Curbside HealthCast

Primary care feels broken: rushed appointments, long waits, endless forms, and a printout you can’t read. But what if the real problem isn’t your doctor… It's how we pay for care?  In this episode of Curbside Health Cast, Dr. Brady Steineck explains physician compensation and why fee-for-service healthcare turns primary care into a visit factory. When the payment model rewards office visits, we get more visits, more clicks, more checkboxes, and less actual health. If you’ve ever wondered why doctors seem hurried, why prevention gets ignored, or why messaging your clinic still turns into “schedule an appointment,” this is the missing piece. We dig into value-based care, capitated payment, per-member-per-month funding, and how shared savings models can reward prevention and better outcomes.  This conversation is for patients who want better access, clinicians who feel trapped on the treadmill, and healthcare leaders and payers who want real healthcare reform. Because if we pay for visits, we get visits, but if we pay for health, we can finally build a system designed for proactive care, chronic disease control, and real relationships. Highlights: → You’ll learn the 3 forces that keep primary care stuck: why the visit becomes the unit of business, how fee-for-service squeezes time out of care, and why prevention gets treated like an afterthought.  → You’ll also hear a simple explanation of capitation and why per-member-per-month primary care funding can support proactive outreach, team-based care, and better access without forcing every problem into an office visit.  → Dr. Steineck breaks down shared savings and full-risk contracting models, and why quality metrics, patient experience, and outcome guardrails matter so this becomes the right care, not less care.  → Finally, you’ll get a practical call-to-action whether you’re a payer, healthcare executive, clinician, or patient, so you can spot (and support) a system that’s built to keep people well. Learn more about your ad choices. Visit megaphone.fm/adchoices

Most people say they want to spend their final days at home, comfortable, surrounded by family, and cared for with dignity. But in real life, many patients with serious illnesses still end up in crisis mode: ER visits, repeat hospitalizations, ICU stays, and decisions made under stress.  In this episode of the Curbside Health Cast, host Dr. Brady Steineck sits down with Dr. Carrie Hyde, a physician and Chief Medical Officer for a national palliative care organization, to explain what families and clinicians often misunderstand: palliative care is not hospice, and it’s not “giving up.” Palliative care can be used alongside treatment for cancer, heart failure, COPD, kidney disease, and more, focusing on symptom management, goals of care, caregiver support, and quality of life. Hospice is a specific benefit typically used in the last months of life when the focus shifts to comfort.  If you’ve ever wondered when to involve palliative care, how to avoid unwanted hospital trips, or how to talk about end-of-life planning without taking away hope, this conversation gives you a clear, practical roadmap. Highlights: → You’ll hear the clearest breakdown of palliative care vs hospice, including why “all hospice is palliative care, but not all palliative care is hospice.”  → Dr. Hyde explains what actually happens when supportive care starts earlier: better symptom control, clearer goals-of-care conversations, less caregiver burnout, and fewer crisis-driven 911 calls.  → You’ll learn how to reframe “I’m a fighter” into a values-based plan that still protects hope while matching care to what matters most.  → Finally, you’ll see how community-based, high-touch palliative care (including 24/7 access and proactive home support) helps patients stay where they want to be, and how earlier hospice enrollment can improve quality of life for both patients and families. https://www.cdc.gov/mmwr/volumes/69/wr/mm6919a4. htmhttps://allianceforcareathome.org/wp-content/uploads/2024/09/Facts-Figures-2024_FINAL.pdf?utm_source=chatgpt.com https://www.kff.org/medicare/medicare-spending-at-the-end-of-life/ Learn more about your ad choices. Visit megaphone.fm/adchoices

