Telemedicine Talks

Ever wondered how a lawsuit could launch a thriving consulting career? In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco sits down with Christopher Cannell, as he shares his path from bedside clinician to nationally recognized medical-legal expert, starting with a malpractice suit he won due to his preparation and poise as a witness. He explains how attorneys seek thorough, credible experts who understand standard of care from multiple angles, and how his diverse experience allows him to opine on cases across specialties. The discussion covers building a consulting business through word-of-mouth, mentoring via his Healthcare Hub community, and teaching as a full-time professor. Chris highlights the value of humility, networking, and learning from mentors; the role of PAs in legal medicine; and upcoming talks on dissecting malpractice cases and AI risks at the AAPA conference. He emphasizes preventing errors through education, creating better systems for patients and providers, and embracing entrepreneurship, offering insights for clinicians eyeing side gigs or career shifts in telemedicine and beyond. Three Actionable Takeaways: Prepare Thoroughly for Legal Roles: Hone expertise through certifications, teaching, and diverse clinical experience; review cases prospectively from all perspectives (provider, nurse, patient) and back opinions with literature, attorneys value professionalism and resilience under scrutiny for repeat business. Build a Consulting Side Gig: Start with word-of-mouth from successful cases; create educational resources like masterclasses or communities (e.g., via Kajabi) to mentor others; network in running groups, professional orgs, or conferences for entrepreneurial advice and humility in learning from mistakes. Mitigate Risks Proactively: Join orgs like PAs in Legal Medicine for standards and support; focus on preventing errors through system improvements and education—explore AI's med-legal implications and aim for work-life balance by dropping to part-time clinical hours while scaling consulting. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Guest Christopher Cannell is a seasoned physician assistant with over 22 years in emergency medicine, orthopedics, critical care, and internal medicine. A medical-legal expert, he turned a malpractice lawsuit into a consulting career, providing witness services, risk mitigation, and education. As president of PAs in Legal Medicine and a full-time professor, he mentors via his Healthcare Hub community. Email: chris@theapcconsultant.com Websites : theapcconsultant.mykajabi.com                     https://www.theapcconsultant.com About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com)       The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

As 2026 unfolds with looming subsidy cliffs and rising uninsured rates, hosts Phoebe Gutierrez and Dr. Leo Damasco revisit Episode 35, featuring Wyatt Stokesberry. Growing up around business owners and ditching a corporate path, Wyatt shares his pivot from aspiring chef to health insurance innovator, emphasizing the thrill of breaking norms, embracing discomfort, and betting on yourself amid uncertainty.Drawing from his experience building self-funded plans for small employers, Wyatt demystifies the fragmented insurance ecosystem, unbundling pharmacy, TPAs, stop-loss, networks, and brokers for cost savings. He spotlights the ACA marketplace's stagnation and launches Molly as a transparent, member-owned alternative for solopreneurs: AI tools for cost predictions, in-network checks, and personalized health insights, all while capping at 1,000 members to prioritize quality.The episode dives into eye-opening realities: cash-pay rates slashing MRI costs by 60-70% (e.g., $300 vs. $2,000 deductible), negotiating bills like pros, and why frequent users need high-deductible catastrophic coverage. Wyatt warns of misaligned incentives, carriers profiting from confusion, and champions AI for empowerment, not denial, bridging wearables data to better risk profiles. Amid fears of AI overreach, the trio stresses ethical uses like navigation and transparency to rebuild trust.For burnt-out W2 clinicians eyeing 1099 freedom, this rewind equips you with entrepreneurial mindsets, practical hacks, and hope: Molly's waitlist opens soon, proving innovation can outpace chaos and deliver care on your terms.Three Actionable Takeaways:Always Ask for Cash-Pay Discounts: Before any procedure, inquire about uninsured rates. They're often 60-70% lower than insured costs (e.g., MRIs under $300 via sites like Green Imaging). Negotiate further, as providers prefer quick cash over chasing 30 cents on the dollar from insurers.Assess Your Utilization Before Buying Insurance: Tally expected doctor visits, meds, and big-ticket items, if low (e.g., occasional primary care), skip high premiums/deductibles for catastrophic coverage plus cash-pay. High utilizers? Opt for low-deductible plans to maximize benefits.Leverage AI for Transparency and Savings: Use tools like ChatGPT to estimate costs or self-advocate, and join innovative plans like Molly for predictions on MRIs or premiums. Track sleep/exercise via wearables to inform better decisions, transparency empowers, don't fear the tech.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest: Wyatt Stokesberry, CEO and co-founder of Molly, a transparent health plan launching in Q1 2026 for 1099 freelancers, has over five years of health insurance expertise. A risk-taking entrepreneur who rejected corporate life, he leverages AI for efficiency and aims to rebuild trust in insurance. Website:  https://mollyhealth.comEmail: wyatt@mollyhealth.com.