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09/23/2026

If AI is doing more of your job, shouldn't your paycheck reflect it? 🤔

A lot of physicians think so. Doximity's 2026 Physician Compensation Report found nearly 25% expect a pay bump from AI within the year. But a new JAMA paper says the math might not work out that way.

Sign up free to see why: https://hubs.li/Q04xKJMp0

Do you think AI adoption should translate into higher pay?

09/21/2026

Why can't Medicare stop next year's physician pay cut on its own? 💰

The proposed 2027 fee schedule would lower the base rate Medicare pays physicians as a temporary increase from Congress expires. Anders Gilberg of Medical Group Management Association (MGMA) explains why the fix runs through Congress, not Medicare itself.

Catch the full episode in the comments 🎧

09/18/2026

☕ Happy Friday! It's September 18, 2026, and these are the top stories in medicine this week, with Austin Littrell.

🤖 AI's own executives asked for a slowdown, while ARPA-H put $62.7 million into an AI agent that manages heart failure patients and writes their prescriptions.

🚫 New records show Medicare's WISeR prior authorization pilot denied 5,944 requests in three months and left one sitting for 83 days.

📉 59% of health care workers plan to look for a new job in the next year. Their employers guessed 39%.

Watch the full recap below!

Imagine if your front desk never had to make an awkward "just calling to follow up on your balance" phone call ever agai...
09/18/2026

Imagine if your front desk never had to make an awkward "just calling to follow up on your balance" phone call ever again. When payments happen seamlessly on a patient's smartphone, your staff gets their afternoons back. See how independent practices are automating the busywork: https://hubs.li/Q04xQffW0

09/17/2026

Would your patients pay less under universal health care?

Rebecca Schoon, Ph.D., associate professor of public health at Pacific University and a board member of Health Care for All Oregon, says income taxes would likely rise under Oregon's draft plan, but most residents would still pay less than they do now in premiums, deductibles and copays.

On today's episode of Off the Chart, Schoon also explains the moral injury physicians describe when corporate ownership and insurer barriers keep them from giving patients the care they need.

Catch her full episode in the comments 🎧

Would you sign a contract without knowing it could cost you an extra $500 a month? 💸One practice found out the hard way,...
09/17/2026

Would you sign a contract without knowing it could cost you an extra $500 a month? 💸

One practice found out the hard way, after signing, that full EHR integration wasn't included in their AI scribe deal. Add in a 70% error rate on AI-generated notes and contracts that let vendors keep your patients' data indefinitely, and the fine print matters more than ever.

We built a free checklist with the 12 questions to ask before you sign anything.

Sign up free to grab it: https://hubs.li/Q04xFS9L0

Would your practice pass this checklist right now?

A hospital that closed in 2022 is back open, and a group of physicians made it happen. 🏥Dermatologist Jon Ward, M.D., an...
09/16/2026

A hospital that closed in 2022 is back open, and a group of physicians made it happen. 🏥

Dermatologist Jon Ward, M.D., and his physician investor group raised $3.7 million to reopen North Walton Doctors Hospital in rural Florida, then spent about $16 million getting it up to code. It lost $7 million its first year before breaking even in 2025.

There's just one problem: federal law still won't let the physician owners refer their own Medicare patients there.

Rebekah Bernard, MD., digs into it on the newest Physicians Taking Back Medicine.

Catch the full conversation in the comments 🎧

Most practices evaluate voice AI agents the same way they'd evaluate any software: feature by feature. But the real ques...
09/16/2026

Most practices evaluate voice AI agents the same way they'd evaluate any software: feature by feature. But the real question is outcome-based: are patients actually getting the care access they need, and where exactly are they getting stuck.

That distinction matters more as specialty practices scale voice AI across scheduling and access. Surface-level metrics like fill rate can look healthy while masking specific visit types patients wanted and couldn't get, or policies causing silent drop-off.

This session walks through a practical framework, drawn from work across 1000+ healthcare organizations, for interpreting AI agent performance beyond the obvious numbers and building a continuous improvement loop between technology insights and human judgment.

Register now: https://hubs.li/Q04x4t130

09/14/2026

Could a technology company bill Medicare for chronic care management with no physician in the mix?

Under Medicare's new ACCESS Model, it can. Caroline Pearson of the Peterson Health Technology Institute walks through that model and a Utah pilot reimbursing AI-generated prescriptions, and argues that if care shifts from physicians to technology, the payment should reflect what the technology actually costs to run.

Catch her full argument in the comments 🎧

09/11/2026

☕ Happy Friday! It's September 11, 2026, and these are the top stories in medicine this week.

⚖️ A The New York Times review of Kansas court records found Sen. Roger Marshall, M.D. (R-Kansas) and the obstetrics practice he owned sued more than 700 former patients over unpaid bills at 18% annual interest, with arrests in 81 of those cases.

📊 The Annenberg Public Policy Center of the University of Pennsylvania has patients' confidence in their own doctor or nurse at 87%, against 50% for Anthony Fauci and 38% for HHS Secretary Robert F. Kennedy Jr.

🏛️ Two bills would change how primary care gets paid and who is allowed to deny a claim.

Watch the full recap below!

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