The New Healthcare

Dr Adama Diarra
  • 5.0 (4)
  • MEDICINE
  • UPDATED WEEKLY

The New Healthcare is a podcast for doctors, residents, and medical students who believe medicine can be better—including through independent practice. Hosted by Dr. Adama Diarra, an internal medicine physician, the show explores how clinicians and the experts who support them are rethinking how care is delivered, how practices are built, and how we can reclaim autonomy, purpose, and humanity in medicine—while delivering better care for our patients and our communities. Each episode dives into the evolving world of private practices, concierge medicine, direct primary care, and other innovative practice models, including micro-practices, telehealth-first clinics, and hybrid systems. Through conversations with physicians and thought partners across healthcare, the podcast offers practical insights into building sustainable practices, navigating nontraditional career paths, and practicing medicine on your own terms. While the primary audience is clinicians in training and practice, the show also welcomes listeners who are curious about personalized care models and the future of healthcare delivery. Whether you're a medical student exploring what's possible beyond the traditional system, a resident thinking critically about your career path, or a physician building or joining an independent practice, The New Healthcare provides thoughtful conversations, real-world lessons, and inspiration for the next era of medicine. The future of healthcare is being built right now—and you're part of it. Dr. Adama Diarra Internal Medicine Physician

  1. 3D AGO

    S1E17 Break the Visit, Break the Note, Break the System: Dr. Holly Tse's Blueprint for the Clinic of the Future PART 2

    Episode Summary — Part 2: Clinics of the Future with Dr. Holly Tse The cliffhanger is over. In Part 1, Dr. Holly Tse laid out everything wrong with primary care today. In Part 2, she builds the thing she believes can replace it. Her framework is called the Clinic of the Future — and it starts with a radical proposition: break the visit. Break the PCP. Maybe even break the note. Replace all of it with a continuous flow of care, supported by a trusted multidisciplinary team, standardized clinical protocols, and AI tools that do the heavy lifting so physicians can do what only physicians can do. Dr. Tse introduces two AI agents at the center of her vision: Charlie, a patient-facing empathetic agent available around the clock to listen, coach, and navigate; and Emily, an in-EMR clinical intelligence agent that synthesizes patient data in real time — surfacing rising risk, flagging missed refills, summarizing entire workup histories before you even ask. Together, they represent a shift from reactive, encounter-based medicine to proactive, panel-level care. The conversation gets honest about what stands in the way: a fee-for-service payment model that still rewards discrete visits, clinicians who are skeptical by training, patients who are increasingly transactional, and real HIPAA and liability questions that nobody has fully answered yet. Dr. Tse's position on all of it is grounded — value-based care is the financial engine that makes the flow of care work, and CMS's stated goal of moving all Medicare patients into VBC arrangements by 2030 means the window is closer than it feels. She and Dr. Diarra also go somewhere most healthcare podcasts don't: the future role of the physician when AI can handle the bread-and-butter cases. Dr. Tse's honest read is that physicians who don't evolve toward higher-complexity cognitive work risk being compensated like advanced practice providers — and she thinks that conversation is already happening, just not loudly enough. The episode closes with practical advice for independent and small practice physicians on where to start with AI today: website chatbots for FAQ and scheduling, productivity tools like Claude's Cowork for synthesizing presentations and documents, and a simple guiding question — what keeps you up at night, and can a tool help with that first? If Part 1 was the diagnosis, Part 2 is the treatment plan — specific, ambitious, and delivered by someone who has lived at every level of the healthcare system and still believes it can be redesigned for good.

    1h 2m

  2. 3D AGO ·  BONUS

    You Might Also Like: World's Toughest Job

    Introducing What Kind of Leader Does the UN Need Right Now? from World's Toughest Job. Follow the show: World's Toughest Job This year, 193 member states will elect a new secretary-general of the United Nations. Over the next eight episodes, we’ll ask how the next secretary-general might actually make a difference on issues from economic turbulence and superpower rivalries to artificial intelligence, inequality, and climate change. But today, we’re starting off with the most basic question: What kind of leader does the UN need right now? Host Jasmin Baoumy is joined by Thant Myint-U, a senior fellow at the UN Foundation; Susana Malcorra, the president and co-founder of GWL Voices; and Mark Malloch-Brown, a former UN deputy secretary-general and administrator of the UN Development Programme.  World’s Toughest Job is a co-production of Foreign Policy and the UN Foundation. DISCLAIMER: Please note, this is an independent podcast episode not affiliated with, endorsed by, or produced in conjunction with the host podcast feed or any of its media entities. The views and opinions expressed in this episode are solely those of the creators and guests. For any concerns, please reach out to team@podroll.fm.

