Telemedicine Talks

In this timely solo episode of Telemedicine Talks, Dr. Leo Damasco explores the rapidly evolving intersection of artificial intelligence and medical practice. Following last week’s conversation with Dr. Ashok Gupta on AI hallucinations, Leo examines two real-world cases making headlines in 2026. First, he dives into the Commonwealth of Pennsylvania’s lawsuit against Character.ai, where an undercover investigator exposed a chatbot persona (“Emily”) that falsely claimed to be a licensed psychiatrist, provided fake credentials, and offered therapy and medication advice. Leo also analyzes the growing tension in Utah between the Department of Commerce’s Office of Artificial Intelligence Policy and the Utah Medical Licensing Board over Doctronic’s autonomous AI platform for processing 30, 60, and 90 day prescription refills. Leo shares balanced commentary on the promise and dangers of AI in healthcare, the critical importance of physician involvement, regulatory gaps, and who should ultimately oversee AI-driven medical decisions. He discusses liability, patient safety, and the need for proper collaboration between innovators and medical boards. This episode is essential listening for clinicians, telemedicine practitioners, digital health entrepreneurs, and anyone interested in the future regulation of AI in medicine. Top 3 Takeaways: AI Must Not Impersonate Physicians: Chatbots claiming to be licensed doctors, even under a “fictional character” disclaimer, Cross a dangerous line, especially when interacting with vulnerable patients. Clear boundaries and accountability are urgently needed. Medical Boards Must Have a Seat at the Table: Regulatory sandbox experiments involving AI prescribing should involve state medical boards before launch, not after. Collaboration between innovation offices and practicing clinicians is essential for patient safety. AI as a Tool, Not a Replacement (Yet): Current AI models show promise in efficiency and standardization but still make errors at rates unacceptable for independent clinical decision-making. The safest path forward is strong physician oversight combined with transparent guardrails. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Connect with Leo Damasco: Email: [email protected] Website: https://www.telemedicinetalks.com   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What does it take to build a compliant, clinician-friendly, and patient-centered virtual care platform in a highly regulated field like physical therapy? In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco welcome Dr. Ashok Gupta, founder of TheraNow. Ashok shares his evolution from treating patients at the VA and in rural America to building a hybrid tele-physical therapy platform that integrates deeply with hospital systems and EHRs like Epic. The conversation explores the realities of telehealth adoption pre and post-pandemic, the importance of hybrid (omnichannel) care models, and thoughtful AI integration. Ashok provides real-world examples of safe AI use cases  including computer vision for movement tracking, context-aware ambient listening scribes, and AI-powered clinician training/feedback tools ,while stressing patient safety, avoiding hallucinations, maintaining human oversight, and building transparent, accountable systems. Listeners will gain practical insights on regulatory navigation, deep workflow integration, equity/accessibility features, and why starting with clinician and patient needs leads to better outcomes and sustainable businesses in digital health. Top 3 Takeaways: Hybrid & Omnichannel Wins: Pure virtual models often struggle in physical medicine. Success comes from hybrid care that complements in-person services, deep EHR integrations and flexible visit options that fit patient and system needs. Safe, Accountable AI First: AI should augment clinicians, not replace them. Use contextual prompts, real-time review, evidence-backed scoring, larger context windows, and human-in-the-loop workflows. Examples include ambient scribes with prior session context and AI feedback tools that show exact evidence instead of just scores. Patient & Compliance Focus Pays Off: Build for equity (interpreters, ADA), accessibility, and parity with brick-and-mortar care. Deep integrations, risk-averse design, and clinician involvement from day one help navigate regulations and create scalable, trusted platforms. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Guest: Dr. Ashok Gupta is the founder and CEO of TheraNow, a leading virtual physical therapy platform that has supported over 70,000 patients across the US since 2021. A former VA physical therapist, he is a passionate advocate for hybrid care models and the safe, responsible integration of AI in telemedicine.  Connect with Dr Ashok Gupta on: Website: TheraNow.com LinkedIn: Dr. Ashok Gupta About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected]  (mailto:[email protected])                  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What happens when a telehealth founder moves from one controversy to the next, and doctors’ licenses get caught in the crossfire? In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco dive into the latest FTC/DOJ actions against Zealthy, a GLP-1 and lifestyle telehealth company led by Kyle Robertson (former CEO of Cerebral). They discuss allegations of deceptive marketing, hidden subscription charges, and most alarmingly, using physicians’ names and NPIs to issue prescriptions without the doctors’ awareness or involvement. The conversation explores broader issues in telemedicine: the lack of upfront regulatory oversight for new companies, escalation of commitment in non-compliant operations, risks to PC owners and supervising physicians, and why physicians must actively engage in clinical oversight rather than taking passive roles. Phoebe and Leo emphasize the importance of proper CPOM structures, due diligence, and building compliant operations where physicians stay in the driver’s seat. This episode provides actionable advice for clinicians considering telehealth opportunities and a reminder that compliant, well-run models can still deliver strong results when done right. Top 3 Takeaways: Serial Issues in Telehealth Leadership: The same founder can move from one troubled company (Cerebral) to another (Zealthy) with limited personal repercussions, while clinicians and patients bear the consequences. Always research leadership and past regulatory history before joining. Protect Your License – No Ghost Supervision: Prescriptions issued under your name/NPI without your knowledge or proper evaluation are a major red flag. As a PC owner or supervisor, you must stay actively involved. Review protocols, know the clinical team, and ensure real evaluations occur before renewals or auto-charges. CPOM Is Your Gut Check: Corporate practice of medicine rules exist for a reason. Physicians need to drive clinical decisions, review marketing, verify money flow, and regularly check company operations. Passive roles or “one hour a month” promises often lead to compliance failures and board actions. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected])   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this inspiring episode, Phoebe Gutierrez welcomes Savannah and Katie to share the raw, behind-the-scenes story of launching Type 1 Telehealth,  a telemedicine practice created by Type 1 diabetics, for Type 1 diabetics. The duo opens up about the moment they decided to break away from traditional endocrinology, the surprisingly fast timeline from idea to seeing patients, and the key lessons learned in their first two months. They discuss their unique patient-centered model including longer visits, flexible membership options, and true education, creative marketing strategies like community involvement with Breakthrough T1D, staying current with diabetes technology, and why they chose a cash-pay telemedicine approach. Savannah and Katie also share honest reflections on the challenges of wearing every hat as new practice owners, the power of true partnership, navigating a supervising physician relationship, and how their lived experience as Type 1 patients helps them deliver care that patients have been desperately seeking. This episode is packed with practical advice and motivation for any clinician dreaming of building their own telemedicine practice,  especially those passionate about a specific niche. Top 3 Takeaways: Build What You Wish Existed for Yourself: When you create a practice rooted in your own lived experience and passion, you naturally attract the right patients and stand out in a crowded market. Start Small, Stay Nimble, and Pivot Quickly: Be willing to wear every hat in the beginning, learn operations hands-on, and pivot fast when something isn’t working. Savannah and Katie credit their rapid progress to flexibility, constant learning, and support from communities like IPAC. Longer, Deeper Visits and True Advocacy Win Patients: Offering unhurried consultations, comprehensive education on technology and lifestyle, and acting as fierce patient advocates leads to high conversion rates and extremely satisfied patients who finally feel heard. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Guests: Savannah Elkins (PA-C) and Katie Wakeland (NP) are the co-founders of Type 1 Telehealth, a Texas-based telemedicine practice specializing exclusively in Type 1 Diabetes care. Both are practicing clinicians and Type 1 diabetics themselves. Passionate about providing personalized, accessible, and comprehensive care, they left traditional endocrinology to create a practice that delivers the level of time, education, and advocacy they always wished existed for patients like them. 🔗 Connect with Type 1 Telehealth: 🌐 Website: https://www.type1telehealth.com 📱 Instagram: https://www.instagram.com/type1telehealth About the Host: Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What if taking on a medical director role in telemedicine didn’t have to risk your license, but instead gave you clarity, proper compensation, and real impact on patient safety? In this practical and eye-opening episode of Telemedicine Talks, Dr. Leo Damasco and Phoebe Gutierrez dive deep into one of the most requested, yet misunderstood  roles in digital health: the virtual medical director. Drawing from real-world examples, enforcement cases, and Phoebe’s extensive compliance experience, they explain why many physicians are being sold “passive” roles that are anything but, and how the lack of proper structure leads to board actions and lost licenses. They discuss: The critical distinctions between PC Owner, Medical Director, and Collaborating Physician roles Why “ghost medical directors” are getting sanctioned and how to avoid becoming one The delegated risk model and the importance of checks and balances Red flags when evaluating telemedicine opportunities Proper compensation structures and why lumping roles together is risky How to build operational workflows, chart review processes, and documentation systems that actually protect you Phoebe also shares insights from her recent blog on medical directorships and highlights current enforcement trends that every telemedicine physician needs to know. This episode is essential listening for any physician considering or already serving in a medical director, PC owner, or collaborative role in telemedicine or digital health. Three Actionable Takeaways: Clearly Separate the Roles & Contracts: PC Owner, Medical Director, and Collaborating Physician are distinct positions with different responsibilities and risks. Always use separate contracts and compensation structures rather than bundling them into one “all-in” package. Build Real Oversight Systems, Not Just Paper Compliance: Don’t settle for “it’s passive” promises. Implement monthly meetings, chart review processes, provider onboarding, documentation logs, and visible acknowledgment of your role (website, clinic signage where applicable). Read your contract and operationalize every requirement. Vet Opportunities Aggressively and Walk Away if Needed: Ask key questions about services offered, oversight processes, hiring input, billing codes, and clinical pathway ownership. If the company lacks transparency, resists chart review, or tries to blur clinical vs. business decisions, it’s a major red flag, protect your license and walk away from deals that sound too good to be true. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What does it look like when an emergency physician steps beyond the bedside into healthcare innovation, operations, and AI?  In this insightful episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco sit down with Dr. Dany Accilien as he opens up about his unconventional path: born in Haiti, moving to the US as a young child, bouncing between countries, and eventually finding his way into medicine through a love of teaching and learning. He shares how his early interest in exercise physiology and biomedical engineering evolved into a career that now spans clinical care, telemedicine, AI-driven innovations, and physician leadership. The conversation dives deep into Rely MD’s unique telemedicine platform, including its work on 911 EMS diversions with Global Medical Response (GMR), ambient AI scribing, and building a modular, physician-centered marketplace. Dr. Accilien explains how emergency medicine trained him to read people quickly,  a skill that translates powerfully into leadership and product development. This episode is packed with career advice, leadership lessons, and honest insights for any clinician interested in expanding beyond traditional medicine. Three Actionable Takeaways: Be intentional with your career moves: Explore opportunities and say “yes” to growth, but stay focused on what truly aligns with your values and strengths. Intentionality helps prevent burnout and keeps you moving forward. Treat AI as a powerful tool, not a replacement: Use AI to reduce cognitive load and improve efficiency, but actively guard against over-reliance that can erode core clinical skills, especially when training residents and fellows. Build real relationships and networks: Success in healthcare innovation often comes from people and genuine connections. Prioritize being a good human, collaborating across silos, and surrounding yourself with driven, growth-minded individuals. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Guest: Dr. Dany Accilien is a board-certified emergency medicine physician, healthcare leader, and innovator. He serves as Chief Medical Officer of Rely MD, Vice President of AI and Innovation at Apollo MD, and Director of Apollo MD’s Administrative Fellowship program. He is also affiliated with WellStar Health System and helps train future physicians through the WellStar Kennestone Emergency Medicine Residency Program. Dr. Accilien is passionate about clinical care innovation, operations, telemedicine, and the responsible integration of AI in healthcare. LinkedIn: Dany Accilien, MD, MBA About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What if the ultra-convenient telemedicine experience you signed up for actually put your health at risk because no one ever spoke to you? In this candid episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco dive into the consumer side of trendy wellness treatments in telemedicine. Phoebe recounts her recent experience as a 38-year-old woman seeking hormone replacement therapy (HRT) through a major asynchronous telemedicine platform. She filled out a dynamic questionnaire, selected her preferred treatment, and received estradiol patches shipped to her door after a quick physician review, with no live consultation required. Phoebe and Leo explore the broader tensions in telemedicine wellness, the pressure of competitive marketing, the rise of self-directed care, asynchronous “store-and-forward” models, and the fine line between patient convenience and responsible medicine. They discuss how some platforms disincentivize thorough follow-up or pushback from providers, the predatory nature of wellness marketing targeting perimenopausal women, and why even highly compliant companies can still fall short when human conversation is removed from the process.  The episode stresses that while telemedicine offers incredible access, patients, especially those pursuing hormones, peptides, or longevity treatments, must be cautious about what “convenience” really costs. Three Actionable Takeaways: Demand more than convenience. Insist on personalized care: As a patient, don’t assume a quick questionnaire and fast shipping equals good medicine. Ask whether you’ll have a live consultation, proper dosing education, and follow-up support before starting hormone therapy or similar treatments. Providers and platforms must prioritize clinical judgment over speed: Asynchronous models should include robust, dynamic protocols with age-appropriate starting doses, step therapy options, and clear pathways for live discussion when needed. Physicians should never feel penalized for refusing to prescribe or requesting more information. Beware of wellness marketing that skips the human element: Social media and direct-to-consumer ads often push quick fixes for perimenopause, weight loss, or longevity. Take time to understand your options, get labs, and speak with a qualified clinician rather than self-directing complex treatments. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected])   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What if the peptides you're injecting for wellness, recovery, or anti-aging came from a shady overseas lab with zero oversight, would you still take them?  In this candid episode of Telemedicine Talks, Hosts Phoebe Gutierrez and Leo Damasco unpack the realities behind the hype. They explore: The recent HHS Secretary RFK Jr. announcement (late Feb 2026) signaling intent to move ~14 of 19 restricted peptides back to Category 1, potentially allowing licensed 503A compounding pharmacies to produce them legally under prescription which is still pending full FDA implementation. Why the industry feels "gray": Many peptides were previously Category 2, restricted from routine compounding due to safety concerns, leading to black-market "research only" sales. Risks of unregulated sources: Potential impurities, toxicity, and patient harm from poor-quality compounding or non-pharma-grade products, and shady marketing tactics on social media. Telemedicine pitfalls: Providers approached for "medical director" roles with minimal oversight, asynchronous prescribing, or protocols that skip deep history and labs, versus compliant models requiring thorough evaluations. The bigger picture: Wellness trends driven by social media, unmet patient needs, and access bypassing traditional care, balanced against real safety, compliance, and ethical concerns. Whether you're a provider considering peptides or a patient exploring options, this episode stresses caution, research, and compliant infrastructure in a space that's heating up and getting more regulated. Three Actionable Takeaways: Ask the hard questions on sourcing: For providers or patients, always verify where peptides come from, licensed U.S. compounding pharmacies? Human-grade? Avoid anything with vague "research only" labels or overseas origins that skip quality controls. Prioritize thorough evaluations: Don't jump to peptides for fatigue, recovery, or performance, require detailed history, labs, and rule out organic issues first. Compliant models involve longer consults and ongoing monitoring, not quick sign-offs. Stay updated on regulations: Check FDA warning letters, HHS/FDA announcements (like the ongoing peptide reclassification), and recent actions, the "wild west" of telehealth compounding is shrinking fast, with real enforcement risks. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected])   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What does it take to launch and sustain a healthcare podcast? In this special one-year anniversary episode of Telemedicine Talks, Phoebe Gutierrez and Dr. Leo Damasco reflect on the journey from a simple idea to 58 episodes featuring clinicians, founders, and healthcare innovators. They discuss the behind-the-scenes realities of podcasting—from finding the right co-host and booking guests to balancing busy careers while producing weekly episodes. Along the way, the show has become a platform for honest conversations about telemedicine, entrepreneurship, compliance, and the evolving healthcare landscape. Phoebe and Leo share lessons for clinicians interested in podcasting, including the importance of knowing your audience, staying authentic, and building the right support systems. Looking ahead, they preview upcoming conversations on AI, compliance, new models of care, and the real journeys of healthcare professionals building businesses in telemedicine.Three Actionable Takeaways: Find the right podcast partner: A co-host with a different background or perspective can create better conversations and make episodes more dynamic and engaging. Know your audience before you start: Whether your podcast targets patients, clinicians, or entrepreneurs, understanding your audience helps shape the topics, format, and frequency of your episodes. Outsource the technical work when possible: Editing, production, and distribution can quickly become overwhelming. Using a podcast network or production team allows hosts to focus on conversations and content.   About the Show   Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts Dr. Leo Damasco – Pediatrician and emergency medicine physician turned telemedicine advocate, helping clinicians explore new models of digital healthcare. Phoebe Gutierrez – Former state regulator turned telehealth executive specializing in compliance, healthcare regulation, and sustainable virtual care models. Connect with Phoebe Gutierrez LinkedIn:https://www.linkedin.com/in/pkgutierrez/ Email: [email protected] The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

  What if prioritizing compliance in your health tech startup could unlock contracts, funding, and growth instead of hindering it?  In this episode, Phoebe Gutierrez and Dr. Leo Damasco explain how compliance, often delegated from federal rules to states, contractors, and companies, impacts health tech founders aiming to sell to hospitals, insurers, or consumers. She emphasizes building around certifications like HITRUST for privacy and security, which can take 7-12 months and involve audits, interviews, and demos, warning that skipping it leads to rework (up to 70% of a product) and lost opportunities.  For telemedicine services selling peptides or GLP-1s, LegitScript certification is essential for Meta ads and Stripe payments, preventing suppression or payment issues. Phoebe highlights that even direct-to-consumer models evolve toward B2B, where HITRUST, SOC 2, FedRAMP, or PCI compliance become mandatory for series funding or government contracts. She advises starting with checklists, mapping workflows early, and understanding buyer contracts to avoid negative optics or pipeline shutdowns, noting offshore dev teams may miss healthcare standards.  They share real-world examples of certification delays and costs, underscoring the need for informed decisions from the MVP stage.  Three Actionable Takeaways: Review certification checklists early: Download HITRUST or LegitScript requirements and incorporate them into your roadmap, like user roles and permissions, to avoid costly rework later. Understand your buyers' contracts: Get sample obligations from target clients (e.g., hospitals, payers) to identify needed certifications like SOC 2 or PCI, ensuring you meet them before pitching. Plan for audits and timelines: Budget 7-12 months for certifications, prepare policies/procedures, and demo functionalities to pass third-party assessments without delays. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected])   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Confused about PC MSO setups in telemedicine? You're not alone. Many physicians jump in without knowing the full picture. In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco dive into the realities of Professional Corporation (PC) and Management Services Organization (MSO) structures for telemedicine practices. Drawing from personal experiences,  Leo as a PC owner plugged into existing setups. They debunk myths like the "one-size-fits-all" friendly PC model for nationwide scalability. They discuss Corporate Practice of Medicine (CPOM) rules, state-by-state variations, and why solo physicians might not need an MSO if they're not hiring others or taking investors. Key insights include the high costs (up to $150K–$200K) of a full 50-state rollout, including legal fees, registrations, DEA, and malpractice; the misconception that you must start big to avoid missing opportunities; and strategies for bootstrapping in 1–3 states first to validate and expand based on demand. They emphasize starting small, avoiding FOMO-driven overexpansion, and competing with giants like Hims & Hers through personalized, local services. The conversation also touches on operational hurdles, regulatory shifts, and the mindset shift for risk-averse physicians to embrace entrepreneurship. Whether you're a burnt-out doctor eyeing telehealth independence or scaling an existing practice, this episode offers practical advice on compliance, funding, and building sustainably, and a shoutout to their spot on the Doctor's Podcast Network. Three Actionable Takeaways: Assess Your Needs Before Committing to PC MSO: If you're a solo physician providing care independently without hiring providers or taking non-physician investors, skip the MSO, form a simple PC in your practice states and outsource basics like credentialing; consult a healthcare law firm to confirm CPOM compliance and avoid unnecessary structures. Start Small and Scale Smart: Bootstrap in 1–3 high-potential states to prove your concept and collect patient data via intake forms; expand only as demand grows, saving on upfront costs like $150K–$200K for a 50-state setup, and focus on referrals over broad marketing. Embrace an Entrepreneurial Mindset: Overcome risk aversion by viewing practice-building as a journey, not a destination. Connect with peers for collaboration, prioritize personalized services to differentiate from big platforms, and involve your legal team early for tailored recommendations on operations and finances. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Ever wondered how a lawsuit could launch a thriving consulting career? In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco sits down with Christopher Cannell, as he shares his path from bedside clinician to nationally recognized medical-legal expert, starting with a malpractice suit he won due to his preparation and poise as a witness. He explains how attorneys seek thorough, credible experts who understand standard of care from multiple angles, and how his diverse experience allows him to opine on cases across specialties. The discussion covers building a consulting business through word-of-mouth, mentoring via his Healthcare Hub community, and teaching as a full-time professor. Chris highlights the value of humility, networking, and learning from mentors; the role of PAs in legal medicine; and upcoming talks on dissecting malpractice cases and AI risks at the AAPA conference. He emphasizes preventing errors through education, creating better systems for patients and providers, and embracing entrepreneurship, offering insights for clinicians eyeing side gigs or career shifts in telemedicine and beyond. Three Actionable Takeaways: Prepare Thoroughly for Legal Roles: Hone expertise through certifications, teaching, and diverse clinical experience; review cases prospectively from all perspectives (provider, nurse, patient) and back opinions with literature, attorneys value professionalism and resilience under scrutiny for repeat business. Build a Consulting Side Gig: Start with word-of-mouth from successful cases; create educational resources like masterclasses or communities (e.g., via Kajabi) to mentor others; network in running groups, professional orgs, or conferences for entrepreneurial advice and humility in learning from mistakes. Mitigate Risks Proactively: Join orgs like PAs in Legal Medicine for standards and support; focus on preventing errors through system improvements and education—explore AI's med-legal implications and aim for work-life balance by dropping to part-time clinical hours while scaling consulting. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Guest Christopher Cannell is a seasoned physician assistant with over 22 years in emergency medicine, orthopedics, critical care, and internal medicine. A medical-legal expert, he turned a malpractice lawsuit into a consulting career, providing witness services, risk mitigation, and education. As president of PAs in Legal Medicine and a full-time professor, he mentors via his Healthcare Hub community. Email: [email protected] Websites : theapcconsultant.mykajabi.com                     https://www.theapcconsultant.com About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected])       The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

