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The New Healthcare

The New Healthcare

Written by: Dr Adama Diarra
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The New Healthcare is a podcast for doctors, residents, and medical students who believe medicine can be better—including through independent practice. Hosted by Dr. Adama Diarra, an internal medicine physician, the show explores how clinicians and the experts who support them are rethinking how care is delivered, how practices are built, and how we can reclaim autonomy, purpose, and humanity in medicine—while delivering better care for our patients and our communities. Each episode dives into the evolving world of private practices, concierge medicine, direct primary care, and other innovative practice models, including micro-practices, telehealth-first clinics, and hybrid systems. Through conversations with physicians and thought partners across healthcare, the podcast offers practical insights into building sustainable practices, navigating nontraditional career paths, and practicing medicine on your own terms. While the primary audience is clinicians in training and practice, the show also welcomes listeners who are curious about personalized care models and the future of healthcare delivery. Whether you're a medical student exploring what's possible beyond the traditional system, a resident thinking critically about your career path, or a physician building or joining an independent practice, The New Healthcare provides thoughtful conversations, real-world lessons, and inspiration for the next era of medicine. The future of healthcare is being built right now—and you're part of it. Dr. Adama Diarra Internal Medicine Physician©2025 Economics Hygiene & Healthy Living Marketing Marketing & Sales Physical Illness & Disease
Episodes
  • S1E23 The Secret Fishing Hole: The 100-Year Legal Blueprint for Cash Medicine No One Told You About — with Jim Eischen, Esq.

    S1E23 The Secret Fishing Hole: The 100-Year Legal Blueprint for Cash Medicine No One Told You About — with Jim Eischen, Esq.
    Jul 6 2026
    Episode Description Most physicians building concierge or membership-based practices are operating without a map. They've been told to opt out of Medicare, keep their fees low, and pick a tribe — DPC, concierge, hybrid — without ever understanding that a compliant, tax-advantaged, bulletproof model for cash medicine has existed in federal law since 1913. No one told them about it. That changes today. In this episode, Dr. Adama Diarra sits down with James Eischen, Esq., founder of Eischen Law Office and one of the foremost legal authorities on concierge and membership-based medicine in the United States. With nearly four decades of legal experience and 17 years spent exclusively in this space, Jim breaks down what the major practice models — DPC, concierge, executive health, lifestyle and longevity — actually are under the law, why the names don't mean what you think they mean, and why the confusion in this space is not an accident. Jim explains the legal and historical framework that has protected annual and routine exam-based subscription medicine since 1965, why you almost certainly do not need to opt out of Medicare to run a cash practice, how to structure your patient agreement so that your patients can unlock FSA and HSA benefits from day one, and why pricing yourself too low may be quietly undermining your practice before it gets off the ground. This episode also covers the history most physicians have never heard — the corporate, political, and racial roots of why this model was kept hidden from most of the medical profession, and why the cost of that ignorance has been borne not just by physicians, but by the patients and communities they serve. If you have ever asked yourself whether you can charge a membership fee and still bill insurance, whether you need to opt out of Medicare, or what your patient agreement actually needs to say — this conversation is the one you have been waiting for. Dr Adama Diarra, DO, FACP, DipABOM
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    1 hr and 9 mins
  • S1E22 Why Four Doctors Quit the Machine — And What It Actually Cost Them.

    S1E22 Why Four Doctors Quit the Machine — And What It Actually Cost Them.
    Jun 22 2026
    After months of conversations with physicians building independent practices — a concierge doctor who makes house calls, a DPC physician who traded a 2,000-patient panel for one capped at 300, an internal medicine doctor in Bend offering 60-minute first visits, and a cancer survivor running a holistic practice out of a converted space — Dr. Adama Diarra noticed the same four themes surfacing again and again. In this solo recap episode, Dr. Diarra pulls those threads together into one conversation: autonomy as a deliberate trade-off rather than an escape fantasy, AI as a tool to sharpen clinical judgment rather than replace it, the patient relationship as the actual product of medicine, and the constant temptation to let your brand outrun your care. Along the way: how an extra 45 minutes of autonomy helped one doctor catch a missed aortic aneurysm, why "physically ill" is how one physician described her old inbox, and why none of the doctors featured on this show built a following before they built trustworthy care. A practical, story-driven episode for any physician, NP, or PA weighing what independence actually costs — and what it's actually for.
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    27 mins
  • S1E21 The New Healthcare-Your Brain on Hypnosis: Pain, Prediction, and the Science of State Change with James Harrison

    S1E21 The New Healthcare-Your Brain on Hypnosis: Pain, Prediction, and the Science of State Change with James Harrison
    Jun 15 2026
    The New Healthcare | In this episode, Dr. Adama Diarra sits down with James Harrison, certified clinical hypnotist and author of Mental Foraging, to explore what clinical hypnosis actually is — and what it isn't. James strips away the pop-culture myths and grounds the conversation in contemporary neuroscience: predictive processing, allostasis, mirror neurons, and the stability-plasticity problem. The two discuss how hypnosis works as a guided state change that can help patients access their own capacity for pain modulation, habit updating, and emotional reconsolidation. Practical territory covered includes chronic pain, IBS, fibromyalgia, smoking cessation, and sleep — along with clear guidance on which patients are good referral candidates and which aren't. James also shares simple, in-office techniques any clinician can use to begin shifting a patient's relationship to their pain signal — right in the exam room. For physicians looking to expand their integrative referral network, this episode offers both the neuroscience rationale and the clinical roadmap to do it thoughtfully.
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    1 hr
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