Sit and Stay is a podcast by RipsyTech, offering a seat at the table with our founder and CEO, Dr. Tom Tarshis, alongside product manager, Parker Anderson.
Sit and stay with us as we dive into the heart of mental health practice management and explore the essentials of launching and nurturing a successful practice.
Medicare & Medicaid: A Lifeline for Patients, a Minefield for Practices
Should your mental health practice accept Medicare or Medicaid?
Parker Anderson and Dr. Tom Tarshis break down the differences and discuss reimbursement, enrollment hurdles, billing complexity, and payer mix. Explore how to expand access to care while keeping your practice financially sustainable.
0:00 Introduction
4:22 What are Medicare and Medicaid, and how do they function?
8:47 How do insurance complexities impact healthcare access for the elderly?
12:36 What are the challenges in provider-Medicare relations?
15:05 Does it make sense for private practices to accept Medicare and Medicaid?
17:49 Are there geriatric psychiatrist specialists?
19:46 Are Medicare and Medicaid the same level of difficulty to establish?
26:17 How do the differences between Medicare plans affect patient care?
29:32 Do Medicare patients pay anything?
33:28 How do you use and optimize your Medicare benefits?
35:29 Common mistakes with Medicare and Medicaid
42:43 A word from Rai
43:30 Mental Health Business Moment
46:16 Conclusion
8 Oct 2026
AI Is Better at Insurance Contracting Than Humans
Tom’s AI-assisted insurance negotiation with Curative had reached an impasse—but that wasn’t where the story ended.
In this follow-up, Parker and Tom reveal how a creative counteroffer changed the negotiation, what happened when Tom challenged the insurer’s contract, and whether working with AI ultimately produced a better experience than dealing with traditional insurance representatives.
0:00 Introduction
1:37 Insurance AI negotiation update
19:05 What are the important pieces of an insurance contract?
25:36 How does Medicare play a role in the healthcare insurance landscape?
29:03 Conclusion
23 Sept 2026
AI Is Now Negotiating What Mental Health Clinicians Get Paid
What happens when you discover that the person negotiating your insurance contract may actually be AI?
Parker and Tom examine one clinician’s real negotiation with Curative, from a surprisingly low initial offer to an unusually fast back-and-forth. They discuss AI transparency, the potential benefits and risks of automating provider contracting, and why mental health professionals should never assume an insurer’s first offer is final.
0:00 Introduction
8:51 How do new health care insurance companies become established?
17:31 Do you feel comfortable sharing your experiences with insurance companies?
19:24 What kinds of new tactics are insurance companies implementing?
27:07 What roles should AI have in the health care landscape
32:02 How comfortable are you with AI in negotiation within insurance companies?
38:40 Are you optimistic about your relationships with health insurance companies?
44:20 A word from Rai
45:30 The Mental Health Business Moment
49:10 Conclusion
Who has been a guest on Sit and Stay
Names identified in recent episode analyses. Showing up to five guests.
Raiminder
David Balyozian
Sarah Dosanjh
Farokh Herfat
Dr Anna Yusim
Reach and audience
Public platform figures. Ratings count people who left a rating, not total listeners.
YouTube views
11,003
Score snapshot 15 Sept 2025
Apple Podcasts (US)
5.0 / 5
4 ratings
Spotify
5.0 / 5
4 ratings
Podcast Authority Score: 66 / 100
A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.
Quality
89
Social presence
0
YouTube
76
Engagement
32
Contact Sit and Stay
Guest appearances
Books guests
Based on episode analysis; this does not confirm that the show is currently accepting guests.
Questions about Sit and Stay
Who hosts Sit and Stay?
Tom host the show. Published by RipsyTech.
How often do new episodes come out?
The show publishes bi-weekly, based on its RSS feed.
Does Sit and Stay take guests?
Yes. Guests have been identified in episode analyses.
Host of Sit and Stay?
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