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Why are so few Physician Assistants (PAs) entering the telemedicine space, and how can they overcome the barriers to start their own practices?In this episode of Telemedicine Talks, Phoebe Gutierrez and Dr. Leo Damasco are joined by a panel of innovative providers: Ashlyn Smith, Christina Davis, Savannah Elgins, and Katie Wakeland. Together, they share their journeys from traditional clinic settings to telemedicine entrepreneurship, highlighting the frustrations with the broken healthcare system, insurance challenges, and the shift to cash-pay models.The group discusses state-specific regulations like corporate practice of medicine (CPOM), the differences between supervising and collaborating physicians, and business structures such as PLLCs, PC-MSOs, and LLCs. They emphasize the importance of finding your "why," building community through groups like the Independent PA Collective (IPAC), and embracing an entrepreneurial mindset—including learning from mistakes, pivoting, and overcoming imposter syndrome. From addressing care gaps in rural areas to leveraging telemedicine for flexible, patient-centered care, this episode offers practical insights for PAs (and NPs) looking to disrupt healthcare and scale their impact nationwide.Three Actionable Takeaways:Know Your State Laws and Build the Right Structure: PAs face unique regulatory hurdles like CPOM and supervision requirements—research your state's rules on collaboration vs. supervision, and consider structures like PLLCs or PC-MSOs to enable ownership while partnering with physicians.Find Your "Why" and Join a Supportive Community: Clarify your mission to stay motivated through challenges; seek out groups like the Independent PA Collective (IPAC) for mentorship, shared knowledge, and encouragement from peers who've navigated similar paths.Embrace Mistakes and Prioritize Balance: Shift from a risk-averse clinical mindset to an entrepreneurial one—expect pivots, learn from failures, and remember to set boundaries, as you're irreplaceable only to your loved ones, not your job.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guests:Ashlyn Smith is an endocrine PA based in Arizona with 15 years of experience, passionate about whole-person care in endocrinology. She's certified in lifestyle medicine and advanced diabetes management, and runs her own telemedicine practice focused on bridging care gaps.Christina Davis is a PA in Florida's Panhandle specializing in developmental behavioral pediatrics with a functional medicine approach. She operates a hybrid telemedicine practice to serve underserved families nationwide.Savannah Elgins is a PA with over 20 years living with type 1 diabetes and an endocrinology background. She's co-founder of a telemedicine practice dedicated to specialized type 1 diabetes care.Katie Wakeland is a nurse practitioner with an endocrinology focus and type 1 diabetes experience. She partners with Savannah Elgins to provide patient-centered, tech-savvy care outside traditional systems.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com)  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Thinking about launching your own telemedicine or digital health practice but overwhelmed by the logistics? In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco break down the essential steps for clinicians, PAs, NPs, and entrepreneurs to build compliant, scalable practices.They explore PC MSO structures and variations like professional associations or PLLCs across all 50 states, emphasizing that anyone can own a medical practice with the right setup. Phoebe shares practical advice on researching state regulations via Google and business registration rules, avoiding costly attorney fees upfront, and deciding whether to align structures across states or customize for risk and efficiency. The conversation covers key buckets: crafting a targeted business plan, focusing on niche audiences like Spanish-speaking populations, transitioning from a clinical to entrepreneurial mindset, speaking in layman's terms, embracing calculated risks, and essential costs (from $300 entity fees to $4,000 annual insurance and $300/month tech stacks).They also discuss overcoming imposter syndrome, hiring VAs for support, the value of partnerships for accountability, and why private practice could combat healthcare burnout by empowering providers to deliver care on their terms, often cash-pay to bypass insurance hassles. Drawing from real client successes, this episode offers encouragement and actionable insights for anyone tired of big systems and ready to innovate in telemedicine.Three Actionable Takeaways:Research State-Specific Structures First: Before diving in, Google your state's business registration regulations to determine required entity types (e.g., PC MSO, PA, or PLLC) and ownership rules (100% clinician-owned vs. 51/49 splits). This ensures compliance without immediate high attorney costs and helps pick startup-friendly states like Alabama.Build a Niche-Focused Business Plan: Target a hyper-specific audience (e.g., a specialized population in one language) rather than "everyone." Outline patient acquisition via marketing, website design, and layman's language to attract non-clinicians. Remember, the larger the market, the harder it is to stand out.Budget Smart and Delegate Early: Start with essentials: $300–500 for entity setup, $4,000/year for insurance (malpractice, cyber, professional liability), and $300/month for tech (EHR, domain). Hire a VA under $1,000/month to handle non-clinical tasks like marketing or admin, freeing you to focus on care and growth.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com)  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Kicking off 2026 with a bang: telemedicine is navigating government uncertainties, tech-driven oversight, and fresh funding avenues. In this January recap on Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco dive into key developments: flat Medicare rates for 2027 causing stock market ripples, potential extensions of telemedicine flexibilities through 2027 amid shutdown risks, and how the AI-first administration could ease fraud monitoring with real-time audits. They explore ongoing litigation in the EHR space, including Epic's lawsuits against companies like Health Gorilla over data access, contract breaches, and oversight failures, highlighting the fight for patient data ownership and network integrations. The episode also covers a $50 billion rural health grant over five years, aimed at underserved communities, and how telemedicine entrepreneurs can position themselves through proposals, compliance focus, and value-based metrics. Looking ahead, Phoebe and Leo discuss expectations for innovative niche startups (beyond GLP-1s), AI's potential bubble, deeper healthcare integration (like Utah's prescription AI), mergers/acquisitions in mental health and primary care, and the race to the bottom in GLP-1 pricing versus concierge value. This episode encourages listeners to reach out for collaboration or advice on building telemedicine ventures, emphasizing the altruistic potential of reaching underserved patients while embracing entrepreneurial opportunities. Three Actionable Takeaways: Monitor Federal Flexibilities Closely: Track bills extending telemedicine waivers through 2027, prepare for potential government shutdown disruptions, and leverage AI tools for compliance like real-time audits to align with the administration's tech focus, start by checking CMS updates weekly.  