What if your pediatrician wasn’t just treating symptoms, but truly in your corner? In this episode of the Curbside Health Cast, Dr. Brady Steineck sits down with Dr. Shelley Senders, a pediatrician who has spent 37 years building one of the most innovative independent pediatric practices in the country. From integrating behavioral health directly into primary care, to using personality testing to reduce unnecessary ADHD medication, to enrolling 173 adolescents in the Pfizer COVID vaccine trial, this conversation explores what patient-centered care really looks like in modern healthcare. If you’re a parent frustrated by fragmented mental health services, a provider overwhelmed by today’s healthcare system, or someone who believes medicine should feel more human, this episode is for you. Discover how one independent practice built a 19,000-square-foot pediatric “treehouse” clinic, embedded therapists and play therapy rooms, conducts clinical trials, and still prioritizes relationships first. This is healthcare reimagined. Highlights: → You’ll learn how integrating behavioral health into primary care reduces fragmentation and improves patient outcomes, and why the traditional split between psychiatry and pediatrics often fails families.  → You’ll also discover how using Myers-Briggs personality testing in pediatric evaluations can reduce ADHD misdiagnosis and potentially lower stimulant prescriptions by identifying personality mismatches between students and teachers. → Plus, hear the behind-the-scenes story of participating in over 300 clinical trials, including major vaccine studies, and how a small independent practice can literally change the world. Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you ever called a medical office with something that felt urgent… and got treated like an inconvenience?  In today’s episode, we talk about why modern healthcare can feel cold, why patients hear a quiet “no” through portal messages, policies, and rushed triage, and how good clinicians get trained into emotional distance without even realizing it. This is not a rant about bad people. It’s a breakdown of a healthcare system that rewards speed, punishes humanity, and turns real care into compliance, documentation, and workflows.  If you’re a physician, nurse practitioner, PA, nurse, medical assistant, triage staff, or healthcare leader, this episode is your reminder that the messiness isn’t a glitch in the job, it IS the job. Because illness isn’t tidy. Fear isn’t tidy. And patients don’t just need answers, they need reassurance, curiosity, and a clinician who doesn’t flinch when the story doesn’t fit the template. We’ll unpack how “work-life balance” can quietly become a shield, how reflexive gatekeeping erodes trust, and what it looks like to draw boundaries without building walls.  The core message: the mess is medicine, and reclaiming small human moments can change everything. Highlights: → Why patients feel rejected even when nobody “said no” → The 3 forces creating distance in healthcare (compliance, inconvenience, avoidance) → How triage and portals can become gatekeeping (and how to fix the tone) → 3 practical practices: see the person, replace “no” with curiosity, set boundaries without walls → How burnout changes behavior, and how to stay compassionate without self-sacrifice → What healthcare leaders must change (metrics, documentation burden, relational outcomes. #healthcare #burnout #patientcare #medicine #leadership Learn more about your ad choices. Visit megaphone.fm/adchoices

Healthcare is becoming financially unsustainable, and fee-for-service is a huge reason why. In this episode, Dr. Rodney Ison breaks down what value-based care actually requires and how to build a patient-centered model that works in the real world. If you’re one foot in value and one foot in fee-for-service, this is your wake-up call. Highlights: → Why fee-for-service pushes “widgets,” not outcomes → The “True North” move: defining patient-centered care as the operating system → What changes when you pay for outcomes instead of visits → How remote monitoring + messaging can deliver “care anywhere” → The real barrier to transformation: fear (and how to move through it) → How to build a culture of change clinicians actually buy into → How to catch up faster by learning from people who already made the mistakes Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, we dive into US healthcare costs and unpack why healthcare is so expensive, from misaligned incentives to the erosion of primary care. Dr. Brady Steiner and guest Tom Campanella break down the rising healthcare costs and the true cost of healthcare in America, highlighting how primary care and healthcare costs are deeply connected. We explore the promise of value based primary care as a path forward and shine a light on the often overlooked rural healthcare crisis, where access, outcomes, and affordability collide. Highlights: In this conversation with healthcare veteran Tom Campanella, you’ll learn: → How Medicare’s original payment model helped launch today’s out-of-control healthcare costs → Why primary care went from 60% of doctors to an underfunded afterthought, and why that broke the system → The quiet crisis in rural healthcare and why “forgotten” communities pay the highest price → How defensive medicine, CT scans, and fee-for-service incentives drive unnecessary tests and hospital revenue → What value-based care and capitation really look like on the ground for primary care doctors and patients → Why big health systems are sidelining primary care with urgent care + telehealth funnels straight to specialists → Practical ideas for employers: onsite/near-site clinics, preferred primary care relationships, and educating employees about cost and value Hosted by Dr. Brady Steiner of Curbside Health Cast, featuring Tom Campanella, healthcare attorney, former Blue Cross VP, educator, and long-time rural health advocate. Learn more about your ad choices. Visit megaphone.fm/adchoices

