Welcome to Anesthesia Economics, Insights by Medaxion, where healthcare leaders and innovators discuss the industry's most pressing challenges: escalating costs, provider shortages, and the data-driven future of perioperative care. Hosted by Jeff McLaren, CEO of Medaxion, listen in for peer-to-peer conversations that move beyond the status quo to define the next generation of anesthesia leadership.
Michael Besedick - Precision Staffing - Or How I Learned to Stop Worrying and Love Statistics
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. Michael Besedick, Managing Director of Information Products at Medaxion shows how a dynamic, data-driven approach is transforming OR staffing by blending schedules, contracts, and historical performance into adaptive coverage plans that learn and improve daily. Hear a real-world example showing how smarter shift design, staggered starts, and flexible relief roles can reduce err...
2 Jun 2026
Jeff Peters: Characteristics of Anesthesia Leaders: Who Can Lead Their Group Through the Anesthesia Crisis
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. This episode explores how innovative leadership is tackling the anesthesia workforce crisis through culture, flexibility, and new care models. Hear from Jeff Peters, Chief Growth Officer and Senior Vice President at Sullivan Consulting, on how Alaska Native Medical Center transformed from severe staffing shortages to a fully staffed team by prioritizing lifestyle, autonom...
1 Jun 2026
Dr. Chris Thu: Building a High-Performance Anesthesia Group
What does it take to recruit, retain, and grow a successful anesthesia practice in today’s market? Host Jeff McLaren talks with Chris Thu, M.D. about leadership, culture, provider shortages, hospital relationships, and the evolving economics of anesthesia care. The conversation explores why transparency, alignment, and operational flexibility matter more than ever for anesthesia organizations nationwide. Explore the full episode page: https://www.medaxion.com/dr.-chris-thu-building-a-hi...
22 May 2026
Gary Keeling: Billing for a Perioperative Medicine Clinic
Gary Keeling, Vice President of Anesthesia Services at Coronis Health, a veteran CPA, shares how perioperative medicine clinics can transform anesthesia finances by structuring them as separate entities with their own tax IDs, CPT/EM billing, and financial statements. Using real hospital examples, he shows how modest per-case EM revenue, reduced cancellations, and better OR utilization can generate hundreds of thousands in new revenue and significantly reduce anesthesia subsidies while using ...
21 May 2026
Jim Bobeck: How the No Surprises Act is the Swiss Army Knife of Healthcare Reimbursement
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. Jim Bobeck, a healthcare dispute resolution expert, breaks down the No Surprises Act and why it's no longer just a new law — it's a permanent fixture in American healthcare. He explains how providers can use arbitration as a powerful tool for reimbursement disputes, contracting strategy, and negotiations with health plans. With cases growing from 200,000 in 2022 to an estimated...
14 May 2026
Bellinger Moody: CMS TEAM — Alternative Payment: Transforming Episode Accountability Model
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. In this episode, Bellinger Moody explains the TEAM model. The Transforming Episode Accountability Model (TEAM) is a new mandatory CMS alternative payment model that holds hospitals financially accountable for surgical episodes from the operation through 30 days post-discharge, shifting care from fee-for-service to value-based care and tying bonuses or penalties to cost and qual...
8 May 2026
Dr. Chris Steel: Reframing the Perioperative Visit
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. In this episode, Dr. Chris Steel explores how perioperative medicine and pre-op clinic models can reduce cancellations, improve optimization, and support patient-centered care while remaining financially sustainable. Dr. Steel walks through four models from day-of-surgery assessments to fully integrated perioperative health clinics, highlighting the role of AI, nurses, AP...
30 Apr 2026
David Donnelly: Anesthesia Structure & Staffing Considerations
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. David Donnelly breaks down what health systems need to consider when moving anesthesia services in-house. Drawing on experience across 50+ transitions, he shares practical lessons on financial modeling, workforce retention, revenue cycle challenges, and operational readiness. The conversation also highlights common pitfalls, including hidden payer rate issues, staffing gaps, an...
27 Apr 2026
Joseph Rodrigo, DO, FAOCA: To Employ or Not to Employ?
