Episodes
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Dr. Lisa Mathew interviews Dr. Vivek Kaul, professor of medicine in the Division of Gastroenterology and Hepatology at the University of Rochester Medical Center, about the arrival of a new technology and its endorsement in society guidelines, and how clinical practice models help physicians decide whether to adopt something new before the guidelines arrive. Kaul served as project coordinator for the clinical practice model for TissueCypher, a test that predicts a patient's risk of progression from Barrett's esophagus to esophageal cancer. Gastroenterologists from academic centers, health syst
Dr. Fred Rosenberg interviews Vish Srivastava, co-founder and chief executive officer of Century Health, which uses artificial intelligence to turn the clinical information in a practice's electronic health records into structured, real-world datasets that give physicians a clearer view of their patient populations. Century Health has built its network by partnering with independent practices in neurology, nephrology, ophthalmology and gastroenterology. The Century Health Abstraction and Retrieval Model (CHARM) gives physicians a detailed picture of how their patients respond to treatment, and
Dr. Lisa Mathew interviews Dr. Kevin Rank, chief medical officer at MNGI Digestive Health in Minnesota, about the practice's Links to Care Program, which provides free colonoscopies to uninsured patients across the Twin Cities and earned the National Achievement Award from the National Colorectal Cancer Roundtable. Links to Care works through partnerships with Federally Qualified Health Centers, community health centers where many uninsured patients already receive care, and covers the colonoscopy in full so there is no cost to the patient. MNGI recently increased access by dropping the requir
Dr. Fred Rosenberg interviews Jay Kreger, chief executive officer of CRH Medical, a GI solutions company that provides anesthesia services to gastroenterology practices at more than 150 ambulatory surgery centers in 18 states, about how independent practices can keep anesthesia care reliable and accessible for patients. Independent GI practices depend on anesthesia services for many of the procedures they perform, but face increasing difficulty maintaining anesthesia coverage, from competition with hospitals and health systems to reimbursement cuts from insurance companies. Partnering with a c
Dr. Michael Weinstein interviews Dr. Donevan Westerveld of Borland Groover in Jacksonville, Florida, about how his practice uses InterStim therapy to care for patients with fecal incontinence, a condition that affects an estimated 18 million Americans. Despite the availability of effective treatments, fecal incontinence is under-diagnosed and under-treated, and roughly two thirds of those affected never discuss it with a physician. InterStim is a small, implanted device developed by Medtronic that helps restore communication between the brain and the nerves that control bowel function. Join Dr
Kevin Harlen interviews Tom Wierzbowski, founder of Willow Risk Advisors, about how his firm helps physician practices and health care organizations manage professional liability and navigate today's malpractice insurance market. Willow Risk Advisors specializes in building specialty-specific insurance programs for physician groups and associations, working directly with carriers to structure coverage that reflects the distinct risk profiles of independent practices. Join Kevin and Tom as they explore how data collection and technology are improving underwriting and pricing for physician organ
Dr. Lisa Mathew interviews Dr. Lyndsey Burton, a diagnostic radiologist and chief medical officer at Heidi, about how its AI-powered tools are helping clinicians reduce administrative burden and reclaim time for patient care. Heidi's suite of AI tools generates clinical notes in real time, provides access to evidence-based clinical research at the point of care, and manages patient scheduling and follow-up. Heidi can also help physicians identify what additional documentation is needed in a patient's record to support prior authorization requests. Dr. Burton provides a practical perspective on
Dr. Lisa Mathew interviews Dr. Steven Klein of Wilmington Gastroenterology about how UnitedHealthcare’s recent 15% reimbursement reduction for anesthesia services provided by certified registered nurse anesthetists (CRNAs) could affect the way independent gastroenterology practices structure anesthesia services and maintain patient access to procedures such as colonoscopy. Dr. Klein explains how independent GI practices rely on CRNAs to provide anesthesia and how those services are structured within his practice, offering a practical view of how insurer policy decisions can reshape care delive