What if your patient’s next hospitalization could be prevented, not by guesswork, but by real-time data? In this episode of Curbside Health Cast, Dr. Brady Steineck sits down with Lauren Poult, VP of Medical Economics at Millennium Physicians, to unpack how healthcare analytics is changing the game for providers and patients alike. If you're a provider feeling stuck in outdated systems or overwhelmed by data you don't know how to use, this is your wake-up call. Dr. Steineck and Lauren dive deep into how data is no longer just about cost-cutting, it's about clarity. From leveraging statewide hospital feeds to pinpoint high-risk patients, to transforming lagging claims data into strategic care insights, Lauren reveals how analytics is reshaping care models under value-based care. She shares real-world wins, persistent blind spots, and how providers can practically harness analytics to close gaps in care and reduce readmission. This episode bridges the worlds of clinical passion and operational precision. Whether you're in rural primary care or a leadership role at a major practice, you’ll walk away with a renewed understanding of how to use the numbers to take better care of people. Takeaways: → Real-time hospital data (like HIE feeds) is revolutionizing transitions of care and slashing readmission rates. → Value-based care aligns economics with better outcomes, moving away from volume-based RVU targets. → Lagging claims data still matters, but only if you know how to translate trends into action. → Regional and prevalence data must be localized to be truly useful, macro trends often miss micro health realities. → Actionable analytics (like avoidable utilization tracking) build trust and engagement among providers. "Let’s not be judgmental about what the data shows, let’s be curious. That’s how we take better care of our patients." – Dr. Brady Steineck  If this episode sparked ideas or questions, share it with a colleague. Don’t forget to subscribe so you never miss a conversation that helps you lead with data and serve with heart. Learn more about your ad choices. Visit megaphone.fm/adchoices

Is burnout just part of the job, or can we actually lead and live differently in healthcare? In this episode of The Curbside HealthCast, host Dr. Brady Steineck sits down with leadership consultant and former PA Becky Wolf for a power-packed conversation that gets real about the emotional, cultural, and systemic toll of burnout in healthcare, and what can be done about it. From top-down leadership shifts to ground-level team transformation, Becky shares eye-opening insights from years of helping organizations find clarity, purpose, and health from the inside out. You'll hear the story of how Becky left clinical practice to pursue coaching and leadership development full-time, and how that calling is helping teams across the country rebuild trust, reignite purpose, and fight emotional exhaustion with self-awareness and intentionality. Highlights: → Why burnout is still a major risk, 5 years post-COVID, and what actually works to reverse it → How emotionally intelligent leadership transforms teams and reduces medical errors → The overlooked power of self-awareness and daily energy management → What it looks like to “lead up” even if you’re not at the top → How small changes (like being present and curious) can create ripple effects in your organization “If we are healthy at the top, we give away health to the rest of the organization.” Whether you're a provider, administrator, or someone burned out and barely hanging on, this episode is your invitation to take a breath, reflect, and take the first step toward healing yourself and your team. 🎧 Subscribe to The Curbside HealthCast, share this episode with a colleague, and take five minutes today to journal your answer to this question: When do I feel most like myself in my work? Learn more about your ad choices. Visit megaphone.fm/adchoices

When patients feel like a “bother,” they stop calling, and their health suffers. In today’s episode of Curbside Health Cast, Dr. Brady Steineck tackles a hard question: how do we rebuild real connection between patients and providers in a system that’s overwhelmed, siloed, and too often reactive? Our guest is Stephanie Kerensky, RN, a 23-year emergency medicine nurse and account executive with Health Precision. She pulls back the curtain on Medical Brain, an AI-powered, EHR-integrated app that opens a 24/7 text line between patients and their care teams. We explore how structured clinical logic, daily check-ins, and human oversight (with physicians monitoring around the clock) can triage symptoms at 3 a.m., surface only what needs a provider’s touch, and give patients peace of mind they rarely get from a phone tree. Dr. Steineck and Stephanie get practical, what changes for the front desk, clinicians, and administrators; how automation reduces low-value noise; and how practices can move from “sorry for the wait” to “we saw this coming.” You’ll also hear the story of an older patient whose diabetes and loneliness both improved because she finally felt seen, every day. Data you’ll hear: in one NJ cohort of ~2,200 patients with diabetes, 170 had A1c > 9. Among those actively engaging with Medical Brain, 64% moved out of the >9 group with an average A1c drop of ~3.5 points, a striking shift from reactive to proactive care. Takeaways: → Access isn’t just appointment slots; it’s continuous, low-friction connection. → AI triage + human oversight can surface only the 10–15% that truly needs a clinician. → Daily, structured follow-up drives earlier medication adjustments and fewer crises. → Proactive touchpoints reduce ER crowding, patient costs, and provider burnout. → Technology doesn’t replace empathy, it multiplies it when designed for care. “Patients tell me, ‘I didn’t want to bother you.’ The Medical Brain removes that barrier, and we catch more before it becomes a crisis.” -Dr. Brady Steineck If this episode helped you rethink connection, subscribe, share it with a colleague, and take five minutes to journal one workflow you’ll shift from reactive to proactive this week. Learn more about your ad choices. Visit megaphone.fm/adchoices

