The Pediatric Lounge: Advocating for Pediatric Care and Independent Practices

In this episode of The Pediatric Lounge podcast, the hosts discuss various topics relevant to pediatric care and independent practices. They highlight an upcoming event in New Orleans where pediatric practice leaders will gather to discuss their field. Special guest and pediatrician, Brian Birch from Idaho, shares his concerns about the future of pediatrics and his efforts at the state level, including the establishment of a pediatric council to address changes in Medicaid payments. The episode delves into the implications of legislative changes, the role of pediatric councils in payer relations, and the challenges of maintaining a medical home. The conversation also touches on the importance of independent practices, sharing mistakes, and the value of community support through groups like SOPA. The episode ends with a look ahead to upcoming conferences and talks aimed at fostering leadership and best practices in pediatrics.

00:00 Introduction to The Pediatric Lounge
00:32 Preparing for the PMI Conference
00:51 Guest Introduction: Brian Birch
01:45 Challenges in Idaho's Medicaid Program
05:08 National Medicaid Concerns
10:36 The Role of Pediatric Councils
14:19 The Importance of Practice Management
18:01 Engaging Young Pediatricians
33:50 Upcoming Events and Conferences
39:14 Conclusion and Farewell

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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

In this episode of The Pediatric Lounge, Dr. Rogu and Dr. Bravo welcome Chip Hart from PCC to discuss practical paths to fairer insurance reimbursement in pediatrics. They delve into the complexities of pediatric payment structures, including disparities in payments based on practice ownership and the impact of insurance models. The conversation also explores broader healthcare issues, including the economic implications of preventive care, the federal government's role in ensuring equitable healthcare, and potential solutions to make pediatric practices financially sustainable.

Highlighting successful practices that have thrived, the discussion underscores the importance of vision, business acumen, and an abundance mindset in pediatrics.

Additionally, the episode emphasizes the significance of the upcoming PMI (Pediatric Management Institute) conference, noting that it offers valuable opportunities for learning, networking, and professional growth. It is mentioned that PMI is fully sold out for in-person attendance but provides a streaming option, with speakers like Sandy Chung and Sue Kressley participating. Special attention is given to a T1D Mastermind Class at PMI with world-renowned pediatrician Dr. Kimber Simmons, showcasing the event as a pivotal occasion for anyone in the pediatric field.

00:00 Welcome to The Pediatric Lounge
00:32 Introducing Chip Hart and Today's Topic
01:02 Understanding Insurance Payments in Pediatrics
02:08 Private Equity and Practice Ownership
03:04 Medicaid and Payment Disparities
05:01 The Single Payer Model Debate
06:34 Value-Based Care in Pediatrics
07:55 Challenges in Preventive Care Funding
10:29 The Role of Managed Medicaid
14:02 Investment in Early Life Healthcare
19:41 Universal Coverage and Moral Hazards
20:14 Historical Context of Healthcare Policies
26:28 The Importance of Preventive Care
31:40 Public Schooling and Healthcare Parallels
40:27 Revisiting the Original Question
41:50 The Economics of Pediatric Care
42:53 Challenges with Insurance and Cash Payments
45:04 The Vaccine Debate and Physician Responsibility
47:29 Incentivizing Preventive Care
49:00 The Importance of Cash Systems in Healthcare
51:33 The New MSMS Codes and Payment Issues
01:01:39 Success Stories in Pediatric Practices
01:08:51 Upcoming PMI Conference and Final Thoughts

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
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SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

The Journey of Independent Pediatric Practice with Dr. Brian Birch

In this episode of The Pediatric Lounge, hosts George and Herbie welcome back Dr. Brian Birch to discuss his two years of experience running an independent pediatric practice. They explore the successes and challenges of starting the practice, the key technologies that have supported its operation, and the culture and values driving its mission. The conversation covers the use of AI ambient scribes, patient communication tools, and the importance of maintaining relationships with patients. Dr. Birch also shares insights into leadership, team building, and the complexities of vaccine hesitancy in a changing healthcare landscape.

00:00 Introduction to the Pediatric Lounge
00:24 Welcoming Dr. Brian Birch
00:39 Independent Practice Journey
01:19 Practice Operations and Team Structure
03:10 Technology in Practice
03:29 AI and Digital Scribes
18:12 Challenges and Solutions in Practice Management
24:31 Building a Positive Culture
29:25 The Courage to Prune for Growth
30:46 Enterprise First Mindset
31:55 Client Relationships and Non-Negotiables
32:52 Navigating Vaccine Hesitancy
36:41 Building Trust with Patients
46:36 Challenges in Pediatric Practice
47:13 Advocacy and Future Plans
51:54 Networking and Community Support
53:14 Conclusion and Farewell

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
🐦 - TWITTER
📸 - Instagram
➡️ - Linkedin

The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.