Explore Rural Health Grant Opportunities: Research your state's rural health office or telemedicine proposals to pitch value-based programs; focus on KPIs like quality score improvements and compliance officer roles to access the $50B fund—begin with a sweat equity commitment to build proposals targeting underserved communities. Stay Ahead of Data and AI Trends: Audit your EHR integrations for contract compliance to avoid Epic-style disputes; evaluate AI's role in your practice (e.g., repeat prescriptions) while watching for an "AI bubble" network with emerging physician-CEOs via info@telemedicinetalks.com to collaborate on niche, innovative models beyond GLP-1s. About the Show: Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Hosts: Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health. Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models. Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/  phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com)   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Why do so many telehealth and digital health startups struggle when they try to work with health plans, Medicaid, or Medicare?In this episode of Telemedicine Talks, Phoebe Gutierrez and Dr. Leo Damasco are joined by Sunshine Moore, who specializes in translating between startups, payers, and government programs. Together, they pull back the curtain on how health policy really works, and why understanding it is essential for anyone building or scaling a healthcare business.Sunshine explains why direct-to-consumer telehealth models don’t always translate to public payers, how Medicaid and Medicare populations differ dramatically from privately insured patients, and why speaking “health plan language” matters more than flashy technology. They explore how states measure success using cost, quality, and access—and why metrics like HEDIS, network adequacy, and ROI drive coverage decisions.The conversation also dives into rural health transformation funding, niche population strategies, employer benefits, behavioral health access, and why some of the most impactful healthcare innovations aren’t “sexy” at all—they simply solve real problems for vulnerable populations. From health policy history to practical advice for startups, this episode reframes how innovation actually happens in healthcare.Three Actionable Takeaways:Health Plans Buy Outcomes, Not IdeasNo matter how innovative a product is, payers care about measurable impact—cost reduction, quality improvement, and expanded access. If it doesn’t align with how states and plans are evaluated, it won’t get traction.Medicaid and Medicare Require a Different PlaybookPublic payer populations are often hard to reach, less tech-enabled, and account for the majority of healthcare costs. Successful solutions must be population-focused, not consumer-focused.Start Small, Prove Value, Then ScaleStates copy each other. Health plans replicate pilots across markets. Winning in a smaller, more accessible state or niche population can unlock broader adoption nationwide.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Sunshine Moore Anger is a health policy consultant and former health plan leader who helps startups, providers, and organizations navigate Medicaid, Medicare, and complex payer landscapes. Known for her ability to “translate” between innovators and insurers, Sunshine specializes in population health strategy, public programs, and regulatory alignment.📧 Email: sunshinemoreconsulting@gmail.com🔗 LinkedIn: http://linkedin.com/in/sunshinemooreangerAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com)TagsTelehealth Policy, Health Plans, Medicaid, Medicare, Digital Health Startups, Population Health, Health Innovation, Rural Health, Behavioral Health, Healthcare RegulationHashtags#TelemedicineTalks #HealthPolicy #DigitalHealth #Medicaid #Medicare #Telehealth #PopulationHealth #HealthcareInnovation #PayerStrategy #HealthTech The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What if securing capital for your healthcare practice didn't mean drowning in paperwork or facing endless rejections?In this engaging kickoff to 2026, hosts Phoebe Gutierrez and Dr. Leo Damasco chat with Sharmeen Aqeel,  about demystifying finances for independent healthcare providers. From breaking down P&L statements into simple cash inflows and outflows to navigating options like big banks versus private lenders, they explore how to track key metrics like patient statistics and fixed costs without needing an accountant. Sharmeen shares real-world examples of clinics overcoming funding hurdles for marketing, equipment, and growth, emphasizing the role of revenue-based funding and quick capital. Drawing from her design background and fintech expertise, she highlights Lyyvora's AI-driven platform that matches borrowers with multiple lenders for the best offers, plus tools for assessing readiness and improving financial health. Phoebe and Leo add insights from their experiences in telehealth and startups, discussing bottlenecks like cash flow for marketing and scaling tech.If you're a physician, clinician, or entrepreneur building a practice in telemedicine or beyond, this episode provides practical advice on raising capital, avoiding high-interest traps, and pursuing your business dreams with confidence.Three Actionable Takeaways:Simplify your financial tracking: Focus on key basics like patient statistics (e.g., cost per patient vs. revenue), fixed vs. variable costs, and cash inflows/outflows—use tools like bank statements and calendars to project growth without complex spreadsheets.Explore funding options wisely: Compare big banks (for larger, slower loans like acquisitions) with private lenders (for fast capital on marketing or payroll, with rates 8-15%); shop multiple offers and consider revenue-based funding that flexes with your monthly earnings.Assess and prepare for loans: Use platforms like Lyyvora to match with lenders based on your revenue, bank health, and business tenure—get a readiness score, improve weak areas with templates, and persist through rejections by refining your story around clientele growth.