As 2026 unfolds with looming subsidy cliffs and rising uninsured rates, hosts Phoebe Gutierrez and Dr. Leo Damasco revisit Episode 35, featuring Wyatt Stokesberry. Growing up around business owners and ditching a corporate path, Wyatt shares his pivot from aspiring chef to health insurance innovator, emphasizing the thrill of breaking norms, embracing discomfort, and betting on yourself amid uncertainty.Drawing from his experience building self-funded plans for small employers, Wyatt demystifies the fragmented insurance ecosystem, unbundling pharmacy, TPAs, stop-loss, networks, and brokers for cost savings. He spotlights the ACA marketplace's stagnation and launches Molly as a transparent, member-owned alternative for solopreneurs: AI tools for cost predictions, in-network checks, and personalized health insights, all while capping at 1,000 members to prioritize quality.The episode dives into eye-opening realities: cash-pay rates slashing MRI costs by 60-70% (e.g., $300 vs. $2,000 deductible), negotiating bills like pros, and why frequent users need high-deductible catastrophic coverage. Wyatt warns of misaligned incentives, carriers profiting from confusion, and champions AI for empowerment, not denial, bridging wearables data to better risk profiles. Amid fears of AI overreach, the trio stresses ethical uses like navigation and transparency to rebuild trust.For burnt-out W2 clinicians eyeing 1099 freedom, this rewind equips you with entrepreneurial mindsets, practical hacks, and hope: Molly's waitlist opens soon, proving innovation can outpace chaos and deliver care on your terms.Three Actionable Takeaways:Always Ask for Cash-Pay Discounts: Before any procedure, inquire about uninsured rates. They're often 60-70% lower than insured costs (e.g., MRIs under $300 via sites like Green Imaging). Negotiate further, as providers prefer quick cash over chasing 30 cents on the dollar from insurers.Assess Your Utilization Before Buying Insurance: Tally expected doctor visits, meds, and big-ticket items, if low (e.g., occasional primary care), skip high premiums/deductibles for catastrophic coverage plus cash-pay. High utilizers? Opt for low-deductible plans to maximize benefits.Leverage AI for Transparency and Savings: Use tools like ChatGPT to estimate costs or self-advocate, and join innovative plans like Molly for predictions on MRIs or premiums. Track sleep/exercise via wearables to inform better decisions, transparency empowers, don't fear the tech.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest: Wyatt Stokesberry, CEO and co-founder of Molly, a transparent health plan launching in Q1 2026 for 1099 freelancers, has over five years of health insurance expertise. A risk-taking entrepreneur who rejected corporate life, he leverages AI for efficiency and aims to rebuild trust in insurance. Website:  https://mollyhealth.comEmail: [email protected] the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Why are so few Physician Assistants (PAs) entering the telemedicine space, and how can they overcome the barriers to start their own practices?In this episode of Telemedicine Talks, Phoebe Gutierrez and Dr. Leo Damasco are joined by a panel of innovative providers: Ashlyn Smith, Christina Davis, Savannah Elgins, and Katie Wakeland. Together, they share their journeys from traditional clinic settings to telemedicine entrepreneurship, highlighting the frustrations with the broken healthcare system, insurance challenges, and the shift to cash-pay models.The group discusses state-specific regulations like corporate practice of medicine (CPOM), the differences between supervising and collaborating physicians, and business structures such as PLLCs, PC-MSOs, and LLCs. They emphasize the importance of finding your "why," building community through groups like the Independent PA Collective (IPAC), and embracing an entrepreneurial mindset—including learning from mistakes, pivoting, and overcoming imposter syndrome. From addressing care gaps in rural areas to leveraging telemedicine for flexible, patient-centered care, this episode offers practical insights for PAs (and NPs) looking to disrupt healthcare and scale their impact nationwide.Three Actionable Takeaways:Know Your State Laws and Build the Right Structure: PAs face unique regulatory hurdles like CPOM and supervision requirements—research your state's rules on collaboration vs. supervision, and consider structures like PLLCs or PC-MSOs to enable ownership while partnering with physicians.Find Your "Why" and Join a Supportive Community: Clarify your mission to stay motivated through challenges; seek out groups like the Independent PA Collective (IPAC) for mentorship, shared knowledge, and encouragement from peers who've navigated similar paths.Embrace Mistakes and Prioritize Balance: Shift from a risk-averse clinical mindset to an entrepreneurial one—expect pivots, learn from failures, and remember to set boundaries, as you're irreplaceable only to your loved ones, not your job.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guests:Ashlyn Smith is an endocrine PA based in Arizona with 15 years of experience, passionate about whole-person care in endocrinology. She's certified in lifestyle medicine and advanced diabetes management, and runs her own telemedicine practice focused on bridging care gaps.Christina Davis is a PA in Florida's Panhandle specializing in developmental behavioral pediatrics with a functional medicine approach. She operates a hybrid telemedicine practice to serve underserved families nationwide.Savannah Elgins is a PA with over 20 years living with type 1 diabetes and an endocrinology background. She's co-founder of a telemedicine practice dedicated to specialized type 1 diabetes care.Katie Wakeland is a nurse practitioner with an endocrinology focus and type 1 diabetes experience. She partners with Savannah Elgins to provide patient-centered, tech-savvy care outside traditional systems.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected])  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Thinking about launching your own telemedicine or digital health practice but overwhelmed by the logistics? In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco break down the essential steps for clinicians, PAs, NPs, and entrepreneurs to build compliant, scalable practices.They explore PC MSO structures and variations like professional associations or PLLCs across all 50 states, emphasizing that anyone can own a medical practice with the right setup. Phoebe shares practical advice on researching state regulations via Google and business registration rules, avoiding costly attorney fees upfront, and deciding whether to align structures across states or customize for risk and efficiency. The conversation covers key buckets: crafting a targeted business plan, focusing on niche audiences like Spanish-speaking populations, transitioning from a clinical to entrepreneurial mindset, speaking in layman's terms, embracing calculated risks, and essential costs (from $300 entity fees to $4,000 annual insurance and $300/month tech stacks).They also discuss overcoming imposter syndrome, hiring VAs for support, the value of partnerships for accountability, and why private practice could combat healthcare burnout by empowering providers to deliver care on their terms, often cash-pay to bypass insurance hassles. Drawing from real client successes, this episode offers encouragement and actionable insights for anyone tired of big systems and ready to innovate in telemedicine.Three Actionable Takeaways:Research State-Specific Structures First: Before diving in, Google your state's business registration regulations to determine required entity types (e.g., PC MSO, PA, or PLLC) and ownership rules (100% clinician-owned vs. 51/49 splits). This ensures compliance without immediate high attorney costs and helps pick startup-friendly states like Alabama.Build a Niche-Focused Business Plan: Target a hyper-specific audience (e.g., a specialized population in one language) rather than "everyone." Outline patient acquisition via marketing, website design, and layman's language to attract non-clinicians. Remember, the larger the market, the harder it is to stand out.Budget Smart and Delegate Early: Start with essentials: $300–500 for entity setup, $4,000/year for insurance (malpractice, cyber, professional liability), and $300/month for tech (EHR, domain). Hire a VA under $1,000/month to handle non-clinical tasks like marketing or admin, freeing you to focus on care and growth.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected])  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Kicking off 2026 with a bang: telemedicine is navigating government uncertainties, tech-driven oversight, and fresh funding avenues. In this January recap on Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco dive into key developments: flat Medicare rates for 2027 causing stock market ripples, potential extensions of telemedicine flexibilities through 2027 amid shutdown risks, and how the AI-first administration could ease fraud monitoring with real-time audits. They explore ongoing litigation in the EHR space, including Epic's lawsuits against companies like Health Gorilla over data access, contract breaches, and oversight failures, highlighting the fight for patient data ownership and network integrations. The episode also covers a $50 billion rural health grant over five years, aimed at underserved communities, and how telemedicine entrepreneurs can position themselves through proposals, compliance focus, and value-based metrics. Looking ahead, Phoebe and Leo discuss expectations for innovative niche startups (beyond GLP-1s), AI's potential bubble, deeper healthcare integration (like Utah's prescription AI), mergers/acquisitions in mental health and primary care, and the race to the bottom in GLP-1 pricing versus concierge value. This episode encourages listeners to reach out for collaboration or advice on building telemedicine ventures, emphasizing the altruistic potential of reaching underserved patients while embracing entrepreneurial opportunities. Three Actionable Takeaways: Monitor Federal Flexibilities Closely: Track bills extending telemedicine waivers through 2027, prepare for potential government shutdown disruptions, and leverage AI tools for compliance like real-time audits to align with the administration's tech focus, start by checking CMS updates weekly.  Explore Rural Health Grant Opportunities: Research your state's rural health office or telemedicine proposals to pitch value-based programs; focus on KPIs like quality score improvements and compliance officer roles to access the $50B fund—begin with a sweat equity commitment to build proposals targeting underserved communities. Stay Ahead of Data and AI Trends: Audit your EHR integrations for contract compliance to avoid Epic-style disputes; evaluate AI's role in your practice (e.g., repeat prescriptions) while watching for an "AI bubble" network with emerging physician-CEOs via [email protected] to collaborate on niche, innovative models beyond GLP-1s. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  [email protected] (mailto:[email protected])   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Why do so many telehealth and digital health startups struggle when they try to work with health plans, Medicaid, or Medicare?In this episode of Telemedicine Talks, Phoebe Gutierrez and Dr. Leo Damasco are joined by Sunshine Moore, who specializes in translating between startups, payers, and government programs. Together, they pull back the curtain on how health policy really works, and why understanding it is essential for anyone building or scaling a healthcare business.Sunshine explains why direct-to-consumer telehealth models don’t always translate to public payers, how Medicaid and Medicare populations differ dramatically from privately insured patients, and why speaking “health plan language” matters more than flashy technology. They explore how states measure success using cost, quality, and access—and why metrics like HEDIS, network adequacy, and ROI drive coverage decisions.The conversation also dives into rural health transformation funding, niche population strategies, employer benefits, behavioral health access, and why some of the most impactful healthcare innovations aren’t “sexy” at all—they simply solve real problems for vulnerable populations. From health policy history to practical advice for startups, this episode reframes how innovation actually happens in healthcare.Three Actionable Takeaways:Health Plans Buy Outcomes, Not IdeasNo matter how innovative a product is, payers care about measurable impact—cost reduction, quality improvement, and expanded access. If it doesn’t align with how states and plans are evaluated, it won’t get traction.Medicaid and Medicare Require a Different PlaybookPublic payer populations are often hard to reach, less tech-enabled, and account for the majority of healthcare costs. Successful solutions must be population-focused, not consumer-focused.Start Small, Prove Value, Then ScaleStates copy each other. Health plans replicate pilots across markets. Winning in a smaller, more accessible state or niche population can unlock broader adoption nationwide.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Sunshine Moore Anger is a health policy consultant and former health plan leader who helps startups, providers, and organizations navigate Medicaid, Medicare, and complex payer landscapes. Known for her ability to “translate” between innovators and insurers, Sunshine specializes in population health strategy, public programs, and regulatory alignment.📧 Email: [email protected]🔗 LinkedIn: http://linkedin.com/in/sunshinemooreangerAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected])TagsTelehealth Policy, Health Plans, Medicaid, Medicare, Digital Health Startups, Population Health, Health Innovation, Rural Health, Behavioral Health, Healthcare RegulationHashtags#TelemedicineTalks #HealthPolicy #DigitalHealth #Medicaid #Medicare #Telehealth #PopulationHealth #HealthcareInnovation #PayerStrategy #HealthTech The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What if securing capital for your healthcare practice didn't mean drowning in paperwork or facing endless rejections?In this engaging kickoff to 2026, hosts Phoebe Gutierrez and Dr. Leo Damasco chat with Sharmeen Aqeel,  about demystifying finances for independent healthcare providers. From breaking down P&L statements into simple cash inflows and outflows to navigating options like big banks versus private lenders, they explore how to track key metrics like patient statistics and fixed costs without needing an accountant. Sharmeen shares real-world examples of clinics overcoming funding hurdles for marketing, equipment, and growth, emphasizing the role of revenue-based funding and quick capital. Drawing from her design background and fintech expertise, she highlights Lyyvora's AI-driven platform that matches borrowers with multiple lenders for the best offers, plus tools for assessing readiness and improving financial health. Phoebe and Leo add insights from their experiences in telehealth and startups, discussing bottlenecks like cash flow for marketing and scaling tech.If you're a physician, clinician, or entrepreneur building a practice in telemedicine or beyond, this episode provides practical advice on raising capital, avoiding high-interest traps, and pursuing your business dreams with confidence.Three Actionable Takeaways:Simplify your financial tracking: Focus on key basics like patient statistics (e.g., cost per patient vs. revenue), fixed vs. variable costs, and cash inflows/outflows—use tools like bank statements and calendars to project growth without complex spreadsheets.Explore funding options wisely: Compare big banks (for larger, slower loans like acquisitions) with private lenders (for fast capital on marketing or payroll, with rates 8-15%); shop multiple offers and consider revenue-based funding that flexes with your monthly earnings.Assess and prepare for loans: Use platforms like Lyyvora to match with lenders based on your revenue, bank health, and business tenure—get a readiness score, improve weak areas with templates, and persist through rejections by refining your story around clientele growth.