This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston.

David Donnelly breaks down what health systems need to consider when moving anesthesia services in-house. Drawing on experience across 50+ transitions, he shares practical lessons on financial modeling, workforce retention, revenue cycle challenges, and operational readiness. The conversation also highlights common pitfalls, including hidden payer rate issues, staffing gaps, and unexpected cost increases. With real-world examples and audience insights, this episode offers a grounded look at what it actually takes to make insourcing work and where organizations often get it wrong.

Explore the full episode here: https://www.medaxion.com/david-donnelly-trinity-healthcare-providers-anesthesia-structure-staffing-considerations

Jeff McLaren introduces the speakers and panelists whose discussions were recorded live at the 2026 Anesthesia Economics Summit.

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