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. 6d ago

    S1E20 "I Don't Know" — The Three Words AI Can't Say (But Every Clinician Should)

    "I Don't Know" — The Three Words AI Can't Say (But Every Clinician Should) In this solo episode, Dr. Adama Diarra makes the case that saying "I don't know" is one of the most underused and undervalued tools in clinical medicine. Using a real patient encounter from the week of recording — a gastroenteritis case in late spring where the standard viral default turned out to be the wrong seasonal answer — he walks through what happened when he paused, admitted uncertainty out loud, did the research, and came back with a better answer. The data showed a meaningful seasonal shift toward bacterial pathogens like Campylobacter and Salmonella in warmer months, which changed how he counseled the patient and shaped their shared decision to pursue supportive care with a clear plan to escalate if needed. From that clinical story, Dr. Diarra draws out three things "I don't know" actually accomplishes: it preserves a clinician's calibration and credibility, it models intellectual honesty for trainees, and most importantly, it protects patients by creating a disclosure loop that a confident wrong answer never would. The episode then pivots to a May 2026 New England Journal of Medicine perspective piece — Can AI Say "I Don't Know"? by Sikora, Celi, and Abdulnour — which argues that AI tools, as currently deployed, lack the reflex to disclose uncertainty. They generate fluent, confident responses regardless of whether the underlying evidence is solid or absent. Dr. Diarra illustrates the danger with a methotrexate dosing example and maps it back to his own gastroenteritis case: an AI would have given the annual default answer with full confidence, missing the seasonal nuance entirely. He closes with a practical framework: become AI-fluent, not AI-dependent. Use multiple sources the way clinicians always have — PubMed, Cochrane, colleagues, subspecialists. Don't outsource critical thinking. And until the tools learn to say "I don't know," that responsibility stays with the clinician.

    22 min
  2. You Might Also Like: The Science of Happiness

    6d ago ·  Bonus

    You Might Also Like: The Science of Happiness

    Introducing How Cities Can Make Space for Awe from The Science of Happiness. Follow the show: The Science of Happiness A simple experiment turning a parking space into a parklet reveals how small changes to public spaces can spark connection, belonging, and awe.  Summary: What if even the smallest changes to our cities could transform how we feel and connect? In this episode of The Science of Happiness, we visit the site of San Francisco’s first parklet, and explore how reclaiming everyday spaces can invite people to pause, gather, and experience a sense of belonging. Scroll down for a transcription of this episode. Today’s Guests: BLAINE MERKER is an urban designer and public space advocate. He leads Gehl’s Enterprise & Corporations team. Learn more about Blaine here: https://www.gehlpeople.com/people/blaine-merker/ SETHA LOW is an anthropologist and Professor at City University of New York. She’s also the author of the book Why Public Space Matters, as well as many other books examining the social life of cities. Learn more about Setha here: https://www.gc.cuny.edu/people/setha-low This episode is supported by The Gambrell Foundation, who believe a great life grows from strong relationships, a sense of belonging, and moments of awe and wonder. Learn more about their work at gambrellfoundation.org Related Science of Happiness episodes: What Humans Can Learn From Trees: https://tinyurl.com/48te84ps How to Do Good for the Environment (And Yourself): https://tinyurl.com/5b26zwkx Are You Remembering the Good Times: https://tinyurl.com/483bkk2h Related Happiness Break episodes: How To Ground Yourself in Nature: https://tinyurl.com/25ftdxpm Pause to Look at the Sky: https://tinyurl.com/4jttkbw3 Experience Nature Wherever You Are, with Dacher: https://tinyurl.com/mrutudeh Follow us on Instagram: @ScienceOfHappinessPodWe’d love to hear about your experience with this practice! Share your thoughts at happinesspod@berkeley.edu or use the hashtag #happinesspod. Find us on Apple Podcasts: https://tinyurl.com/2p9h5aap Help us share Happiness Break! Leave a 5-star review and share this link: https://tinyurl.com/2p9h5aap Transcription: https://tinyurl.com/yr7m2zb5 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. Jun 1