Dr. Lisa Mathew interviews Dru Riddle, Professor of Professional Practice and Director of Clinical Education in the School of Nurse Anesthesia at Texas Christian University and a past president of the American Association of Nurse Anesthesiology, about the role certified registered nurse anesthetists (CRNAs) play in providing anesthesia for GI care. CRNAs are essential to maintaining access to GI procedures that require anesthesia, particularly in outpatient endoscopy centers where many GI practices rely on CRNAs as their primary anesthesia workforce. UnitedHealthcare recently implemented a 15
Dr. Fred Rosenberg interviews Chi Kapoor, founder and managing partner of KITC, a cybersecurity firm that works with healthcare organizations to protect sensitive data, maintain regulatory compliance, and strengthen resilience against digital threats. As cyberattacks against healthcare organizations continue to rise, private practice gastroenterology groups face growing exposure due to interconnected systems, third-party vendors, legacy medical devices, and increasing reliance on digital tools. Kapoor discusses why medical practices are frequent targets for ransomware and phishing attacks, whe
Dr. Lisa Mathew interviews Dr. Caitlin Houghton, a foregut surgeon at the Keck School of Medicine of USC and MemorialCare Orange Coast Medical Center. Dr. Houghton specializes in the management of GERD and Barrett’s Esophagus, focusing on identifying patients at highest risk for esophageal cancer and using advanced endoscopic techniques to personalize care. GERD Awareness Week coincides with the start of the holiday season, a time when patients often notice their reflux symptoms worsening. Dr. Houghton discusses emerging trends in GERD and Barrett’s Esophagus that private practice gastroentero
Dr. Lisa Mathew interviews Mallika Khandelwal, founder and CEO of Squad Health, and Tasha Cieslak, practice manager of Louisiana Gastroenterology Associates about how independent GI practices can streamline the management of complex prescription workflows. Squad Health is an AI-enabled healthcare technology company developing solutions to streamline access to specialty medications and reduce the workload around prior authorizations and appeals. Join Lisa, Mallika, and Tasha as they discuss how technology can ease administrative burden in gastroenterology, what early automation looks like insid
Dr. Lisa Mathew interviews Dr. Sahil Patel and Patrick Leonard of SideBy Care, a virtual platform that partners with GI practices to support patients with disorders of gut-brain interaction such as irritable bowel syndrome and functional dyspepsia. SideBy Care provides gut-brain therapy, nutrition counseling, and behavioral support through a multidisciplinary team - services that are typically covered by insurance and integrate seamlessly into existing GI practice workflows. Join Dr. Mathew, Dr. Patel, and Patrick Leonard as they explore how collaboration between gastroenterologists and digita
Dr. Michael Weinstein interviews Dr. Casey Chapman, chief medical officer of the GI Alliance, and Jonathan Ng, founder and CEO of Iterative Health, about a new strategic partnership to expand access to clinical trials across 400 GI Alliance locations in 20 states. By integrating the GI Alliance's established research sites with Iterative Health’s Site Network, the collaboration creates one of the largest GI-focused research networks in the country. Dr. Chapman and Mr. Ng highlight how private practice gastroenterology can play a leading role in advancing research by making clinical trials more
Dr. Naresh Gunaratnam interviews Dr. Larry Kim of South Denver GI, where he has spent his career advancing patient care, expanding advanced endoscopy and research programs, and fostering a practice that champions diversity and collaboration in independent GI. As the 120th president of the American Gastroenterological Association (AGA), Dr. Kim builds on 25 years of leadership advancing research, education, advocacy, and quality initiatives that strengthen the specialty and support gastroenterologists nationwide. He is committed to fostering an inclusive, patient-centered specialty and champion
Dr. Fred Rosenberg interviews Dr. Reezwana Chowdhury, a gastroenterologist at Johns Hopkins specializing in inflammatory bowel disease (IBD), and Tina Aswani-Omprakash, executive director of the South Asian IBD Alliance. The South Asian IBD Alliance creates resources, research, and education for IBD patients of South Asian origin and healthcare providers - to minimize disparities, dispel stigma, promote early diagnosis, and improve access to treatment. Join Dr. Rosenberg, Dr. Chowdhury, and Ms. Aswani‑Omprakash as they explore how physicians independent GI practices can use these tools to prov
Dr. Fred Rosenberg interviews Jess Ivy, the Head of Nutrition at Sylvan Health, which focuses on empowering patients with chronic diseases through affordable and accessible nutrition counseling. Sylvan health provides a comprehensive nutrition service line to support the broader care model within GI practices and to help addresses dietary and lifestyle factors that can play a positive role in digestive health. Join Dr. Rosenberg and Jess as they explore how independent GI practices can integrate evidence-based nutrition programs into their care plans and potentially improve patient outcomes an
