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In this episode Ron chats with John Canion, a NP practicing Emergency Medicine in Texas. Here, John discusses the current state of Nurse Practitioners in the US, how the growth in the field has not had enough quality control, and the disconnect between the academic community & clinical practice. He also dives into the gaps of training and in wide variety of other topics impacting nurse practitioners and primary care.

John Canion graduated from Nurse Practitioner school at Abilene Christian University in 2005. He is certified as a Family Nurse Practitioner and as an Emergency Nurse Practitioner.  I have worked in fields that include Family Practice, Emergency Medicine, Urgent Care, Hospitalist Medicine, Urgent Care, Associate Professor for Family Practice Nurse Practitioners, and Critical Access Medicine. He has worked closely with national organizations on NP education and just finished a yearlong assignment with the American Association of Nurse Practitioners on their education committee. He gives lectures on many topics related to NP practice including business, contracts, scope of practice, and clinical information.  Over the last year he has been staffing covid relief. He is currently practicing Emergency Medicine in San Angelo, Texas.

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In this episode Ron chats with Andy Schoonover, Founder & CEO of CrowdHealth. Here, he discusses what inspired him to start CrowdHealth, a new way to pay for healthcare with no premiums, no copays, no deductibles. Just one monthly total to get you access to everything they offer their community. The community is paid for by month contributions to the community that are then used to fund the community’s healthcare bills. He also does a deep dive into how CrowdHealth works, the importance of it being straightforward and easy for the patient to use, and more.

After graduating from the University of Virginia, Andy started his career at Host Marriott Corporation (now Host Hotels & Resorts, NYSE: HST) in the Acquisition and Development group and completed transactions valued at approximately $1.5 billion. He then moved to Silicon Valley to attend Stanford Business School where he got that entrepreneurial itch. As his friends headed off to Google, Facebook, and other high flying tech companies after graduation, Andy and Chris Hendriksen, his business school roommate purchased Valued Relationships, Inc (VRI) , a remote patient monitoring company in Dayton, Ohio. Andy became CEO and served in that role for five years. After a fourfold growth in revenues, the majority of VRI was sold to Pamlico Capital in 2014. VRI investors received a gross return of approximately 9x their investment. In 2o21 Andy founded CrowdHealth, a community powered alternative to insurance on a mission alleviate the burdens associated with huge healthcare costs. Today Andy lives in Austin, Texas with his wife Stephanie where they are devoted parents to their daughter Grace’s legacy, younger daughters Ava and Caroline, and their pup, Butler.

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Here is who and what is being fixed on the fringes in 2022 in Primary Care with Ron Barshop, Host of the Show. Here is the 2022 edition of the popular yearly “10 Lies” episode of Primary Care Cures.

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In this episode Ron chats with Omar Matuk-Villazon, Chief Medical Officer at UH College of Medicine. Here Omar discusses, what caused him to start a DPC clinic within the medical school, the importance of encouraging medical students to pursue primary care, the importance of mental health in primary care, telemedicine, and more.

Omar Matuk-Villazon, M.D., M.B.A., is a clinical assistant professor of pediatrics and chief medical officer at the University of Houston College of Medicine. He contributes to clinical practice, education, curriculum development and research.  As the chief medical officer, he is responsible for the oversight of the College of Medicine’s new clinical enterprise, a direct primary care practice, as well as enhancing the patient experience.

He is also the on-site medical director and a practicing pediatrician at the Lone Star Circle of Care Clinic at UH.

Previously, Matuk-Villazon worked as associate medical director and pediatrician at Legacy Community Health. He was also a practicing physician and the managing director of Consultoría en Salud HELCO, a contract research organization based in Mexico City focused on    health economic evaluations. Matuk-Villazon has spent more than a decade developing patient- centered medical models, designing value-based programs, and solving complex problems in the health care industry and academia.

His research is focused on value-based care, telehealth and health care entrepreneurship. He is launching a comprehensive direct primary care model for the uninsured at the College of Medicine and his work focuses on improving primary care practice in the community. He is actively involved with the health care entrepreneurial community as an advisor, consultant, and mentor.

