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BackTable / ENT / Podcast / Episode #155
The Third-Party-Free Model: Redefining Patient Care
with Dr. Gerard Gianoli
In this episode, Dr. Gerard Gianoli of The Ear & Balance Institute (Covington, Louisiana), joins host Dr. Ashley Agan to discuss his experience with the third-party-free practice model.
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BackTable, LLC (Producer). (2024, January 23). Ep. 155 – The Third-Party-Free Model: Redefining Patient Care [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Gerard Gianoli
Dr. Gerard Gianoli is a neurotologist at The Ear and Balance Institute in Covington, Louisiana.
Dr. Ashley Agan
Dr. Ashley Agan is a practicing ENT and assistant professor at UT Southwestern Medical Center in Dallas, TX.
Synopsis
First, Dr. Gianoli describes how his work treating vestibular disorders spurred his interest in the third-party-free practice model, where patients pay upfront for services, then submit insurance claims for reimbursement as appropriate. Dr. Gianoli walks listeners through his practice’s transition, focusing on referral patterns and patient concerns. Then, the surgeons speak to the model’s advantages, including reduced rates of physician burnout, higher-value patient care, and reduced administrative burden. Looking ahead, Dr. Gianoli assesses the role of third-party-free practices in the U.S. healthcare landscape. Finally, the episode wraps with a discussion of Dr. Gianoli’s recent book on Third Mobile Window Syndrome.
Timestamps
00:00 - Introduction
05:34 - Transitioning to a Third-Party-Free Practice
07:48 - The Financial Impact of Going Third-Party-Free
12:11 - Benefits of a Third-Party-Free Practice
27:28 - Navigating Surgery Costs in a Third-Party-Free Practice
32:01 - Determining Prices in a Cash-Based Practice
35:10 - The Importance of Patient Education in Medical Practice
38:15 - Drawbacks of the Third-Party-Free Model
52:32 - Trends in Physician Practice Models
56:38 - Dr. Gianoli’s Book on Third Mobile Window Syndrome
Resources
Dr. Gianoli’s physician profile at the Ear & Balance Institute:
https://earandbalance.net/dr-gianoli/
Dr. Gianoli’s Wall Street Journal Editorial from January 2015: “Saying Goodbye to Third-Party Medical Payments.”
https://www.wsj.com/articles/gerard-j-gianoli-saying-goodbye-to-third-party-medical-payments-1421280968
“Third Mobile Window Syndrome of the Ear: Superior Semicircular Canal Dehiscence and Associated Disorders,” edited by Gerard Gianoli and Philippa Thomson:
https://link.springer.com/book/10.1007/978-3-031-16586-3
“The Private Practice Solution: Reclaiming Physician Autonomy and Restoring the Doctor-Patient Relationship,” by Grace Torres-Hodges:
https://www.amazon.com/Private-Practice-Solution-Doctor-Patient-Relationship/dp/B0CK3QR1XX
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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