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest: Sharmeen Aqeel is the founder and CEO of Lyyvora, a fintech platform simplifying capital access for independent healthcare practices via AI-matched loans from private lenders (8-15% rates). With a design background in UX and product leadership, she focuses on human-centered solutions, demystifying finances like P&L statements and patient metrics. Her Advice: Take risks, persist through rejections. LinkedIn: Sharmeen AqeelWebsite:  https://lyyvora.comAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com)  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if AI could renew your prescriptions or diagnose your symptoms, but at the cost of losing the human touch that catches life's nuances?In this timely discussion, hosts Phoebe Gutierrez and Dr. Leo Damasco  react to breaking developments in AI-driven healthcare. They unpack Utah's innovative pilot program partnering with Doct.ai to automate prescription renewals for long-term meds, debating whether it streamlines care or risks overprescribing and bias. The conversation shifts to ChatGPT's health tools, including HIPAA concerns, data privacy, and potential for misuse by vulnerable users like teens. Drawing from personal experiences as providers and parents, they highlight AI's strengths as a supplemental tool e.g., for research or differentials, versus the dangers of full autonomy, emphasizing the irreplaceable role of physician gestalt, context, and independence. Real-world examples like Open Evidence and UpToDate illustrate AI done right, while raising alarms about corporate incentives, edge cases, and moral compasses in tech.If you're a physician, health tech enthusiast, or patient navigating AI's rise, this episode offers balanced insights on innovation, regulation, and safeguarding human elements in medicine.Three Actionable Takeaways:Evaluate AI as a tool, not a replacement: Use platforms like Open Evidence or UpToDate for expedited research and differentials, but always apply your clinical judgment to interpret results, review sources and context before acting.Prioritize patient safety in AI adoption: For renewals or diagnostics, insist on human oversight to catch nuances like lifestyle changes or contraindications; question biases in algorithms and demand transparency on training data e.g., specialist breakdowns.Engage in the conversation: Share your experiences with AI in healthcare via comments or reach out to Phoebe and Leo. Join discussions on ethics, privacy (e.g., HIPAA gaps in ChatGPT), and pilots like Utah's to influence safer implementations.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com)  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________When Chris Turtizin started his career designing high-end handbags in Berlin, he never imagined he’d end up shaping the future of telemedicine. But after a pivot from fashion to tech including a stint on Facebook’s growth team he found his calling in healthcare.In this episode, Dr. Leo Damasco and Phoebe Gutierrez talk with Chris Turtizin about his incredible journey: from growing Bicycle Health into a telemedicine powerhouse serving tens of thousands of patients with opioid use disorder, to launching Single Aim, a platform that helps clinicians navigate compliance and build their own practices.Chris shares how he leveraged the chaos of the pandemic to scale Bicycle Health, the lessons he learned about speed and access in healthcare, and why he’s now focused on empowering nurse practitioners, PAs, and physicians to take control of their careers. From underserved communities to regulatory minefields, this conversation dives deep into the intersection of health tech and human impact.Three Actionable Takeaways:Speed is Everything in Telemedicine – Chris found that getting patients treated within 4-8 hours doubled long-term outcomes at Bicycle Health. Fast access is a game-changer for patient care and business growth.Start with Leadership Roles – Physicians and providers can break into telemedicine through collaborating physician or medical director roles—great stepping stones to bigger opportunities.Transparency Builds Trust – Single Aim’s success comes from clear pricing, open data, and empowering clinicians to control their own paths. Healthcare needs less gatekeeping and more openness.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedin.com/in/pkgutierrez/phoebe@telemedicinetalks.comAbout the Guest:Chris Turtizin is a digital health innovator who transitioned from designing handbags in Europe to becoming a key player in telemedicine. With experience at Facebook’s growth team, Virta Health, and as a leader at Bicycle Health one of Time’s 100 Most Influential Companies in 2022, he scaled a telemedicine provider serving tens of thousands with opioid use disorder. Now, as co-founder of Single Aim, Chris is building tools to help nurse practitioners, PAs, and physicians launch their own clinical practices with ease and compliance. Passionate about the intersection of internet growth and healthcare, he’s dedicated to making telemedicine accessible and clinician-friendly.Website: https://www.singleaimhealth.com/LinkedIn: Chris Turtizin The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

 This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What shaped telemedicine in 2025, and what's on the horizon for 2026?In this special New Year episode of Telemedicine Talks, host Dr. Leo Damasco recaps the year's major developments, including the shift from broad direct-to-consumer platforms to focused enterprise partnerships, heightened focus on compliance and accreditation, clinical standardization, physician leadership, and AI's role in care. She discusses Medicare flexibility extensions, legal scrutiny, and predicts continued consolidation, hybrid models, and stricter regulations in 2026, emphasizing opportunities for innovation and better governance.Three Actionable Takeaways:Business Model Shifts: Telemedicine moved away from unfocused direct-to-consumer care toward enterprise partnerships with payers, employers, and health systems, with specialized platforms thriving.Regulatory and Compliance Focus: 2025 saw increased scrutiny on governance, accreditation (e.g., URAC), prescribing audits, and PC-MSO structures, making compliance business-critical amid lawsuits and investigations.Physician Empowerment and AI Integration: Doctors gained leverage in leadership roles and compensation, while AI enhanced operations but faced pushback against fully replacing clinicians, ensuring human oversight in care.