Scaling Practice Management by Talkie.ai

When you're growing a practice, it's easy to let the numbers start making your decisions for you. Dr. Louis Gilbert refuses to. Dr. Louis Gilbert, founder and CEO of Cornerstone MD, is building a multi-location family medicine group across Houston and Pasadena, Texas - with a goal of opening a new clinic every year. He joins Jakub Grajcar to talk leadership, integrity, and growing a practice witho...

Most practices chase marketing tactics - SEO, ads, podcasts, webinars - before they ever settle on a strategy. Saul Marquez calls that the treadmill, and he says it's where most growth quietly dies. Saul spent two decades in medical device sales, left a VP role, and bootstrapped Outcomes Rocket into a global healthcare marketing agency - now 1,900+ interviews deep with founders, CEOs, and clinicia...

Can a nurse practitioner build more than a one-person practice that just replaces a salary? Amanda Guarniere says yes - and most NPs never find out because nobody shows them what's possible. Amanda is a Yale-educated NP with 15 years of clinical experience, VP of Enterprise Partnerships at Guardian MD, and the founder of The Resume RX. She also runs her own wellness and aesthetics practice - so sh...

What does scaling Uber across 300 cities have to do with running a medical practice? More than you'd think. Cornelius Schmahl spent five years at Uber launching the service across Europe and Africa, finishing as interim CEO of a national branch where he led a $3.7 billion merger. He went on to become COO of a telemedicine company, made 100+ angel investments, and now coaches founders of high-growt...

What if you could design a primary care practice from a blank canvas - AI at the front door, overhead at half the industry average, and every minute saved reinvested in the doctor-patient relationship? Dr. Zeshan Rajput is doing it. A physician, clinical informaticist, and MBA with 15+ years across EHR implementations and federal health IT strategy, he's now building New Hope Primary Care in Colum...

Most practice managers got promoted into leadership without anyone teaching them how to lead. The result is real, daily knowledge gaps that quietly cost practices in turnover, denied claims, and legal exposure. Mike Lyons, SPHR - founder of Seasoned Advice and host of Eye Care Leadership Live - spent nearly six years building the HR function at Austin Retina Associates before going independent. He...

Is your practice website quietly setting up the next HIPAA lawsuit - and is your marketing message actually landing with patients who don't yet know they need you? Tim Bouchard, CEO of Buffalo-based agency Luminus and host of the Healthcare Marketing Edge podcast, joins Jakub to share 20+ years of healthcare marketing lessons. From building patient-centric brand messages to fixing the analytics se...

What does it actually look like when a practice puts culture first - not as a slogan, but as an operating system? Dr. Joy Evers - board-certified emergency physician, CEO and founder of Healthtopia Clinics, and host of the Your Doctor Wants to Quit podcast - joins Jakub Grajcar to share how she built a four-location integrative primary care practice serving 35,000 patients in Southern California....

Most practices know they should be doing more with technology. Fewer have actually built it out. Dr. Elizabeth Edens - Founder of Health Meets Wellness and Medical Director at TouchCare Method - has. She joins Jakub to walk through what a fully digitized patient journey actually looks like in practice: a custom mobile app, an AI health coach, wearable integrations, and touchpoints that keep patien...

Why is the direct primary care (DPC) model gaining so much popularity? And what does it actually take to scale a direct primary care practice - from a single clinic to an 11-location organization with nearly 30 providers? Dr. Kyle Rickner, co-founder and chairman of Primary Health Partners, joins Jakub Grajcar to share the full story. From the decision to leave the fee-for-service world, to the ve...

What's quietly burning out your best clinicians - and what can practice managers actually do about it? Justin Lambert, CEO at Nomad Health - a leading digital marketplace with access to over 400,000 qualified clinicians - joins Jakub Grajcar to dig into the staffing and flexibility challenges that don't always show up on a P&L. From how to triage patient calls the right way to why travel clini...

What does healthcare marketing strategy look like when you can't promise a happy ending? Jennifer Knowlton, Director of Digital Marketing at The Care Team and a 20-year healthcare marketing veteran, joins Jakub to pull back the curtain on one of the hardest niches in the industry: post-acute and hospice care marketing. From navigating HIPAA constraints to building a patient acquisition strategy th...

What's the point of investing in marketing if your front desk lets the leads slip away? Cheri Cobb, founder of Cheri Cobb Creative and a 15-year veteran of healthcare growth strategy, joins Jakub Grajcar to expose the gap that's quietly costing medical and aesthetic practices thousands in lost revenue every month. We dig into: 📊 Why your lead-to-consultation rate matters more than your Instagram...

