Almost Clinical

About Almost Clinical

Welcome to Almost Clinical, the podcast where healthcare, law, and business converge in the most captivating way. Hosted by the dynamic trio from Buttaci Leardi & Werner – Vincent Buttaci, John Leardi, and Paul Werner – this show is your backstage pass to the gritty, multifaceted world of healthcare management. Every episode brings you face-to-face with the realities of running a healthcare practice, navigating legal hurdles, and capitalizing on business opportunities. Forget the clichés and technical jargon – Almost Clinical is all about accessible, engaging conversations that cut through the noise. Here, you’ll get straight-talking insights and no-nonsense discussions perfect for savvy healthcare leaders and business owners with hectic schedules and a thirst for industry knowledge. What makes Almost Clinical essential listening? It’s all about melding perspectives: ~Clinical Insights: Get the scoop on the latest in medical practice, patient care innovations, and what’s really needed to enhance healthcare delivery. ~Legal Realities: Learn about the pitfalls and legal entanglements healthcare practices face, and why compliance can sometimes feel like navigating a minefield. ~Business Opportunities: Find out who’s making waves in the industry, where the money is flowing, and how to seize emerging opportunities. Almost Clinical isn’t just about talking shop; it’s about understanding the nuances and balancing acts that keep a healthcare practice thriving. Our goal is to make you feel like part of the conversation, providing insights that go beyond headlines and Twitter threads. Our conversations are as engaging and enlightening, featuring guests from all corners of the healthcare world. Whether dissecting a new regulation or exploring innovative business models, we aim to shed light on the issues that impact the day-to-day operations of healthcare practices. So, whether you’re a healthcare leader, a business owner, or simply someone interested in how these fields overlap and influence each other, be sure to tune in to Almost Clinical today!

Publisher

Buttaci Leardi & Werner

Category

business · health & fitness

Language

en

Explicit

No

First episode

30 May 2025

Latest episode

30 Sept 2026

Latest episodes

14 episodes in the feed.

1. 

   30 Sept 2026

   Fraud Files E001: Philly Strike Force

   Philadelphia, Meet the Strike Force A big announcement. A longer enforcement runway. Nineteen defendants. Alleged home care fraud. Plenty of officials at the podium. But the bigger story is what happens after the cameras leave. Paul Werner examines the healthcare fraud strike force’s expansion into Philadelphia and what sustained investigative attention could mean for providers throughout the region. He also looks at the uncomfortable space between billing mistakes, compliance failures and...

2. 

   25 Jun 2026

   The Healthcare Lobbyist You Want on Your Side: Laurie Clark Talks Negotiation, Collaboration & Winning the Long Game

   There are very few people Vincent Buttaci admits to being afraid of. Healthcare lobbyist Laurie Clark is one of them. In this episode of Almost Clinical, hosts Vincent, John Leardi, and Paul Werner sit down with one of New Jersey's most respected healthcare advocates for a conversation that spans decades of legislative battles, regulatory challenges, pharmacy reform efforts, and hard-earned lessons about influence, negotiation, and playing the long game. A longtime advocate for physicians, ...

3. 

   21 May 2026

   Under One Roof: New Jersey’s Integrated Healthcare Revolution

   New Jersey’s new Integrated Healthcare Facility regulations are here — and they fundamentally change how outpatient healthcare services can be delivered across the state. In this episode of Almost Clinical, hosts Vincent Buttaci, John Leardi, and Paul Werner unpack what may be the most significant behavioral healthcare licensing reform New Jersey has seen in the last 20 years. The guys discuss: The collapse of the old fragmented licensing structureWhat integrated healthcare actually means u...

4. 

   30 Apr 2026

   From Complaint to Catastrophe: How to Keep Patient Allegations From Derailing Your Practice

   Patient complaints are inevitable. Catastrophes aren’t. Hosts Vincent Buttaci, John Leardi, and Paul Werner have seen patient complaints turn into licensing board actions, payer audits, malpractice claims, regulatory investigations, and even criminal exposure. And many of these started with a simple question about a bill, a scheduling issue, or a misunderstanding that was handled poorly by a provider. In this episode of Almost Clinical, the guys walk through the real-world risks behind ...

5. 

   31 Mar 2026

   What’s Up, Doc? The Truth About Physician Non-Competes

   Physician non-competes aren’t about fairness. They’re about leverage. In this episode of Almost Clinical, hosts Vincent Buttaci, John Leardi, and Paul Werner break down the reality behind physician restrictive covenants – what they’re supposed to do, what they actually do, and why they’ve gotten so aggressive. What used to be simple – one year, ten miles – has turned into multi-location, multi-state restrictions that many doctors can’t realistically challenge, even when they should. So, th...

6. 