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Host:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Connect with Leo:leo@telemedicinetalks.com  The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if securing your telemedicine practice against AI-driven scams and data breaches was as straightforward as using a VPN and asking the right questions?In this essential episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco sits down with Cordell Robinson, as he unpacks the cybersecurity threats facing telemedicine providers, from public WiFi vulnerabilities at hotels and airports to AI-powered phishing and deepfakes. He discusses his journey from Navy intelligence to cybersecurity expert, enforcement trends like HIPAA penalties, and how Brownstone's new Compliance Aid app simplifies audits for pros and beginners alike. If you're in telemedicine and concerned about 2026 AI risks or compliance costs, this is your guide to proactive protection, shielding patients, dodging lawsuits, and leveraging security as a business advantage.Three Actionable Takeaways:Secure your connections: Avoid public WiFi for sensitive calls; use a personal hotspot or install VPNs like NordVPN, Norton, or built-in Apple/Google options on devices. Ensure passwords are over 17 characters and enable biometrics, but verify airline or hotel security measures before connecting mid-flight.Spot AI scams and phishing: Look for pattern recognition in calls. Robotic responses, mismatched mouth movements, or overly pointed personal questions. Never log into accounts during suspicious calls; wait 24 hours and use a separate device or contact your bank directly to verify.Prioritize compliance proactively: Invest in phased cybersecurity like HIPAA or NIST via tools such as the Compliance Aid app to assess controls e.g., access, physical security. Hold AI vendors accountable by asking about governance, human oversight, and past fixes. Treat it like annual health checkups to avoid reputational damage and financial penalties.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Cordell Robinson is CEO of Brownstone Consulting Firm, a cybersecurity expert with over 15 years leading the firm. A philanthropist and decorated US Navy veteran in military intelligence, he blends software engineering, law school insights, and compliance expertise to protect sensitive data in healthcare and beyond. His new Compliance Aid app demystifies frameworks like FISMA, FedRAMP, and SCADA for easy implementation. LinkedIn: linkedin.com/in/cordell-robinson-a2213a4 Email: crobinson@bcf-us.comWebsite: https://www.bcf-us.comInstagram: @brownstone_consulting_firmAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if complying with 19 U.S. state privacy laws and counting was as easy as copy-paste, and cost-effective for solo docs or big practices?In this timely episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco sits down with Michael Williams, as he breaks down the patchwork of laws (GDPR, CCPA, and 2025 updates), why they’re based on patient location not your HQ, and how per-incident fines can hit millions. He shares Clym’s origin story from a $100K consulting flop, explains enforcement trends e.g., revenue via “phantom taxes”, and offers nuggets on getting started fast: No devs needed, scalable for SMBs to enterprises, and focused on user experience without legal headaches.If you’re in telemedicine and sweating 2026 enforcement, this is your roadmap to proactive compliance—protecting patients, avoiding surprises, and turning regs into a competitive edge.Three Actionable Takeaways:Assess your exposure: Privacy laws apply based on patient location, not yours—e.g., California rules for CA patients even if you’re in Texas. Map your data collection, searches, forms and review for GDPR/CCPA compliance. Use tools like Clym to scan and implement banners and notices in 5 minutes to mitigate per-incident risks.Simplify setup: Don’t hire pricey consultants. Opt for scalable software. Copy-paste Climb’s code for default coverage across 160 regs, privacy, and accessibility. Customize as needed, but start basic: It’s dev-free, cost-effective, and ensures you’re compliant day one without ongoing manual tweaks or $100K fees.Prepare for enforcement: Ignorance isn’t a defense. 2026 brings ramped fines (up to $7,500 per record). Educate your team on per-occurrence penalties, monitor state changes (19 U.S. laws now), and build revenue buffers. Proactively audit data sharing to avoid “phantom taxes” and turn compliance into patient trust.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Michael Williams is CFO and Co-Founder of Clym, a leading platform for automated compliance with data privacy, accessibility, and website regulations. A former pro basketball player (6’10”!), he started as a tax attorney at Ernst & Young, then served as CFO for global firms. Michael blends legal, financial, and operational expertise to make compliance scalable, affordable, and user-friendly, helping telemedicine providers reduce exposure while enhancing experiences.Connect with Michael Williams:· Website: https://www.clym.io· Email: support@clym.ioAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________You went from making residency peanuts to six- and seven-figure clinical income practically overnight but medical school never taught us what to do with it.In this episode, Leo Damasco sits down with Jonathan Spitz as he reveals why more telemedicine and 1099 physicians are using institutional-grade real estate to create tax-efficient cash flow, slash volatility, and build true diversification outside the rollercoaster of public markets. He pulls back the curtain on Lightstone’s new direct-to-investor platform, explains the massive alignment that comes from the firm putting its own money in first, breaks down the current 2025–2028 market opportunity (20–30% valuation resets + disappearing new supply = rent-growth tailwinds), and shares the red flags and green flags physicians must know before investing passively in private deals.Whether you’re looking for 6–8% tax-deferred distributions, mid-teens IRRs, or simply a way to stop writing huge checks to Uncle Sam every April, this is the