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest: Sharmeen Aqeel is the founder and CEO of Lyyvora, a fintech platform simplifying capital access for independent healthcare practices via AI-matched loans from private lenders (8-15% rates). With a design background in UX and product leadership, she focuses on human-centered solutions, demystifying finances like P&L statements and patient metrics. Her Advice: Take risks, persist through rejections. LinkedIn: Sharmeen AqeelWebsite:  https://lyyvora.comAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected])  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if AI could renew your prescriptions or diagnose your symptoms, but at the cost of losing the human touch that catches life's nuances?In this timely discussion, hosts Phoebe Gutierrez and Dr. Leo Damasco  react to breaking developments in AI-driven healthcare. They unpack Utah's innovative pilot program partnering with Doct.ai to automate prescription renewals for long-term meds, debating whether it streamlines care or risks overprescribing and bias. The conversation shifts to ChatGPT's health tools, including HIPAA concerns, data privacy, and potential for misuse by vulnerable users like teens. Drawing from personal experiences as providers and parents, they highlight AI's strengths as a supplemental tool e.g., for research or differentials, versus the dangers of full autonomy, emphasizing the irreplaceable role of physician gestalt, context, and independence. Real-world examples like Open Evidence and UpToDate illustrate AI done right, while raising alarms about corporate incentives, edge cases, and moral compasses in tech.If you're a physician, health tech enthusiast, or patient navigating AI's rise, this episode offers balanced insights on innovation, regulation, and safeguarding human elements in medicine.Three Actionable Takeaways:Evaluate AI as a tool, not a replacement: Use platforms like Open Evidence or UpToDate for expedited research and differentials, but always apply your clinical judgment to interpret results, review sources and context before acting.Prioritize patient safety in AI adoption: For renewals or diagnostics, insist on human oversight to catch nuances like lifestyle changes or contraindications; question biases in algorithms and demand transparency on training data e.g., specialist breakdowns.Engage in the conversation: Share your experiences with AI in healthcare via comments or reach out to Phoebe and Leo. Join discussions on ethics, privacy (e.g., HIPAA gaps in ChatGPT), and pilots like Utah's to influence safer implementations.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected])  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________When Chris Turtizin started his career designing high-end handbags in Berlin, he never imagined he’d end up shaping the future of telemedicine. But after a pivot from fashion to tech including a stint on Facebook’s growth team he found his calling in healthcare.In this episode, Dr. Leo Damasco and Phoebe Gutierrez talk with Chris Turtizin about his incredible journey: from growing Bicycle Health into a telemedicine powerhouse serving tens of thousands of patients with opioid use disorder, to launching Single Aim, a platform that helps clinicians navigate compliance and build their own practices.Chris shares how he leveraged the chaos of the pandemic to scale Bicycle Health, the lessons he learned about speed and access in healthcare, and why he’s now focused on empowering nurse practitioners, PAs, and physicians to take control of their careers. From underserved communities to regulatory minefields, this conversation dives deep into the intersection of health tech and human impact.Three Actionable Takeaways:Speed is Everything in Telemedicine – Chris found that getting patients treated within 4-8 hours doubled long-term outcomes at Bicycle Health. Fast access is a game-changer for patient care and business growth.Start with Leadership Roles – Physicians and providers can break into telemedicine through collaborating physician or medical director roles—great stepping stones to bigger opportunities.Transparency Builds Trust – Single Aim’s success comes from clear pricing, open data, and empowering clinicians to control their own paths. Healthcare needs less gatekeeping and more openness.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedin.com/in/pkgutierrez/[email protected] the Guest:Chris Turtizin is a digital health innovator who transitioned from designing handbags in Europe to becoming a key player in telemedicine. With experience at Facebook’s growth team, Virta Health, and as a leader at Bicycle Health one of Time’s 100 Most Influential Companies in 2022, he scaled a telemedicine provider serving tens of thousands with opioid use disorder. Now, as co-founder of Single Aim, Chris is building tools to help nurse practitioners, PAs, and physicians launch their own clinical practices with ease and compliance. Passionate about the intersection of internet growth and healthcare, he’s dedicated to making telemedicine accessible and clinician-friendly.Website: https://www.singleaimhealth.com/LinkedIn: Chris Turtizin The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

 This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What shaped telemedicine in 2025, and what's on the horizon for 2026?In this special New Year episode of Telemedicine Talks, host Dr. Leo Damasco recaps the year's major developments, including the shift from broad direct-to-consumer platforms to focused enterprise partnerships, heightened focus on compliance and accreditation, clinical standardization, physician leadership, and AI's role in care. She discusses Medicare flexibility extensions, legal scrutiny, and predicts continued consolidation, hybrid models, and stricter regulations in 2026, emphasizing opportunities for innovation and better governance.Three Actionable Takeaways:Business Model Shifts: Telemedicine moved away from unfocused direct-to-consumer care toward enterprise partnerships with payers, employers, and health systems, with specialized platforms thriving.Regulatory and Compliance Focus: 2025 saw increased scrutiny on governance, accreditation (e.g., URAC), prescribing audits, and PC-MSO structures, making compliance business-critical amid lawsuits and investigations.Physician Empowerment and AI Integration: Doctors gained leverage in leadership roles and compensation, while AI enhanced operations but faced pushback against fully replacing clinicians, ensuring human oversight in care.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Host:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Connect with Leo:[email protected]  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if securing your telemedicine practice against AI-driven scams and data breaches was as straightforward as using a VPN and asking the right questions?In this essential episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco sits down with Cordell Robinson, as he unpacks the cybersecurity threats facing telemedicine providers, from public WiFi vulnerabilities at hotels and airports to AI-powered phishing and deepfakes. He discusses his journey from Navy intelligence to cybersecurity expert, enforcement trends like HIPAA penalties, and how Brownstone's new Compliance Aid app simplifies audits for pros and beginners alike. If you're in telemedicine and concerned about 2026 AI risks or compliance costs, this is your guide to proactive protection, shielding patients, dodging lawsuits, and leveraging security as a business advantage.Three Actionable Takeaways:Secure your connections: Avoid public WiFi for sensitive calls; use a personal hotspot or install VPNs like NordVPN, Norton, or built-in Apple/Google options on devices. Ensure passwords are over 17 characters and enable biometrics, but verify airline or hotel security measures before connecting mid-flight.Spot AI scams and phishing: Look for pattern recognition in calls. Robotic responses, mismatched mouth movements, or overly pointed personal questions. Never log into accounts during suspicious calls; wait 24 hours and use a separate device or contact your bank directly to verify.Prioritize compliance proactively: Invest in phased cybersecurity like HIPAA or NIST via tools such as the Compliance Aid app to assess controls e.g., access, physical security. Hold AI vendors accountable by asking about governance, human oversight, and past fixes. Treat it like annual health checkups to avoid reputational damage and financial penalties.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Cordell Robinson is CEO of Brownstone Consulting Firm, a cybersecurity expert with over 15 years leading the firm. A philanthropist and decorated US Navy veteran in military intelligence, he blends software engineering, law school insights, and compliance expertise to protect sensitive data in healthcare and beyond. His new Compliance Aid app demystifies frameworks like FISMA, FedRAMP, and SCADA for easy implementation. LinkedIn: linkedin.com/in/cordell-robinson-a2213a4 Email: [email protected]: https://www.bcf-us.comInstagram: @brownstone_consulting_firmAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if complying with 19 U.S. state privacy laws and counting was as easy as copy-paste, and cost-effective for solo docs or big practices?In this timely episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco sits down with Michael Williams, as he breaks down the patchwork of laws (GDPR, CCPA, and 2025 updates), why they’re based on patient location not your HQ, and how per-incident fines can hit millions. He shares Clym’s origin story from a $100K consulting flop, explains enforcement trends e.g., revenue via “phantom taxes”, and offers nuggets on getting started fast: No devs needed, scalable for SMBs to enterprises, and focused on user experience without legal headaches.If you’re in telemedicine and sweating 2026 enforcement, this is your roadmap to proactive compliance—protecting patients, avoiding surprises, and turning regs into a competitive edge.Three Actionable Takeaways:Assess your exposure: Privacy laws apply based on patient location, not yours—e.g., California rules for CA patients even if you’re in Texas. Map your data collection, searches, forms and review for GDPR/CCPA compliance. Use tools like Clym to scan and implement banners and notices in 5 minutes to mitigate per-incident risks.Simplify setup: Don’t hire pricey consultants. Opt for scalable software. Copy-paste Climb’s code for default coverage across 160 regs, privacy, and accessibility. Customize as needed, but start basic: It’s dev-free, cost-effective, and ensures you’re compliant day one without ongoing manual tweaks or $100K fees.Prepare for enforcement: Ignorance isn’t a defense. 2026 brings ramped fines (up to $7,500 per record). Educate your team on per-occurrence penalties, monitor state changes (19 U.S. laws now), and build revenue buffers. Proactively audit data sharing to avoid “phantom taxes” and turn compliance into patient trust.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Michael Williams is CFO and Co-Founder of Clym, a leading platform for automated compliance with data privacy, accessibility, and website regulations. A former pro basketball player (6’10”!), he started as a tax attorney at Ernst & Young, then served as CFO for global firms. Michael blends legal, financial, and operational expertise to make compliance scalable, affordable, and user-friendly, helping telemedicine providers reduce exposure while enhancing experiences.Connect with Michael Williams:· Website: https://www.clym.io· Email: [email protected] the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________You went from making residency peanuts to six- and seven-figure clinical income practically overnight but medical school never taught us what to do with it.In this episode, Leo Damasco sits down with Jonathan Spitz as he reveals why more telemedicine and 1099 physicians are using institutional-grade real estate to create tax-efficient cash flow, slash volatility, and build true diversification outside the rollercoaster of public markets. He pulls back the curtain on Lightstone’s new direct-to-investor platform, explains the massive alignment that comes from the firm putting its own money in first, breaks down the current 2025–2028 market opportunity (20–30% valuation resets + disappearing new supply = rent-growth tailwinds), and shares the red flags and green flags physicians must know before investing passively in private deals.Whether you’re looking for 6–8% tax-deferred distributions, mid-teens IRRs, or simply a way to stop writing huge checks to Uncle Sam every April, this is the roadmap.Three Actionable Takeaways:Define Your Investment Objective Before Choosing a Deal: Before investing in private real estate, determine whether your priority is cash flow, tax efficiency, portfolio diversification, or long-term appreciation. This clarity ensures you select deals aligned with your financial goals and prevents emotional decision-making. Physicians especially benefit from knowing what they want as income and workload shift.Perform Sponsor Due Diligence, Not Just Deal Analysis: Evaluate who is managing your money. Ask how long they’ve operated, how much of their own capital they invest, their track record in the specific market, and whether they've navigated past downturns. Sponsors with skin in the game and proven execution reduce risk and align incentives with investors.Understand and Accept Illiquidity Before Committing Capital: Private real estate investments often lock funds for multiple years, typically without early exit options. If you may need cash within that timeframe, reconsider. Accepting illiquidity allows you to benefit from consistent income distributions, tax advantages, and potential higher long-term returns without reacting emotionally to market volatility.