A board-certified pediatrician in Mexico and the United States, Matuk-Villazon is a diplomate of the American Academy of Pediatrics (AAP) and the Mexican Pediatric Society. He is an active member of the National Hispanic Medical Association and AAP.

He received his medical degree from the Universidad Nacional Autonoma de Mexico in Mexico City, trained in Integrative Medicine & Homeopathy at Homeopatía de Mexico, and completed a Pediatric Residency at the University of Miami-Jackson Memorial Health Center. He was part of Leadership Houston Class XXXIII. Matuk-Villazon also earned a Master of Business Administration degree from Rice University.

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This episode features Darshan Kulkarni, Principal Attorney at Kulkarni Law Firm. Here, Ron and Darshan do a deep dive into the changing pharmacy ecosystem and the pros and cons that come with it. They explore pharmacies having more urgent care clinics in them, what Google and Amazon are doing in the space, some of the pitfalls the nation is facing when it comes to the pharmaceutical industry, and more.

Dr. Kulkarni is the Principal Attorney of the Kulkarni Law Firm and focuses his practice on helping FDA regulated companies successfully bring their products to market. He has over 20 years of experience in providing legal, medical, and regulatory services, and has served as a pharmacist for over a decade—making him uniquely well-positioned to help clients through all stages of the development process. He advises clients on issues varying from FDA regulatory strategy, clinical trial negotiations, manufacturing audits, FDA compliant promotional and non-promotional review, FDA responses, to genericization and other interdependent processes.

Prior to starting the Kulkarni Law Firm, Darshan was the Global Corporate Counsel for an international pharmaceutical holding company, where he provided services including writing licensing and employee contractor agreements, warning letters and SOPs. He was also responsible for developing a quality system for the facility and engaging with the FDA.

In his spare time, Darshan regularly contributes to his pharmacy podcast Gavel & Pestle, and has written for several books on federal regulatory law including multiple editions of Research Compliance Professional’s Handbook.

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This episode features Peter Cranstone, CEO of 3PHealth. Here, he discusses how his organization’s product enables a new movement in personalized health where every patient has a personalized, evidence-based, longitudinal care map on their phone. The longitudinal care map includes a patients physical, mental, social, and financial health. He also does a deep dive into how their product works and how it can benefit both patients and providers

Peter Cranstone is an experienced technology and business professional who lives by the philosophy that business strategy should drive IT architecture. He has a history of solving “wicked problems” in Web communications, with an emphasis on privacy, security and performance.

In 2000, he made the Web go faster with the de facto open source standard, Mod_Gzip. In 2005, as CEO of Secure64 he made the Web more secure by protecting 85% of the Internet’s Reverse DNS requests. His next company, 3PMobile focused on making the Web more private, based upon his patented, Contextual Data Communications Platform, which is currently embedded in over 1.5 billion browsers.

As CEO of 3PHealth, he’s now working to make the Web more personal. His responsive human interface unifies and individualizes virtual care delivery via a unique user experience (UX) that increases engagement, and reduces costs, by simplifying navigation within healthcare’s complex system.

Mr. Cranstone’s consistent commitment to using a Privacy-by-Design approach earned him the title, Privacy Ambassador by the Information and Privacy Commissioner of Ontario. Choice®, 3PHealth’s current software offering, provides an added layer of protection to the HTTPS standard and ensures HIPAA compliance both on user’s mobile devices and during data transit.

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This episode features Sean Kelley, Founder & Managing Partner at Texas Medical Management, a Free Market Medicine solution for surgical procedures that offers competitive, transparent prices on surgical procedures across a broad range of specialties. Here he discusses being diagnosed with cancer as a child, his career journey, and the importance of pricing transparency. He also does a deep dive into how they can be competitive while still being profitable and having the best providers.

Sean Kelley is the Founder & Managing Partner at Texas Medical Management. His passion is revolutionizing healthcare. Currently, he is developing new business models and the enabling technologies needed to advance the transition from fee-for-service to value-based healthcare. He is focused on building the foundational elements for future marketplace for healthcare delivery products. TexasFreeMarketSurgery.com (TFMS) opened in July 2016 and offers bundled prices for outpatient procedures. TFMS is inspired by Dr. Keith Smith and his partners at Surgery Center of Oklahoma who have blazed a trail for us and others to follow. They are building an innovative new delivery system and signing up high-quality surgeons as fast as they can. They are working with innovative self-funded employers and their brokers to improve surgical outcomes and lower costs 50-60% from their PPO network pricing.

