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Anders Gilberg, senior vice president for government affairs with Medical Group Management Association, (MGMA) joins the podcast during inauguration week to discuss the second Trump administration and MGMA's policy wishlist.


Relaxing Lounge by Classy Call me Man - 

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


Discussion begins with a mention of Elon Musk's impact on a significant healthcare bill.




Keith introduces Anders Gilberg and sets the context of the conversation regarding the second Trump administration.




Anders discusses the unfinished business from the previous Congress and the lack of political leadership in key agencies.




Exploration of potential new leaders in HHS and their implications for healthcare legislation.



Challenges from previous Congress (00:04:38)


Discussion on the lingering effects of changes made to evaluation and management codes affecting physician payments.




Anders reflects on the unexpected changes to a crucial healthcare bill and its impact on physician payments.



Regrouping and future strategies (00:09:58)


Anders outlines the need for re-education and regrouping following the shifts in Congress and political landscape.




Anders shares key priorities for the GMA, focusing on physician payment reform and reducing regulatory burdens.




Discussion on the burdens of prior authorization and efforts to improve transparency in insurance practices.




Anders critiques the MIPS program and the need for a more efficient way to report quality measures.




Highlighting the importance of addressing cybersecurity threats and the implications for healthcare operations.



Conclusion and future check-ins (00:20:35)


Anders expresses willingness to return for future discussions as the political landscape evolves.

Podcasts

Anders Gilberg, senior vice president for government affairs with MGMA, joins us to discuss the second Trump administration and MGMA's policy wishlist.

Ep. 49: Washington update with Anders Gilberg of MGMA

Medical Economics Assistant Editor Austin Littrell and Jay w. Lee, MD. MPH, FAAFP, board member at the AAFP and medical director at Integrated Health Partners of Southern California, discuss how to overcome vaccine hesitancy in patients.

Music Credits: Chill Coffee by Musinova - stock.adobe.com
COCKTAIL by Mythical Audio - stock.adobe.com



Introduction to Vaccine Discussion (00:00:00)


The podcast introduces the topic of vaccine hesitancy among patients.



Overview of CDC Recommendations (00:01:03)


Dr. Lee discusses the latest CDC recommendations on COVID-19 and pneumococcal vaccines.



Importance of Encouraging Vaccinations (00:03:19)


Dr. Lee emphasizes the need for physicians to promote vaccinations during the respiratory season.



Changing Approaches Post-COVID (00:06:02)


The conversation highlights how vaccine discussions have evolved due to misinformation since the pandemic.



Building Rapport with Patients (00:08:33)


Strategies for physicians to address vaccine hesitancy through establishing trust and open dialogue.




Dr. Lee explains the importance of family practices in providing vaccines and maintaining patient relationships.



Encouraging Usual Source of Care (00:12:35)


The significance of having a consistent healthcare provider for better patient outcomes is discussed.


Vaccine hesitancy remains a significant challenge in healthcare, necessitating effective strategies to address patient concerns. Engaging in open, empathetic communication and providing clear, evidence-based information are crucial in building trust and encouraging vaccine acceptance. Healthcare professionals should tailor their approach to individual patient needs, considering cultural, social, and personal factors that may influence hesitancy. Collaborative efforts among healthcare providers, community leaders, and public health organizations can enhance outreach and education, ultimately improving vaccination rates and public health outcomes. Continuous education and training for healthcare professionals are essential in maintaining effective communication strategies.

Jay w. Lee, MD. MPH, FAAFP, board member at the AAFP and medical director at Integrated Health Partners of Southern California, discuss how to overcome vaccine hesitancy in patients.

Ep 45: Vaccine hesitancy with Jay W. Lee, MD, MPH, FAAFP

Medical Economics Managing Editor Todd Shryock and attorney Emma Schuering, of the Polsinelli law firm discuss non-compete agreements in health care.

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Relaxing Lounge by Classy Call me Man - stock.adobe.com
COCKTAIL by Mythical Audio - stock.adobe.com



Introduction to Non-Compete Agreements (00:00:14)


Introduction to the episode and the guests discussing non-compete agreements in healthcare.


Emma Schuering explains the ongoing uncertainty about non-compete agreements following the FTC's rule and legal challenges.

Elements of Non-Compete Agreements (00:03:19)


Discussion of the typical components of non-compete agreements, including restrictions on employment and geographic limitations.


Emma highlights the strong public policy against restricting physicians from treating patients of their choice.


Overview of how enforceability of non-compete agreements varies by state, including buyout clauses.


Exploration of legal mechanisms that protect practices without limiting physicians' employment opportunities.

Risks of Hiring Physicians with Non-Competes (00:13:25)


Discussion on the potential liability for practices hiring physicians with existing non-compete agreements.


Explanation of the legal complications that arise if a physician is fired due to a non-compete issue.

