Podcast
Working Healthcare
Hosted by Meredith Hirsh · EN
The truth reshaping America’s $5 trillion healthcare system. This show provides a front-row seat to the policies, powerhouses and forces. Candid conversations no one else is telling with the most fascinating healthcare leaders, every week hosted by trailblazer Meredith Hirsh. You can’t fix what you don’t understand.
Watch full video episodes: https://www.youtube.com/@WorkingHealthcare
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TikTok: https://www.tiktok.com/@workinghealthcarepod
Meredith LinkedIn: https://www.linkedin.com/in/meredithfhirsh/
Contact Email: workinghealthcarepodcast@gmail.com
26episodes
Episodes
Newest firstAll episodes
Ep. 103 - Follow the Money: Inside America's Drug Pricing Black Box (ft. Tesh Khullar)
2w ago00:53:24Tap to summarizeIf we are insured and spending nearly half a trillion dollars a year on prescription drugs, why are patients still standing at the pharmacy counter being told no? This episode of Working Healthcare follows that money.Host Meredith Hirsh sits down with Tesh Khullar, founder and CEO of Prism TPO and co-founder of HouseRx who has spent his career inside drug distribution, oncology data and specialty pharmacy. He explains how PBMs, vertically integrated insurers, 340B arbitrage and opaque rebates pull value out of the system before it ever reaches patients or independent practices.If you want to understand why the system works the way it does and who really absorbs the cost, this is the conversation to start with. Tune in.Contact Tesh:Website: prismtpo.comLinkedIn: /tesh-k-269669 Contact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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Ep. 102 - Burnout, ‘Good Girls,’ and a System Never Built for Women with Sadie Wackett
3w ago00:53:56Tap to summarizeWhat if the real problem isn’t that women “can’t handle it,” but that the system never considered them in the first place? On this episode of Working Healthcare, host Meredith Hirsh sits down with leadership coach and former chief people officer Sadie Wackett. She spent decades as the only woman at the table in male-dominated industries. Drawing from her experience navigating IVF, international relocation and executive life in Palm Beach, Sadie explains how “good girl” conditioning, perfectionism and people-pleasing quietly burn women out, even as the workplace rewards them for shrinking into the role. That pattern is costly. Together, Meredith and Sadie examine why so many high-achieving women feel numb, exhausted or as if they’re living someone else’s life. They also discuss what it takes to rewrite that script without blowing up a career. If nearly half of women report burnout, we need to stop treating it as a self-care problem and start recognizing it as a workforce and mental health crisis hiding in plain sight.Trying harder is not the answer. Press play to hear what can actually help high-achieving women in healthcare lead, thrive and stay in the work they care about.Contact Sadie:Website: sadiewackett.comFacebook: @Sadie WackettInstagram: @sadiewackettLinkedIn: /sadie-wackettContact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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Ep. 101 - Virtual Physical Therapy Was Written Off as Impossible. Ashok Gupta Proves It’s Not.
4w ago00:49:42Tap to summarizeWhat happens when two physical therapists sitting on their couch realize the entire delivery model for their profession is broken? On Working Healthcare, host Meredith Hirsh talks with Ashok Gupta, Doctor of Physical Therapy and founder of TheraNow, about building a virtual physical therapy platform that now serves major hospital systems across the country. Ashok traces the journey from a website launch that drew zero visitors to a pivotal moment treating a hospital CEO recovering from hip replacement surgery — and how that single patient relationship changed everything. They dig into the economics of PT reimbursement, the PTA staffing debate, rural access failures and what a CMS innovation initiative is finally doing to kill the clipboard. The real question Ashok raises isn't whether telehealth works — it's why a system with the tools to change keeps choosing not to.Contact Ashok Gupta:Website: theranow.com Facebook: @theranow Instagram: @theranow101 X: @realtheranow YouTube: @theranow-therapistondemand4024LinkedIn: /dr-ashok-gupta-dptContact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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Ep. 100 - Private Equity vs. Independent Medicine: When Wall Street Enters the Exam Room (ft. Anna Sobkiv)
Apr 2800:55:32Tap to summarizeIs private equity helping physician practices survive or quietly redefining the future of independent medicine? Host Meredith Hirsh sits down in her Delray Beach podcast studio with Anna Sobkiv, Executive Director, Healthcare Services, J.P. Morgan Commercial Banking, to examine one of the biggest forces reshaping healthcare today. Anna draws on her experience advising physicians and healthcare businesses on growth, acquisition and succession planning to explain why private equity keeps accelerating and why certain specialties attract so much investor interest. She also breaks down what these deals can mean for physician ownership, practice autonomy and the long-term sustainability of independent medicine. She reflects on building a career in healthcare finance and advising clients at the highest levels of banking in a field where women remain underrepresented. Listen now for a sharp conversation about private equity, physician practice ownership and the future of healthcare.Contact Anna Sobkiv at:Email: anna.sobkiv@jpmorgan.com LinkedIn: https://www.linkedin.com/in/anna-sobkiv-mba-3697952aContact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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Ep. 99 - CEO Shift: How Leadership Changes as Healthcare Companies Grow (ft. Joe Luminiello)
Apr 2100:55:18Tap to summarizeWhat separates an entrepreneur from a CEO, and why does that distinction matter in healthcare today? Host Meredith Hirsh talks with RCG Intel co-founder and CEO Joe Luminiello about how leadership must evolve as healthcare companies grow and scale. With more than four decades of biopharma experience, Joe explores the tension between vision and execution, the difference between authority and power, and the risks of misaligned leadership in scaling organizations. The conversation reveals how strategy, culture and decision-making influence outcomes across the healthcare system at a time of relentless change. Listen now for Joe’s sharp perspective on leadership, longevity and scaling success in healthcare.Contact Joe Luminiello at:Website: https://rcgintel.com/LinkedIn: https://www.linkedin.com/in/joeluminiello/Contact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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Ep. 98 - Ukraine to U.S. Medicine: Dr. Maryna Yudina on Prevention vs Profit in Healthcare
