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EPISODE · May 20, 2026 · 11 MIN

The Economics Nobody Taught You in Medical School

from The Clinical Realist

Medical school teaches you pathophysiology, pharmacology, and clinical reasoning. It does not teach you how the money actually works. In this episode, Dr. Sarah Matt breaks down the economic structures that govern every clinical decision, every technology purchase, and every AI pilot that dies in a committee room: who pays, who decides, who uses, and why those three people are almost never the same person. What you will take away: - The user / decider / payer split and why it explains nearly every failed health-tech deal - How the RVU system shapes physician behavior and silently resists AI adoption - Why value-based care is harder to execute than the architects planned for - The practical questions buyers, vendors, and physicians should be asking before any AI deployment If you want to understand why healthcare moves so slowly, start here. Book a Discovery and Clarity Session: https://calendly.com/sarahmattmd Subscribe to The Sarah Matt Briefing: https://drsarahmatt.com/newsletter-signup—Resources & Links:📖 Get the Book: "The Borderless Healthcare Revolution" is available now on Amazon and major retailers.💼 Work with Dr. Matt:Looking for a keynote speaker or strategic advisor?Visit: drsarahmatt.com🔗 Connect on Social:LinkedIn: https://www.linkedin.com/in/sarahmattmd/YouTube: https://www.youtube.com/@DrSarahMatt-ClinicalRealist📧 Subscribe to The Briefing: drsarahmatt.com/newsletter-signup —Disclaimer:The views expressed on this podcast are those of Dr. Sarah Matt and her guests. They do not necessarily reflect the official policy or position of any affiliated institutions. This content is for informational and educational purposes only and does not constitute medical advice or a professional consulting relationship.

Episode metadata supplied by the publisher feed · Published May 20, 2026

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Medical school teaches you pathophysiology, pharmacology, and clinical reasoning. It does not teach you how the money actually works. In this episode, Dr. Sarah Matt breaks down the economic structures that govern every clinical decision, every technology purchase, and every AI pilot that dies in a committee room: who pays, who decides, who uses, and why those three people are almost never the same person. What you will take away: - The user / decider / payer split and why it explains nearl...

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The Economics Nobody Taught You in Medical School

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