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Rohit Harve, a technical operations partner and health care expert with PA Consulting, joins the show to talk tariffs and their impact on the medical device industry.



Also, be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know.




Relaxing Lounge by Classy Call me Man - 

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


Prices will be passed on to consumers, affecting doctors, patients, and health care providers.




Austin Littrell introduces the episode and the guest, Rohit Harve, focusing on tariffs in the medical device industry.




Rohit discusses the volatile situation regarding tariffs and their effects on the medical device industry.



Profitability and Market Dynamics (00:01:20)


Tariffs impact profitability, growth, and market dynamics, especially in discretionary care segments.




Increased costs for components like semiconductors and materials will affect margins and pricing power.




Increased costs will ultimately affect health care expenses for consumers, doctors, and patients.




Tariffs will complicate supply chains, pushing manufacturers to seek local suppliers amid regulatory challenges.




Moving complex manufacturing back to the U.S. is challenging due to time, cost, and skill shortages.



Competitiveness in Global Market (00:11:17)


Tariffs will hinder U.S. medical device companies' competitiveness and innovation in the global market.



Industry Response and Lobbying (00:12:22)


Active lobbying efforts are ongoing to address tariffs and their implications for the health care sector.




The likelihood of a deal on tariffs is uncertain, with potential adjustments in magnitude anticipated.




Uncertainty surrounding tariffs affects the medical device industry, though it may handle fluctuations better than others.




Startups should focus on product efficiency and competitiveness in the global market amidst changing conditions.




Todd thanks Rohit for the insightful conversation on tariffs and their economic implications for health care.

Podcasts

Rohit Harve of PA Consulting talks tariffs and their impact on the medical device industry.

Ep. 57: Tariffs and the medical device industry with Rohit Harve of PA Consulting

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.


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.

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.

Music Credits: Lofi Chillout Hip Hop Beat by Joystock - stock.adobe.com
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.

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.

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