The ACO Show explores the latest developments in the U.S. health care system, with a focus on value-based care and accountable care organizations (ACOs). Join co-hosts Josh Israel, MD, senior medical director of Quality, and Sean Cavanaugh, chief of Policy at Aledade, in conversations with experts, policymakers and clinicians to understand how value-based care is good for patients, practices and society. The ACO Show is produced by Aledade.
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Aledade Podcasts
I built MDCalc 20 years ago because I wanted to save myself and other doctors time and make it easy for them to integrate more evidence into their medical care. Now I’ve launched Offcall to tackle something even bigger: giving doctors back our autonomy — through salary and workload transparency. These ideas shouldn’t be radical…but here we are. I still practice emergency medicine, but I’ve spent my career breaking out of the cookie cutter version of “what a doctor looks like” or “what a doct ...
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The Future of Primary Care Is Independent: How Aledade Helps Doctors Break Free From Employed Medicine with Dr. Umar Bowers and Dan Bowles
41:23
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41:23Independent primary care isn’t a relic of the past — it’s becoming the future of American medicine. In this episode of How I Doctor, Dr. Graham Walker talks with two leaders helping drive that shift: Dr. Umar Bowers, an internist who left a major health system to build the practice he always envisioned, and Dan Bowles, General Manager of Practice H…
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Where AI in Medicine Is Actually Headed, with Microsoft’s CMO David Rhew
38:25
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38:25David Rhew has spent his career at the intersection of frontline medicine and cutting-edge technology. An infectious disease physician by training and now Global Chief Medical Officer at Microsoft, David brings a rare perspective shaped by decades of clinical work, health system leadership, and early research on AI in healthcare. In this episode of…
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Mark Cuban: How I’d Reform Healthcare If I Were in Charge (Re-Release)
1:03:29
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1:03:29Merry Christmas! Today we are re-releasing one of our favorite episode of the year. We'll be back next week with a brand new interview to kickoff 2026. Mark Cuban is a business mogul, the “Shark” every entrepreneur wants to make a deal with, the former owner of the Dallas Mavericks, and, most recently, an online pharmacy CEO. In 2022, Mark co-found…
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Eric Topol on Why Doctors Shouldn’t Fear AI — And How It Could Finally Fix Our Broken System
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43:40Dr. Eric Topol is one of the most influential voices in modern medicine. Founder of the Scripps Research Translational Institute and author of Deep Medicine and Super Agers, Eric has spent decades interrogating medical dogma, calling out hype, and pushing the profession toward evidence, prevention, and humanity. Dr. Graham Walker sits down with Eri…
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What Doctors Really Think About AI: Here Are the Surprising Findings From Offcall’s 2025 Physicians AI Report
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44:16AI is already shaping how physicians practice. And for the release of The 2025 Physicians AI Report, Graham is taking a different kind of episode: a deep-dive mailbag where he answers the questions doctors are actually asking about AI, grounded in one of the largest physician surveys of its kind. More than 1,000 physicians were polled in this proje…
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197. The Future of Primary Care with Shawn Martin
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30:10Shawn Martin, executive vice president and CEO of the American Academy of Family Physicians (AAFP), joins Josh Israel, MD, and Sean Cavanaugh to discuss challenges with the future of primary care, particularly independent primary care practices. Martin believes that value-based care has helped sustain rural health care practices and that the Medica…
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Thank You, Doctors! A Thanksgiving Highlight Reel from Mark Cuban, Shiv Rao, Danielle Ofri and More
34:54
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34:54This Thanksgiving, we’re pressing pause on the chaos of clinical life to honor the physicians, nurses, and healthcare workers who keep showing up tired, hopeful, frustrated,and inspired. In this special “Best Of” episode, Dr. Graham Walker revisits five conversations that have sparked the most messages, DMs, forwarded links, and late-night reflecti…
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Building Decision Support AI That Doctors Truly Love and Trust, with Evidently's Dr. Kalie Dove-Maguire
37:56
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37:56Dr. Kalie Dove-Maguire is an emergency physician, health-tech leader, and the President and Chief Product Officer at Evidently — a physician-founded company building clinical decision support tools designed to earn trust, not replace judgment. After years on the frontlines, Kalie saw firsthand how critical information gets lost in the noise, how cl…
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The Physician AI Conversation: How Doctors Can Drive the AI Era in Medicine Forward with Abridge CEO Dr. Shiv Rao
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50:54Dr. Shiv Rao is a cardiologist, entrepreneur, and the CEO and co-founder of Abridge, the physician-founded AI company transforming how clinical conversations become care. Built on the belief that healthcare is about people, not paperwork, Abridge is now embedded in more than 200 major health systems, processing millions of encounters each week and …