roadmap.Three Actionable Takeaways:Define Your Investment Objective Before Choosing a Deal: Before investing in private real estate, determine whether your priority is cash flow, tax efficiency, portfolio diversification, or long-term appreciation. This clarity ensures you select deals aligned with your financial goals and prevents emotional decision-making. Physicians especially benefit from knowing what they want as income and workload shift.Perform Sponsor Due Diligence, Not Just Deal Analysis: Evaluate who is managing your money. Ask how long they’ve operated, how much of their own capital they invest, their track record in the specific market, and whether they've navigated past downturns. Sponsors with skin in the game and proven execution reduce risk and align incentives with investors.Understand and Accept Illiquidity Before Committing Capital: Private real estate investments often lock funds for multiple years, typically without early exit options. If you may need cash within that timeframe, reconsider. Accepting illiquidity allows you to benefit from consistent income distributions, tax advantages, and potential higher long-term returns without reacting emotionally to market volatility.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest: Jonathan Spitz is the Head of Capital Formation at Lightstone Direct, where he connects individual investors, especially physicians, to institutional-quality real estate opportunities. With over a decade of experience spanning brokerage, lending, and private equity, Jonathan has navigated multiple market cycles and capital-raising environments. He focuses on transparency, education, and aligned incentives, helping professionals understand how private real estate can diversify portfolios, reduce taxes, and build long-term wealth.Website: https://www.lightstonedirect.com/dpnAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Email: leo@telemedicinetalks.comWebsite: https://www.telemedicinetalks.com The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if your superhero dreams as a kid shaped your career in health tech? In this inspiring episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco sit down with Nikola Dosev, as he recounts his unconventional path: from studying business and tech, to building AI in MarTech and real estate, to diving into health after personal experiences with atrial septal defect and a passion for sleep, activity, and family wellness. He explains how AI is transforming Hundred’s approach, auditing workflows, personalizing recommendations, and even generating content, while emphasizing ethical use and human oversight.The conversation dives into Hundred’s unique slant: focusing on food, exercise, and sleep prescriptions over pills, using at-home blood tests for biomarkers like hormones and inflammation, and building for real people like Nik’s fitness journey or Phoebe’s hormonal expertise. With stories of failures turned learnings, Nik stresses passion as the true driver of health innovation. If you’re in digital health, telemedicine, or just curious about living longer and better, this episode reveals how tech meets personal stories to reach billions.Top 3 Takeaways:Leverage AI Ethically in Health Tech: Start by using AI for workflow audits and gap identification to boost efficiency, but always prioritize human oversight to avoid biases. Experiment with tools like ChatGPT for content generation or personalization, ensuring data privacy and testing in low-stakes areas first to build trust and refine outputs.Turn Personal Health Stories into Professional Drive: Reflect on your own health challenges—like Nik’s heart defect—to fuel passion in longevity work. Use daily disciplines in sleep, activity, and nutrition as differentiators in your career; track biomarkers via precision testing to inform decisions, turning personal insights into innovative solutions that help others extend healthspan.Focus on Basics Before Advanced Interventions: Prescribe food, exercise, and sleep as foundational “medicines” before supplements or drugs. Use at-home tests for biomarkers like hormones or inflammation to create tailored plans; build products with real user stories in mind, ensuring accessibility to democratize longevity beyond high-end demographics.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Nikola Dosev is Head of Product at Hundred (hundred.com), a functional medicine and precision-testing startup democratizing longevity through at-home blood tests, AI-driven insights, and simple prescriptions: food, exercise, and sleep first.With over a decade building startups in MarTech, consumer tech, security, and real estate, Nik was an early AI adopter (2016–17) and used automation to drive hyper-growth companies. Born with an atrial septal defect and originally given a ~55-year life expectancy, a 2017 surgery removed that ceiling and ignited his obsession with helping people live healthy, 100+ year lives. Daily optimization of sleep, movement, and nutrition has been his edge since his teens. At Hundred, he’s channeling that passion and his “Batman kid” belief in high-tech solutions outside broken systems into making advanced longevity tools accessible to millions, not just the elite.Email:  nick@hundred.comLinkedIn: linkedin.com/in/nikoladosevWebsite;  https://www.hundred.comAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________What if PAs could lead the charge in closing healthcare deserts through telemedicine—and what's holding them back?In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco welcome Ashlyn Smith, as she shares her journey from aspiring veterinarian/dancer to endocrine specialist embracing telehealth during COVID. She highlights telemedicine's advantages like meeting patients at home for deeper insights, fewer missed appointments, and family "pop-ins" while addressing PA challenges: limited infrastructure, state-specific supervision vs. collaboration agreements, and the upcoming 2026 PA Licensure Compact for multi-state practice. Ashlyn discusses pivoting to entrepreneurship amid work-life tensions, reading contracts meticulously, overcoming imposter syndrome, and blending evidence-based endocrinology with lifestyle medicine. Her clinic offers telehealth care in Arizona, nationwide coaching/e-consults, EHR templates, and resources to empower clinicians and patients. This episode inspires PAs to explore independence, collaborate across specialties, and expand access in underserved areas like endocrinology, where reimbursement issues widen care gaps.Three Actionable Takeaways:Read Contracts Thoroughly: Before signing any professional agreement, review every detail—don't just scroll to the end. This week, practice by analyzing a sample contract to spot restrictive clauses on scope or independence.Research Your State's PA Rules: Check if your state allows PA-owned practices, collaborative agreements (after 8,000 hours), or the upcoming Licensure Compact. Start by contacting your regulatory board for clarity on ownership and telemedicine options.Leverage Telehealth for Deeper Patient Insights: In your next virtual visit, ask patients to show their home environment or medications on hand. Use one session to note family dynamics or lifestyle factors for more personalized care plans.