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest: Jonathan Spitz is the Head of Capital Formation at Lightstone Direct, where he connects individual investors, especially physicians, to institutional-quality real estate opportunities. With over a decade of experience spanning brokerage, lending, and private equity, Jonathan has navigated multiple market cycles and capital-raising environments. He focuses on transparency, education, and aligned incentives, helping professionals understand how private real estate can diversify portfolios, reduce taxes, and build long-term wealth.Website: https://www.lightstonedirect.com/dpnAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Email: [email protected]: https://www.telemedicinetalks.com The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if your superhero dreams as a kid shaped your career in health tech? In this inspiring episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco sit down with Nikola Dosev, as he recounts his unconventional path: from studying business and tech, to building AI in MarTech and real estate, to diving into health after personal experiences with atrial septal defect and a passion for sleep, activity, and family wellness. He explains how AI is transforming Hundred’s approach, auditing workflows, personalizing recommendations, and even generating content, while emphasizing ethical use and human oversight.The conversation dives into Hundred’s unique slant: focusing on food, exercise, and sleep prescriptions over pills, using at-home blood tests for biomarkers like hormones and inflammation, and building for real people like Nik’s fitness journey or Phoebe’s hormonal expertise. With stories of failures turned learnings, Nik stresses passion as the true driver of health innovation. If you’re in digital health, telemedicine, or just curious about living longer and better, this episode reveals how tech meets personal stories to reach billions.Top 3 Takeaways:Leverage AI Ethically in Health Tech: Start by using AI for workflow audits and gap identification to boost efficiency, but always prioritize human oversight to avoid biases. Experiment with tools like ChatGPT for content generation or personalization, ensuring data privacy and testing in low-stakes areas first to build trust and refine outputs.Turn Personal Health Stories into Professional Drive: Reflect on your own health challenges—like Nik’s heart defect—to fuel passion in longevity work. Use daily disciplines in sleep, activity, and nutrition as differentiators in your career; track biomarkers via precision testing to inform decisions, turning personal insights into innovative solutions that help others extend healthspan.Focus on Basics Before Advanced Interventions: Prescribe food, exercise, and sleep as foundational “medicines” before supplements or drugs. Use at-home tests for biomarkers like hormones or inflammation to create tailored plans; build products with real user stories in mind, ensuring accessibility to democratize longevity beyond high-end demographics.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Nikola Dosev is Head of Product at Hundred (hundred.com), a functional medicine and precision-testing startup democratizing longevity through at-home blood tests, AI-driven insights, and simple prescriptions: food, exercise, and sleep first.With over a decade building startups in MarTech, consumer tech, security, and real estate, Nik was an early AI adopter (2016–17) and used automation to drive hyper-growth companies. Born with an atrial septal defect and originally given a ~55-year life expectancy, a 2017 surgery removed that ceiling and ignited his obsession with helping people live healthy, 100+ year lives. Daily optimization of sleep, movement, and nutrition has been his edge since his teens. At Hundred, he’s channeling that passion and his “Batman kid” belief in high-tech solutions outside broken systems into making advanced longevity tools accessible to millions, not just the elite.Email:  [email protected]: linkedin.com/in/nikoladosevWebsite;  https://www.hundred.comAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if PAs could lead the charge in closing healthcare deserts through telemedicine—and what's holding them back?In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco welcome Ashlyn Smith, as she shares her journey from aspiring veterinarian/dancer to endocrine specialist embracing telehealth during COVID. She highlights telemedicine's advantages like meeting patients at home for deeper insights, fewer missed appointments, and family "pop-ins" while addressing PA challenges: limited infrastructure, state-specific supervision vs. collaboration agreements, and the upcoming 2026 PA Licensure Compact for multi-state practice. Ashlyn discusses pivoting to entrepreneurship amid work-life tensions, reading contracts meticulously, overcoming imposter syndrome, and blending evidence-based endocrinology with lifestyle medicine. Her clinic offers telehealth care in Arizona, nationwide coaching/e-consults, EHR templates, and resources to empower clinicians and patients. This episode inspires PAs to explore independence, collaborate across specialties, and expand access in underserved areas like endocrinology, where reimbursement issues widen care gaps.Three Actionable Takeaways:Read Contracts Thoroughly: Before signing any professional agreement, review every detail—don't just scroll to the end. This week, practice by analyzing a sample contract to spot restrictive clauses on scope or independence.Research Your State's PA Rules: Check if your state allows PA-owned practices, collaborative agreements (after 8,000 hours), or the upcoming Licensure Compact. Start by contacting your regulatory board for clarity on ownership and telemedicine options.Leverage Telehealth for Deeper Patient Insights: In your next virtual visit, ask patients to show their home environment or medications on hand. Use one session to note family dynamics or lifestyle factors for more personalized care plans.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Ashlyn Smith is a board-certified PA and distinguished fellow of the American Academy of PAs, with 14 years in endocrinology and over a decade in medical education. A certified Diabetes Prevention Program lifestyle coach, she owns Elm Endocrinology and Lifestyle Medicine, a telehealth practice blending hormone health with evidence-based lifestyle medicine. Past president of the American Society of Endocrine Physician Assistants, she lectures on pituitary disorders at Creighton University and supports clinicians through e-consults, coaching, and resources.· Connect with Ashlyn Smith:📧 Email: [email protected]🌐 Website: https://www.elm-health.com📱 Instagram: @elm.pacAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.________________________Can you trust an AI that’s writing your treatment plans, or will 2026 be the year clinicians start paying the price for automation? In this 2026 compliance predictions episode, Phoebe Gutierrez shares her “love–hate relationship” with AI: it streamlines operations and boosts efficiency, but it cannot be treated as a source of truth. As more practices embed AI into core clinical workflows, the question becomes unavoidable: Who is responsible when AI is wrong? The clinician? The platform? The vendor?Phoebe explores how regulators are now answering that question. She explains how the FDA, the ONC, and state legislatures are rapidly rolling out rules governing AI-enabled software, clinical decision support, bias testing, audit trails, human oversight, and patient disclosure. With over 250 AI-related bills introduced in 34 states, the landscape is shifting faster than most companies can keep up. She walks through the most common—and dangerous—mistakes she sees digital health companies making, including auto-populating treatment plans without clinician review, failing to track AI overrides, not disclosing AI use in patient encounters, ignoring bias testing, and misunderstanding liability responsibilities between platforms and vendors.AI isn’t going anywhere—but the way we use it must evolve. This episode gives you the roadmap.Three Actionable Takeaways: Keep Humans in the Loop—Always: AI can support clinical workflows, but clinicians must verify recommendations, diagnoses, dosing suggestions, and triage outputs. Automation without oversight is now a regulatory red flag.Track Every AI Decision and Override: If you can’t show who reviewed the AI output, whether it was modified, and why, you cannot prove safe use or compliance—especially during audits or investigations.Build an Internal AI Governance System: Assign ownership, maintain an AI tool inventory, evaluate bias, ensure state-by-state compliance, review vendor claims, and require transparent validation data before deployment.About the ShowTelemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Host:Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________In this solo episode of Telemedicine Talks, Phoebe Gutierrez sounds the alarm: the FTC—not the DEA—is now telehealth’s #1 threat.Forget clinical protocols—the Federal Trade Commission is laser-focused on consumer protection, and telehealth’s cash-pay subscription model is their new favorite target. It started with Cerebral: $7 million fined—not for bad psychiatry, but for burying the cancel button, auto-renewing without consent, and piping mental-health data straight to Meta. The FTC’s three-pillar hit list?Auto-renewal transparency (no pre-checked boxes, no fine-print surprises)One-click cancellation (if signup is online, cancellation must be too)Zero sneaky data sharing (visiting your addiction-medicine site is PHI the moment the pixel fires)Phoebe translates ROSCA (Restore Online Shoppers’ Confidence Act) into plain English and hands you the exact checklist 90% of telehealth startups still ignore. In this episode, you'll hear why “we’ll just email support” is now a violation, why “non-identifiable” data isn’t a loophole, and why 2026 will see 3–5 new FTC scalps on the telehealth wall.Three Actionable Takeaways:Run the 5-Minute Patient Audit TODAY: Open an incognito tab, sign up as a fake patient, and time how many clicks it takes to (a) see the price, (b) read the renewal terms, (c) cancel. If any step takes >30 seconds or leaves the app, fix it before bedtime.Kill the Pixel Party: Open your Google Tag Manager, search “health”, “mental”, “addiction”, “prescription”—delete every event that could infer a diagnosis. Replace with boring conversion tags that stay HIPAA-safe.Print the “Cancel” Button in 72-pt Font: Add a persistent “Cancel Anytime” link in your app footer, dashboard, and every receipt email. Train support to process cancellations in About the ShowTelemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the HostPhoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.____________________________________________________________________What happens when the DEA ends pandemic-era flexibilities and telemedicine companies aren’t ready?In this episode of Telemedicine Talks, Phoebe Gutierrez delivers a timely and urgent breakdown of the 2026 DEA prescribing regulations that will redefine virtual care. From the expiration of COVID-era telemedicine flexibilities to the new four-tier DEA registration model, Phoebe unpacks what’s changing, who’s impacted, and how digital health companies can prepare.She explains the layers of the new system — including Telemedicine Prescribing Registration, Advanced Prescriber Rules, Telemedicine Platform Registration, and State-Based Licensure — and why these changes matter for clinicians, startups, and patients alike.Phoebe warns that companies relying on outdated processes risk shutdowns or investigations, and outlines a practical roadmap for compliance, from auditing prescriptions to automating ID verification and PDMP checks. Her closing message is clear: the DEA is watching, and telemedicine leaders must act now to future-proof their operations.Three Actionable TakeawaysAudit Your Prescribing Universe:List every medication your company or clinicians prescribe and match them to DEA schedules. This reveals which new registrations you’ll need under 2026 rules.Strengthen Oversight Systems:Implement automated DEA and license checks, PDMP lookups, and monthly verifications. Build a compliance calendar and assign ownership to prevent lapses.Prepare Financially and Operationally:Every provider and platform must register in each prescribing state. Plan budgets, staffing, and internal workflows to meet the multi-state, multi-layer registration demand.About the ShowTelemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the HostPhoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.________________________________Can AI make health insurance transparent and affordable for independent doctors and 1099 workers?In this episode of Telemedicine Talks, Samuel Hill discusses his evolution from aspiring dentist and football hopeful to tech entrepreneur co-founding Molly Health Insurance with Wyatt. Inspired by a $900 MRI savings hack, Sam explains how Molly uses AI agents to demystify coverage, predict costs, and empower users with data-driven choices. He offers doctors practical advice on transitioning to startups: embrace vulnerability, network beyond medical circles, and separate clinical expertise from business risk. From failed ventures like Bridge Connector to acquisitions at Stepson, Sam's story highlights the grit needed to solve healthcare's red tape.Top 3 Takeaways:Mindset Shift for Doctors: Rewire from risk-averse clinical training to entrepreneurial action—be vulnerable, ask for help, and view healthcare frustrations as solvable problems without threatening your brand.Leverage Your MD in Business: Network "doctor hat off" to learn skills, then "hat on" to add clinical credibility; doctors shine on product teams bridging tech and patient needs.AI for Healthcare Wins: Start with a problem (e.g., opaque insurance), gather data, query AI for solutions, and build trust via transparency like confidence scores—turning models into proactive personal assistants.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Samuel Hill is a serial entrepreneur, product owner, and AI architect with a passion for disrupting healthcare. Co-founder of Molly Health Insurance, he's spent five years at the forefront of AI models, agents, and APIs, previously contributing to Stepson's acquisition and navigating high-growth (and high-failure) startups like Bridge Connector. A self-described "health guru and status quo disruptor," Sam draws from shadowing his orthopedic surgeon uncle to build transparent, tech-driven solutions for independent workers and physicians.🔗 Connect with Samuel Hill:Website: https://www.mollihealth.comLinkedIn: http://linkedin.com/in/samuelgarretthillAbout the Host:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Connect with Leo Damasco:[email protected] https://www.telemedicinetalks.com The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________________________________What’s next for telemedicine as regulatory shifts and legal challenges reshape the landscape?In this Monthly Update episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco tackle critical developments in the telemedicine industry. They dive into the recent expiration of COVID-era telemedicine flexibilities for Medicare patients, which has reverted care to restrictive pre-COVID rules, requiring in-clinic visits and limiting home-based care. This shift, compounded by a government shutdown stalling potential extensions, threatens access for vulnerable patients, especially in rural areas, and could set back innovations like hospital-at-home programs. They also analyze the high-profile fraud trial of Done, a mental health telemedicine startup, where its founder and clinical president face charges over a $100 million scheme involving over-prescription of ADHD medications like Adderall. This case serves as a cautionary tale for physicians in startups, highlighting the critical need for compliance awareness to avoid legal and professional risks. Phoebe and Leo discuss the importance of clinicians educating startups on regulations, sharing their own experiences in product development and compliance navigation. They also explore emerging trends, including a shift from direct-to-consumer models to B2B and cash-pay options, as patients grow frustrated with traditional insurance and seek affordable, accessible care. With respiratory season driving demand, telemedicine platforms face new pressures to adapt. The hosts wrap up by previewing upcoming episodes featuring physician assistants in business and a policy expert on payer dynamics, offering listeners a roadmap for navigating this evolving field.Three Actionable Takeaways:Telemedicine Flexibilities Expired: COVID-era waivers have ended, reverting to pre-COVID rules for Medicare, limiting home-based visits and potentially disrupting care, especially with the government shutdown delaying extensions.Done Trial Highlights Risks: The fraud trial of Done's founder and clinical president underscores dangers for physicians in startups, emphasizing the need for compliance and awareness to avoid legal pitfalls.Shifting Business Models: Telemedicine is moving from direct-to-consumer to B2B and cash-pay options, with physicians educating companies on regulations and preparing for increased demand in respiratory season.About the ShowTelemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