Enforcement of Non-Solicitation Agreements (00:17:41)


Details on the process and recourse for practices when a former employee violates a non-solicitation agreement.

Implementing Non-Compete Agreements (00:22:44)


Advice for practice owners on assessing the need for non-compete agreements and understanding applicable laws.

The Future of Non-Compete Agreements (00:26:17)


Discussion on the trend of banning non-compete agreements and preparing for a world without them.


Importance of proactive planning for healthcare practices regarding non-compete agreements and future regulations.


Concluding thoughts and gratitude from the host and guest, emphasizing the conversation's significance.


Encouragement to subscribe to the podcast and the Medical Economics newsletter for more insights.

Non-compete agreements in healthcare are under scrutiny due to legal challenges and the FTC's rule, creating uncertainty. These agreements typically include employment and geographic restrictions, but their enforceability varies by state. Public policy often opposes restricting physicians' ability to treat patients. Alternatives to non-competes exist, offering protection without limiting employment. Hiring physicians with existing non-competes poses risks, and termination can lead to legal complications. The trend is moving towards banning non-competes, necessitating proactive planning for future regulations in healthcare practices.

Emma Schuering, JD, of the Polsinelli law firm discusses non-compete agreements in health care.

Ep 44: Noncompete clauses with Emma Schuering, JD

Medical Economics presents the Physician’s Guide to Running for Office. This is a companion piece to the wonderful print feature by Medical Economics Editor Richard Payerchin. This episode has been pulled from the hours of interviews he performed with Physicians serving in government at the local, state, and federal level.

Physician politicians: Why doctors choose to serve -- and how you can too by Richard Payerchin

Name: Jasmeet Bains, M.D.
City, State: Delano, California
Specialty: Family medicine, addiction medicine
Elected Office: Assemblymember, California State Assembly
Medical school: American University of Antigua

Name: Ken Moore, M.D.
City, State: Franklin, Tennessee
Specialty: Orthopedic surgery
Elected Office: Mayor, Franklin Tennessee
Medical school: University of Tennessee College of Medicine

Name: Elizabeth Steiner, M.D.
City, State: Portland, Oregon
Specialty: Family medicine
Elected Office: Senator, Oregon Senate, and running for Oregon state treasurer
Medical school: University of Massachusetts Medical School

Name: Alice Mann, M.D., M.P.H.
City, State: Edina, Minnesota
Specialty: Emergency medicine
Elected Office: Senator, Minnesota Senate
Medical school: Meharry Medical College, Johns Hopkins University

Name: Ami Bera, M.D.
City, State: Sacramento County, California
Specialty: Internal medicine
Elected Office: Congressman, U.S. House of Representatives
Medical school: University of California, Irvine

Name: Michael C. Burgess, M.D.
City, State: Cooke County, Texas
Specialty: Obstetrics/gynecology
Elected Office: Congressman, U.S. House of Representatives
Medical school: University of Texas Medical School

Name: Kim Schrier, M.D.
City, State: Sammamish, Washington
Specialty: Pediatrics
Elected Office: Congresswoman, U.S. House of Representatives
Medical school: University of California, Davis, School of Medicine

Name: Bill Hauter, M.D.
City, State: Morton, Illinois
Specialty: Emergency medicine, anesthesiology
Elected Office: Representative, Illinois House of Representatives
Medical school: Indiana University

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Yankee Doodle by michelangeloop – stock.adobe.com

The Star Spangled Banner by mattharveymusic – stock.adobe.com
Relaxing Lounge by Classy Call me Man - stock.adobe.com
COCKTAIL by Mythical Audio - stock.adobe.com




Discussion on the impact of policy decisions made by those without medical experience on healthcare practices.




Dr. Jasmeet Bains shares her hesitations about entering politics and the significant commitment required.



Dr. Ken Moore's Quick Decision (00:02:10)


Dr. Ken Moore explains his spontaneous decision to run for office in Tennessee.



Dr. Elizabeth Steiner's Advocacy (00:02:51)


Dr. Steiner discusses her advocacy work and the realization of the need for a physician's voice in legislation.




Dr. Mann shares her concern for patients and her journey back into politics after initially stepping away.



Dr. Ami Bera's Political Entry (00:06:51)


Dr. Bera describes his motivation to run for office during the Affordable Care Act discussions.



Dr. Michael Burgess's Influential Moment (00:07:31)

Physicians are increasingly entering politics to influence healthcare policy, driven by their firsthand experience with the impact of non-medical policymakers' decisions. The journey into politics involves challenges such as fundraising, negative campaigning, and balancing medical practice with legislative duties. Despite these hurdles, physician politicians emphasize the importance of advocacy, bipartisan collaboration, and the unique perspectives they bring to governance. They encourage aspiring physician legislators to understand their motivations, remain patient, and engage actively in political processes to effect meaningful change in healthcare.

Our guide to getting elected to office and what happens once you get there.

Policy

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