Anesthesia Economics

David Donnelly breaks down what health systems need to consider when moving anesthesia services in-house. Drawing on experience across 50+ transitions, he shares practical lessons on financial modeling, workforce retention, revenue cycle challenges, and operational readiness. The conversation also highlights common pitfalls, including hidden payer rate issues, staffing gaps, and unexpected cost increases. With real-world examples and audience insights, this episode offers a grounded look at what it actually takes to make insourcing work and where organizations often get it wrong.Explore the full episode here: https://www.medaxion.com/david-donnelly-trinity-healthcare-providers-anesthesia-structure-staffing-considerationsJeff McLaren introduces the speakers and panelists whose discussions were recorded live at the 2026 Anesthesia Economics Summit.Watch on YouTube. Learn more about Medaxion's solutions.

In this episode, special guest host Mike Wirth (Chief Growth Officer at Medaxion) sits down with Joe Rodrigo, DO, FAOCA of ProMedical to break down one of the biggest questions facing healthcare leaders today: should hospitals employ anesthesiologists or outsource? Dr. Rodrigo shares why the answer isn’t as simple as it seems, explaining the hidden costs, operational challenges, and long-term risks of employment models. They also discuss private equity’s role in rising costs and why many systems regret rushing into major staffing decisions. This conversation offers a practical look at how healthcare leaders can avoid costly missteps and make more informed decisions.Explore the full episode page: https://www.medaxion.com/dr-joseph-rodrigo-promedical-anesthesia-staffingJeff McLaren introduces the speakers and panelists whose discussions were recorded live at the 2026 Anesthesia Economics Summit.Watch on YouTube. Learn more about Medaxion's solutions.

This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston.In this conversation, Jeff talks with Aaron Stewart, CFO of Symmetry Anesthesia, who  breaks down how anesthesia coverage models are evolving and why there’s no one-size-fits-all approach for hospitals. Aaron explains how financial modeling helps facilities understand cost drivers, structure care teams, and make more informed decisions. The discussion highlights the shift toward physician-CRNA models, the realities of provider shortages, and why controlling costs matters more than simply reducing them. Stewart also shares how scale, staffing flexibility, and market dynamics shape where and how anesthesia groups can succeed.Explore our full episode page to watch a video or read a transcript of the full interview: https://www.medaxion.com/aaron-stewart-symmetry-anesthesia-cfo-on-changing-the-math-on-the-anesthesia-stipendJeff McLaren introduces the speakers and panelists whose discussions were recorded live at the 2026 Anesthesia Economics Summit.Watch on YouTube. Learn more about Medaxion's solutions.

This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston.As the anesthesia landscape continues to evolve, leaders are being challenged to navigate a complex mix of workforce shortages, rising costs, shifting care models, and increasing demand across settings.In this panel discussion, industry leaders share how they are approaching leadership in this environment by balancing clinical excellence with financial sustainability, while adapting to constant change.You’ll hear practical insights on: Leading anesthesia teams through workforce and market disruption  Aligning clinical, operational, and financial priorities  Adapting to shifting site-of-care dynamics and demand patterns  Building resilient, high-performing teams  The evolving role of leadership in anesthesia organizations As pressures continue to mount across the healthcare system, this conversation offers a real-world look at how leaders are positioning their organizations for what’s next.Panelists:Jeff Peters, Sullivan Consulting (Moderator)Tom Rossi, Jackson Physician SearchJoseph Rodrigo, DO, ProMedicalMark Wimberly, MD, Trident Anesthesia GroupExplore the full episode page: https://www.medaxion.com/driving-effectiveness-for-the-next-generation-​of-anesthesia-leadership​Jeff McLaren introduces the speakers and panelists whose discussions were recorded live at the 2026 Anesthesia Economics Summit.Watch on YouTube. Learn more about Medaxion's solutions.

This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston.As demand for anesthesia services continues to rise, care is expanding far beyond the traditional operating room. From endoscopy suites and interventional radiology to procedural and outpatient settings, health systems are being challenged to deliver safe, efficient anesthesia coverage across a growing range of environments.In this panel discussion, industry leaders explore how organizations are adapting to this shift by rethinking staffing models, care delivery, and operational strategy to meet demand wherever it occurs.You’ll hear practical insights on:Expanding anesthesia coverage beyond the ORBalancing staffing across procedural and non-OR settingsManaging throughput, scheduling, and resource allocationMaintaining quality and consistency across diverse care environmentsThe operational and financial implications of distributed anesthesia demandAs anesthesia demand continues to outpace supply, this conversation offers a real-world look at how leading organizations are evolving to keep up.Panelists:Patty Carey, Bon Secours (Moderator)Clint Stewart, Self Regional HealthcareTom Wherry, MD, Scope ConceptsMark Carithers, MD, Prisma HealthExplore the full episode page: https://www.medaxion.com/meeting-the-rising-demand-for-anesthesia-beyond-the-orJeff McLaren introduces the speakers and panelists whose discussions were recorded live at the 2026 Anesthesia Economics Summit.Watch on YouTube. Learn more about Medaxion's solutions.

