98 épisodes
Dr. Mohit Joshipura on Building Scalable Telehealth: Clinical Integrity, Operations, and Profitability
29/07/2026 | 33 minOn the Underdog Physician podcast, host Anish interviews Dr. Mohit Joshipura, a dual board-certified internal medicine and obesity medicine physician and chief medical officer at OpenLoop, about his path from traditional outpatient practice in Dallas–Fort Worth (including experience after an Optum acquisition) to digital health leadership. Mohit describes early telemedicine exposure, then leading Oscar Health’s mid-2020 rollout of hybrid in-person/virtual care across multiple states during COVID, emphasizing cross-functional collaboration. He shares a framework for digital health leaders: clinical integrity, operational efficiency, and business profitability, with clinical integrity as non-negotiable, and advises clinicians to treat interviews as two-way culture assessments. For physicians interested in advising or investing, he recommends first working as a telemedicine clinician and learning licensure, credentialing, modalities, regulations, and controlled-substance considerations. He discusses telemedicine’s future adoption, reimbursement uncertainty, AI’s shift from generative to agentic workflows, startup success factors, work-life tradeoffs, licensure strategy including IMLCC, and his desired impact expanding virtual care responsibly.
00:00 Introduction and Welcome
01:17 Origin Story
04:10 Transition to Digital Health
06:44 Mindset Shifts for Physicians
09:18 Balancing Clinical and Business
12:44 Getting Started in Health Tech
15:43 Future of Telemedicine
19:24 AI in Healthcare
21:33 Startup Success Factors
24:14 Work Life Integration
28:05 50 State Licensure Strategy
30:57 Legacy and Final ThoughtsDr. Eve Cunningham on Physician Leadership, MedPearl, and Scaling Remote Patient Monitoring with Cadence
21/06/2026 | 36 minOn the Underdog Physician podcast, Dr. Eve Cunningham, MD, MBA, shares her path from Arizona to OBGYN training at Kaiser, faculty at UCLA, and nearly two decades in health systems leadership, including serving as chief medical officer for a 350-clinician Providence medical group. Frustrated by poor tech fit, she pushed into Providence corporate development, helped evaluate vendors and expand virtual care programs, and incubated MedPearl, a Providence-built clinical decision support platform that unifies patient chart data with guidelines and pathways to streamline care and referrals. She later brought Cadence to Providence and now serves as Cadence’s CMO, describing how scalable remote patient monitoring requires tech plus clinical services to manage alerts and integrate workflows, and noting the need to reduce barriers to digital innovation amid access and workforce crises.
00:00 Welcome and Guest Intro
00:49 Origin Story and OBGYN Path
01:50 Kaiser Training and Early Career
03:36 Leadership Rise and MBA Journey
05:08 Providence CMO to Tech Pivot
06:36 COVID Virtual Care and MedPearl Idea
08:21 Telehealth Portfolio and Cadence Partnership
12:56 Mentorship and Career Guidance
16:36 Is an MBA Worth It
18:38 Finding Purpose and Reinvention
21:57 Inside MedPearl Clinical AI Platform
25:28 Digital Health Startup Mistakes
29:58 Regulation AI and Access Crisis
32:07 Startup Life and Rapid Innovation
34:31 Legacy and Final AdviceLouis Green on Behavioral Finance, Diversification, and Building a Holistic Retirement Plan
03/06/2026 | 32 minOn the Underdog Physician podcast, host Anish interviews Louis Green, founder of Prestiq Wealth, a wealth advisor with CFA, CFP, and CPWA credentials and prior roles at Bankers Trust/Deutsche Bank, PNC, and UBS. Green shares his Brooklyn origins, interest in investing, and his move toward fiduciary, tech-enabled holistic planning at Savvy Advisors, plus his book Five Steps to Retirement Planning and mentoring with Savvy Ladies. He highlights common blind spots for high-income professionals such as short-term, undiversified day-trading behavior and tax implications of short-term gains. He advises doing deeper research or using diversified vehicles like ETFs and focusing on asset allocation. Trends discussed include buffered ETFs for downside hedging, direct indexing for tax-loss harvesting, and renewed attractiveness of fixed income with higher rates. They cover retirement and tax strategies (401(k)/403(b), solo 401(k), deferred comp, mega/backdoor Roth, HSA, donor-advised funds), estate planning basics, entrepreneurship planning and avoiding over-leveraged marketing, team culture, managing volatility by staying invested, and Green’s legacy goal of getting more people to have financial and retirement plans.