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Ashlyn Smith is a board-certified PA and distinguished fellow of the American Academy of PAs, with 14 years in endocrinology and over a decade in medical education. A certified Diabetes Prevention Program lifestyle coach, she owns Elm Endocrinology and Lifestyle Medicine, a telehealth practice blending hormone health with evidence-based lifestyle medicine. Past president of the American Society of Endocrine Physician Assistants, she lectures on pituitary disorders at Creighton University and supports clinicians through e-consults, coaching, and resources.· Connect with Ashlyn Smith:📧 Email: myelmheath@gmail.com🌐 Website: https://www.elm-health.com📱 Instagram: @elm.pacAbout the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.________________________Can you trust an AI that’s writing your treatment plans, or will 2026 be the year clinicians start paying the price for automation? In this 2026 compliance predictions episode, Phoebe Gutierrez shares her “love–hate relationship” with AI: it streamlines operations and boosts efficiency, but it cannot be treated as a source of truth. As more practices embed AI into core clinical workflows, the question becomes unavoidable: Who is responsible when AI is wrong? The clinician? The platform? The vendor?Phoebe explores how regulators are now answering that question. She explains how the FDA, the ONC, and state legislatures are rapidly rolling out rules governing AI-enabled software, clinical decision support, bias testing, audit trails, human oversight, and patient disclosure. With over 250 AI-related bills introduced in 34 states, the landscape is shifting faster than most companies can keep up. She walks through the most common—and dangerous—mistakes she sees digital health companies making, including auto-populating treatment plans without clinician review, failing to track AI overrides, not disclosing AI use in patient encounters, ignoring bias testing, and misunderstanding liability responsibilities between platforms and vendors.AI isn’t going anywhere—but the way we use it must evolve. This episode gives you the roadmap.Three Actionable Takeaways: Keep Humans in the Loop—Always: AI can support clinical workflows, but clinicians must verify recommendations, diagnoses, dosing suggestions, and triage outputs. Automation without oversight is now a regulatory red flag.Track Every AI Decision and Override: If you can’t show who reviewed the AI output, whether it was modified, and why, you cannot prove safe use or compliance—especially during audits or investigations.Build an Internal AI Governance System: Assign ownership, maintain an AI tool inventory, evaluate bias, ensure state-by-state compliance, review vendor claims, and require transparent validation data before deployment.About the ShowTelemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Host:Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/ phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________In this solo episode of Telemedicine Talks, Phoebe Gutierrez sounds the alarm: the FTC—not the DEA—is now telehealth’s #1 threat.Forget clinical protocols—the Federal Trade Commission is laser-focused on consumer protection, and telehealth’s cash-pay subscription model is their new favorite target. It started with Cerebral: $7 million fined—not for bad psychiatry, but for burying the cancel button, auto-renewing without consent, and piping mental-health data straight to Meta. The FTC’s three-pillar hit list?Auto-renewal transparency (no pre-checked boxes, no fine-print surprises)One-click cancellation (if signup is online, cancellation must be too)Zero sneaky data sharing (visiting your addiction-medicine site is PHI the moment the pixel fires)Phoebe translates ROSCA (Restore Online Shoppers’ Confidence Act) into plain English and hands you the exact checklist 90% of telehealth startups still ignore. In this episode, you'll hear why “we’ll just email support” is now a violation, why “non-identifiable” data isn’t a loophole, and why 2026 will see 3–5 new FTC scalps on the telehealth wall.Three Actionable Takeaways:Run the 5-Minute Patient Audit TODAY: Open an incognito tab, sign up as a fake patient, and time how many clicks it takes to (a) see the price, (b) read the renewal terms, (c) cancel. If any step takes >30 seconds or leaves the app, fix it before bedtime.Kill the Pixel Party: Open your Google Tag Manager, search “health”, “mental”, “addiction”, “prescription”—delete every event that could infer a diagnosis. Replace with boring conversion tags that stay HIPAA-safe.Print the “Cancel” Button in 72-pt Font: Add a persistent “Cancel Anytime” link in your app footer, dashboard, and every receipt email. Train support to process cancellations in <2 minutes. Bonus: screenshot the flow and email it to your attorney—proof you’re ROSCA-ready.About the ShowTelemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the HostPhoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.