Mgma Small Talk

On this episode of the MGMA Insights Podcast, Host and Sr. Editor Daniel Williams,  sits down with Michelle Wright, strategic advisor and board director with more than 30 years of experience across payers and providers.Michelle shares lessons from her career spanning actuarial science, health plan leadership, provider operations, and board service — offering a candid look at why smart strategies often fail in execution. The conversation explores accountability, governance, and change management in healthcare organizations, emerging compliance and enforcement trends, and Michelle’s deeply personal advocacy work focused on access to care for individuals with profound autism.Episode TakeawaysExecution — not strategy — is where organizations struggle most. Even well-designed strategies falter without clear ownership, follow‑through, and ongoing performance monitoring.Accountability must be explicit. Projects involving AI, revenue cycle, quality, or operations often touch multiple departments, but success depends

This episode of the MGMA Insights Podcast opens with Jeff Smith, CEO of Piedmont Healthcare and MGMA’s incoming board chair, delivering testimony before the U.S. Senate Special Committee on Aging. Speaking on behalf of MGMA members, Jeff laid out the real-world consequences of administrative burden — from prior authorization and regulatory pressure to physician burnout, staffing strain, and threats to patient access.Following the opening testimony, Jeff joins host Daniel Williams, Sr. Editor at MGMA, for a wide-ranging conversation that expands on those themes, exploring what policymakers often miss, how payment and workforce challenges are reshaping independent practice, and what it will take to reduce burnout and let physicians — and their teams — focus on caring for patients again.Episode TakeawaysBurnout is no longer theoretical — it’s driving physicians out of practice. In MGMA’s 2026 administrative burden survey, more than half of responding practices reported losing a physician to burnout in the past t

On this episode of the MGMA Insights Podcast, host Daniel Williams, senior editor at MGMA, welcomes Brian Gietzen, MD, medical director at Legacy Medical Group, for a thoughtful conversation on a care philosophy his practice calls benefits‑based medicine.Dr. Gietzen shares how this approach challenges the limits of rigid guideline‑driven care by reframing clinical conversations around evidence and real‑world relevance. Drawing from his experience in internal medicine and geriatric care across southeast Michigan, he explains how a more contextual, patient‑centered dialogue helps patients better navigate treatment choices, preventive care, and questions around risk — without pressure or assumptions.Key TakeawaysClinical guidelines offer direction, but not always clarity. While they provide a foundation, Dr. Gietzen explains why stopping at guidelines alone can overlook individual priorities, risks and lived realities.Outcomes matter more than checkboxes. Conversations shift meaningfully when success is defined

In this episode of the MGMA Insights Podcast, host and senior editor Daniel Williams sits down with Bob Bush, a seasoned healthcare executive and MGMA leader, to explore one of the most overlooked — and perhaps most critical — aspects of medical practice management: succession planning.Drawing from decades of experience, Bob shares practical strategies for identifying future leaders, avoiding operational disruption, and building a sustainable organization. The conversation also touches on leadership development tools, lessons learned from real-world failures, and how proactive planning can prevent chaos when key team members leave.Whether you're leading a large medical group or a smaller outpatient practice, this episode offers actionable insights to help you future-proof your organization.Key Takeaways[05:10] Getting to know Bob Bush Bob shares highlights from his healthcare leadership career, including his role as CEO of a large physician group  Reflections on MGMA involvement, career growth, and lessons le

In this special MGMA Insights Podcast episode for Women’s History Month, Daniel Williams, senior editor at MGMA and host of the MGMA Podcast Network, speaks with Cheryl Mongillo, Delores McNair and Paola Turchi, facilitators of MGMA’s Women Healthcare Leaders Resource Group. The dynamic conversation explores the realities of being a woman leader in healthcare today, including mentorship gaps, work-life integration, leadership isolation, vulnerability in the workplace, and the importance of creating trusted peer networks. This episode offers a practical perspective for medical practice leaders looking to strengthen leadership development, build support systems, and create healthier workplace cultures. Key Takeaways[0:52] – Why this conversation matters during Women’s History Month Daniel introduces the episode and frames the discussion around MGMA’s Women Healthcare Leaders Resource Group, one of the association’s most active member communities. The episode sets out to examine what women in healthcare leadersh