 Can telemedicine enhance medicine without compromising quality and altruism? In this episode of Telemedicine Talks, hosts Dr. Leo Damasco and Phoebe Gutierrez  discuss with Dr. Manzur Moidunny about early-career hesitations about fully embracing telemedicine, finding a balanced middle ground that aligns with his values. Drawing from his hospitalist experience, he explores the difference between access to care and truly good, holistic care, the importance of leadership in guiding ethical practices, and earning trust to influence change. Dr. Manzur shares his passion for the "art of medicine," revealing his new Michigan Longevity Clinic and an upcoming restaurant offering medically tailored meals for conditions like obesity, hypertension, and diabetes. Top 3 Takeaways:Telemedicine Balance: It's essential for future-proofing careers but should complement in-person care to maintain clinical growth and avoid focusing solely on minimums in cash-based systems.Leadership and Altruism: Earn a seat at the table through trust, value, and rationale to bring out the caring aspect in discussions often dominated by finances.Innovative Expression: View medicine as an art—create models like longevity clinics and food-as-medicine restaurants to address gaps in traditional reimbursement and promote holistic health. About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest: Dr. Manzur Moidunny is a hospitalist in metro Detroit with a focus on lifestyle and longevity medicine. Early in his career, he navigates telemedicine while maintaining passion for in-person care, founding the Michigan Longevity Clinic and planning a restaurant for medically tailored meals. He emphasizes food as medicine and holistic approaches to treat chronic conditions. 📘 Instagram: @lifestylemeddoc.md About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

How can high-achieving physicians reclaim their time and live with true freedom?Dr. Leo Damasco sits down with Dr. Anne Tsung as she shares her extraordinary journey—from aspiring astronaut to working in Antarctica's South Pole—to developing her "Five Stages to Time Freedom" framework. Drawing from experiences in extreme environments like NASA and ICUs, she explains how to access flow states on demand, optimize chronotypes, and shift from external validation to intrinsic self-worth.Tailored for doctors navigating telemedicine and entrepreneurship, the conversation covers overcoming perfectionism, setting boundaries, and using tools like journaling for peak performance. Whether you're battling burnout or seeking work-life harmony, this episode offers actionable insights to transform your productivity and presence.Three Actionable TakeawayDiscover Your Chronotype for Peak Productivity – Use tools like the Morningness-Eveningness Questionnaire to identify your optimal energy windows; Anne advises scheduling high-focus tasks during peak times and protecting non-negotiables like sleep or family to access flow states more easily.Shift from External to Intrinsic Validation – Reflect on self-worth through journaling or coaching to break cycles of overachievement; Anne shares how recognizing her value beyond certifications helped her prioritize timeless moments—start by listing three daily wins unrelated to work.Embrace Mistakes as Growth Opportunities – View failures, like missed diagnoses, as learning moments without self-judgment; Anne emphasizes self-compassion in medicine—practice by reviewing a recent setback with curiosity, asking what it teaches about intentions and knowledge at the time.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Dr. Anne Tsung is a NASA flight surgeon, triple-boarded in emergency medicine, critical care, and aerospace medicine, and founder of Productivity MD. A certified advisor in Performance Neuroscience by the Flow Research Collective, she developed the Five Stages to Time Freedom to help leaders access flow states and achieve timeless presence. From her work in Antarctica's South Pole to coaching physicians, Anne empowers high-achievers to shift from external validation to intrinsic worth.Websites: https://zoomann.com                    https://calendly.com/tsungannmdLinkedIn: https://www.linkedin.com/in/ann-tsung-78541ab2About the Host:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Connect with Leo Damasco:[email protected] https://www.telemedicinetalks.com The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

How can physicians leverage AI and LinkedIn to build their professional brand and open new doors? Leo Damasco chats with Al Kushner about his journey from Brooklyn roots to self-employed LinkedIn strategist, driven by a desire for independence. Al shares insights from his book The AI LinkedIn Advantage (published March 25, 2025), emphasizing profile optimization with keywords, AI tools for content creation, and strategic outreach to convert connections into opportunities. Tailored for doctors shifting from traditional W2 jobs, the discussion covers avoiding common pitfalls like generic profiles, using AI for personalized messaging, and embracing mistakes as growth steps. Tune in for practical tips on headlines, engagement, and turning LinkedIn into a powerful marketing tool.Three Actionable Takeaway: Optimize Your Profile with AI – Use AI to identify keywords and craft compelling headlines that highlight your value (e.g., for physicians targeting telemedicine roles); Al emphasizes starting with a strong "about" section to attract searches and boost visibility.Create Authentic Content Strategically – Post consistently with AI-generated ideas tailored to your audience, like sharing medical insights or polls; Al advises focusing on engagement over sales to build trust and convert connections into opportunities.Embrace Mistakes and Take Risks – Learn from failures to grow, as Al shares from his self-employment journey; for risk-averse professionals like doctors, start small with outreach and use AI for efficient messaging to overcome perfectionism.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Al Kushner is an award-winning author, keynote speaker, podcaster, and sought-after LinkedIn Growth Strategist, renowned for blending AI with digital networking. His best-selling book The AI LinkedIn Advantage (March 2025) offers actionable strategies for optimizing profiles and converting connections. Self-employed since age 20, Al draws from his Brooklyn upbringing and 10+ books to help professionals thrive. His free profile checklist is available on his website, audiobook on Audible and Spotify. Website: https://linkedvantage.comLinkedIn: https://www.linkedin.com/in/al-kushnerAbout the Host:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Connect with Leo Damasco:[email protected] https://www.telemedicinetalks.com The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What if health insurance was transparent and empowering for freelancers? In this episode of Telemedicine Talks, hosts Dr. Leo Damasco and Phoebe Gutierrez welcome Wyatt Stokesberry, as he recounts his non-traditional path—dreaming of being a chef but inspired by business owners to start ventures young, rejecting a corporate job, and embracing constant uncertainty as a "risk-on individual." He discusses the feast-or-famine entrepreneur mindset, getting 1% better daily, and thriving in discomfort, drawing parallels to physicians transitioning to telemedicine. The conversation dives into Molly's mission: providing control over claims and premiums via AI-driven efficiency, integrating wearable data for better risk profiling, and fostering health improvements. Amid ACA subsidy expirations threatening 26 million uninsured, Molly caps at 1,000 initial members for personalized service. Tangents explore AI's role in healthcare (from auto-denials to navigation tools), generational fears of AI, and rebuilding insurance trust. Ideal for aspiring entrepreneurs and telemedicine pros navigating business risks.Three Actionable Takeaways:Embrace Uncertainty as Fuel – View discomfort as a growth edge: Capitalize on "famine" periods by preparing to seize opportunities, doubling down when they arise, and committing to 1% daily improvement through consistent effort.Leverage AI for Efficiency – Use AI tools to scale operations (e.g., three engineers matching 20's output) and sift data for insights, but pair with human oversight for ethical applications like transparent claims processing.Seek Transparent Solutions – For freelancers facing ACA sticker shock, join Molly's waitlist at mollyhealth.com to gain control over health plans; share feedback to shape underserved markets and advocate for trust-building innovations.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest: Wyatt Stokesberry, CEO and co-founder of Molly, a transparent health plan launching in Q1 2026 for 1099 freelancers, has over five years of health insurance expertise. A risk-taking entrepreneur who rejected corporate life, he leverages AI for efficiency and aims to rebuild trust in insurance. Website:  https://mollyhealth.comEmail: [email protected] the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What could happen if key ACA marketplace rules kick in, leaving millions without coverage? In this end-of-month recap episode of Telemedicine Talks, hosts Dr. Leo Damasco and Phoebe Gutierrez break down the latest developments in telemedicine and healthcare policy for August 2025. They discuss a Maryland judge's August 22nd decision to temporarily block parts of the Marketplace Integrity and Affordability Rule—set to start August 25th—including a $5 minimum premium, stricter income verifications, and repayment enforcements, which could disenroll over 2 million people. The conversation explores the human impact, especially on low-income individuals just above Medicaid thresholds (e.g., $15,000–$16,000 annually in many states). Shifting gears, they highlight international reports of "digital arrest" scams targeting telemedicine doctors, where fraudsters impersonate officials to extort money via threats of warrants or lawsuits. Leo shares personal stories of similar scams affecting him and his wife, emphasizing the need for vigilance. They also touch on a quirky case of a software engineer caught working 140 hours a week across multiple tech jobs by outsourcing tasks, drawing parallels to telemedicine moonlighting risks and NDAs. Finally, they provide an update on COVID-era telehealth flexibilities expiring September 30th, 2025—including rural restrictions, audio-only coverage, and Ryan Haight Act waivers for controlled substances—urging preparation amid lobbying efforts by groups like the ATA and AMA. This episode is vital for telemedicine practitioners facing potential disruptions in access, reimbursement, and operations.Three Actionable Takeaways:Verify Policy Changes and Prepare – Monitor the status of ACA marketplace rules and telehealth flexibilities expiring September 30th, 2025. Review your practice's compliance with potential reversions to pre-pandemic rules, like rural-only telemedicine or in-person requirements for controlled substances, and advocate through groups like the ATA.Stay Alert to Scams – If contacted about warrants, lawsuits, or unpaid fees, hang up and verify independently by calling official boards or agencies. Share stories of "digital arrest" attempts to raise awareness, and avoid sharing personal info over unsolicited calls.Balance Moonlighting Ethically – Avoid concurrent work across platforms that could compromise patient care or violate NDAs. Focus on sustainable hours and transparency, especially in telemedicine, to prevent burnout and legal issues.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

How can telehealth marketing bridge access gaps for underserved communities like LGBTQ+ populations?In this episode of Telemedicine Talks, host Leo Damasco welcomes Julio Morales, a veteran marketing leader with over 20 years in branding and digital strategy. Julio discusses his experiences at an LGBTQ+-focused telehealth company during 2020, where he partnered with 42 nonprofits to boost awareness and patient acquisition amid access disparities. He shares insights on transitioning to Chipper Digital, his agency focused on relatable, year-round campaigns that avoid superficial "pinkwashing" and genuinely connect with diverse audiences. Julio emphasizes cultural sensitivity, data-driven strategies, and the power of storytelling in marketing, while highlighting challenges like PrEP deserts and the need for inclusive healthcare. This episode is essential for telehealth professionals seeking to enhance outreach, foster trust, and improve equity in patient care.Three Actionable TakeawaysBuild Year-Round Authentic Campaigns – Avoid seasonal "pinkwashing" by creating consistent, culturally sensitive digital strategies that engage LGBTQ+ audiences through storytelling and community partnerships, ensuring long-term trust and impact.Leverage Data for Targeted Outreach – Use tools like Google Analytics and SEO to identify underserved areas (e.g., PrEP deserts) and tailor content, such as multilingual campaigns, to boost patient acquisition and awareness.Prioritize Inclusivity in Branding – Partner with nonprofits and focus on representation in visuals and messaging to make telehealth accessible; test campaigns for resonance and measure success through engagement metrics like website traffic and conversions.