Step 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.

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