“Google showed me how to innovate. Art taught me how to do it differently.”On this episode of the MGMA Insights Podcast, Sr. Editor and host Daniel Williams sits down with Tucker Bryant, a former Silicon Valley leader turned poet and keynote speaker, to explore what innovation really means in today’s healthcare environment. As the opening keynote speaker for the MGMA Operations Conference in Charlotte, North Carolina (April 12–14), Bryant brings a fresh and unconventional perspective to leadership — blending lessons from technology, art, and poetry to challenge how organizations think about change.Together, Williams and Bryant unpack why imitation is often the biggest risk in an era of powerful tools like AI, how constraints can actually fuel creativity, and what medical practice leaders can do to break out of routine thinking — even in highly regulated, bureaucratic environments. The conversation offers practical frameworks leaders can apply immediately, from “refusing the first answer” to running small, low

In this episode of the MGMA Business Insights Podcast, Sr. Editor and Host Daniel Williams is joined by Amy Otto and Kyle Hadley of LocumTenens.com to explore how transition management can help healthcare organizations maintain continuity of care during periods of staffing change.Together, they unpack why transitions — whether driven by rising subsidies, expiring contracts, workforce shortages, or service line realignment — represent high‑risk moments for patient care, finances, and staff morale. Drawing on real‑world examples from anesthesia and radiology, the conversation highlights how proactive, structured transition management transforms chaos into stability, protects patient access, and positions organizations for long‑term operational success.Key Takeaways[01:50] Rising costs and loss of control often trigger transition discussions Leaders most often explore transition management when facing escalating subsidies, outsourcing dissatisfaction, or limited transparency from practice management groups — esp

On this episode of the MGMA Insights Podcast, Sr. Editor and host Daniel Williams is joined by Doug Lewis, Vice President of Talent Acquisition at Sentara Health and board member of the Association for Advancing Physician and Provider Recruitment (AAPPR).This episode explores the continually adapting landscape of physician and provider recruitment — from shifting candidate expectations and family‑centered relocation decisions to compensation strategy, locum tenens pressure, and longer hiring timelines. Drawing on Doug’s frontline recruiting experience and national perspective through AAPPR, this conversation delivers practical insights for medical practice leaders navigating workforce shortages, competition for hard‑to‑recruit specialties, and the need for sustainable, long‑term talent strategies in 2026 and beyond.Key Takeaways[04:15] Recruitment decisions are now family decisions — not just physician decisionsSuccessful recruitment hinges on understanding the needs of spouses, partners, and children — inclu

On this episode of the MGMA Insights Podcast, Sr. Editor and host Daniel Williams is joined by Steve Gutzler, nationally recognized leadership expert and opening keynote speaker at the 2026 MGMA Financial Conference in Phoenix. This episode explores how emotional intelligence, stress regulation, and self‑leadership determine a leader’s true influence — especially during what Steve calls the “17% moments”: high‑pressure situations when emotions spike, decisions are harder, and leadership reputations are made or broken.Designed for medical practice leaders, financial executives, and MGMA members, this conversation delivers practical strategies for managing emotional hijacking, leading difficult conversations, sustaining resilience during financial pressure, and setting the emotional tone for teams in healthcare’s most demanding environments.Key Takeaways[02:28] What “17% Moments” Are — and Why They Matter More Than Strategy  Steve explains the brain science behind leadership under stress, revealing why leaders

On this episode of the MGMA Insights Podcast — Business Solutions, Sr. Editor and host Daniel Williams sits down with Casey Benefield, Senior Director of National Account Sales at MGMA BestPrice, and Christy Farrow, Director of Channel Partnerships at HealthTrust.Together, they unpack how MGMA BestPrice, MGMA’s exclusive group purchasing organization (GPO), helps medical practices of all sizes reduce supply and service costs — often by double digits — without disrupting existing workflows or vendor relationships. From understanding what a GPO actually is to exploring real savings opportunities across clinical and non‑clinical categories, this conversation is designed to help medical practice leaders facing rising costs and shrinking margins make smarter purchasing decisions.Key Takeaways [02:19] What MGMA BestPrice is — and why it matters to medical practices MGMA BestPrice is MGMA’s exclusive GPO, powered by HealthTrust, giving MGMA members access to health‑system–level pricing on medical supplies, pharmaceu

