and nursing shortages. Praveena shares her own experiences, her career, her hopes for the future, and more.

Praveena Jaidev, MD is a Hospitalist at SwedishAmerican, A Division of UW Health. She is employed with Sound Physicians under the Conrad 30 Waiver Program and is one of ~127,000 Immigrant Physicians who account for nearly a quarter of all the country’s licensed Physicians. She was born and raised in India where she attended medical school. She is Board Certified by the American Board of Internal Medicine.

Praveena completed her Internal Medicine Residency at UPMC Pinnacle on a J-1 visa. Currently, Resident Physicians from other countries working in the U.S. on J-1 visa waivers are required to return to their home country after their residency has ended for two years before they can apply for another visa or green card. The Conrad 30 Program allows these Physicians to remain in the U.S. without having to return home if they agree to practice in an underserved area for three years. Many communities, including rural and low-income urban districts, have problems meeting their patient care needs and depend on the Physicians in this program to provide healthcare services. Rockford, IL, is a Health Professional Shortage Area.

One-sixth of our nation’s healthcare work force is foreign-born. International Medical Graduates (IMGs) play a vital role in caring for some of the most vulnerable populations in the U.S. Many IMGs like Praveena practice in the U.S. on non-immigrant work visas (H-1B). They are more likely to practice in rural and underserved areas, providing needed care to communities that lack it, thanks in large part to policies like Conrad 30 Program.

A June 2020 Association of American Medical Colleges study projects a shortfall of up to 139,000 Physicians by 2033. PAHA is actively backing a bipartisan, bicameral measure, the Healthcare Workforce Resilience Act (S.3599 / H.R. 6788). The legislation would allow United States Citizenship and Immigration Services to “recapture” up to 40,000 green cards previously authorized by Congress that have not currently been used. The bill would respond to severe Physician & Nursing shortages by reserving 15,000 green cards for foreign-born Physicians and 25,000 green cards for foreign-born Nurses.

Physicians referred to in this legislation are American-trained healthcare workers, but our strict visa requirements often do not afford us the flexibility to serve changing needs amid the pandemic. For example, we are not allowed to take shifts at hospitals other than the ones that have specifically sponsored our visas or volunteer in hot spots like NYC (March/April), CA/TX/AZ (July/August), etc.

Foreign nurses, on the other hand, often are approved to come to America on employment-based green cards. But even after their applications are approved, many get stuck in their home countries due to U.S. processing delays and backlogs.

The Act ensures foreign-born Physicians and Nurses have protections and flexibility to respond to COVID-19 and other healthcare issues. It strengthens the workforce and ensures access to quality healthcare. Till date, 40 Senators and 75 House Representatives have sponsored the Healthcare Workforce Resilience Act.

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Episode # 95 – Michael Akinyele was the First Chief Innovation Officer for the VA with its 390,000 Employees and Offers his Perspective Where Primary Care is Going and Who is Driving the New Model.

In this episode Ron chats with Michael Akinyele, Former and Founding Chief Innovation Officer for the U.S. Department of Veterans Affairs. Here they discuss Michael’s time at the VA and how he brought innovation to the system and some of the issues the VA faces.  He also talks about the Mission Act, Veteran Suicide, different healthcare models, the future of care and more.

Mr. Michael Akinyele, MBA, SES, is the former, founding Chief Innovation Officer of the U.S. Department of Veterans Affairs (VA), the largest federal civilian agency with a ~$250Bn budget and ~400K employees. He was appointed to the Senior Executive Service (SES) in 2019, and was responsible for leading, transforming and scaling enterprise innovation at the Department.

His efforts were primarily focused on implementing Section 152 of the MISSION Act of 2018 which authorized the creation of a Center for Innovation for Care and Payment at the VA. He was the Principal Lead of the VA Innovation Center (VIC) and served in that capacity from March 2018 to September 2020.

Mr. Akinyele is the Founder and Managing Principal of The Maximizer Group, an independent advisory firm primarily advising corporations, investors and startup companies. He is a health care futurist, collaborative leader, product and growth expert focused on inventing the future of healthcare delivery and payments. Prior to his work at the VA, his most recent fulltime role was serving as the Director of Venture Development — Health Care at a private foundation with ~$2Bn in assets and ~$125M in annual disbursements.

Prior to his role in philanthropy, he led management consulting teams focused on developing and implementing solutions to strategic and operational challenges facing multinational corporations. In the U.S. health care industry, he has advised health systems, physician groups, academic medical centers, health plans, pharmaceutical companies, pharmacy benefit managers, and a Medicaid agency. He is a member of the board of the Lymphoma Research Foundation (LRF), the largest foundation focused on funding research aimed at finding a cure and serving those touched by the disease.
Mr. Akinyele started his career managing physician practices in the Washington, D.C. metro area. He earned his Master’s in Business Administration from Stanford Graduate School of Business and graduated magna cum laude with a bachelor’s degree in Economics from Howard University.

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Episode # 94 – Meet Doug Aldeen an ERISA Attorney and National Activist Bucking for Fundamental Change as More Self-insured Employers Turn to Their Health Spend to Uncover Buried Treasure of 20-60% Savings and Better Outcomes for Employees.

In this episode Ron chats with Doug Aldeen, General Counsel and ERISA Health Care Attorney. Here they do a deep dive into how employers are changing they way they are looking at health benefits for their employees due to the crazy rate at which costs are rising and how COVID-19 is speeding up this change. They also discuss how the current way the American healthcare system is built is a sick care system, built to “feed the beast”. They also touch on referenced based pricing, how most urgent care facilities are owned by large health systems, the importance of having a primary care physician, direct primary care, and more.

Doug is an Austin, TX based health care and ERISA attorney who recently served as ERISA counsel on behalf of the Berkeley Research Group in New York City to the $7.7 billion May 2016 acquisition of Multiplan and its medical bill repricing product Data Isight by the private equity firm Hellman and Friedman. Since 1997, he currently and has represented reference base pricing organizations, a bundled payment software platform, PPO networks, medium to small self-funded plans, TPA’s and provider sponsored HMO’s  in various capacities including Herdrich v. Peagram which was argued before the United States Supreme Court in 2001. Moreover, he currently serves as a resource to national news organizations regarding issues on health care and in addition as a consultant with the Governmental Relations Committee at the Self Insured Institute of America in Washington D.C. and as an advisor to RIP Medical Debt which has abolished over $1.2 billion in medical debt.

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