Dr. Naresh Gunaratnam interviews Dr. Deepti Mehtani, vice president of clinical solutions for NextGen Healthcare, about its recently launched Gastro Suite, which brings gastro-specific workflows to the NextGen electronic health record to streamline repetitive tasks, deliver faster insights, and support an enhanced patient experience. The suite is easily integrated with other solutions from NextGen Healthcare, enabling hands-free mobile documentation with NextGen Ambient Assist, enhanced patient engagement with the NextGen Closed Loop Patient and Practice Experience, billing automation, cloud h
Dr. Lisa Mathew interviews Dr. Brittany Panico, a rheumatologist in Colorado Springs who recently wrote an op-ed calling for reforms to the 340B program to require more transparency and reporting on how 340B discounts are passed on to patients. The 340B Program is a federal drug pricing program that allows certain hospitals and clinics to buy medications at steep discounts to support medication access for underserved patients, with the expectation that these savings would be passed on to patients. But critics argue that the program's growth has led to unintended consequences, such as market co
Dr. Lisa Mathew interviews Vetri Venthan Elango and Dr. Renu Dhanasekaran, the founders of Arithmedics, a company that uses generative AI and data intelligence to reduce administrative time and costs for providers. Arithmedics uses generative AI and data intelligence to reduce billing mistakes and claim denials. Its software generates and explains codes to streamline the billing process and uses data from completed claims to reduce future denials. Join Dr. Mathew, Dr. Elango and Dr. Dhanasekaran as they discuss what physicians need to understand about implementing AI platforms for administrati
Dr. Lisa Mathew interviews Gary Trendel, vice president of Endoscopy Solutions Ecosystem and Dr. Ruhy Patel, Medical and Scientific Affairs lead for the Endoscopy Solutions Ecosystem and Digital Units at Olympus. Odin Medical, an Olympus company, recently received 510K clearance from the U.S. Food and Drug Administration for the first cloud-based Artificial Intelligence technology designed to assist gastroenterologists in detecting colorectal polyps during colonoscopy procedures. The CADDIE, or computer-aided detection (CADe) device, works by analyzing colonoscopy video in real-time and using
Dr. Lisa Mathew interviews Jeff Glueck, co-founder and CEO of Salvo Health, a technology company that partners with GI practices to support patients with chronic GI conditions through a virtual clinic experience using a multi-disciplinary care team. Salvo Health's framework seeks to restore balance and improve chronic symptoms by considering the interconnected roles that the mind, body and gut play in a person's health. Join Lisa and Jeff as they discuss what GI physicians should consider in partnering with technology platforms that provide cross-functional care to their patients. Produced by
Dr. Lisa Mathew interviews Dr. Vijay Yajnik, vice president and head of U.S. Medical, Gastroenterology, at Takeda about how the prevalence of eosinophilic esophagitis (EoE) is increasing, and evidence is growing that EoE is not a rare disease, but an underdiagnosed one. Approximately one in 2000 people in the U.S. live with EoE, and the incidence and prevalence of eosinophilic esophagitis have steadily increased over time. Join Dr. Mathew and Dr. Yajnik as they explore progress that has been made in diagnosing and treating EoE, and some recent studies that could influence patient care. Produce
Dr. Michael Weinstein interviews Dr. Ali Rezaie, a GI physician-scientist who specializes in microbiome research and gastrointestinal motility disorders. His recent study, which won an award at ACG, showed that a new elemental diet from mBIOTA Labs can significantly improve patient compliance. The study assessed mBIOTA Elemental, a palatable elemental diet designed to address the barriers of poor taste and low adherence associated with traditional elemental diets. Participants using mBIOTA Elemental had complete compliance throughout the two-week therapy, a critical outcome when managing gastr
Dr. Michael Weinstein interviews Dr. Larry Kosinski about new data from SonarMD describing the association between anxiety and increased risk for flares and higher disease severity in inflammatory bowel disease (IBD), and emphasizing the importance of integrating mental health support within value-based care models for IBD management. According to the study, patients with anxiety symptoms were significantly more likely to have high disease severity, and over a six-month follow-up, patients with anxiety exhibited a nearly doubled flare rate. The study suggests that mental health factors like an