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A Rare Look Inside Epic's Vision for Physicians' Future With CMO Dr. Jackie Gerhart
46:41
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46:41Dr. Jackie Gerhart is a family physician, clinical informaticist, and Chief Medical Officer at Epic — the company whose software powers much of American healthcare. From ambient documentation and AI scribes to patient-facing AI assistants like Emmy, Epic is now redefining how data, technology, and the human touch coexist in clinical care. Few physi…
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196. What is the National Committee for Quality Assurance (NCQA)? with Margaret E. O’Kane
27:52
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27:52Margaret E. O’Kane, CEO, president and founder of the National Committee for Quality Assurance (NCQA), joins Joshua Israel, MD and Sean Cavanaugh to discuss how the organization has helped transform quality measurement in the American health care system. Over the past 35 years, O'Kane and the NCQA have developed quality measurement standards for cl…
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Should Doctors Unionize? The Story of Why Physicians at Salem Hospital Joined a Union to Take Back Power with Dr. Sean Codier
42:16
42:16
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42:16We're releasing a Physicians AI Whitepaper and need your help! Calling all MDs: Help us shape the future of what AI looks like in medicine. Participate Here! Dr. Sean Codier is an emergency physician at Salem Hospital within Mass General Brigham and one of the leaders behind the first successful physician unionization effort in the system’s history…
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Why Women Physicians Still Earn Less — and What We Can Do About It With Dr. Vineet Arora
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41:23Dr. Vineet Arora is the Dean for Medical Education at the University of Chicago and one of the nation’s leading voices on equity, leadership, and physician well-being. Her groundbreaking research has exposed how gender bias and pay inequity continue to shape medicine—from how residents are evaluated to how faculty are promoted and paid. But more im…
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Breaking Free from W-2 Medicine: The Physician’s Guide to Locum Tenens with Dr. Ali Chaudhary
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39:47Dr. Ali Chaudhary is an emergency physician, entrepreneur, and one of the leading voices helping doctors reclaim control over their careers. After leaving a traditional W-2 job, he built Locums United and LocumOS - two platforms designed to bring transparency, fairness, and autonomy to how physicians are staffed and compensated. Having lived both s…
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The Future of Emergency Medicine: Dr. Alison Haddock on Physician Empowerment, Unionization, and Survival in the ED
29:29
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29:29Dr. Alison Haddock is an emergency physician, educator, and past president of the American College of Emergency Physicians (ACEP). She’s spent her career fighting for physician autonomy and building a sustainable future for emergency medicine. One where doctors aren’t just surviving shift to shift, but leading the systems that shape their work. A n…
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195. Unlocking Independence for Primary Care Clinicians
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21:41
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21:41Join Josh Israel, MD, and Sean Cavanaugh, along with Brittney Anderson, MD, family physician and podcaster (“Physicians Hanging a Shingle”) and Dan Bowles, general manager of practice health at Aledade, to discuss Anderson’s journey to owning her own private practice, and how she supports other physicians seeking independence. Both Anderson and Bow…
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Escaping Physician Exploitation: Private Practice, Pay Transparency, and Entrepreneurship with Dr. Brian Dixon
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41:20
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41:20Dr. Brian Dixon is a psychiatrist, entrepreneur, and one of the boldest physician voices pushing for salary transparency and fairness in medicine. He’s the founder of Simply Psych and Mindful, and he’s built his career by pulling back the curtain on contracts, compensation, and the hidden math of how health systems profit off physicians. With radic…
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How Two ER Doctors Created the Top Clinical Tool for Physicians: The Origins of MDCalc with Dr. Joe Habboushe
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36:30This episode is sponsored by Abridge - the leading AI platform that drafts structured, clinically useful notes at the point of conversation. MDCalc turns 20 this year. What began as a scrappy side project in med school grew - without outside funding - into one of the most-used, most-trusted clinical references in the world. In this episode of How I…
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From Hospital Insider to Physician Advocate: How Ethan Nkana Switched Sides to Champion Doctors’ Voices
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40:11
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40:11Ethan Nkana spent over a decade as a hospital executive negotiating contracts on behalf of health systems. He knew the inside playbook: how administrators calculated physician value, what mantras they used behind closed doors, and the quiet ways hospitals exploited physician professionalism. Then he switched sides. In this episode of How I Doctor, …
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194. 2024 MSSP Results with Farzad Mostashari, MD and Sandeep Mann, MD
