Disruptive Dialogue with Chuck Melendi

Inside the Administrative Machine Breaking Private Practice (ft. Meredith Hirsh)


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Healthcare one of the few growing sectors of the American workforce — yet we can’t find enough providers. Why?

In this eye-opening conversation, Chuck sits down with Meredith Hirsh, host of Working Healthcare with Meredith Hirsh, and CEO and Vice President of the Hirsh Center for Arthritis & Sports Medicine. Her practice has 58 employees — but only 7 providers. It takes 11 just to support billing, prior authorizations, denials, and insurance battles. No wonder healthcare costs in the US are soaring.

If you’ve ever wondered:

  • Why it’s so hard to get an appointment
  • Why your doctor seems rushed or frustrated
  • Why insurers drop entire physician groups withoutexplanation

This episode opens our eyes to the frustration of daily life inside an independent physician practice.

Listen and be surprised:

  • The crushing administrative burden facing independentpractices
  • Why young physicians are walking away from ownership
  • Insurance “downcoding” and silent reimbursement cuts
  • How entire specialties are being removed from insurancenetworks
  • Why traditional Medicare may be the closest thing to a“golden ticket” in U.S. healthcare
  • The urgent need to stop legislating based on rare outliers

Meredith explains why real reform starts with understanding the system and why patient voices matter more than ever.

Take Action!

Healthcare won’t fix itself. Lawmakers track calls from constituents — and it works.

Call the Congressional DC Switchboard:
202-224-3121
Tell them which Senator or Representative you’d like to speak with and share your concerns with their office.

Get involved and take action on our website:👉 https://www.disruptivedialogue.org/get-involved

Connect with Meredith

Explore Meredith’s work and podcast here:
👉 https://www.meredithhirsh.com/

Her show, Working Healthcare with Meredith Hirsh, dives deep into the business of medicine and equips healthcare professionals to advocate for meaningful reform.

If you care about access to care, physician burnout, or the future of independent medicine — this is a must-listen episode.

Remember to like and share this episode! And as always, #LetsFixHealthcare!

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Disruptive Dialogue with Chuck MelendiBy Chuck Melendi