Almost Clinical

There are very few people Vincent Buttaci admits to being afraid of. Healthcare lobbyist Laurie Clark is one of them. In this episode of Almost Clinical, hosts Vincent , John Leard i, and Paul Werner sit down with one of New Jersey's most respected healthcare advocates for a conversation that spans decades of legislative battles, regulatory challenges, pharmacy reform efforts, and hard-earned...

New Jersey’s new Integrated Healthcare Facility regulations are here — and they fundamentally change how outpatient healthcare services can be delivered across the state. In this episode of Almost Clinical, hosts Vincent Buttaci , John Leardi , and Paul Werner unpack what may be the most significant behavioral healthcare licensing reform New Jersey has seen in the last 20 years. The guys discuss:...

Patient complaints are inevitable. Catastrophes aren’t. Hosts Vincent Buttaci , John Leardi , and Paul Werner have seen patient complaints turn into licensing board actions, payer audits, malpractice claims, regulatory investigations, and even criminal exposure. And many of these started with a simple question about a bill, a scheduling issue, or a misunderstanding that was handled poorly by a pro...

Physician non-competes aren’t about fairness. They’re about leverage. In this episode of Almost Clinical, hosts Vincent Buttaci , John Leardi , and Paul Werner break down the reality behind physician restrictive covenants – what they’re supposed to do, what they actually do, and why they’ve gotten so aggressive. What used to be simple – one year, ten miles – has turned into multi-location, multi-s...

What happens when a neurotypical partner finds himself navigating two diagnosed ADHD partners? What does it look like when successful professionals discover later in life that the “quirks” they’ve worked around for decades have names, diagnoses, and treatment options? And if you’re a young professional - in law, healthcare, or any demanding field - trying to learn your craft while navigating stron...

Most licensing board letters are written to sound harmless when they are, in fact, anything but. In this episode of Almost Clinical, powered by Buttaci, Leardi, & Werner, hosts Vincent Buttaci, John Leardi , and Paul Werner break down what really happens when a professional licensing board comes knocking – and why even the most “innocuous” inquiry can spiral into something far more serious. Dr...

Every firm has an origin story. This one starts in a bathroom, involves a risky career move away from a stable Big Law job, and turns into a 20-year healthcare law firm that still works. In this episode of Almost Clinical, healthcare attorneys Vincent Buttaci, John Leardi, and Paul Werner reflect on the founding and evolution of Buttaci, Leardi & Werner, a healthcare law firm built without a r...

In the latest episode of Almost Clinical, hosts and healthcare attorneys Vincent Buttaci , John Leardi , and Paul Werner dissect the Eliminating Kickbacks in Recovery Act (EKRA) and what the recent Ninth Circuit decision means for behavioral health providers, labs, and investors. EKRA isn’t just another compliance acronym – it’s the law that upended how behavioral health operators, treatment facil...

Almost Clinical returns with a sharp look at what happens when physicians and other licensed healthcare providers trade ownership for employment. Buttaci Leardi & Werner healthcare attorneys and show hosts Vincent Buttaci, John Leardi, and Paul Werner unpack the realities of a profession where nearly 8 out of 10 physicians now work as employees. This episode cuts through the clichés and legale...

Behind every patient encounter lies a web of codes, regulations, and billing decisions that shape both care and cash flow. In this episode, healthcare attorneys Vincent Buttaci, John Leardi, and Paul Werner sit down with longtime collaborator and compliance powerhouse David Klein. David is the Founder and President of DK Coding & Compliance, Inc., co-founder of PayDC.com, and one of the sharpe...

In this milestone episode, Almost Clinical hosts Vincent , John , & Paul welcome the show’s first-ever guest: Anthony DeSena , CEO of Pax Health, a fast-scaling behavioral health platform. A former physical therapist turned operator, Anthony brings rare perspective as both a seller and buyer in private equity-backed healthcare transactions. Together, they explore the rapidly evolving landscape...

We’re officially into episode two of Almost Clinical, and we’re already going to jump fearlessly into the deep end, confronting one of the healthcare industry’s biggest regulatory threats: the False Claims Act. Through the FCA lens, what might begin as a routine audit can quickly escalate into a high-stakes fraud investigation. For providers, executives, and investors, the financial and reputation...

Almost Clinical is THE podcast where healthcare, law, and business converge - and a passion project of the legal minds behind Buttaci, Leardi & Werner . In this debut episode, Vincent , John , and Paul introduce themselves - not just as lawyers, but as business operators and healthcare translators - and the inspiration behind the entire show's concept. Our inaugural episode sets the stage...