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PCP Lens Podcast

PCP Lens Podcast

by Medicine + Metrics + Money + Madness = Healthcare

Latest episode
Podcast -Why VBC Makes Healthcare More Expensive

About this podcast

I discuss the boring, confusing, and maddening details about the business of healthcare, which has a big impact on your wallet—and your health.

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Episodes

The newest 20 of 34 episodes

  • Podcast -Why VBC Makes Healthcare More Expensive · 16 minDescription Value-based care was designed to make healthcare cheaper and better. But in the last 15 years, it has done the exact opposite. This podcast explains how VBC is…
  • Podcast - VBC & PE: A Match Made in DC · 15 minDescription In this episode, I discuss why Private Equity (PE) is so interested in funding Accountable Care Organizations (ACOs) participating in Value-Based Care (VBC)…
  • Podcast - Good Intentions, Bankrupt Doctors · 14 minDescription Value-based care is supposed to save money, but for independent physicians, it's often a structural trap. Using a custom financial simulation model, I break down the…
  • Podcast - The Math Behind Hospital-Based ACOs · 16 minDescription Value-based care is supposed to save money, but for independent physicians, it's often a structural trap. Using a custom financial simulation model, I break down the…
  • Podcast - VBC Financial Simulation Model · 49 minDescription I created a financial simulation model to mimic value-based care contracts. This screencast explains how the model is structured, what the different variables mean…
  • Podcast - Health Determinants at Check-In · 17 minDescription Why is the healthcare system demanding that doctors “fix” homelessness and food insecurity during a 15-minute visit, while refusing to fund the actual solutions?In…
  • Podcast - The Ritual of Care · 14 minDescription The Annual Physical is an $8 billion+ ritual. But major studies show it doesn’t reduce mortality. So why is it still the center of American primary care? This video…
  • Podcast - The Scorekeepers of American Medicine · 14 minDescription Are healthcare quality metrics truly objective? This podcast dives into the strange history of performance measures, revealing how they evolved from clinical tools…
  • Podcast - Everyone is Pre-Sick · 13 minDescription In this video, I explore how the rise of risk-factor medicine, combined with America’s social fragmentation, made people morally and socially responsible for their…
  • Podcast - The Cathedrals of Modern Medicine · 12 minDescription This video explores the rise of the hospital-insurance duopoly after WW-II, especially the unintended consequences of the Hill-Burton Act. The Hill-Burton Act…
  • Podcast - From Sewers to Stethoscopes · 11 minDescription This video is the first in my new series “Healers to Healthkeepers.” It explores the history and path dependency that led America from building public health…
  • Podcast - Obesity: A Symptom of the System · 13 minDescription This video podcast explores the root causes of obesity from the “determinants of health” point of view. I discuss why medicalization of obesity is unlikely to solve…
  • Podcast - The Curious Case of Water Fluoridation · 9 minDescription In this episode, I break down the history and controversy behind adding fluoride to water, and how it hurts vulnerable people more than the wealthy. Chapter Markers *…
  • Podcast - The Illusion of Healthy Choices · 8 minDescription This video is a primer on Social Determinants of Health (SDOH). I discuss how SDOH creates the illusion of healthy choices for people, but in reality, the only…
  • Podcast - The Architecture of Illness · 13 minDescription Who profits from poor health? This video exposes how policies, power, and profit—not just biology—shape the health of entire communities. Chapter Markers * 00:00…
  • Podcast - When Policy Fails Medicine Pays · 9 minDescription In this video, I delve into what really shapes the foundation of health: the Political Determinants of Health. I will show you how the political decisions we make or…
  • Podcast - Chronic Conditions, Corporate Causes · 15 minDescription Why are primary care doctors held accountable for chronic diseases caused by billion-dollar industries? In this episode, I discuss how powerful corporations—from soda…
  • Podcast - Why Fax Refuses to Die in Healthcare · 10 minDescription I got tired of people pointing to faxes and saying that doctors don't use the latest technology, and are stuck in the past. This video is an answer to that question…
  • Podcast - The Madness of Medication Adherence · 13 minDescription In the video, I take a deep dive into the Medication Adherence Quality Measures. We discuss why holding doctors responsible for people taking their medications is not…
  • Podcast - Biden and Prostate Cancer Screening · 5 minDescription Peter Attia made a recent claim that if Joe Biden kept getting the $5 PSA screening test, his aggressive prostate cancer may have been caught early. Well, I unpack…

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