   24 Feb 2026

   Man in the Middle: Embracing ADHD & Neurodiversity in the Workplace

   What happens when a neurotypical partner finds himself navigating two diagnosed ADHD partners? What does it look like when successful professionals discover later in life that the “quirks” they’ve worked around for decades have names, diagnoses, and treatment options? And if you’re a young professional - in law, healthcare, or any demanding field - trying to learn your craft while navigating strong personalities and competing management styles, how do you know you’re not failing… but simpl...

7. 

   30 Jan 2026

   The Most Dangerous Letter a Licensed Professional Can Receive: A Guide to Not Making It Worse

   Most licensing board letters are written to sound harmless when they are, in fact, anything but. In this episode of Almost Clinical, powered by Buttaci, Leardi, & Werner, hosts Vincent Buttaci, John Leardi, and Paul Werner break down what really happens when a professional licensing board comes knocking – and why even the most “innocuous” inquiry can spiral into something far more serious. Drawing on decades of experience defending licensed professionals across New York and New Jersey, t...

8. 

   17 Dec 2025

   Three Partners. Two Decades. One Firm: Then, Now & What’s Next

   Every firm has an origin story. This one starts in a bathroom, involves a risky career move away from a stable Big Law job, and turns into a 20-year healthcare law firm that still works. In this episode of Almost Clinical, healthcare attorneys Vincent Buttaci, John Leardi, and Paul Werner reflect on the founding and evolution of Buttaci, Leardi & Werner, a healthcare law firm built without a roadmap – and kept together by trust, judgment, and a willingness to figure things out in real ti...

9. 

   22 Oct 2025

   EKRA: The Law That Changed How Behavioral Health Does Business

   In the latest episode of Almost Clinical, hosts and healthcare attorneys Vincent Buttaci, John Leardi, and Paul Werner dissect the Eliminating Kickbacks in Recovery Act (EKRA) and what the recent Ninth Circuit decision means for behavioral health providers, labs, and investors. EKRA isn’t just another compliance acronym – it’s the law that upended how behavioral health operators, treatment facilities, and clinical labs market and grow their businesses. What began as Congress’s response to ram...

10. 

    24 Sept 2025

    Physicians as Employees: Autonomy, Exit Strategies, & the New Healthcare Economy

    Almost Clinical returns with a sharp look at what happens when physicians and other licensed healthcare providers trade ownership for employment. Buttaci Leardi & Werner healthcare attorneys and show hosts Vincent Buttaci, John Leardi, and Paul Werner unpack the realities of a profession where nearly 8 out of 10 physicians now work as employees. This episode cuts through the clichés and legalese to explore what really changes when the person who once ran the practice is suddenly answering...

11. 

    10 Sept 2025

    Coding, Compliance, & the Business of Medicine with David Klein

    Behind every patient encounter lies a web of codes, regulations, and billing decisions that shape both care and cash flow. In this episode, healthcare attorneys Vincent Buttaci, John Leardi, and Paul Werner sit down with longtime collaborator and compliance powerhouse David Klein. David is the Founder and President of DK Coding & Compliance, Inc., co-founder of PayDC.com, and one of the sharpest minds in medical coding, compliance, and reimbursement strategy. With over 25 years in the fie...

12. 

    14 Aug 2025

    Behind the Term Sheet with Anthony DeSena: Real Talk on Transactions, Trust & Timing

    In this milestone episode, Almost Clinical hosts Vincent, John, & Paul welcome the show’s first-ever guest: Anthony DeSena, CEO of Pax Health, a fast-scaling behavioral health platform. A former physical therapist turned operator, Anthony brings rare perspective as both a seller and buyer in private equity-backed healthcare transactions. Together, they explore the rapidly evolving landscape of healthcare investment – from founding and scaling a physical therapy group to over 100 clinics,...

13. 

    24 Jul 2025

    From Audit to Accusation: A Smarter Way to Manage False Claims Risk

    We’re officially into episode two of Almost Clinical, and we’re already going to jump fearlessly into the deep end, confronting one of the healthcare industry’s biggest regulatory threats: the False Claims Act. Through the FCA lens, what might begin as a routine audit can quickly escalate into a high-stakes fraud investigation. For providers, executives, and investors, the financial and reputational consequences can be staggering – even when there’s no intent to deceive. In From Audit to Ac...

14. 

    30 May 2025

    Intro to the Guys & the Whys

    Vincent Buttaci, John Leardi, and Paul Werner introduce themselves as lawyers, business operators, and healthcare translators, explaining the inspiration behind their podcast.

Reach and audience

Public platform figures. Ratings count people who left a rating, not total listeners.

Apple Podcasts (US)

4.7 / 5

13 ratings

Podcast Authority Score: 13 / 100

A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.

Quality

5

Social presence

0

YouTube

0

Engagement

51