____________________________________________________________________What happens when the DEA ends pandemic-era flexibilities and telemedicine companies aren’t ready?In this episode of Telemedicine Talks, Phoebe Gutierrez delivers a timely and urgent breakdown of the 2026 DEA prescribing regulations that will redefine virtual care. From the expiration of COVID-era telemedicine flexibilities to the new four-tier DEA registration model, Phoebe unpacks what’s changing, who’s impacted, and how digital health companies can prepare.She explains the layers of the new system — including Telemedicine Prescribing Registration, Advanced Prescriber Rules, Telemedicine Platform Registration, and State-Based Licensure — and why these changes matter for clinicians, startups, and patients alike.Phoebe warns that companies relying on outdated processes risk shutdowns or investigations, and outlines a practical roadmap for compliance, from auditing prescriptions to automating ID verification and PDMP checks. Her closing message is clear: the DEA is watching, and telemedicine leaders must act now to future-proof their operations.Three Actionable TakeawaysAudit Your Prescribing Universe:List every medication your company or clinicians prescribe and match them to DEA schedules. This reveals which new registrations you’ll need under 2026 rules.Strengthen Oversight Systems:Implement automated DEA and license checks, PDMP lookups, and monthly verifications. Build a compliance calendar and assign ownership to prevent lapses.Prepare Financially and Operationally:Every provider and platform must register in each prescribing state. Plan budgets, staffing, and internal workflows to meet the multi-state, multi-layer registration demand.About the ShowTelemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the HostPhoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.________________________________Can AI make health insurance transparent and affordable for independent doctors and 1099 workers?In this episode of Telemedicine Talks, Samuel Hill discusses his evolution from aspiring dentist and football hopeful to tech entrepreneur co-founding Molly Health Insurance with Wyatt. Inspired by a $900 MRI savings hack, Sam explains how Molly uses AI agents to demystify coverage, predict costs, and empower users with data-driven choices. He offers doctors practical advice on transitioning to startups: embrace vulnerability, network beyond medical circles, and separate clinical expertise from business risk. From failed ventures like Bridge Connector to acquisitions at Stepson, Sam's story highlights the grit needed to solve healthcare's red tape.Top 3 Takeaways:Mindset Shift for Doctors: Rewire from risk-averse clinical training to entrepreneurial action—be vulnerable, ask for help, and view healthcare frustrations as solvable problems without threatening your brand.Leverage Your MD in Business: Network "doctor hat off" to learn skills, then "hat on" to add clinical credibility; doctors shine on product teams bridging tech and patient needs.AI for Healthcare Wins: Start with a problem (e.g., opaque insurance), gather data, query AI for solutions, and build trust via transparency like confidence scores—turning models into proactive personal assistants.About the Show:Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Guest:Samuel Hill is a serial entrepreneur, product owner, and AI architect with a passion for disrupting healthcare. Co-founder of Molly Health Insurance, he's spent five years at the forefront of AI models, agents, and APIs, previously contributing to Stepson's acquisition and navigating high-growth (and high-failure) startups like Bridge Connector. A self-described "health guru and status quo disruptor," Sam draws from shadowing his orthopedic surgeon uncle to build transparent, tech-driven solutions for independent workers and physicians.🔗 Connect with Samuel Hill:Website: https://www.mollihealth.comLinkedIn: http://linkedin.com/in/samuelgarretthillAbout the Host:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Connect with Leo Damasco:Leo@telemedicinetalks.com https://www.telemedicinetalks.com The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You’re an institution. Time to invest like one.__________________________________________________What’s next for telemedicine as regulatory shifts and legal challenges reshape the landscape?In this Monthly Update episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco tackle critical developments in the telemedicine industry. They dive into the recent expiration of COVID-era telemedicine flexibilities for Medicare patients, which has reverted care to restrictive pre-COVID rules, requiring in-clinic visits and limiting home-based care. This shift, compounded by a government shutdown stalling potential extensions, threatens access for vulnerable patients, especially in rural areas, and could set back innovations like hospital-at-home programs. They also analyze the high-profile fraud trial of Done, a mental health telemedicine startup, where its founder and clinical president face charges over a $100 million scheme involving over-prescription of ADHD medications like Adderall. This case serves as a cautionary tale for physicians in startups, highlighting the critical need for compliance awareness to avoid legal and professional risks. Phoebe and Leo discuss the importance of clinicians educating startups on regulations, sharing their own experiences in product development and compliance navigation. They also explore emerging trends, including a shift from direct-to-consumer models to B2B and cash-pay options, as patients grow frustrated with traditional insurance and seek affordable, accessible care. With respiratory season driving demand, telemedicine platforms face new pressures to adapt. The hosts wrap up by previewing upcoming episodes featuring physician assistants in business and a policy expert on payer dynamics, offering listeners a roadmap for navigating this evolving field.Three Actionable Takeaways:Telemedicine Flexibilities Expired: COVID-era waivers have ended, reverting to pre-COVID rules for Medicare, limiting home-based visits and potentially disrupting care, especially with the government shutdown delaying extensions.Done Trial Highlights Risks: The fraud trial of Done's founder and clinical president underscores dangers for physicians in startups, emphasizing the need for compliance and awareness to avoid legal pitfalls.Shifting Business Models: Telemedicine is moving from direct-to-consumer to B2B and cash-pay options, with physicians educating companies on regulations and preparing for increased demand in respiratory season.About the ShowTelemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.About the Hosts:Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.Connect with Phoebe Gutierrez:https://www.linkedIn.com/in/pkgutierrez/phoebe@telemedicinetalks.com (mailto:phoebe@telemedicinetalks.com) The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.