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In this episode Ron chats with Dr. Gaurov Dayal, President and COO of Paladina/Everside Health. Here he discusses how healthcare is changing and how the fee for service model is so damaging to the American healthcare system. He believes that better healthcare outcomes come from regular and effective primary care. He stresses on the importance primary care groups being incentivized for keeping people out of the hospital. He also talks about how direct primary care is the primary care model of the future and how removing bad benefits managers from the equation is a big part of cutting employer healthcare costs.

Gaurov Dayal, MD is passionate about value-based care and transforming the US health care system. He serves as the President and COO of Everside Health, which was created from the merger of Paladina Health, Activate Healthcare and Healthstat in 2020 Everside is the nation’s second largest direct primary care provider focused on improving the health care of employees, retirees, and their dependents with nearly 400 clinics in 32 states.

Prior to his current role, Gaurov served as President of New Markets and Chief Growth Officer for ChenMed, one of the nation’s leading value-based care primary care groups focused on underserved seniors.  In this role he led ChenMed’s national expansion and new market operations.

Gaurov has over two decades of experience in population health, physician group, health plan and hospital operations. Other relevant experience includes serving as Senior Vice President at Lumeris, where he created and implemented operational solutions for large health care systems and provider groups transitioning to value-based care delivery.  Earlier, at SSM Health Care, a large multi-state Integrated Delivery system, Gaurov served as the Chief Medical Officer, Interim CEO for SSM Wisconsin Hospitals and President of Health Care Delivery, Finance, and Integration. At SSM, he led the transformation from traditional volume-based provider to a value-based system, including the successful acquisition and integration of Dean Clinic and Dean Health plan, the largest HMO in Southern Wisconsin.

Gaurov earned a BA from Johns Hopkins University, MD from Northwestern University and completed residency training in pediatrics at Washington University in St. Louis.

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This episode features Shiv Rao, MD is the co-founder and CEO of Abridge. Here he discusses how is company’s revolutionary app can help simplify and contextualize medical conversations. He shares the many uses of the app such as between doctors, patients, and their loved ones. Shive shines a light on the importance of the healthcare narrative and making sure everything is captured and understood correctly.

 Shivdev Rao, MD is the co-founder and CEO of Abridge, a company focused on bringing context and understanding to every medical conversation. He is also a faculty member and practicing cardiologist at UPMC’s Heart and Vascular Institute.

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In this episode Ron chats with Ge Bai, PhD, CPA, an Associate Professor of Accounting at the Johns Hopkins Carey Business School and Associate Professor of Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health. Here she discusses her work in healthcare pricing, policy. and management. She also talks about the current problems with the cost of insurance and price transparency. She also looks at some of the differences between for profit and not for profit organizations and their billing practices.

Ge Bai is an expert on health care pricing, policy, and management. Dr. Bai has testified before House Ways and Means Committee, written for the Wall Street Journal, and published her studies in leading academic journals such as the New England Journal of Medicine, JAMA, JAMA Internal Medicine, Annals of Internal Medicine, and Health Affairs. Her work has been widely featured in ABC, CBS, CNN, Fox News, Los Angeles Times, NBC, New York Times, NPR, Wall Street Journal, Washington Post, and other media outlets and used in government regulations and congressional testimonies.

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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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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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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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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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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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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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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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