    S1E19 How to Build a Membership Based Private Practice That Still Takes Insurance with Rene Hermes

    The New Healthcare by Adama Diarra, DO, FACP, DipABOM Guest: Rene Hermes Content Type: Interview Primary Goal: Educational Summary Most physicians enter independent practice with clinical confidence and financial blind spots. Rene Hermes entered with both — and built something different. In this episode, Rene shares how a background in corporate finance shaped her approach to running independent primary care practices, why she developed a hybrid insurance-plus-membership model, and what it actually takes to make concierge medicine accessible without sacrificing financial sustainability. Whether you're curious about leaving employed medicine or already making the leap, this conversation offers a grounded, practical roadmap. Key Topics Why corporate finance principles change how you see practice economics How a hybrid insurance + membership model works in real primary care Making concierge medicine accessible — and still viable The operational infrastructure independent practices often overlook What physicians consistently underestimate about building independence Sound Bites "Finance looks at the future, not just the past." "One emergency visit can pay for the entire year." "Living independently in medicine is achievable." Chapters 00:00 — Introduction: Who Is Rene Hermes? 03:48 — From Corporate Finance to Medical Management 06:46 — Building a Family Practice from the Ground Up 10:14 — What Finance Teaches You About Primary Care 13:53 — The Hybrid Practice Model, Explained 17:59 — Making Concierge Medicine Accessible 28:26 — Rethinking Concierge: A New Framework 32:33 — Operational Realities of Running a Private Practice 41:36 — Building Your Concierge Model: What to Consider First 47:56 — The Case for Independence in Medicine Resources Hermes Health American Academy of Professional Coders (AAPC) Certified Physician Practice Manager (CPPM) Certification Contact Rene: rene@hermeshealth.net

    53 min

  4. May 25

    S1E18 AI Is Not Just Theory, It's Practice: How Akshat Paliwal Built a Remote Radiology Company from Scratch

    By Dr. Adama Diarra, DO, FACP, DipABOM | CEO & CMO, Diarra Health.  Is AI actually changing radiology — or is it just hype? Akshat Paliwal has a definitive answer. As the founder of FlexRad, a remote radiology company built on AI-enhanced workflows, he's not theorizing about the future of medical imaging. He's living it. In this episode, Akshat walks us through his journey from traditional academic and private radiology practice to building a scalable, AI-driven remote radiology business — including what COVID-19 forced him to rethink, the hard lessons of physician entrepreneurship, and why he believes the radiology workforce is at an inflection point that most practitioners aren't ready for. We dig into the practical realities of integrating AI into radiology workflows — not as a replacement for clinical judgment, but as a force multiplier for efficiency, accuracy, and autonomy. Akshat also shares how FlexRad's hybrid model is redefining what a sustainable radiology practice can look like in the age of remote work and intelligent automation. In this episode: How FlexRad's hybrid remote radiology model actually works Where AI is delivering real results in radiology workflows today — and where it isn't The risk profile every physician entrepreneur needs to understand before making the leap Why referrals and reputation remain the currency of growth even in a tech-forward practice What the radiology workforce will look like in 5 years — and how to position yourself now Whether you're a radiologist navigating a changing landscape, a physician considering entrepreneurship, or a healthcare leader thinking about AI integration, this conversation will challenge how you think about the future of your specialty. 🔗 Connect with Akshat: linkedin.com/in/akshatpaliwal 🌐 Learn more about FlexRad: flexrads.com 📧 Reach out directly: akshat@flexrads.com

    48 min

  5. May 17

    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

  6. 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

  7. 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

  8. 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
See All (21)

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
    21
  • Rating
    Clean
  • Copyright
    ©2025
  • Show Website
    The New Healthcare

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