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26:33
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26:33Join Josh Israel, MD and Sean Cavanaugh in their video debut as they discuss the Medicare Shared Savings Program (MSSP) results for 2024 released by CMS with Aledade CEO Farzad Mostashari, MD They explore how Aledade Accountable Care Organizations (ACOs) earned more than $1 billion in total savings and continue to improve performance year over year…
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Medicine’s Broken Promises: Dr. Danielle Ofri on Greed, Trust, and Why the System Survives on Exploiting Clinicians
38:43
38:43
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38:43Dr. Danielle Ofri is an internist at Bellevue Hospital, clinical professor at NYU, and one of the most widely read physician-writers of our time. Through her books, essays, and New York Times op-eds, she has given voice to the emotional realities of medical work and exposed the ways the business of healthcare exploits the professionalism of doctors…
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Longevity Doctor Reveals The Truth About Supplements, Multivitamins, Biohacking, And More with Dr. Hillary Lin
36:12
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36:12Dr. Hillary Lin is a Stanford-trained internist and longevity entrepreneur who is cutting through the hype to bring evidence-based clarity to one of medicine’s buzziest frontiers. As co-founder and CEO of Carecore and host of The Longevity Show, she’s built her career at the intersection of clinical skepticism and innovation, challenging what’s rea…
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Surviving Medicine’s Hidden Trauma: How Dr. Gita Pensa’s Malpractice Lawsuit Became a Blueprint for Helping Other Doctors
36:51
36:51
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36:51Dr. Gita Pensa is an emergency physician and nationally recognized advocate who knows firsthand the toll malpractice takes on doctors. After enduring a 12-year legal battle that included two jury trials, she emerged determined to break the silence around litigation and its hidden impact on physicians’ identity, mental health, and careers. Today, sh…
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No Insurance Needed! Same Day Appointments! Unlimited Visits! Pay Whatever You Can! How Dr. Paulius Mui Is Reinventing Primary Care to Put Patients First
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37:24
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37:24Dr. Paulius Mui is a family physician, technologist, and community builder who refuses to fit into a single box. Instead of choosing between clinic shifts and tech projects, he’s built a portfolio career that blends patient care, experimentation, and creativity. Most recently, Paulius is reimagining what primary care looks like by launching a direc…
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What Happens When a Pediatrician Takes On Congress - Dr. Annie Andrews on Turning Clinical Advocacy into Political Action
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30:43Dr. Annie Andrews is a pediatric hospitalist, public health advocate, and U.S. Senate candidate in South Carolina taking on incumbent Lindsey Graham. Known for her unapologetic advocacy for children’s health, Annie has spent over 15 years caring for sick and injured kids, only to realize that many of their challenges stemmed from broken policies fa…
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Doctors Can’t Stay Silent Anymore: Why Shoshana Ungerleider Is Calling on Clinicians to Speak Out
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31:33
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31:33Dr. Shoshana Ungerleider is an internal medicine physician, a public health advocate, and one of the most trusted voices translating science for the real world. Whether she’s hosting th TED Health podcast, advising Netflix on end-of-life storytelling, or calling out hype and misinformation in the media, her work is reshaping how clinicians show up …
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From Rural ER Doc to the Governor’s Mansion: How Hawaii Gov. Josh Green Is Rewriting the Rules of Public Health
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41:14Dr. Josh Green is an emergency physician who’s done what many doctors only talk about. He’s taken a seat at the table and turned it into a platform for real change. After two decades practicing rural medicine in Hawaii and witnessing firsthand the systemic failures that lead to poor outcomes, he ran for office in his scrubs - and won. Today, as Gov…
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193. Breaking down CMMI’s new strategy with Abe Sutton and Farzad Mostashari, M.D.
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34:58
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34:58Abe Sutton, director of the Center for Medicare and Medicaid Innovation (CMMI), sits down with Aledade CEO Farzad Mostashari, M.D., and Sean Cavanaugh to unpack the new strategic framework for CMMI models. Sutton explores CMMI’s focus on three pillars: promoting evidence-based prevention, improving patient access to their health data and driving ch…
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Why Health Tech Needs More Clinicians at the Table, And on the Cap Table! With Scrub Capital's Rebecca Mitchell
35:14
35:14
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35:14Rebecca Mitchell is a physician, product strategist, and founding partner at Scrub Capital - a new kind of venture fund built from first principles to fix what’s broken in health tech investing. Alongside her co-founders, Rebecca is working to make sure that healthcare startups aren’t just built for clinicians, they’re built with them. In this epis…
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192. The Road Show: What makes a good ACO partner?