This week on the MGMA Insights Podcast, Sr. Editor and host Daniel Williams chats with communication strategist Pamela Barnum, MPA, JD, whose undercover law‑enforcement career and time as a federal prosecutor offer a masterclass in reading people fast. Their conversation dives into those invisible layers of communication: the signals, cues, and micro‑behaviors that shape trust long before words do.Barnum breaks down her 3D Communication Framework (Display, Decode, Deliver), offering actionable strategies to defuse conflict, sharpen communication, improve team connection, and manage the rise in disruptive behavior in healthcare environments. This episode also previews her keynote at next month's MGMA Financial Conference.Key Takeaways[06:08] Understanding the real weight of nonverbal communication Barnum explains why the old “7% rule” is misleading — but why nonverbal cues (tone, cadence, pauses, presence) still drive the majority of how trust is built in clinical and leadership conversations.[08:50] Combatti

On this episode of the MGMA Insights Podcast, Sr. Editor and host Daniel Williams sits down with returning guest Amy Lafko — MGMA consultant, speaker, creator of the People First Method, and author of People First.  Amy shares practical, immediately usable strategies for medical practice leaders navigating 2026’s rapidly shifting regulatory landscape, workforce challenges, and rising emotional strain within healthcare teams.From strengthening adaptability to reinventing onboarding, Amy delivers a toolkit that helps leaders build environments where teams feel supported, patients receive better care, and organizations thrive.KEY TAKEAWAYS (00:53) Amy’s healthcare leadership background shapes her "people first" philosophy — Beginning as a physical therapist and later serving in rehab, hospital, urgent care, and medical group leadership roles, Amy’s firsthand failures and successes inform her mission to help leaders avoid burnout and build thriving teams. (02:00) Adaptability is the #1 leadership skill for 2026 —

On this episode of the MGMA Insights Podcast, Sr. Editor and host Daniel Williams sits down with Aaqil Khan, RCM consultant at Collectly, to uncover the “sneaky metrics” hiding inside your revenue cycle. These overlooked indicators can quietly erode patient collections, increase costs, and create friction in the patient financial experience. Aaqil brings deep experience in healthcare administration, Six Sigma process improvement, analytics, and revenue cycle leadership to show practice leaders where the real problems hide — and how to solve them using clearer ownership, automation, better data definitions, and patient‑centric design.Key Takeaways [02:13] Aaqil Khan’s background How he shifted from a planned medical career to healthcare administration and revenue cycle leadership.[08:13] The importance of estimate accuracyBad estimates create bill shock and lower collection rates.[09:32] Why critical revenue cycle KPIs fall through the cracksCompeting priorities, systems issues, and fragmented ownership.[15:01

On this episode of the MGMA Insights Podcast, Sr. Editor and Host Daniel Williams welcomes Christy Bray, MHA, CPRP‑DEI, Chief Customer Officer at PracticeLink and host of the Workforce Wisdom podcast. As MGMA kicks off 2026 with a month‑long focus on workforce issues — recruitment, retention, culture, and onboarding — Christy brings decades of experience in physician and provider recruitment to share what’s changed, what’s trending, and what today’s medical practice leaders must do to stay competitive.From early‑career job search behavior and shrinking talent pools to recruitment marketing, job board strategy, DEI’s role in matching candidates to communities, and the impact of technology and AI, Christy offers tactical and strategic insights that can immediately help MGMA members strengthen their workforce pipelines.KEY TAKEAWAYS“Recruitment finds you.” – Christy Bray on her path into the field[01:56] Christy shares her origins in orthopedics, sports medicine, and hospital leadership — and why most recruiters

In this episode of the MGMA Insights Podcast, Sr. Editor and Host Daniel Williams chats with Jessica Minesinger, founder and CEO of Surgical Compensation and Consulting, about some of the most pressing challenges facing medical practice leaders in 2026. From physician shortages and recruitment hurdles to compensation transparency and organizational culture, Jessica shares actionable strategies to help practices attract and retain top talent while fostering trust and engagement.If you’re a medical practice leader looking to start the year strong, this conversation is packed with insights you can put into practice today.Key Takeaways[02:19] Physician Shortage and Its Impact Why bridging the gap between physicians and employers is critical to addressing supply-and-demand challenges in healthcare. [07:07] Recruitment Roadblocks in 2026 Common pitfalls in physician recruitment—such as over-reliance on guaranteed compensation—and how to avoid them. [12:39] Aligning Fit Beyond Compensation The importance of upfront