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In this episode Ron chats with Dr. Frank Dumont, Commercial Medical Director at Virta Health. Virta Health helps people reverse type 2 diabetes. Their approach helps people lower blood sugar and lose weight, even while eliminating the need for medications, including insulin. Here, Frank discusses what makes the Virta approach different, the almost unbelievable results they are seeing in their patients, and more. Frank even shares that he spent 20 years as a PCP writing more medicines. Now he spends every day deprescribing medicines.

Dr. Frank Dumont currently serves as a clinician and Commercial Medical Director at Virta Health. Prior to joining Virta, he worked in a hospital-owned clinic for nearly 20 years, where he practiced outpatient and inpatient medicine and served as medical director of the wellness service line for the medical center. Dr. Dumont has been devoted to improving healthcare delivery for over two decades, participating in organized medicine as a young physician representative to the AMA and serving on the Colorado Medical Society Board of Directors. He received his MD from the University of Colorado School of Medicine and today is a Fellow of the American College of Physicians. Dr. Dumont lives in Estes Park, Colorado at the eastern entrance to Rocky Mountain National Park.

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In this episode Ron chats with Stacey Richter, Host of the Relentless Health Value Podcast. Here she discusses her biggest takeaways from the excellent guests she has had on her podcasts over the years. She does a deep dive into the best innovation and ideas happening in healthcare today. She touches on insurance, primary care, digital health, the future of healthcare, and more.

Each week on the award-winning Relentless Health Value Podcast, Stacey uses her voice and thought leadership to provide insights for healthcare industry decision makers trying to do the right thing. Each show features expert guests who break down the industry’s twists and tricks to help improve outcomes and lower costs. Relentless Health Value is a top 100 podcast on iTunes in the medicine category and reaches tens of thousands of engaged listeners from across the care continuum.

When not hosting the podcast, Stacey is co-president of Aventria Health Group, a consultancy and specialized marketing agency. Aventria does one thing: helps pharmacy, pharma, digital health, health system and professional society clients improve patient outcomes by creating and leveraging collaborations with other health care organizations.

In 2019, Stacey co-founded QC-Health, a cause-driven benefit corporation seeking to leverage the experience of its founders in pursuit of healthcare’s quadruple aim. Currently, QC-Health offers tools that make it easier for teams to deliver guideline-driven care or connect patients to relevant help and resources. QC-Health also has resources to help provider organizations direct-contract with employers, and successfully package and commercialize proven approaches to better patient care and outcomes.

Stacey studied economics at the University of Pennsylvania and the University of Stockholm. For more than 20 years, Stacey has innovated healthcare solutions that are win-wins for stakeholders, and, most of all, the patient.

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In this episode, Rom chats with Steve Tierney, Senior Medical Director of Quality Improvement at Southcentral Foundation’s Nuka System of Care. Here they discuss the unique and award-winning approach that Nuka takes when it comes to addressing the primary care of Alaskan Natives. Steve does a deep dive into the unique challenges faced by providing care for a population in such a spread-out region. He also does a deep dive into the ways the system has innovated and transformed rural healthcare, how they dealt with COVID-19, his pride in Nuka, and more.

Steve Tierney is Senior Medical Director of Quality Improvement for Southcentral Foundation’s Malcolm Baldrige Award-winning Nuka System of Care.  Steve joined SCF in 1995 as a primary care physician. He became one of the key physicians who helped lead the transformation to a relationship-based customer-owned health care system. He also played a key role in developing the robust data mart that helps SCF’s integrated care teams interpret complex data for internal comparisons and external comparisons against HEDIS benchmarks, where the organization scored in the 90th percentile for many of its services.  Steve is trained as a family physician and an acupuncturist. He received his medical degree from the Uniformed Services University in Bethesda, Maryland. He still maintains an active family medicine practice in SCF’s Anchorage Native Primary Care Center. Steve presents nationally and internationally on transforming primary care, data integration, clinical quality program design, and complementary medicine integration efforts.

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