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Topics

Yashaswini Singh, PhD, MPH, a health care economist and assistant professor at Brown University's School of Public Health, joins the show to discuss her recent research article, "

Growth of Private Equity and Hospital Consolidation in Primary Care and Price Implications

MGMA's policy wishlist under the Trump administration,

, a quick-hitting news podcast that keeps busy physicians in the know. 


Lofi Chillout Hip Hop Beat by Joystock - 


Relaxing Lounge by Classy Call me Man - 

Editor's note: Episode timestamps and transcript produced using AI tools.

Introduction to Primary Care Pressures (00:00:00)


Discussion on significant pressures faced by independent primary care practices in the U.S.




Austin Littrell introduces the episode and the speakers, including guest Yashaswini Singh, PhD, MPH.



Trends in Hospital and Private Equity Consolidation (00:01:08)


Dr. Singh discusses consolidation trends in primary care involving hospitals and private equity.




Insights on how U.S. healthcare markets struggle due to inadequate competition and increasing consolidation.



Private Equity Investment Overview (00:03:48)


Discussion on the substantial investment by private equity firms in various healthcare settings.




Overview of the research objectives and methodology used to analyze primary care employment trends.



Findings on Primary Care Employment (00:05:01)


Key findings reveal a significant increase in hospital-affiliated primary care physicians from 2009 to 2022.




Analysis of how physician employment trends affect healthcare costs and patient pricing.




Discussion on factors contributing to price differences between hospital-affiliated and independent practices.



Regional Disparities in Consolidation (00:10:27)


Examination of geographic variations in hospital and private equity affiliations among primary care physicians.



Evolution of Private Equity in Healthcare (00:12:16)


Insights into the timeline and focus shifts of private equity investment in physician practices.




Discussion on the need for further research on consolidation impacts and private equity exit strategies.



Implications for Primary Care Physicians (00:17:23)


Advice for primary care physicians on navigating the changing landscape of healthcare consolidation.



Emerging Trends in Primary Care (00:19:15)


Recognition of additional evolving models in primary care beyond hospital and private equity affiliations.

Podcasts

Yashaswini Singh, PhD, MPH, a health care economist and assistant professor at Brown University's School of Public Health, discusses her recent research article on private equity and hospital consolidation in primary care.

Ep. 52: Private equity and hospital consolidation with Yashaswini Singh, PhD, MPH

Maryal Concepcion, MD, FAAFP, the owner and CEO of Big Trees MD, joins the show to talk 

 Editorial Director, Chris Mazzolini. Concepcion shares the story of her own personal transition from traditional, 

, to starting her own direct primary care 

MGMA's policy wishlist under the Trump administration

Introduction to Direct Primary Care (00:00:00)

 
Maryal Concepcion, MD, FAAFP, shares her vision of primary care as it relates to direct primary care (DPC).




Concepcion explains DPC and its differences from traditional fee-for-service medicine.




Discussion on the importance of community relationships in DPC and patient care.



Challenges in Traditional Medicine (00:04:41)


Concepcion reflects on her experiences in traditional fee-for-service medicine.



Journey Through Medical Training (00:05:02)


Overview of Concepcion's medical education and her transition to attending physician.




Concepcion describes the limitations and frustrations in her fee-for-service practice.




Insights on corporate practices and the challenges faced by physicians.



Creating a Podcast for Healing (00:10:47)


Concepcion discusses starting a podcast as a way to share experiences and heal.




Concepcion explains how her DPC practice operates and its patient-centered focus.




Discussion on the steps taken to establish her DPC practice from scratch.



Marketing and Communication in DPC (00:20:07)


Concepcion talks about the importance of marketing and patient communication in DPC.




Overview of how Concepcion introduces DPC to patients and addresses their concerns.




Discussion on the importance of listening to patients and addressing their needs in healthcare.



Transitioning to Direct Primary Care (00:23:03)


Advice for listeners on taking the first steps toward transitioning from fee-for-service to DPC.




Introduction of various resources available for those interested in starting a DPC practice.




Emphasis on the supportive community available to DPC practitioners across the United States.




Thanking Dr. Concepcion for her insights and contributions to the discussion.

Maryal Concepcion, MD, FAAFP, the owner and CEO of Big Trees MD, shares her experience with direct primary care. 

Ep. 50: Direct primary care with Maryal Concepcion, MD, FAAFP

Medical Economics Managing Editor Todd Shryock sits down with Scott Dewey, chief managed care officer at PayrHealth, about the best strategies for payer negotiations.

Music Credits: Gypsy Jazz Swing by tunes2go - stock.adobe.com
COCKTAIL by Mythical Audio - stock.adobe.com
The Joy of Being by Duke Herrington - stock.adobe.com


Overview of the podcast and introduction of the speakers discussing payer negotiations.

Starting Preparation for Negotiations (00:01:03)


Importance of having a strategy and understanding leverage before entering negotiations.


Advice on how far in advance physicians should prepare for payer negotiations.

Contract Length Considerations (00:05:11)


Discussion on the pros and cons of long-term versus short-term contracts.

Negotiating Power of Smaller Practices (00:06:47)


Insights on how smaller practices can find leverage against larger payer organizations.

Dealing with Non-Negotiable Contracts (00:08:54)


Advice for practices facing contracts labeled as "not negotiable."

Prior Authorizations in Contracts (00:09:53)


Strategies for negotiating limitations around prior authorization requirements.

Unilateral Amendments in Contracts (00:12:31)


Discussion on the commonality of unilateral contract amendments by payers.


Overview of frequent mistakes made by physicians in contract agreements.


Differences between value-based care contracts and traditional fee-for-service agreements.


Importance of getting all agreements in writing and understanding contract updates.


Wrap-up of the discussion and thanks to the guest for sharing insights.

Scott Dewey, chief managed care officer at PayrHealth, joins the podcast to discuss the best strategies for negotiating with payers.

Ep 39: Negotiating with payers with Scott Dewey, chief managed care officer at PayrHealth

Medical Economics Editor Richard Payerchin and Steven P. Furr, MD, FAAFP, president of the American Academy of Family Physicians, discuss proposed cuts in the Medicare Physician Fee Schedule, the AAFP’s work on increasing the number of physicians in rural areas, and even a bit about Furr’s own family medicine practice in Alabama.

Check out our previous episodes featuring interviews with 

Joseph Betancourt, MD, president of the Commonwealth Fund

Music Credit: Emotional Cinematic Piano by Elonix - stock.adobe.com


Overview of the podcast and introduction of the guests discussing family physician challenges.



Steven P. Furr, MD, FAAFP, president of AAFP, joins the podcast for a wide-ranging conversation covering the Medicare Physician Fee Schedule, rural health care access, and cybersecurity.

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