In this special New Year’s Eve episode of the MGMA Insights Podcast, host Daniel Williams looks back at three of the most impactful conversations from 2025. These highlights focus on the biggest challenges and opportunities facing medical practice leaders today:Finding and keeping good people through strategic recruitment and retention.Choosing tools and technology that solve real problems without adding complexity.Supporting clinician and staff well-being to prevent burnout and improve care.Whether you’re revisiting these discussions or hearing them for the first time, you’ll find actionable insights to help you build a stronger, more resilient practice in 2026. We here at MGMA wish you a very happy new year!Key Highlights[01:05] Liz Mahan on Strategic Recruitment and Retention Liz Mahan from Association for Advancing Physician and Provider Recruitment (AAPPR) explains why recruitment is more tactical than process-driven and how practices can create a strategic playbook to attract and retain top talent. She

In this episode of the MGMA Insights Podcast, Sr. Editor and host Daniel Williams talks with Carol Ittig, MBA, FACMPE, Practice Administrator at Children’s Orthopedics and Scoliosis Surgery Associates in St. Petersburg, Florida. Carol shares her journey from healthcare administration student to influential leader, and how adopting a go-giver philosophy has shaped her approach to leadership, mentorship, and innovation.Key Takeaways [03:35] Carol’s Path to Healthcare Leadership Carol’s career pivot and how early experiences in patient care sparked her passion for health care leadership. [07:35] Why Networking is Non-Negotiable How leveraging MGMA and other professional networks enabled Carol to launch new initiatives like research programs and a foundation. [07:49] The Power of Mentorship Lessons from her mentor Debbie Mitchell — setting boundaries, embracing authenticity, and saying yes to growth opportunities.[10:49] The Go-Giver Philosophy in Action Carol explains the five laws from The Go-Giver and how they

In this episode of the MGMA Insights Podcast, host Daniel Williams reconnects with Tony (Anthony) Schirer, executive director of Cheyenne OBGYN and long-time MGMA member. Tony shares his journey into healthcare, the evolving role of technology in medical practices, and practical strategies for tackling staffing challenges in rural settings. The conversation also explores MGMA membership benefits, mentorship programs, and the value of professional networking.Key Takeaways03:55 From Finance to Healthcare Leadership Tony explains how his career began in hospital finance and evolved into practice administration, driven by regulatory changes like the Stark Act.07:39 Technology’s Impact on Healthcare From early spreadsheets to EHRs and now AI, Tony reflects on the tools that have transformed operations and patient care.11:00 Recruiting in Rural Communities Why hiring clinicians for Cheyenne takes patience, creativity, and understanding family needs — and why it took 18 months to fill key roles. 12:45 Building Team

In this episode of the MGMA Insights Podcast, Sr. Editor and host Daniel Williams sits down with Paola Ballester, MD, pediatric hospitalist, medical director for utilization management, and senior physician advisor at a large, freestanding academic children’s hospital and regional pediatric referral center. Dr. Ballester is also the co-founder of EasyPA, an AI-driven platform designed to streamline prior authorization processes. Together, they explore how medical practices can tackle administrative burdens, leverage technology, and prepare for upcoming regulatory changes — all while improving patient access to care.Key Takeaways02:45 Dr. Ballester’s Unique Journey From insurance claims adjuster to pediatric hospitalist — how her background shaped her expertise in utilization management and revenue cycle.06:27 The Pain Points of Prior Authorization Why delays in prior auth lead to patient suffering and staff frustration, and why the current system is broken. 08:01 Introducing EasyPA How an AI-powered platform

On this episode of the MGMA Insights Podcast, host Daniel Williams, Senior Editor at MGMA, sits down with Jimmie Richmond, MPH, CHFP, CMPE, CPC, Financial Analysis Consultant at Banner University Medical Center. Jimmie is both a longtime MGMA member and a volunteer on MGMA’s new Human Resources & Compliance Advisory Board.Daniel and Jimmie explore the modern challenges facing medical practices — from unbilled revenue recovery to workforce shortages, patient access, remote work, and how leaders can weave compassion, communication, and connection into their operations. They also discuss the power of professional community through MGMA’s Book Club and advisory boards, offering listeners actionable insights to strengthen both their teams and their financial performance.Key Takeaways:• 1:53 — The “Unbilled Revenue” Problem: Why It Happens & How to Fix It Jimmie explains how his team identifies root causes of unbilled revenue in the EMR—an issue that directly impacts margins. He highlights the need for cros