Episode 39: Ed Gaines - Healthcare Reimbursement, Prior Authorization, and the No Surprises Act

Episode 39: Ed Gaines - Healthcare Reimbursement, Prior Authorization, and the No Surprises Act

In this episode of the Strive Podcast, we speak with Ed Gaines, a nationally recognized expert in healthcare reimbursement, medical coding, and physician payment policy, to unpack the economic infrastructure that shapes modern medicine.

Together we discuss:
• Why reimbursement education is largely absent from medical training
• How documentation and coding directly influence physician payment
• The real implications of the No Surprises Act for patients and providers
• The growing burden of prior authorization and payer oversight
• Why independent practices may be regaining leverage against health plans
• What young physicians should know about contracts, negotiations, and advocacy

This conversation offers a rare inside look at the policy, incentives, and payment systems that quietly determine how care is delivered in the United States, and why physicians must understand them to protect the future of the profession.

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Avsnitt(40)

Episode 38: Elad Levy - Building Paradigm Shifts in Modern Neurosurgery

Episode 38: Elad Levy - Building Paradigm Shifts in Modern Neurosurgery

In this episode of the Strive Podcast, we speak with Dr. Elad Levy, Chair of Neurosurgery at the University at Buffalo and Distinguished Professor, to explore how paradigm shifts in medicine are built...

25 Feb 49min

Episode 37: Russell Lonser - Surgical Innovation, Translational Science, and Responsible Leadership

Episode 37: Russell Lonser - Surgical Innovation, Translational Science, and Responsible Leadership

In this episode of the Strive Podcast, we host Dr. Russell Lonser, Chair of Neurological Surgery at The Ohio State University and a global leader in neurosurgery and physician-scientist training. Dr. ...

4 Feb 47min

Episode 36: Noah Kaufman - Decentralizing Healthcare

Episode 36: Noah Kaufman - Decentralizing Healthcare

Join us on the Strive Podcast as we explore the fascinating journey of Dr. Noah Kaufman, an emergency medicine physician, entrepreneur, and Bitcoin philosopher. Known as the Ninja Doc from NBC's Ameri...

21 Jan 57min

Episode 35: Scott Becker - Building Becker's Healthcare

Episode 35: Scott Becker - Building Becker's Healthcare

Scott Becker shares insights on his dual career path, the evolution of Becker's Healthcare, and the mindset behind balancing law and media entrepreneurship. He discusses the legal mindset and entrepre...

18 Dec 202556min

Episode 34: Tina Chen - Exploring the Journey & Challenges in Mental Health

Episode 34: Tina Chen - Exploring the Journey & Challenges in Mental Health

In this episode of the Strive podcast, we have an enlightening conversation with Dr. Tina Chen, a dedicated psychiatrist specializing in child and adolescent mental health. Dr. Chen discusses her path...

30 Maj 202451min

Episode 33: Zachary Rosenthal- Exploring Electroconvulsive Therapy

Episode 33: Zachary Rosenthal- Exploring Electroconvulsive Therapy

In this episode of the Strive Podcast, we host Dr. Zachary Rosenthal, a psychiatry resident from the University of Pennsylvania. We delve into his journey in medicine and his focus on electroconvulsiv...

23 Maj 202452min

Episode 32: Shae Keller - Exploring the Intersection of Pharmacy, Informatics, and Business

Episode 32: Shae Keller - Exploring the Intersection of Pharmacy, Informatics, and Business

In this episode of the Strive Podcast, we host Shae Keller, a professional who has navigated the journey from pharmacy to pharmacy informatics, and further into the realm of business with an Executive...

16 Maj 202442min

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