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Julio Morales is a marketing leader with 20+ years in branding, product, and digital strategy. Formerly Senior Director of Marketing at an LGBTQ+-focused telehealth company, he drove growth through partnerships with 42 nonprofits. Now leading Chipper Digital, Julio specializes in inclusive campaigns that connect brands with diverse audiences year-round. His work emphasizes cultural sensitivity, data-driven insights, and impactful storytelling to enhance access and equity.Email: [email protected]: https://chipperdigital.ioAbout the Host:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Email:  [email protected]: http://www.telemedicinetalks.com The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of Telemedicine Talks, host Phoebe Gutierrez interviews Justin Liu, to share his background as a Bay Area engineer, from Google to AI infrastructure at Rockset (acquired by OpenAI), and how he and co-founder Scott transitioned into healthcare without prior experience. They explore the inefficiencies in the industry, the importance of manual processes before automation, gaining medical coding certifications, and speaking the language of diverse stakeholders—from venture-backed startups to rural clinics. The conversation covers AI's potential to improve quality control, diagnose conditions, and handle complex tasks, while addressing regulatory challenges, value-based care shifts, and upcoming AI developments like GPT-5. This episode is essential for health tech enthusiasts, providers, and innovators navigating AI's role in transforming healthcare.Three Actionable Takeaways:Learn the Industry Manually First – Before automating processes with AI, gain hands-on expertise (e.g., get medical coding certifications) to understand inefficiencies and build credibility when pitching to healthcare stakeholders.Tailor Communication to Your Audience – Adapt your language and pace based on who you're speaking to—use tech jargon for venture-backed companies but simplify for traditional providers like rural health clinics or FQHCs to bridge gaps effectively.Stay Ahead of AI and Regulatory Trends – Monitor advancements in base AI models (e.g., GPT-5) and policy changes in Medicare/Medicaid to anticipate impacts on billing, patient care, and value-based models, ensuring your solutions remain adaptable.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Justin Liu is the CEO and co-founder of Charta Health, an AI company that reviews patient charts for billing accuracy, reimbursement, and adherence to care standards. With a background in computer science, he engineered at Google and helped build Rockset, an AI infrastructure startup acquired by OpenAI. Justin holds medical coding certifications and focuses on using AI to address healthcare inefficiencies.Website: https://www.chartahealth.comAbout the host:Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Main Summary for Simplecast:In this episode of Telemedicine Talks, host Leo interviews Dr. Nancy Sharma, as she recounts her path into medicine, inspired by her physician family, and her pivot to oncology after her grandfather's battle with multiple myeloma. She explores the integration of conventional treatments with alternative methods like nutrition, acupuncture, and functional medicine, highlighting how major institutions like MD Anderson are adopting similar approaches. Discussing telemedicine's role in her practice, she emphasizes patient empowerment, mitigating side effects, and preventive lifestyle changes. Dr. Sharma offers advice on diet, exercise, mindfulness, and self-belief, reflecting on regrets from patients and the importance of work-life balance. This episode is crucial for physicians and patients interested in holistic cancer care and telemedicine innovations.Three Actionable TakeawaysPrioritize Mindful Nutrition – Focus on the quality and source of food, not just macros. Eat in a relaxed state, avoiding preservatives, to support overall health and mitigate treatment side effects.Incorporate Daily Movement and Breathing – Engage in physical activity every day and practice breathing techniques like box breathing multiple times daily to maintain calm and reduce stress, enhancing resilience against disease.Embrace Mindfulness and Self-Belief – Reflect on mortality to ground priorities, live authentically, and avoid regrets. Believe in yourself during training and practice to reduce unnecessary worry and foster a balanced life.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the GuestDr. Nancy Sharma is a board-certified medical oncologist and hematologist with over 15 years of experience, licensed in all 50 states. Honored as a Top Doctor by Seattle Magazine for four years, she founded Thrive Integrative Cancer Care, blending conventional oncology with integrative approaches like functional medicine and nutrition. Inspired by her grandfather's cancer battle, she advocates for holistic care to improve quality of life and mitigate side effects. · Website: https://www.thriveintegrativecancercare.com  Instagram: https://www.instagram.com/thrivecancercarecenterFacebook:  https://m.facebook.com/groups/305316675501946/About the Host:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Connect with Leo: 📧 Email: [email protected] 🌐 Website: https://www.telemedicinetalks.com The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of Telemedicine Talks, Dr. Leo Damasco and Phoebe Gutierrez sit down with Dr. Okemefuna Okpara, to discuss his telemedicine journey sparked by burnout during the COVID era. Dr. Okpara candidly shares his struggles with the chaos of juggling multiple telemedicine gigs, particularly in weight loss and GLP-1 prescriptions, where he prioritized ethical practice over efficiency, often spending extra time to ensure patient safety. He reflects on the culture of silence around telemedicine pitfalls, the fear of liability, and the lack of trust in some platforms. Transitioning to locums and earning a wound care certification, he now collaborates with his brother’s mobile wound care company, leveraging AI for nationwide expansion. Dr. Okpara offers practical tools for managing imposter syndrome, protecting one’s license, and exploring non-clinical roles like NP supervision. He advocates for systemic improvements in telemedicine to prioritize trust and patient care. This episode is essential for physicians seeking to navigate telemedicine with integrity and resilience.Three Actionable Takeaways:Practice Ethical Diligence – Treat telemedicine patients with the same care as in-person encounters. Spend time verifying patient details and educating them to ensure safety, even if it slows initial productivity, to avoid liability and maintain trust.Invest in Education to Build Confidence – Pursue certifications (e.g., wound care or obesity medicine) to overcome imposter syndrome when entering new fields or supervising others, ensuring you feel equipped to guide with authority.Seek Trusted Collaborations – Partner with reliable individuals or companies, like family-run businesses, for roles like NP supervision. Focus on low-liability fields with clear CMS guidelines to align with your values and reduce stress.About the ShowTelemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the GuestDr. Okemefuna Okpara is a board-certified emergency medicine physician based in Austin, Texas, with over 20 years of experience in freestanding ERs and locums roles. Entering telemedicine two years ago to combat burnout, he explored clinical gigs and NP supervision while earning certifications in wound care and obesity medicine. Dr. Okpara now collaborates with his brother’s mobile wound care company, aiming for nationwide expansion with AI integration. A father of three, he champions ethical practice and work-life balance to inspire resilient career paths.LinkedIn; linkedin.com/in/okemefunaokparaAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected])   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

How can dermatology and medicine as a whole—embrace digital care without compromising quality? In this episode, Dr. Cheryl Lee joins Dr. Leo Damasco and Phoebe Gutierrez to share her journey from NIH researcher to founding CLMD, a patented sensitive skincare line, and Zōca, a comprehensive telehealth platform spanning multiple specialties.She recounts how patients across the globe sought her eczema expertise online after launching her skincare line in 2014, sparking the idea for a scalable, collaborative teledermatology ecosystem. Dr. Lee details how she built Zōca not just for dermatology but as an all-specialties, patient-centered platform complete with integrated EMRs, labs, asynchronous care, and provider collaboration tools.Beyond tech, she discusses launching Expert Derm, a fellowship program that has already trained nearly 100 clinicians in dermatology fundamentals with a built-in telederm business—“a business in a box.” She explains how she's empowering non-derm-trained clinicians, pediatricians, family med doctors, PAs, and NPs to treat skin conditions virtually and improve patient access without needing years of formal residency.The conversation also touches on the future of AI in medicine, the value of clinical reasoning, and how physician leadership must evolve to remain central in digital care.Three Actionable Takeaways:1. Learn Dermatology at Scale – With a growing need for dermatologic care, clinicians from all specialties can build practical telederm proficiency through programs like Expert Derm and integrate it into virtual or hybrid practices.2. Build a Business Around Your Expertise – Dr. Lee provides physicians with their own teledermatology platform, including malpractice coverage, EMR, virtual staff, and branding—allowing them to start practicing with minimal operational hurdles.3. Embrace Telehealth Education and Regulation – Telemedicine success depends on understanding state laws, scope of practice, and regulatory compliance. Training programs that include telehealth law and workflow education are key for clinician confidence and success.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Dr. Cheryl Lee is a board-certified dermatologist, NIH-trained researcher, and founder of CLMD, a patented sensitive skincare line, and Zōca, a digital health platform delivering specialty care virtually. She also created Expert Derm, a teledermatology fellowship program that equips clinicians to practice derm virtually and launch their own telederm clinics. Her mission is to democratize access to specialty care and empower clinicians with the tools to do so.🧴 Skincare Line: https://www.clmd.com🌐 Teledermatology Platform: https://www.zoca.com🎓 Fellowship: https://www.zoca.com/fellowship/dermatology📸 Instagram: https://www.instagram.com/expertderm.fellowship/About the Hosts:Dr. Leo Damasco – Pediatrician and emergency physician turned telemedicine advocate, focused on virtual care transformation.Phoebe Gutierrez – Former state regulator turned telehealth executive, passionate about compliance, access, and sustainable care delivery.📧 Contact Phoebe: [email protected]🔗 Connect: https://www.linkedin.com/in/pkgutierrez/   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

 In this episode of Telemedicine Talks, hosts Leo and Phoebe unpack the latest developments in telemedicine and digital health for July. They explore the CMS’s Wiser Act, a 2026-2031 pilot using AI and machine learning to audit billing in real-time, flagging fraud and overpayments in select states. The discussion shifts to a legal battle where Texas targeted a New York doctor for prescribing abortion pills, highlighting the politicization of telemedicine across state lines. They also cover California’s $1.5 million lawsuit against Healthline for violating privacy laws by tracking user data, underscoring growing state-level scrutiny. The episode highlights the expansion of the Interstate Medical Licensure Compact, with North Carolina, Nevada, and Rhode Island joining to ease multi-state licensing. Finally, they celebrate a telehealth kiosk pilot in rural Texas, offering accessible care to underserved communities. Packed with insights, this episode is a must-listen for telemedicine enthusiasts.Three Actionable Takeaways:Stay Compliant with Billing Practices – Understand your telemedicine company’s coding and billing processes to avoid AI-driven audits under the Wiser Act, ensuring compliance with Medicare and Medicaid regulations.Know State-Specific Regulations – Research the legal implications of prescribing across state lines, especially for sensitive services like abortion care, to protect your medical license and practice.Leverage Interstate Licensing – Explore the Interstate Medical Licensure Compact to fast-track licensing in multiple states, enhancing your ability to provide virtual care in areas with provider shortages.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

How can clinicians break into health tech and shape the future of healthcare? In this episode, Dr. Leo Damasco and Phoebe Gutierrez are joined by Lauren Curtis, who shares her bold move to join PillPack in its early days, cold-emailing her way into a role that kickstarted her health tech career. She discusses how she carved out non-clinical roles by solving operational inefficiencies, eventually leading to her passion project, Hey Health Tech, a platform with a newsletter and job board to help clinicians navigate health tech opportunities. Dr. Curtis emphasizes the value of clinicians’ soft skills—like communication and empathy—in tech roles and offers practical advice on reframing clinical experience for resumes (not CVs!) to land product or program management jobs. She also previews her upcoming community for clinicians to collaborate and learn about health tech, AI, and patient outcomes. This episode is packed with insights for clinicians feeling stuck or eager to bridge clinical expertise with healthcare innovation.Three Actionable Takeaways:Reframe Your Skills for Tech Roles – Translate clinical skills like patient management into project management by highlighting teamwork, communication, and problem-solving on a concise resume, not a lengthy CV.Seize Opportunities Proactively – Don’t wait for job postings; reach out to health tech companies with a compelling case for how your clinical background can add value, as Dr. Curtis did with PillPack.Join the Health Tech Conversation – Explore platforms like Hey Health Tech to learn about health tech roles, network with other clinicians, and stay informed about digital health’s impact on your practice.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Lauren Curtis is a pharmacist-turned-health-tech-leader and senior product manager at Parachute Health. With a decade of experience in digital health, starting at PillPack (now part of Amazon), she founded Hey Health Tech, a platform featuring a newsletter and job board to empower clinicians to explore health tech careers. A passionate speaker, Lauren is launching a community to connect clinicians across specialties to learn about health tech, AI, and improving patient outcomes.Website: https://www.heyhealthtech.comInstagram: https://www.instagram.com/heyhealthtechAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