Apr 1400:52:48Tap to summarizeQuestion why prevention keeps losing to profit in American healthcare. In this episode of Working Healthcare, host Meredith Hirsh sits down with Dr. Maryna Yudina to explore how her journey from Ukraine to the United States shaped the way she sees cost, incentives and value in medicine. Now working in preventive brain health and neurofeedback, Maryna shares where the U.S. gets it right, where it fails patients and why the system so often waits for crisis before it acts. Hear her perspective on delayed intervention, rising costs and the business forces shaping care. Tune in to learn what American healthcare truly rewards and what must happen if prevention is ever going to win.Contact Dr. Maryna Yudina at: Website: qss.rocks Email: success@qss.rocks LinkedIn: https://www.linkedin.com/in/dr-maryna-yudina-bb843643/Contact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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Ep. 97 - When Patients Disappear, Healthcare Fails (ft. Paul Harris)
Apr 700:48:34Tap to summarizeStep into one of healthcare’s most expensive blind spots: the patients who quietly fall out of care while busy practices struggle to keep up. On this episode of Working Healthcare, Meredith Hirsh talks with Paul Harris about what happens when missed follow-up, broken workflows and weak reactivation systems go unchecked. What looks like a scheduling problem is often something far more serious — delayed treatment, worsening outcomes and patients slipping through the cracks in plain sight. With a journalist’s instinct and an operator’s perspective, Paul examines the hidden failures driving care gaps across the healthcare system. The conversation digs into accountability, automation, staffing strain and the growing influence of private equity, all while practices face increasing pressure to protect revenue and still deliver truly patient-centered care. If healthcare is built to keep people healthy, why are so many patients still being lost by the very systems meant to support them? Listen now, challenge the status quo and rethink what real follow-up should look like.Contact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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Ep. 96 - Healthcare Runs on Women. So Why Don't We Lead It? (ft. Meredith Hirsh)
Mar 3100:21:02Tap to summarizeLean in and make space for this week’s Working Healthcare episode, closing out Women’s History Month for a reason. Most weeks, host Meredith Hirsh interviews guests to uncover the inner workings of the American healthcare system because we can’t fix what we don’t understand. This episode shifts format and offers a behind-the-scenes listen to the work Meredith does off-mic, where the conversation is less polished, more personal and more vulnerable. Listeners will hear Meredith’s TED Talk-style keynote from Women Shaping the Future of Healthcare, an invitation-only leadership event hosted by J.P. Morgan in Fort Lauderdale. She shares a stat that stops rooms cold: Women are 78% of the healthcare workforce, yet only 32% hold C-suite roles. Without giving away the full message, this episode confronts the gap between who does the work and who holds the power, and it challenges leaders across healthcare to move beyond encouragement into action. It is direct, honest and built for anyone who wants stronger healthcare leadership and a more equitable future. Listen now, then take one action: sponsor a woman.Contact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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Ep. 95 - What’s Making America So Sick? Dr. Pat on Health, Habits and Healing (ft. Dr. Patricia Boulogne)
Mar 2400:42:55Tap to summarizeWhy are so many Americans sick, exhausted and trapped in a healthcare system that rewards treatment over prevention? In this thought-provoking episode of Working Healthcare, host Meredith Hirsh sits down with Dr. Patricia Boulogne, author of Why Are You Sick, Fat and Tired?, to explore the five pillars of health and the daily habits driving chronic illness across America. A chiropractor and acupuncturist with a bold functional medicine perspective, Dr. Pat connects nutrition, stress, boundaries and lifestyle choices to both personal wellness and the deeper failures of the American healthcare system. With candor, clarity and contagious energy, she challenges listeners to question the broken model of medicine Americans have accepted for far too long and consider what real healthcare reform could look like. Rethink what health really requires and tune in to discover where prevention, wellness and lasting change begin.Contact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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Ep. 94 - Why Great Healthcare Teams Quit: The Culture Issue Leaders Miss (ft. Dan Neissany)
Mar 1700:53:50Tap to summarizeBe ready to rethink how you hire, lead and retain in healthcare as Working Healthcare host Meredith Hirsh sits down with Dan Neissany. Learn how a physical therapist turned author, healthcare business strategist and podcast co-host built a leadership framework that links accountability to culture, performance and retention. Follow Dan’s journey from patient care to advising healthcare leaders on operations, workplace culture and leadership development. Explore why many staffing and culture problems start with leadership blind spots, not external pressure, drawing on Dan’s book I’m the Problem: Take Your Leadership from Toxic to Transformative and his podcast All Things LOCS. Get practical takeaways you can use immediately, including how to delegate without confusion, protect administrative time, run stronger hiring conversations, build accountability without micromanaging and use smarter interview techniques to identify top candidates. Tune in, take notes and apply these leadership moves to build a healthier culture, hire better people and keep your best staff.Contact Meredith:Website: meredithhirsh.com Instagram: @workinghealthcareFacebook: WorkingHealthcareLinkedIn: @meredithfhirshYouTube: @WorkingHealthcare
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