{"podcast":{"title":"Knock Knock, Hi! with the Glaucomfleckens","slug":"knock-knock-hi-with-the-glaucomfleckens-5910256","podcast_index_feed_id":5910256,"rss_url":"https://feeds.megaphone.fm/TCAHH7525935012","website_url":"https://glaucomflecken.com/podcast","image_url":"https://megaphone.imgix.net/podcasts/5531285c-6a13-11ee-be5b-57290dcac5b9/image/4c6ecd72c78f599d833d06882075eb4f.jpg?ixlib=rails-4.3.1&max-w=3000&max-h=3000&fit=crop&auto=format,compress","author":"Human Content","episode_count":345,"summary":"\"Knock Knock, Hi! with the Glaucomfleckens\" dives into the highs, lows, and WTFs of healthcare. Whether you're in the medical field, live with a healthcare worker, or broke your arm once and are still paying off your medical bills, this is a must-listen. Join Will and Kristin Flanary (aka the Glaucomfleckens) for candid chats with leading healthcare voices like Dr. Mike and Surgeon General Dr. Vivek Murthy. Discover fun facts about eyeballs, hear relatable stories from medical training, and sneak a peek into the U.S. health insurance industry (spoiler alert: it's not great!). We'll share our own perspectives of being a patient or family member experiencing the healthcare system. And, of course, we explore the question on everyone's minds: \"Why has Dr. Glaucomflecken never had his eyes dilated?\" Combining science with humor and a dash of snark, we unpack the human side of healthcare.","last_synced_at":"2026-07-30T18:19:11.114977+00:00","page_url":"https://stenobird.com/podcast/knock-knock-hi-with-the-glaucomfleckens-5910256"},"episode":{"title":"Knock Knock Eye: The Top Five Malpractice Risks for Ophthalmologists","slug":"knock-knock-eye-the-top-five-malpractice-risks-for-ophthalmologists","published_at":"2026-07-30T09:00:00+00:00","page_url":"https://stenobird.com/podcast/knock-knock-hi-with-the-glaucomfleckens-5910256/knock-knock-eye-the-top-five-malpractice-risks-for-ophthalmologists","show_page_url":"https://stenobird.com/podcast/knock-knock-hi-with-the-glaucomfleckens-5910256","url":"https://p.podderapp.com/9752035609/traffic.megaphone.fm/TCAHH3557851010.mp3","audio_url":"https://p.podderapp.com/9752035609/traffic.megaphone.fm/TCAHH3557851010.mp3","summary":"Dr. Oz's proposed 2027 CMS rules dropped, and I've been waiting all week to get into them. The push toward value-based care and Accountable Care Organizations continues, but the headline for anyone in private practice is the multiple procedure cut: if you bill an E&M code and a procedure on the same day, Medicare now pays 100% for the more expensive service and only 50% for the other, regardless of modifiers, regardless of whether they're for two totally separate problems. That is a direct assault on independent practices, and every commercial insurer will follow Medicare's lead. There's one small win. Mandating real-time electronic prior authorization across Medicare Advantage, Medicaid, and ACA marketplace plans One head-scratcher...Medicaid work requirements of 80 hours per month starting January 2027, which I suspect will land squarely on physicians' documentation burden. Also, everyone say it with me: physician compensation is 10% of U.S. healthcare expenditure. After the break, medical malpractice for ophthalmologists. A colleague just came out of a settlement, and it got me looking at the top drivers of ophthalmology lawsuits: cataract surgery complications, missed or delayed retinal detachments, glaucoma management failures, and post-op infections. The uncomfortable truth: the only way to avoid surgical complications is to not operate, and sometimes even perfect communication and documentation don't stop a lawsuit. But they help. Takeaways: The proposed 2027 CMS rules would pay only 50% for a second same-day service when an E&M visit is billed alongside a procedure, regardless of modifier, effectively a major reimbursement cut that will hit independent private practices hardest and be adopted by commercial insurers Physician compensation accounts for ju…","meta_description":"Dr. Oz's proposed 2027 CMS rules dropped, and I've been waiting all week to get into them. The push toward value-based care and Accountable Care Organizat…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2147,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/knock-knock-hi-with-the-glaucomfleckens-5910256/episodes/knock-knock-eye-the-top-five-malpractice-risks-for-ophthalmologists/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/knock-knock-hi-with-the-glaucomfleckens-5910256/knock-knock-eye-the-top-five-malpractice-risks-for-ophthalmologists.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}