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Curbside HealthCast

Curbside HealthCast

Written by: Curbside QD
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 Welcome to the podcast unpacking real strategies, innovations, and challenges in American healthcare. Designed for providers, admins, and leaders, we dive into value-based care, physician pay, team culture, and practice management—all focused on improving patient outcomes. Hosted by leaders in value-based care, this show helps you lead with purpose, innovate with clarity, and transform healthcare from the inside out. Subscribe now and join the movement to build care that works for everyone.Curbside QD Alternative & Complementary Medicine Hygiene & Healthy Living
Episodes
  • Patients Don’t Want “The Portal” They Want a Human

    Patients Don’t Want “The Portal” They Want a Human
    Jan 8 2026
    Have you ever called a medical office with something that felt urgent… and got treated like an inconvenience? In today’s episode, we talk about why modern healthcare can feel cold—why patients hear a quiet “no” through portal messages, policies, and rushed triage—and how good clinicians get trained into emotional distance without even realizing it. This is not a rant about bad people. It’s a breakdown of a healthcare system that rewards speed, punishes humanity, and turns real care into compliance, documentation, and workflows. If you’re a physician, nurse practitioner, PA, nurse, medical assistant, triage staff, or healthcare leader, this episode is your reminder that the messiness isn’t a glitch in the job—it IS the job. Because illness isn’t tidy. Fear isn’t tidy. And patients don’t just need answers—they need reassurance, curiosity, and a clinician who doesn’t flinch when the story doesn’t fit the template. We’ll unpack how “work-life balance” can quietly become a shield, how reflexive gatekeeping erodes trust, and what it looks like to draw boundaries without building walls. The core message: the mess is medicine—and reclaiming small human moments can change everything. Why patients feel rejected even when nobody “said no” The 3 forces creating distance in healthcare (compliance, inconvenience, avoidance) How triage and portals can become gatekeeping (and how to fix the tone) 3 practical practices: see the person, replace “no” with curiosity, set boundaries without walls How burnout changes behavior—and how to stay compassionate without self-sacrifice What healthcare leaders must change (metrics, documentation burden, relational outcomes. #healthcare #burnout #patientcare #medicine #leadership Learn more about your ad choices. Visit megaphone.fm/adchoices
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    16 mins
  • 85% of Visits Don’t Need the Office: So Why Are We Still Doing This? with Dr. Rodney Ison

    85% of Visits Don’t Need the Office: So Why Are We Still Doing This? with Dr. Rodney Ison
    Dec 18 2025
    Healthcare is becoming financially unsustainable—and fee-for-service is a huge reason why. In this episode, Dr. Rodney Ison breaks down what value-based care actually requires and how to build a patient-centered model that works in the real world. --- If you’re one foot in value and one foot in fee-for-service, this is your wake-up call. Why fee-for-service pushes “widgets,” not outcomes The “True North” move: defining patient-centered care as the operating system What changes when you pay for outcomes instead of visits How remote monitoring + messaging can deliver “care anywhere” The real barrier to transformation: fear (and how to move through it) How to build a culture of change clinicians actually buy into How to catch up faster by learning from people who already made the mistakes --- 00:00 Intro00:41 Meet Dr. Rodney Ison + background01:45 Why the current system is unsustainable02:16 “Back to house calls” — but with modern technology03:21 Tech that enables patient-centered care (care anywhere)04:21 Why fee-for-service blocks better care05:02 Pick a destination: stop “wandering in the wilderness”06:13 You can’t pay for widgets and expect patient-centered care07:12 Culture of change (or you drown)08:12 Where to start: pay for value + outcomes09:26 How doctors must think differently under capitation/full risk10:48 The big stat: most visits don’t need to be in-office11:36 Getting clinicians on board (peer model + outcomes + stories)12:58 The 20–25 provider room: frustrations → solutions → support14:10 Speak-up culture + psychological safety16:24 How to catch up fast (reduce fear + get experienced help)19:14 Final takeaway: do the right care and you’ll be financially okay Learn more about your ad choices. Visit megaphone.fm/adchoices
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    23 mins
  • Why US Healthcare Costs Are Out Of Control (And Fixable)

    Why US Healthcare Costs Are Out Of Control (And Fixable)
    Dec 4 2025
    In this episode, we dive into US healthcare costs and unpack why healthcare is so expensive, from misaligned incentives to the erosion of primary care. Dr. Brady Steiner and guest Tom Campanella break down the rising healthcare costs and the true cost of healthcare in America, highlighting how primary care and healthcare costs are deeply connected. We explore the promise of value based primary care as a path forward and shine a light on the often overlooked rural healthcare crisis, where access, outcomes, and affordability collide. What You’ll Learn / Highlights In this conversation with healthcare veteran Tom Campanella, you’ll learn: How Medicare’s original payment model helped launch today’s out-of-control healthcare costs Why primary care went from 60% of doctors to an underfunded afterthought—and why that broke the system The quiet crisis in rural healthcare and why “forgotten” communities pay the highest price How defensive medicine, CT scans, and fee-for-service incentives drive unnecessary tests and hospital revenue What value-based care and capitation really look like on the ground for primary care doctors and patients Why big health systems are sidelining primary care with urgent care + telehealth funnels straight to specialists Practical ideas for employers: onsite/near-site clinics, preferred primary care relationships, and educating employees about cost and value Hosted by Dr. Brady Steiner of Curbside Health Cast, featuring Tom Campanella—healthcare attorney, former Blue Cross VP, educator, and long-time rural health advocate. 3. Chapters (timestamps) 00:00 Intro & show sponsor00:45 Meet Tom Campanella: 40+ years inside healthcare02:30 Viewing healthcare as a puzzle: lenses, experience & context05:10 Why US healthcare costs exploded after Medicare07:20 Primary care’s decline and the price we all pay11:45 Transactional vs relational care: ER, urgent care and specialists13:50 Rural America’s long-neglected healthcare crisis15:30 Malpractice, lawsuits and the myth of defensive medicine18:05 Value-based care, capitation and doing fewer unnecessary tests20:20 How big systems devalue primary care and push volume22:55 New models: independent practices, concierge & direct primary care24:55 Policy ideas to bend the cost curve (Medicare, transparency, competition)27:55 Why employers must lead with smarter primary care partnerships29:20 Final thoughts & what needs to change next Learn more about your ad choices. Visit megaphone.fm/adchoices
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    32 mins
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