In this episode, special guest host Mike Wirth (Chief Growth Officer at Medaxion) sits down with Joe Rodrigo, DO, FAOCA of ProMedical to break down one of the biggest questions facing healthcare leaders today: should hospitals employ anesthesiologists or outsource? Dr. Rodrigo shares why the answer isn’t as simple as it seems, explaining the hidden costs, operational challenges, and long-term risks of employment models. They also discuss private equity’s role in rising costs and why many syst...
20 Apr 2026
Aaron Stewart: Changing the Math on the Anesthesia Stipend | Live from the Anesthesia Economics Summit
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. In this conversation, Jeff talks with Aaron Stewart, CFO of Symmetry Anesthesia, who breaks down how anesthesia coverage models are evolving and why there’s no one-size-fits-all approach for hospitals. Aaron explains how financial modeling helps facilities understand cost drivers, structure care teams, and make more informed decisions. The discussion highlights the ...
14 Apr 2026
Driving Effectiveness for the Next Generation of Anesthesia Leadership | Live from the Anesthesia Economics Summit
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. As the anesthesia landscape continues to evolve, leaders are being challenged to navigate a complex mix of workforce shortages, rising costs, shifting care models, and increasing demand across settings. In this panel discussion, industry leaders share how they are approaching leadership in this environment by balancing clinical excellence with financial sustainability, while ad...
9 Apr 2026
Meeting the Rising Demand for Anesthesia Beyond the OR | Live from the Anesthesia Economics Summit
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. As demand for anesthesia services continues to rise, care is expanding far beyond the traditional operating room. From endoscopy suites and interventional radiology to procedural and outpatient settings, health systems are being challenged to deliver safe, efficient anesthesia coverage across a growing range of environments. In this panel discussion, industry leaders explore ...
8 Apr 2026
Anesthesia Staffing Strategies That Work | Live from the Anesthesia Economics Summit
This episode of the Anesthesia Economics Podcast was recorded live at the Anesthesia Economics Summit in Charleston. As anesthesia groups and health systems face ongoing staffing shortages, rising costs, and increasing operational complexity, traditional staffing models are no longer enough. In this panel discussion, industry leaders break down what’s actually working today, from flexible locum tenens strategies to hybrid employment models, and discuss how organizations are balancing co...
30 Mar 2026
Dr. Michael R. Hicks: Sleep Walking or Wide Awake: Why It's Time to Do Things Differently
Dr. Michael R. Hicks, President of Anesthesia Services at HCA Healthcare, breaks down the growing challenges in anesthesia, from workforce shortages to rising financial pressures. He explains why “hope is not a strategy” and outlines the need for health systems to rethink how anesthesia resources are allocated. The conversation explores the shift toward non-operating room settings, the importance of system-wide coordination, and how culture, flexibility, and leadership play a critical role in...
4 Mar 2026
Randy Moore, CRNA, DNP, MBA: Inside Anesthesia
In this episode of Anesthesia Economics, Jeff McLaren sits down with Randy Moore, Chief Anesthetist Officer at NorthStar Anesthesia, for a candid conversation on the forces reshaping anesthesia. They unpack payer pressure, workforce shortages, subsidy shock, ASC disruption, and the growing divide between advocacy groups. Randy shares why cultural debt is costing organizations more than they realize, how avoidance compounds in leadership, and why data-driven OR strategy is essential in today’s...
18 Feb 2026
Daniel Prevost: A Primer on Anesthesia Stipends
In this episode of Anesthesia Economics, Jeff McLaren is joined by Daniel Prevost, Medaxion’s Senior Vice President of Strategic Development, to break down why anesthesia stipends have become such a critical issue. They focus on the revenue side of the equation, exploring how scale, regulation, arbitration, and documentation gaps have reshaped anesthesia revenue cycle management. The conversation highlights why anesthesia billing is fundamentally different from other specialties, where revenu...
4 Feb 2026
Bob Johnson: The Timeline of Anesthesia Economics
In this episode, host Jeff McLaren sits down with Bob Johnson, Medaxion’s SVP for Anesthesia Operations, to unpack why anesthesia economics feel uniquely urgent right now. They explore the demand supply imbalance, exploding subsidy pressures on hospitals and surgery centers, and how time-based billing shaped both reimbursement and operational insight in anesthesia. The conversation also looks at the ripple effects of insourcing, the challenge of benchmarking, and how better data visualization...
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