The Paradocs Podcast with Eric Larson

Latest Episodes:

Episode 047: Making Direct Care Work as a Gynecologist with Dr. Deborah Herchelroath May 15, 2019

Show notes

Today, we continue our journey discussing physicians who are using direct patient care through a membership model as disruptors in the health care field. Direct primary care is one of the most disruptive and innovative models to emerge in recent years and more and more specialties are looking for ways to adopt the insurance-free notion of providing care to patients. Now we can add an OB/GYN to the ever growing lists of physician specialties as I discover the practice of Deborah Herchelroath, DO.

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Episode 046: Using Midwives to Lower the C/Section Rate with Dr. John LaGrand May 08, 2019

Show notes

For women, a very scary and anxious time of their life is pregnancy. C/sections are a very common procedure in the US for women constituting 33% of all live births. However, my guest Dr. John LaGrand's practice, in which he works collaboratively with four certified nurse midwives (CNMs), he believes is a different way to practice obstetrics and has led to a c/section rate of only 5%.

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Episode 045: Why Carrots & Sticks Won't Work with Doctors. A Discussion with Dr. Ryan Neuhofel Apr 23, 2019

Show notes

One of the great challenges to those paying for our health care today is determining who is high quality, who is truly expensive , and who is doing the right thing. Unfortunately, the payers in medicine are not the patients but third parties like Medicare. Since the person receiving the care is not directly paying for the service, administrators in an office have to make the determination of how to pay without experiencing the care and knowing whether the physician was providing the right care.

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Episode 044: Physicians as Leaders with Dr. Jack Cochran Apr 17, 2019

Show notes

Physicians today need to be more than healers. They need to also be leaders for their patients and partner with the patients throughout all aspects of care. Until we as physicians take an active role in finding solutions to every problem encountered by our patients, we aren't doing our job. This includes being mindful of the cost of tests, procedures, and pharmaceuticals and doing something to lower those costs to make getting the necessary care affordable.

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Episode 043: How PBMs Jack Up Drug Prices with Dr. Madelaine Feldman Apr 10, 2019

Show notes

How do PBMs (pharmacy benefit managers) pass on savings to themselves and leave patients and insurance companies holding the bill? It's hard to answer that question without first understanding what a PBM is, how they work, and what their role is in the pharmaceutical market. Unfortunately, the PBMs intentionally cloud what they really do in order to continue ripping off patients and insurance companies with unnecessarily high drug prices.

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Episode 042: How to Fix US Health Care and Other Simple Questions Mar 30, 2019

Show notes

This week's episode is a longer interview I did as a guest on the Gray Matters Radio Podcast with Mike DeVine. He had me appear in February as part of his series exploring the US health care system and its many dysfunctions. In this episode we explored the problems with the pricing system, group purchasing, economic scarcity, and why things are just so darn expensive. Of course they all get answered and wrapped into a nice little bow at the end of the interview.

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Episode 041: An Otolaryngologist Sticks Her Neck Out and Actually Discusses Prices Ahead of Time. A Discussion with Dr. Elaina George Mar 19, 2019

Show notes

Only in medicine is discussing prices before providing care a revolutionary concept. Prices serve as an important signal to both providers and patients as to the relative scarcity of care. Whether that is time with a physician, time in the operating room, the cost of equipment necessary for procedures, or medications the price signal is important for both sides to understand the real cost of using resources.

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Episode 040: How Prior Authorization Delays Care and Frustrates both Patients and Physicians with Dr. Mark Lopatin Mar 12, 2019

Show notes

How would you feel if someone who didn't know, was unfamiliar with your symptoms and story, and had never examined you dictated the way you were treated? Would you be upset if the people making those decisions were not specialists or maybe even had the same training as a physician? Unfortunately, this practice is very common today in every doctor's office in America and it is called prior authorization.

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Episode 039: Is Mental Health Broken? A Discussion with Counselor Michael DeVine Mar 06, 2019

Show notes

If there were a conventional treatment for a disease in a traditional medical practice that worked only 10% of the time or less - would anyone feel comfortable claiming it was a fantastic cure? I suspect not, yet those abysmal successful treatment numbers are present in some areas of the mental health arena when it comes to addiction treatment. However, you almost never hear about the failure of the 12 step programs or outpatient treatment plans and their high failure rate. Why is that?

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Episode 038: The Causes of Physician Burnout, Depression, & Suicide with Dr. Cory Fawcett Feb 26, 2019

Show notes

Today, the topic physician burnout and looking at the numbers at who is suffering and what the causes are. Medscape published its 2019 Survey of Physician Burnout, Depression, & Suicide that dives deep into the demographics and causes of the phenomena. However, what was notably absent from the possible causes for burnout was financial matters. What effect does a high personal debt have on physician well being? And if it is a problem, how can you find your out of debt to improve your psyche as a physician?

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