How can telemedicine enhance care in rural communities, and why is physician wellness critical to effective practice? In this episode, Dr. Leo Damasco sits down with Dr. Peter Crane, as he  explores the evolution of telemedicine in his practice, from supporting snowbirds to managing follow-up care for patients with transportation challenges. He candidly shares a lesson from a missed appendicitis diagnosis during COVID, highlighting telemedicine’s limitations and the importance of physical exams for certain conditions. Dr. Crane also discusses the benefits and challenges of direct-to-consumer telemedicine, emphasizing the need for better EMR integration and communication to avoid disrupting primary care plans. Additionally, he reflects on physician wellness, urging doctors to prioritize self-care and live in the present to avoid burnout. Drawing from his podcast, Doctors Making a Difference, Dr. Crane offers actionable advice for physicians to reclaim their time, financial autonomy, and purpose, ensuring they can serve patients as rested, engaged healers.Three Actionable Takeaways:Leverage Telemedicine for Follow-Up Care – Use telemedicine for medication refills, lab reviews, and chronic disease management to reduce patient travel burdens, but maintain a low threshold for in-person exams when physical findings are critical.Prioritize System Coordination – Advocate for better EMR integration and note-sharing to ensure seamless communication between telemedicine providers and primary care physicians, minimizing disruptions to chronic care plans.Focus on Wellness Now – Set short-term personal goals (e.g., family time, hobbies) to avoid the “I’ll be happy when” mindset, ensuring you remain a well-rested, engaged physician for your patients. About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Dr. Peter Crane is a board-certified family physician practicing in rural Ohio since 2011, serving the community where he was born. A graduate of a family medicine residency, he replaced the doctor who delivered him, reflecting his deep commitment to his roots. Host of the Doctors Making a Difference podcast on the Dr. Podcast Network, Dr. Crane shares stories of physicians finding purpose and balance, with a focus on wellness and community care. His practice integrates telemedicine to serve patients with limited access, while his experiences in medical missions to Uganda highlight his dedication to global health equity.LinkedIn: https://www.linkedin.com/in/petermcranemdPodcast: Doctors Making a Difference About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Can staying informed on regulatory changes safeguard your telemedicine practice? Hosts Leo Damasco and Phoebe Gutierrez explore this question in a dynamic discussion covering the Department of Justice and OIG’s historic $14.6 billion healthcare fraud takedown, targeting 324 providers across all 50 states, with a sharp focus on telemedicine fraud in durable medical equipment (DME), genetic testing, and opioid diversion. Drawing from Phoebe’s analysis of the indictments, they highlight critical compliance lessons, such as establishing proper patient-provider relationships and avoiding auto-renewed prescriptions without medical necessity. The episode also delves into the OIG’s advisory opinion on compliant PC/MSO structures, emphasizing fair market value compensation to avoid kickback risks. Additionally, they address proposed Medicaid changes, including work requirements and reduced provider taxes, which could exacerbate healthcare deserts in rural areas, and uncover surprising USP 797 regulations impacting IV hydration services. This episode weaves together regulatory insights, practical compliance strategies, and actionable advice, equipping telemedicine providers with tools to navigate the complex regulatory landscape and protect their licenses.Three Actionable Takeaways:Conduct Due Diligence in Telemedicine Partnerships – Before joining a telemedicine company, verify its compliance with PC/MSO structures and ensure compensation is based on fair market value, not patient volume or referrals.Document Medical Necessity Thoroughly – Avoid auto-renewing prescriptions or ordering tests without proper exams and documentation to ensure compliance with federal regulations.Stay Informed on State-Specific Regulations – Research state pharmacy board rules, such as USP 797 for IV hydration, to avoid unintentional non-compliance in emerging telemedicine services.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ [email protected] The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Can telemedicine offer physicians the work-life balance traditional medicine often denies? Host Dr. Leo Damasco welcomes Dr. Anna Chacon,  as she recounts her shift from hospital-based roles to owning a medical office building, spurred by her father’s sudden job loss during COVID when his pediatric ICU closed. She delves into the complexities of compliance, the stigma of lacking a brick-and-mortar presence which led to rejections from pathology groups, and the relentless connectivity of virtual care, even during hikes or flights. With insights on navigating regulatory hurdles, diversifying practice models, and setting boundaries, this episode equips doctors with strategies to thrive in telemedicine while addressing the emotional and financial burdens of maintaining multiple licenses and insurances costing tens of thousands annually.Three Actionable Takeaways:Prioritize Compliance – Stay updated on telemedicine regulations and invest in legal support to protect your license.Diversify Practice – Combine telehealth with in-person care to gain respect and flexibility in the medical community.Set Boundaries – Establish clear expectations with patients and employers to manage the 24/7 accessibility of telemedicine.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Dr. Anna Chacon is a board-certified dermatologist and telemedicine pioneer, offering services across all U.S. states, the District of Columbia, Virgin Islands, Guam, and Puerto Rico. A double Ivy League graduate from Brown University, where she earned her medical degree through the Program in Liberal Medical Education, she completed her dermatology residency at Los Angeles County + University of Southern California Medical Center, serving as chief resident. Her passion for teledermatology emerged during the pandemic, driven by a desire to serve underserved and rural populations, a mission inspired by her father, a critical care pioneer in South Florida. With over a decade of experience, she balances an in-person surgical practice in Florida, California, and Alaska with a virtual platform, addressing conditions like acne and psoriasis. Fluent in five languages—English, Spanish, French, Arabic, and Hebrew—she leverages her multicultural background to care for diverse patients. An influencer and author of numerous peer-reviewed articles, she also works with indigenous communities in Alaska and advocates for physician autonomy through her social media presence.Website: https://drannachacon.comInstagram: https://www.instagram.com/miamiderm?igsh=djl6YzJzM3Ztd3I0About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

How can physicians break free from burnout and build lives they love? Hosts Leo Damasco and Phoebe Gutierrez welcome Dr. Moe Gibbons, who transitioned to founding Active Medical Solutions, a lifestyle medicine practice, and a coaching business for physicians. After 13 years in a level two trauma center, a forced shift to an offsite role sparked her accidental entry into telemedicine, replacing her ER income within six months. Dr. Gibbons, shares her journey managing personal health challenges and now helps over a thousand doctors leverage their skills. Her asynchronous telemedicine model, built on community and education, offers a unique approach, while her coaching emphasizes early exit strategies and autonomy. This episode inspires physicians to rethink their identity and embrace fulfilling career shifts.Three Actionable Takeaways:Plan an Exit Strategy Early – Start building an exit plan within 3-5 years of practice to grow when you’re not burned out, ensuring long-term fulfillment.Embrace Asynchronous Telemedicine – Explore asynchronous care models to reduce stress and enhance patient connections, especially for routine needs.Invest in Personal Systems – Dedicate time to create and maintain personal and professional systems to avoid burnout and support a balanced life.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Dr. Moe Gibbons is a former emergency medicine physician who transitioned into a dynamic entrepreneurial role after a 13-year career at a level two trauma center, including a 20% LAD stenosis diagnosis. She founded “Active Medical Solutions,” a nationwide lifestyle medicine practice offering 90% asynchronous telemedicine with a focus on community, education, and metabolic health, supported by five providers (with plans to expand to six or seven by year-end) and weekly happy hour sessions for patients. As a certified sports nutritionist and athletic trainer with a background in wellness programs, she also runs a coaching business to help over a thousand physicians create fulfilling lives using skills they already possess. Dr. Gibbons hosts The Dr. Moe Show: Freedom to Shift, starting a medicine-focused format, advocating for autonomy and sharing personal insights, such as her struggles with binge eating and the identity shift from ER to coaching.Website: https://drmoecoaching.comLinkedIn: http://linkedin.com/in/doctormoeInstagram: https://www.instagram.com/drmoegibbons?igsh=cXEyaWxiOTUwMmZsAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/[email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Think becoming a medical director means stepping back from clinical chaos? Think again. Phoebe Gutierrez turns the spotlight on Dr. Leo Damasco to unpack his journey from military medicine to leading virtual care teams as a telehealth medical director.Dr. Damasco shares what most don’t see—managing crises across time zones, navigating compliance landmines, and translating executive goals into frontline action. He breaks down the skills every virtual leader needs, how to spot red flags in telehealth companies, and why understanding the full business ecosystem is essential.If you’re a physician thinking about leadership in digital health, this episode is your roadmap—equal parts practical advice and behind-the-scenes truth.Three Actionable Takeaways:Build the Right Relationships – A successful medical director leans on a trusted compliance team and senior staff to navigate complexities and avoid burnout. Don’t go it alone. Know the Business – Understanding how the gears of telemedicine startups turn—from marketing to multi-state regulations—gives you the edge to lead effectively. Vet Companies Thoroughly – If a company doesn’t prioritize compliance or can’t support its physicians, that’s a red flag. Leadership starts with protecting your team. About the Show:Telemedicine Talks explores the dynamic world of digital health, offering physicians insights into regulatory changes, compliance, and opportunities in telemedicine to enhance their practice and career.About the HostsDr. Leo Damasco – Pediatrician and emergency medicine physician turned telemedicine advocate, now a virtual medical director guiding physicians through the complexities of leadership in digital care.Phoebe Gutierrez – Former state regulator and telehealth executive, specializing in compliance and building sustainable, scalable virtual care models.Connect with Phoebe GutierrezLinkedIn: https://www.linkedin.com/in/pkgutierrez/ Email: [email protected] The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Leo Damasco and Phoebe Gutierrez analyze the latest executive orders addressing pharmacy benefit managers (PBMs) and drug pricing reforms. They unpack the role of PBMs in controlling prescription drug costs, the hidden rebate system, and how these reforms aim to increase transparency and lower costs for patients. With a focus on telemedicine, they discuss how these changes could improve medication affordability, enhance prescribing flexibility, and impact the operations of telemedicine startups and providers. From ending rebate games to tying U.S. drug prices to international benchmarks, this episode offers critical insights for physicians navigating the evolving healthcare landscape.Three Actionable Takeaways  Monitor Formulary Changes – Stay updated on PBM formulary lists to ensure prescribed medications are covered, helping patients avoid high out-of-pocket costs and improving telemedicine prescribing efficiency.  Advocate for Transparency – Support efforts to require PBMs to disclose rebates and pricing structures to ensure discounts are passed to patients, enhancing affordability in telemedicine workflows.  Adapt Telemedicine Practices – Prepare for potential shifts in drug pricing and PBM regulations by aligning with compliant health plans and pharmacies to streamline prescription processes and improve patient outcomes.About the ShowTelemedicine Talks explores the dynamic world of digital health, offering physicians insights into regulatory changes, compliance, and opportunities in telemedicine to enhance their practice and career.  About the Hosts  Dr. Leo Damasco – Pediatrician and emergency medicine physician turned telemedicine advocate, guiding doctors through the transition to virtual care.  Phoebe Gutierrez – Former state regulator and telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez  LinkedIn: https://www.linkedin.com/in/pkgutierrez/  Email: [email protected] (mailto:[email protected]) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode, Phoebe Gutierrez and Dr. Leo Damasco discuss the largest proposed restructuring of Medicaid and the Affordable Care Act in over a decade. The federal proposal includes $715 billion in cuts, new work requirements, biannual eligibility redeterminations, reduced funding for states that support immigrant coverage, and cost-sharing policies that could block access for low-income patients.Phoebe breaks down what these changes really mean for providers, patients, and the broader telemedicine ecosystem. She explains how complex red tape could cause millions to lose coverage, and why startup innovation in value-based virtual care may stall under the proposed rules. With both clinical access and entrepreneurial opportunity at stake, this episode is essential listening for healthcare professionals navigating a rapidly shifting policy landscape.Three Actionable Takeaways:Track Policy Timelines – Stay informed on implementation dates and adjust workflows, payer strategies, and staffing models accordingly if you serve Medicaid populations.Prepare for Market Contraction – If your telehealth company depends on Medicaid reimbursement, prepare contingency plans for reduced covered lives and narrower federal support.Double Down on Access – Consider how your practice or business can support patients who may fall through the cracks due to stricter eligibility and reporting requirements.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Phoebe Gutierrez is a former Medicaid policy regulator turned telehealth executive, specializing in sustainable care models and digital health compliance. With a passion for health equity, she now helps companies navigate payer regulations and scale virtual care programs.🔗 LinkedIn: https://www.linkedin.com/in/pkgutierrez/📩 Email: [email protected]. Leo Damasco is a pediatrician and former emergency medicine physician turned telemedicine advocate, helping doctors pivot from burnout to flexibility through digital health.  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.