This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston.As anesthesia groups and health systems face ongoing staffing shortages, rising costs, and increasing operational complexity, traditional staffing models are no longer enough. In this panel discussion, industry leaders break down what’s actually working today, from flexible locum tenens strategies to hybrid employment models, and discuss how organizations are balancing cost, culture, and continuity of care.You’ll hear practical insights on:Aligning providers across employed and contracted modelsReducing turnover and improving retentionNavigating compensation pressure and workforce shortagesUsing data to drive smarter staffing and operational decisionsWhether you're leading an anesthesia group, managing perioperative services, or navigating staffing challenges at the health system level, this conversation offers a grounded look at how to build more sustainable, high-performing teams.Panelists:David Donnelly, Trinity Health Advisors (Moderator)Stephen Porter, Piedmont HealthcareTodd Horowitz, DO, Hospital Staffing PartnersSpencer Lilly, MedaxionExplore the full episode page: https://www.medaxion.com/successful-anesthesia-staffing-strategiesJeff McLaren introduces the speakers and panelists whose discussions were recorded live at the 2026 Anesthesia Economics Summit.Watch on YouTube. Learn more about Medaxion's solutions.

Dr. Michael R. Hicks, President of Anesthesia Services at HCA Healthcare, breaks down the growing challenges in anesthesia, from workforce shortages to rising financial pressures. He explains why “hope is not a strategy” and outlines the need for health systems to rethink how anesthesia resources are allocated. The conversation explores the shift toward non-operating room settings, the importance of system-wide coordination, and how culture, flexibility, and leadership play a critical role in building sustainable anesthesia models.Learn more: https://www.medaxion.com/dr-michael-r-hicks-hca-healthcare-president-anesthesia-servicesJeff McLaren introduces the speakers and panelists whose discussions were recorded live at the 2026 Anesthesia Economics Summit.Watch on YouTube. Learn more about Medaxion's solutions.

In this episode of Anesthesia Economics, Jeff McLaren sits down with Randy Moore, Chief Anesthetist Officer at NorthStar Anesthesia, for a candid conversation on the forces reshaping anesthesia. They unpack payer pressure, workforce shortages, subsidy shock, ASC disruption, and the growing divide between advocacy groups. Randy shares why cultural debt is costing organizations more than they realize, how avoidance compounds in leadership, and why data-driven OR strategy is essential in today’s margin-tight environment. A sharp, honest look at economics, leadership, and the future of anesthesia.Explore the full episode page: https://www.medaxion.com/randy-moore-northstar-anesthesiaWatch on YouTube. Learn more about Medaxion's solutions.

In this episode of Anesthesia Economics, Jeff McLaren is joined by Daniel Prevost, Medaxion’s Senior Vice President of Strategic Development, to break down why anesthesia stipends have become such a critical issue. They focus on the revenue side of the equation, exploring how scale, regulation, arbitration, and documentation gaps have reshaped anesthesia revenue cycle management. The conversation highlights why anesthesia billing is fundamentally different from other specialties, where revenue leakage occurs, and how better data capture and systems are essential to closing financial gaps without compromising care.Explore the full episode page: https://www.medaxion.com/daniel-prevost-a-primer-on-anesthesia-stipendsWatch on YouTube. Learn more about Medaxion's solutions.

In this episode, host Jeff McLaren sits down with Bob Johnson, Medaxion’s SVP for Anesthesia Operations, to unpack why anesthesia economics feel uniquely urgent right now. They explore the demand supply imbalance, exploding subsidy pressures on hospitals and surgery centers, and how time-based billing shaped both reimbursement and operational insight in anesthesia. The conversation also looks at the ripple effects of insourcing, the challenge of benchmarking, and how better data visualization and staffing intelligence can help leaders define and deliver “good anesthesia” at scale.Explore the full episode page: https://www.medaxion.com/bob-johnson-timeline-of-anesthesia-economicsWatch on YouTube. Learn more about Medaxion's solutions.