Is your practice ready for the Medicare/Medicaid shake-up?  In this episode of the Curbside Health Cast, Dr. Brady Steineck sits down with managing director Ronnen Isakov (Medic Management Group) to unpack what Washington’s newest “big, beautiful bill” really means for independent and hospital-based groups. If you’re staring down shrinking margins, rising costs, and a wave of new rules, this conversation gives you a clear game plan, not just to cope, but to lead. Ronnen brings 26 years of healthcare finance and compliance experience to break down the coming reimbursement bump in 2026, the downstream risk to Medicaid coverage, and the messy middle where most practices live: fee-for-service today, value-based tomorrow. Together, Brady and Ronnen connect policy to the front desk, showing how denials, days in A/R, and sloppy intake can quietly sink a practice long before any regulation does. You’ll also hear how Curbside and MMG partner to help groups shift from traditional FFS to shared savings and full-risk models, without losing their mission or burning out their people. From dashboards and denial patterns to staffing ratios and cautious automation, this is a practical, encouraging roadmap for leaders who want operational excellence and patient-first care at the same time. Takeaways: → A one-year Medicare bump in 2026 won’t fix the long game, plan now for 2027 and beyond. → Rural subsidies may help, but unclear rules and short timelines demand fast, focused prep. → Denial management is a must-win: know your codes, your causes, and your appeal playbook. → Front-end accuracy (demographics, insurance) is the cheapest way to speed cash and cut denials. → You can’t live in two worlds forever, build the competencies for value-based care now. “Have the courage, clarity, competency, and commitment to act, change is coming, and you can be ready.” - Ronnen Isakov Take 10 minutes to review your latest KPIs (days in A/R, >90-day A/R, denial rates). Then share this episode with your admin/CFO team and subscribe so you never miss a playbook update. Want help building your transition plan? DM us or visit CurbsideQD to start the conversation. Learn more about your ad choices. Visit megaphone.fm/adchoices

We all know cardiology is critical, but why is access to cardiac care often so frustratingly slow, inefficient, and costly? What if there were a better way? In this episode of The Curbside HealthCast, Dr. Brady Steineck sits down with the uniquely insightful Dr. Mike Hughes, cardiologist, healthcare administrator, and value-based care innovator. With decades of experience spanning clinical practice, hospital leadership, and startup ventures, Dr. Hughes offers a powerful insider perspective on what’s broken in cardiology today, and how primary care and specialists can work together to fix it. Together, they tackle head-on the real-world challenges plaguing cardiac care: poor access, misaligned incentives, burnout, and costly delays. But it’s not just a gripe session, this conversation is packed with actionable insights and real-world solutions already making a difference. Dr. Hughes shares how a simple, relationship-based model of patient navigation is cutting weeks off referral times, improving care quality, and driving satisfaction for both patients and providers. Key Takeaways: → The RVU model often incentivizes repeat visits over timely access to new patients. → Mild cases (like early heart failure or low-risk AFib) can and should be managed in primary care, with cardiologists serving in a consultative role. → Strong relationships and real-time communication between PCPs and specialists drive better, faster, more affordable care. → Coordinated patient navigation reduces unnecessary ER visits and hospital admissions. → Scaling this kind of care model requires local knowledge, trust, and intentional design, not just more technology. “If we focus on what’s best for the patient, getting them to the right next best site of care, we’re going to drive better outcomes and lower costs every time.” - Dr. Mike Hughes If you’re a provider frustrated with the referral grind, or a leader ready to bring value-based care to life, this episode is your playbook. Subscribe, share, or journal your takeaways, and reach out to Curbside QD to see how we can help bring better care coordination to your system. Learn more about your ad choices. Visit megaphone.fm/adchoices