  3. MAY 10

    S1E16 The Clinic of the Future with Dr. Holly Tse: What's Broken, What's Next, and How AI Changes Everything Part 1

    What does it feel like when the system weaponizes your own compassion against you? Dr. Holly Tse has a phrase for it — and it stopped a colleague in his tracks: my compassion has been hijacked. In this episode of The New Healthcare, Dr. Tse — dual board-certified internist, former hospital CMO, and founder of Novella Insights — makes the case that primary care isn't just strained. It's past the breaking point. And the only way through isn't another workflow patch. It's a complete redesign. Dr. Tse brings a rare combination to the conversation: 20+ years of frontline clinical experience, a humanities background that shaped how she listens and leads, and a systems lens built from running a 25-clinic medical home program and serving as CMO of an underserved community hospital. She sees the whole elevator — from the individual patient crying in the exam room to the structural forces that put her there in 20 minutes with a quality metric hanging over both of them. In this conversation, she and Dr. Diarra dig into: Why the clinic of 2026 is still running on a chassis built for 1995 — and why that matters How physician burnout is a design failure, not a resilience failure The "Clinic of the Future" framework — using AI and team-based care to protect the human moments that only physicians can deliver Shared medical decision making as both a clinical skill and a leadership philosophy What it actually looks like to leave a CMO role to have more influence on the future of medicine — not less If you're a physician wrestling with what sustainable, meaningful practice looks like in the AI era, this episode is for you.

    51 min

  4. APR 27

    S1E15 The Nephrologist Who Left the System to Save Her Patients—and Herself. With Marilia Campos, MD

    Podcast Episode Summary In this episode of The New Healthcare, Dr. Adama Diarra interviews Dr. Marilia Campos, a nephrologist and founder of Optima Kidney Care in Oregon. Dr. Campos shares her journey from employed nephrology practice to opening her own independent clinic after realizing she needed more autonomy, more control over her schedule, and more time with patients, especially after becoming a mother. A major theme of the conversation is how traditional healthcare schedules often force specialists to see too many patients too quickly, leaving little time for education, shared decision-making, or prevention. Dr. Campos explains that in her new practice, she schedules one hour for new patients and 30 minutes for follow-ups, which allows her to better explain kidney disease, reduce patient anxiety, and practice more thoughtfully. Clinically, Dr. Campos emphasizes that primary care clinicians should pay closer attention not only to eGFR, but also to urine albumin-to-creatinine ratio or protein-to-creatinine ratio, especially in patients with hypertension, diabetes, obesity, cardiovascular disease, or early CKD. She suggests referral to nephrology when patients reach approximately CKD stage 3B, eGFR 45 or below, or when proteinuria is 300 mg/g or higher, though she notes that earlier collaboration can be helpful. The episode also covers the importance of aggressive prevention in CKD, including managing proteinuria, using ACE inhibitors or ARBs, considering SGLT2 inhibitors, and recognizing the growing role of GLP-1 medications in slowing CKD progression, especially in patients with diabetes and cardiometabolic risk. On the business side, Dr. Campos shares practical insights for physicians considering independent practice. She discusses credentialing delays, insurance reimbursement realities, overhead planning, referral relationships, community visibility, and the emotional leap of starting a practice. Her advice to burned-out physicians is simple: talk to doctors who have done it, do the math, use available resources, and realize that private practice is possible. At its core, this episode is about reclaiming time, restoring the patient-physician relationship, and building a medical practice around real life instead of burning out inside a broken system.