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14:57Join Josh Israel and Sean Cavanaugh for part two of their most recent road trip visiting primary care practices from Los Angeles to Washington D.C. First, they visited Dr. Arvinder Bir and Dr. Seema Bir, Aledade partners in California, to discuss how Aledade has helped enable their practice to reduce patient hospitalizations and remain independent.…
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The RVU Trap: How Hospitals Use Productivity Metrics to Keep Physicians in the Dark, with Contract Attorney Dennis Hursh
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44:10Attorney Dennis Hursh has reviewed more than 3,500 physician contracts and has seen the same patterns again and again - doctors being underpaid, overworked, and legally trapped by language they didn’t know to question. In this episode, Dr. Graham Walker talks with Dennis about how RVUs and non-competes are often used against physicians, and how to …
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Innovation and AI-Driven Healthcare, with MD Entrepreneur Dr. Jay Parkinson
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42:59Dr. Jay Parkinson is a pediatrician and founder who’s been reinventing healthcare from the outside in for nearly two decades. From launching one of the first tech-enabled house call services in Brooklyn to pioneering virtual primary care with Sherpaa, Jay has always believed that doctors can design better systems. Now he’s back with Automate Clinic…
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191. Road Show Reflections with Farzad Mostashari, M.D. and Mat Kendall
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18:40Aledade CEO Farzad Mostashari, M.D., and Mat Kendall, president, join Josh Israel and Sean Cavanaugh to share insights from their recent road trip to primary care practices from Los Angeles to Washington D.C. They reflect how conversations about value-based care have evolved over the past 11 years — and what organizations are trying to learn when d…
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FTEs, RVUs, PSLF...WTF? Everything You Were Never Taught to Become a Successful Doctor with Dr. Ami DeWaters
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44:49Dr. Ami DeWaters is a hospitalist, medical educator, and one of the leading voices reimagining how we prepare residents for the realities of modern medicine. She’s an associate professor at Penn State College of Medicine that’s known for her sharp insights and deep commitment to building physicians who are not just clinically excellent, but also fi…
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Young Doctors Need to Be Willing to Make the Ultimate Sacrifice with Congressman Greg Murphy
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43:54Dr. Greg Murphy is a practicing urologist and four-term Republican Congressman representing North Carolina’s third district—and the only physician in Congress who still actively sees patients, entirely pro bono. Before entering politics, he served as an affiliate professor, urology group president, and chief of staff at a Level 1 trauma center in G…
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Why Medical Education Is Broken, And How We Can Fix It with Dr. Paul Tran
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38:31Dr. Paul Tran is a pediatric gastroenterologist, award-winning medical educator, and the creator behind Alimentary School — an online platform using storytelling, mentorship, and dad jokes to make medicine more human. He’s on a mission to break down outdated hierarchies and rebuild medical education around trust, real-time feedback, and genuine con…
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The world of medicine is entering a new era. One where AI isn’t just a buzzword, but a daily presence in the lives of physicians. That’s why Offcall recently hosted a live webinar We're Sharing AI Secrets for Clinicians, featuring Dr. Graham Walker, ER physician and co-founder of Offcall, and Dr. Sarah Gebauer, anesthesiologist and founder of Valar…
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190. The Rising Cost of Skin Substitutes with Dr. Caroline Fife and Dr. Christopher Apostol
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27:02Dr. Caroline Fife and Dr. Christopher Apostol join us to explore the rising cost of skin substitutes in wound care, which Aledade data suggests is a tenfold increase in the last three years. Dr. Fife explains that rising costs are due to an increase in both cost of the product and increased usage and she addresses the real concerns such as the way …
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Nurses Know How to Fix Healthcare, So Why Are They Left Out of the Room? with Shawna Butler, RN
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34:26Shawna Butler is a nurse, economist, and creator of the EntrepreNURSE movement — but above all, she’s a force for rethinking how healthcare systems are built and who gets a say. In this episode of How I Doctor, Dr. Graham Walker talks with Shawna about what we lose when we treat nurses like costs instead of collaborators. They unpack the deep roots…
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This 2x Founder Did Something Radical: He Listened to Doctors Before Building Anything With Aniq Rahman
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39:48Aniq Rahman is a two-time tech founder, but when he turned his attention to healthcare he did something most disruptors don’t - he shut up and listened. Aniq embedded himself in hospitals, shadowed physicians, and absorbed the daily frustrations that don’t show up in EMR logs or admin dashboards. In this episode of How I Doctor, Dr. Graham Walker t…
