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by The Doctor's Lounge
Where scalpels meet systems — and physicians say what they really think.Co-hosted by Anish Koka, MD & Anthony DiGiorgio, DO. Candid talks on healthcare policy, reform, physician autonomy & patient care.
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The most recent episodes — sign up to get AI-powered summaries of each one.
- Today1h 13m
A Healthcare Analyst Becomes the Patient: Birth, Bills, and Better Markets
Send us Fan Mail Episode Summary Out of Pocket founder Nikhil Krishnan joins cardiologist Anish Koka and spine surgeon Anthony DiGiorgio to discuss what pregnancy taught him about navigating healthcare, and how patients might get better access, clearer prices, and more choice. Drawing on his work as a healthcare analyst and his own family’s care, Krishnan explores where AI could help, where human expertise still matters, and why healthcare markets are hard to make work for patient...
- 1 weeks ago1h 9m
Baseball Arbitration, Benchmarking, and Physician Leverage with Dr. Adam Bruggeman
Send us Fan Mail Episode Summary Orthopedic spine surgeon and independent-practice owner Adam Bruggeman joins The Doctor’s Lounge to explain the No Surprises Act (NSA), its independent dispute resolution (IDR) process, and the controversy over how out-of-network care should be paid. Hosts Anish Koka, Anthony DiGiorgio, and Sanat Dixit examine what the dispute means for physician negotiating power, patient access, and the future of independent practice. Timestamps 00:00 - Meet Adam Bruggeman ...
- 1 weeks ago1h 1m
SNAP, Medicaid Fraud, and the Case for Letting Prices Work
Send us Fan Mail Episode Summary: In this episode, Dr. Anish Koka and Dr. Anthony DiGiorgio talk through the trade-offs of government-run programs using SNAP as a model for thinking about healthcare. They also dig into Medicaid fraud, managed care, Medicare Advantage, and the risks of bringing overt politics into patient encounters. The discussion is grounded in real policy examples and a shared concern that well-intended programs can balloon, distort markets, and create worse outcomes if the...
- 3 weeks ago1h 1m
No Villains, Just Incentives: A Healthcare Consultant Turned Writer on Why the System Fights Itself
Send us Fan Mail Episode Summary This episode examines why US healthcare keeps rewarding consolidation, even when it raises costs and makes the system harder to navigate. Andrew Tsang, writer of Health is Other People, brings a cross-industry view from consulting, policy, providers, and payers to explain how hospitals, insurers, and Medicare rules all shape behavior. We discuss why the system feels adversarial, how incentives drive consolidation, and why policies like the No Surprises Act an...
- 3 weeks ago1h 1m
Leaving the Employment Model: Dr. Mollie James on Going Independent
Send us Fan Mail Episode Summary Dr. Mollie James joins Anish Koka, MD and Anthony DiGiorgio to talk about what pushed her out of traditional employment, how she rebuilt her practice after bankruptcy and COVID, and why she believes more physicians need independent options. The conversation focuses on the pressures of hospital employment, the power of pricing and cash pay, and practical paths for doctors who want more autonomy. Timestamps Dr. Mollie James' background and the go...
- Sep 27, 20261h 5m
From Addiction to Advocacy: Tom Wolf's Journey
Send us Fan Mail Summary In this episode, Anthony DiGiorgio and Anish Koka engage with Tom Wolf, a recovery advocate, who shares his personal journey through addiction, homelessness, and eventual recovery. The conversation delves into the complexities of homelessness, the impact of substance use, and the evolving definitions and policies surrounding addiction treatment. Tom discusses the harm reduction approach, its origins, and its implications, while emphasizing the need for accountabilit...
- Sep 22, 20261h 16m
You Can't HSA That Away: Rachel Rosenthal on Medicare, Trade-offs, and Zero-COVID Singapore
Send us Fan Mail Episode Summary Rachel Rosenthal, an editorial board member at Bloomberg who writes on healthcare and education, joins Anthony DiGiorgio and Anish Koka for a wide-ranging conversation about healthcare reporting, COVID-era lessons, and why Medicare’s fiscal path matters beyond policy circles. The discussion gets into the incentives behind drug pricing, the limits of simplistic villains in healthcare, and why trade-offs, not slogans, are what actually shape reform. In thi...
- Sep 21, 20261h 4m
Real Doc Speaks: Bureaucracy, Bad Incentives, and the Fight to Keep Doctors in Charge
Send us Fan Mail In this special add-on episode, Anish Koka and Anthony DiGiorgio welcome Dr. James O'Leary — a Mayo-trained OB-GYN with forty years of experience, former department chairman, ACO board member, and host of the Real Doc Speaks podcast — for a wide-ranging conversation on the erosion of physician-led care. The trio dissects a tragic Nashville case in which four outpatient knee-replacement patients were injected with potassium phosphate instead of bupivacaine after a multi-step, ...
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About The Doctors’ Lounge
Where scalpels meet systems — and physicians say what they really think.Co-hosted by Anish Koka, MD & Anthony DiGiorgio, DO. Candid talks on healthcare policy, reform, physician autonomy & patient care.
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