What if high-quality care didn’t have to mean high-cost care? What if innovation in medicine wasn’t born in big hospitals but in small, independent practices?  In this episode of Curbside HealthCast, Dr. Brady Steineck sits down with Dr. Nash Gabriel, a pioneering heme-onc specialist in Canton, Ohio, who’s proving that you don’t need a massive institution behind you to radically transform patient care. Dr. Gabriel shares how his independent practice has outpaced larger systems in both patient access and clinical trial volume, enrolling over 6,000 patients across 650 trials. More than stats, though, this episode is a look into a culture built on availability, empathy, and purpose. From giving patients his personal cell number to building a self-directed research team, Dr. Gabriel’s story is a blueprint for compassionate, efficient, and patient-first care. Together, Brady and Nash explore what’s broken in healthcare, and what’s working when doctors are empowered to innovate. Key Takeaways: → Independent practices can offer faster, more personalized care than many hospital systems. → Clinical research doesn’t have to be tied to academia, it thrives where there’s vision and freedom. → Culture matters more than policy. When your “why” is clear, innovation follows. → Bureaucracy is often the enemy of timely, effective care. → Autonomy and trust within a team can scale impact far beyond what hierarchy allows.  “People can only innovate if they have free hands to innovate.” If this episode inspired you, subscribe, share with a colleague, and take 5 minutes to reflect: How can I help shift the culture of my practice toward real, patient-centered care? Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of The Curbside HealthCast, Dr. Brady Steineck sits down with seasoned leadership coach Dan Huckins to unpack one of the most misunderstood concepts in healthcare: the difference between leadership and management. If you're a healthcare professional feeling the tension between burnout and mission, this episode delivers clarity, challenge, and hope. Dan shares from decades of experience building leaders in high-pressure systems, showing how culture isn’t a side conversation; it’s the main thing. This isn’t about buzzwords or blind optimism. It’s about taking real ownership over the atmosphere you create every day. Whether you're a nurse, administrator, physician, or executive, this episode calls you to look in the mirror and ask: What’s it like to be led by me? Key Takeaways: → Leadership is not the same as management; leaders move people, managers move processes. You need both, but don’t confuse them. → Culture always exists; whether it's built with intention or left to chance. → Burnout often stems from leadership neglect, not just long hours or task load. → Organizational integrity matters; what you say and what you do must align. → Healthy leadership starts with self-awareness; reflection and feedback are non-negotiable. "You don’t need another strategy; you need to become the kind of leader people want to follow." Tune in now and discover how to build a culture that people actually want to be part of. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of The Curbside HealthCast, Dr. Brady Steineck, family physician and CEO of Community Healthcare, shares a bold and deeply personal call to transform modern medicine. After years of navigating a broken system that rewards procedures over people, Brady realized something radical: healthcare isn’t about treating diseases; it’s about serving lives. With 19 primary care clinics across five Ohio counties, he’s leading a movement rooted in relationship, not bureaucracy. Dr. Steineck challenges the disjointed, specialist-heavy, burnout-inducing model we've come to accept as "normal" healthcare. Instead, he paints a vision of care that includes helping patients get groceries, walk through grief, and build healthy habits that ripple into their families and communities. Healthcare, he argues, must be neighborly, relational, and radically honest about what it takes to truly heal. This episode lays the foundation for re-imagining the entire system; from care coordination to leadership, from payer relationships to provider incentives. If you're ready to restore purpose to medicine and lead with compassion, this is where the conversation begins. Key Takeaways: → Modern healthcare often treats symptoms, not lives. → True healing starts with relational connection, not prescriptions. → The system isn't too big to change; it just needs realignment. → Physicians must lead by seeing patients as whole people. → Community Healthcare proves people-first care is sustainable; and scalable.“Healthcare isn’t a process or a procedure; it’s a relationship. And none of us heals in isolation.” “Healthcare isn’t a process or a procedure; it’s a relationship. And none of us heals in isolation.” Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to the podcast dedicated to unpacking the real-world strategies, innovations, challenges, and opportunities in today’s American healthcare system. Whether you're a provider, administrator, or any type of leader in healthcare, this show equips you with the insights you need to lead with excellence in an ever-evolving landscape. Each episode dives into the nuts and bolts of value-based care, physician compensation models, practice management, and team culture, all with a laser focus on improving patient outcomes and delivering true value in care. We’re not just talking theory, we’re exploring actionable steps that drive innovation, build high-performing teams, and create models where both patients and providers thrive. Hosted by leaders from one of the nation’s top value-based care organizations, this show is your front-row seat to the future of healthcare, where mission meets metrics and care meets culture. If you’re ready to elevate your impact, innovate with purpose, and transform the way care is delivered, you’re in the right place. Subscribe now and be part of the movement to rebuild healthcare from the inside out. Learn more about your ad choices. Visit megaphone.fm/adchoices