Follow us for more practice management advice! In this episode, Jakub Grajcar sits down with Melissa DelFino, founder of Modern Distinction, a practice management and leadership consulting brand. Melissa’s mission is to help medical leaders move past "analysis paralysis" to create systems, culture, and teams that actually work. We dive deep into the often-overlooked "human" side of practice manage...

Follow/rate the show for more practice manager tips! In this episode, Jakub Grajcar sits down with Amanda Buchanan, Director at Voyage Practice Management, a full-service medical billing company. With over 24 years of experience in healthcare management—including 16 years running a large ambulatory surgical center—Amanda shares her expert playbook for practice growth. We dive into why the right so...

In this episode, healthcare success and compliance consultant Jacqueline Waterhouse, COT, joins Jakub Grajcar to dismantle the idea that compliance is just a "boring administrative hurdle." With over 25 years of industry experience—ranging from clinical work as a Certified Ophthalmic Technician to high-level consulting—Jacqueline shares why a "culture of compliance" is actually the secret to scali...

In this episode, host Jakub Grajcar sits down with Tiffany Burke, an independent consultant with 22 years of experience in healthcare IT and practice management. As an expert in Athena Health implementations, Tiffany shares her playbook for helping practices grow smarter. We dive deep into why staying ahead of trends is the key to success , how to make tough but necessary staffing decisions , and...

In this episode, Jakub Grajcar sits down with Sanjeet Kumar, CEO of OnSure Health LLC and a 20-year veteran in US healthcare. Sanjeet shares his expert playbook for practice growth, built from over two decades of experience in revenue cycle management. He breaks down the critical steps new practices must take before opening their doors and how existing practices can stop revenue leaks they don't e...

In this episode, Evan Grossman, co-founder and Chief Product Officer at Affineon Health, joins Jakub Grajcar to break down how AI-driven inbox solutions are transforming physician workflows and practice efficiency. From reclaiming hours spent on administrative work to freeing up time for strategic growth, Evan shares practical strategies for practice managers to maximize productivity. We cover: ⏱...

In this episode, healthcare strategist, speaker, and compliance expert Shereese Maynard joins host Jakub Grajcar to expose one of the biggest hidden barriers in practice growth—policy fatigue. From empowering frontline staff to automating repetitive tasks, Shereese reveals how practice managers can boost patient trust, stay compliant, and stop drowning in new regulations. We cover: 🔑 Why “trust i...

In this episode, Christina King, Vice President of Revenue Cycle Operations at Nevada Heart and Vascular Center, sits down with Jakub Grajcar to explore how successful healthcare practices must prioritize people over profit. Christina discusses how to cultivate an empathetic environment for both patients and staff, and how practices can leverage technology—without losing their human touch. We cove...

Jonathan S. Cummins has spent two decades helping practices and payers solve one critical problem: keeping patients engaged. As CEO at GuideUp Health and CRO/Partner at Incept Digital Marketing, he shares with Jakub Grajcar the real-world tactics practice managers can use to improve outcomes and grow revenue. We explore: 📊 Why traditional outreach leaves practice managers overwhelmed 📍 How geofe...

In this episode, Evan Steele, CEO of rater8, joins Jakub Grajcar to break down the do’s and don’ts of managing your practice’s online reputation. From why you should stop relying on QR codes to how AI overviews are rewriting the rules of patient search, Evan explains what practice managers must know to stay ahead. We cover: 🔍 Why fixing Google is the #1 priority for any practice 📊 How automation...

Veteran podcaster and Founder / Chief Editor of Healthcare IT Today, John Lynn, joins Jakub Grajcar to tackle one of the biggest questions in medicine today: what should AI be doing in healthcare? From replacing phone call hold music to diagnosing patients, John shares a visionary—and sometimes a pinch controversial—take on what’s ahead for medical practices. We unpack: 🤖 How AI scribes are alrea...

In this episode, independent Epic consultant and career coach Nacole Hodge joins Jakub Grajcar to unpack the twin challenges of silent burnout and clunky tech. From her workshop ‘Reclaim the You Behind the Badge’ to practical Epic automations, Nacole shows practice managers how to put people first and improve their ops. We cover: 💡 A simple monthly ritual that reconnects staff and patients 💡 Why...