    55 min

  5. APR 20

    S1E14 Mastering Private Practice Accounting: Healthcare Perspective with Chuck Palmer, CFO

    Primary Goal: Educational   Summary: In this comprehensive interview, Chuck Palmer, a seasoned fractional CFO, shares invaluable insights on starting and managing a small healthcare business. Topics include choosing the right business entity, setting up accounting and payroll systems, tax strategies, and maintaining financial health for long-term success. keywords: small business, healthcare, accounting, taxes, LLC, S-Corp, payroll, financial management, startup tips key topics Business entity selection (LLC, S-Corp, etc.) Importance of proper accounting and payroll systems Tax strategies and compliance for small businesses Title: Mastering Small Business Finances: A Healthcare Perspective   Sound Bites "Electing S-Corp status can provide tax advantages" "Regular reconciliation catches mistakes early" "Trust professionals, there's no magic tax bullet" Chapters 00:00 Introduction to Class 4 Accounting 03:38 Understanding Business Entities and Compliance 06:16 The Importance of Choosing the Right Business Structure 09:04 Transitioning from LLC to S-Corp 11:39 Timing and Importance of Accounting Services 14:22 Common Mistakes New Business Owners Make 16:52 The Consequences of Not Filing Taxes 19:38 The Role of Financial Metrics in Business Success 24:01 Understanding Financial Health 27:24 Best Practices in Bookkeeping 30:13 Revenue vs. Profit: Key Differences 33:32 Fair Compensation and Business Valuation 38:18 Reinvesting Profits vs. Distributions 41:06 The Importance of Employee Well-being 42:54 Debunking Tax Myths

    46 min

  6. APR 5

    S1E13 The New Healthcare_The Future of IV Hydration: Clinical/Wellness Applications & Regulatory Landscape_Mary Taylor, MSN, ACNPC-AG

    Interview Primary  goal: Educational Summary In this episode, Mary Taylor, founder of Thirst Aid Station, discusses the clinical and wellness applications of IV hydration, regulatory considerations, and the impact on patient care. She shares insights from her background in oncology and her entrepreneurial journey into mobile IV therapy. Keywords Key  Topics Clinical uses of IV hydration Regulatory landscape and safety protocols Patient experiences and outcomes Guest  Name: Mary Taylor, MSN, ACNPC-AG Titles: The Future of IV Hydration: Clinical/Wellness Applications & Regulatory Landscape  Sound bites "IV hydration has clear medical indications." "IV therapy can help people feel better quickly." "Building trust is key in home-based care." Chapters 00:00 Introduction to IV Hydration and Mary Taylor's Journey 02:13 The Dual Role: Oncology Nurse and IV Hydration Specialist 05:09 Understanding the IV Hydration Process 05:56 Mobile IV Hydration: Convenience and Accessibility 08:13 Common Misconceptions About IV Hydration 10:45 Clinical Considerations and Patient Safety 13:08 Evidence vs. Patient Demand in IV Hydration 15:40 Regulations and Best Practices in IV Hydration 19:36 Navigating Regulatory Pathways in IV Therapy 21:02 Patient Experiences and Outcomes 22:56 Meaningful Patient Interactions 24:41 Insights from Traditional vs. Alternative Care 26:26 Motivations Behind Starting a Business 27:38 Fun Myths and Facts about IV Therapy 30:43 Connecting with Thirst Aid Station 33:30 riverside_tnh_— outro_ jan 10, 2026 _adama_diarra's stud.mp3  resources Thirst Aid Station - https://thirstaidstation.com Regulations on IV Therapy - https://www.fda.gov/  guest links Website - https://thirstaidstation.com Email - info@thirstaidstation.com

    38 min

  7. MAR 22

    S1E12 From Burnout to Balance: Dr. Joan Fleishman on Therapy, Stress, and Resilience

    Content  type: Interview Primary  goal: Educational  Summary In this insightful interview, Dr. Joan Fleishman shares her journey into psychology, the importance of connection and belonging, and practical strategies for mental health and resilience, especially for healthcare professionals. Discover how understanding your nervous system, emotional intelligence, and self-care practices can transform your well-being.  keywords psychology, mental health, resilience, emotional intelligence, healthcare professionals, connection, belonging, stress management, therapy, self-care  Key  topics Journey into psychology and the importance of connection The role of the nervous system in stress and resilience Practical self-care and emotional intelligence strategies Impact of COVID-19 on mental health practices Innovations in telehealth and mental health services Guest  name Dr. Joan Fleishman Sound bites "We are wired for connection and belonging" "Running helps reset our nervous system" "Humor and levity are essential in healthcare" Chapters 00:00 The Neuroscience of Connection and Healing 25:13 The Importance of Social Connections 27:46 Finding Humor in Healthcare 30:34 The Role of Learning in Cognitive Health 33:10 Understanding Therapy and Overcoming Stigma 35:22 Emotional Resilience and Intelligence 37:50 Navigating Emotional Experiences 39:51 The Impact of Lifestyle on Emotional Resilience 42:09 Defining Emotional Intelligence 52:42 riverside_tnh_— outro_ jan 10, 2026 _adama_diarra's stud.mp3  resources Joan Fleishman PsyD Website - https://jonefleishmansid.com LinkedIn Profile of Joan Fleishman - https://www.linkedin.com/in/jonefleishmansid Tend Mental Health Startup - https://tendhealth.com  guest links LinkedIn - https://www.linkedin.com/in/jonefleishmansid Website - https://jonefleishmansid.com