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189. Do ACOs Really Save Money? Dr. Amelia Bond and Dr. Dhruv Khullar Explain
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24:12Dr. Amelia Bond and Dr. Dhruv Khullar join us to discuss the long-term savings of accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP). Their recent study in JAMA found that ACOs generate increasing savings over time, with physician-led ACOs demonstrating more significant savings. Learn about their study’s methodology…
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Confessions from a Mid-Career Physician: Why It’s Okay to Want More Than Medicine with Dr. Kaveh Hoda
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31:42
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31:42Dr. Kaveh Hoda is a practicing gastroenterologist and longtime podcaster. He’s part of a cohort of doctors who trained on paper charts, watched the rise of EHRs, and now find themselves navigating mid-career questions that older generations rarely asked. Questions about purpose, burnout, and identity beyond the white coat. In this episode of How I …
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188. Natalie Davis on Why You Shouldn’t Talk about Value-Based Care
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22:23Natalie Davis, CEO of United States of Care, joins us to talk about the challenges of discussing value-based care with patients and policymakers. Through extensive research with over 30,000 individuals, Davis shares that the term "value-based care" often evokes negative connotations of low-quality care. When presented with the benefits of value-bas…
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The Future of Primary Care Is Independence And It’s More Lucrative Than You Think with Dr. Farzad Mostashari
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40:07Dr. Farzad Mostashari is the former National Coordinator for Health IT, the CEO and co-founder of Aledade, and a longtime champion for independent primary care. He’s spent his career trying to answer one question: how do we fix American healthcare by paying doctors to prevent illness—not just treat it? In this episode of How I Doctor, Dr. Graham Wa…
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How Medicine Is Failing Women Doctors, And What We Can Do to Fight Back with Dr. Tiffany Moon
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39:46Dr. Tiffany Moon is a board-certified anesthesiologist, entrepreneur, mother of twins, and former cast member on The Real Housewives of Dallas. She is a deeply thoughtful physician who is working to reclaim joy in a system that often seems designed to extinguish it. In this episode of How I Doctor, Dr. Graham Walker talks with Tiffany about her jou…
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Harvard Cardiologist Reveals What Doctors Never Learn in Training About Careers, Contracts, and Building a Life Outside Medicine with Dr. Sanjay Divakaran
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36:46Dr. Sanjay Divakaran is a cardiologist, educator, and Associate Chief at Brigham and Women’s Hospital. He’s also one of the most thoughtful voices when it comes to guiding the next generation of physicians. Not just in clinical medicine, but in career strategy, mentorship, and personal growth. In this episode of How I Doctor, Dr. Graham Walker sits…
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Former Epic Doctor Says the System Is Designed to Fail Physicians
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32:32Dr. Craig Joseph is a pediatrician, informaticist, and the Chief Medical Officer at Nordic Global. He’s also the author of Designing for Health and a former Epic employee, with decades of experience at the intersection of clinical care and health IT. On this episode of How I Doctor, Dr. Graham Walker talks with Craig about what’s actually broken in…
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187. Behavioral Health Care Accessibility
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26:26A majority of those with behavioral health challenges lack access to high-quality care. Gabe Diop, co-founder of Rula, a behavioral health physician group, joins the ACO Show to discuss how Rula is making behavioral health care more accessible by partnering with primary care practices to connect patients with the care they need. Dr. Samantha Cotler…
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Physician Contract Lawyer: No Other Profession Has It As Bad As Doctors! Here Are the Most Insane Clauses In Doctors’ Contracts and Why Every Physician Needs to Renegotiate Them!
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43:51Michael Johnson is an attorney and the founder of Michael Johnson Legal, a firm that works exclusively with physicians and physician groups to review contracts, negotiate fair compensation, and protect career freedom. In this episode of How I Doctor, Dr. Graham Walker sits down with Michael to unpack one of the most overlooked yet high-stakes parts…
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Most Shared Episodes: These 4 Physicians Are Fighting to Save Medicine and Give Doctors Their Power Back! -- Dr. Glaucomflecken, Dr. Eric Bricker, Dr. Elisabeth Potter, Dr. Jim Dahle
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43:19Last week’s interview with Mark Cuban generated a huge response — thank you to everyone who listened, commented on, or shared the episode. New guests will debut next week, but this week, we’ve rounded up some of the show’s most inspiring and thought-provoking moments to date to help all the new listeners get acquainted with How I Doctor and Offcall…
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