    53 min

  8. MAR 15

    S1E11 The Rise of Musculoskeletal Ultrasound: Faster Diagnosis, Better Procedures-Insights from Dr. Westerdahl

    Content  Type: Interview Primary  Goal: Educational Summary: In this episode, Dr. David Westerdahl, a seasoned sports medicine physician, shares insights on the evolving role of ultrasound in musculoskeletal care, diagnosis, and treatment options for common joint issues. Discover how technology is transforming outpatient care, improving diagnostic accuracy, and guiding effective treatments. Key  Topics Role of ultrasound in musculoskeletal diagnosis Advances in treatment options including PRP and shockwave therapy The impact of technology on outpatient sports medicine care  Sound bites "Starting a practice during COVID was a bold move." "Ultrasound guidance is less painful and more accurate." "PRP can stimulate a more robust healing response." Chapters 00:00 Introduction and Background 01:01 Advancements in Sports Medicine and Ultrasound Technology 01:56 The Role of Ultrasound in Musculoskeletal Care 03:17 Understanding Shoulder Pathologies 04:42 Ultrasound vs. Traditional Imaging Techniques 06:51 Training Primary Care Physicians in Ultrasound 08:34 Ultrasound in Knee and Ankle Evaluations 09:22 Differentiating Knee Effusions with Ultrasound 11:09 Real-Time Imaging Guidance for Joint Procedures 13:26 NEWCHAPTER 14:40 Cost-Effectiveness of Ultrasound in Patient Care 16:05 Ultrasound in Ankle Diagnosis 18:18 Understanding Tendon Injuries 19:49 Differentiating Tendonitis and Tendinopathy 21:27 Ultrasound for Accurate Diagnosis 22:42 Managing Stubborn Tendinopathy 23:55 Injection Therapies for Tendon Issues 25:18 Exploring PRP and Shockwave Therapy 28:08 Evolving Perspectives on PRP 30:50 Addressing Patient Expectations 30:55 Navigating Arthritis Diagnoses 32:53 Understanding Knee Pain and Non-Surgical Care 35:35 The Role of Imaging in Knee Injuries 38:19 Navigating MRI Approvals and Challenges 41:16 The Evolution of Ultrasound Technology 44:04 Building a Successful Private Practice 46:32 Balancing Clinical Duties and Personal Life 49:02 riverside_tnh_— outro_ jan 10, 2026 _adama_diarra's stud.mp3  resources Sports Health Northwest - https://sportshealthnorthwest.com

    49 min
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Ratings & Reviews

5
out of 5
4 Ratings

About

The New Healthcare is a podcast for doctors, residents, and medical students who believe medicine can be better—including through independent practice. Hosted by Dr. Adama Diarra, an internal medicine physician, the show explores how clinicians and the experts who support them are rethinking how care is delivered, how practices are built, and how we can reclaim autonomy, purpose, and humanity in medicine—while delivering better care for our patients and our communities. Each episode dives into the evolving world of private practices, concierge medicine, direct primary care, and other innovative practice models, including micro-practices, telehealth-first clinics, and hybrid systems. Through conversations with physicians and thought partners across healthcare, the podcast offers practical insights into building sustainable practices, navigating nontraditional career paths, and practicing medicine on your own terms. While the primary audience is clinicians in training and practice, the show also welcomes listeners who are curious about personalized care models and the future of healthcare delivery. Whether you're a medical student exploring what's possible beyond the traditional system, a resident thinking critically about your career path, or a physician building or joining an independent practice, The New Healthcare provides thoughtful conversations, real-world lessons, and inspiration for the next era of medicine. The future of healthcare is being built right now—and you're part of it. Dr. Adama Diarra Internal Medicine Physician

Information

  • Creator
    Dr Adama Diarra
  • Years Active
    2025 - 2026
  • Episodes
    18
  • Rating
    Clean
  • Copyright
    ©2025
  • Show Website
    The New Healthcare

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