00:00 Welcome and Guest Intro
01:00 Louis Green Origin Story
02:47 Physician Money Blind Spots
04:06 Avoiding Day Trading Traps
05:40 Credentials and Planning Style
07:07 New Allocation Trends
08:57 Buffered ETFs Explained
10:27 Founding Prestiq Wealth
12:08 Aligning Portfolios With Life
14:10 Retirement Accounts and Taxes
17:13 Five Steps Book Takeaways
18:37 Family and Entrepreneur Scenarios
21:31 Building Teams and Culture
23:44 Mentorship and Work Rhythm
26:42 Handling Volatility and Timing
28:45 S&P 500 Run and Cycles
31:30 Legacy and Closing
Amazon book:
https://www.amazon.com/STEPS-RETIREMENT-PLANNING-Actions-Retirement-ebook/dp/B0DNVK48FW/?_encoding=UTF8&pd_rd_w=WRMPi&content-id=amzn1.sym.3a079c4e-f938-40c9-a0ed-01ef0e9528e9&pf_rd_p=3a079c4e-f938-40c9-a0ed-01ef0e9528e9&pf_rd_r=145-4756456-8694467&pd_rd_wg=k1Rix&pd_rd_r=cc05f83e-a4e9-430b-b5c1-a8cdf2f1e9ebDavid Norris on Building Affinion Health: AI Inbox Automation, Teams, and Engineered Luck in Healthcare Entrepreneurship
27/05/2026 | 34 minOn the Underdog Physician podcast, serial entrepreneur and investor David Norris—co-founder and CEO of Affinion Health (AI-powered inbox and workflow automation) and an Ernst & Young Entrepreneur of the Year winner—shares his entrepreneurial journey, emphasizing passion, perseverance, and team alignment over perfect planning or chasing money. He describes early lessons from building fraud-prevention checkout keypad systems, argues “engineered luck” comes from raising opportunity through great teams, and discusses the emotional realities of exits, including a near-IPO lost to a market crash. Norris explains Affinion’s AI agent triages EHR inbox work (labs, prescription renewals, and upcoming patient messaging), cutting inbox volume 40–50% and freeing about five hours weekly, while avoiding regulatory risk by following provider-defined protocols rather than making clinical decisions. He covers fundraising (a $5M round), competitive strategy (embedding into EHRs, low pricing), investor red flags, mentorship value, intense time-boxed work habits, and a legacy goal of improving patient care by better equipping providers.Dr. Rashika Bansal on Building HALT Clinic: Modern Metabolic Care, GLP-1s, and Physician Entrepreneurship
17/05/2026 | 32 minOn the Underdog Physician podcast, host Anish interviews Dr. Rashika Bansal about her path from India to U.S. training in internal medicine and an NIH endocrinology fellowship that shaped her focus on obesity and metabolism, followed by work at Cleveland Clinic and a move back to the Northeast. She explains why she launched HALT Clinic to deliver more streamlined, closely monitored weight management and metabolic care amid growth of telehealth weight-loss companies, compounded drugs, and social-media misinformation. Dr. Bansal discusses the value of ABOM certification, HALT’s protocols including body composition tracking, CGM-guided nutrition personalization, and lab monitoring, and potential expansion into longevity, stress management, yoga, and peptides. She shares startup lessons on bureaucracy, marketing, delegation, team-building, bootstrapping, and balancing business ethics with medicine, plus work-life integration, exercise habits, supplements, and a legacy goal of improving women’s health and empowering female physician entrepreneurs.
00:00 Welcome and Guest Intro
01:02 Origin Story and Training
02:50 Mentors and Finding Endocrinology
05:30 Exploring Career Options
07:46 Why Start Halt Clinic
10:11 ABOM and Obesity Expertise
12:10 Halt Protocols and KPIs
14:57 Startup Lessons and Team
17:45 Co-Founder and Early Mistakes
21:12 Scaling Without Losing Quality
22:48 Bootstrapping and Knowing Numbers
25:09 Work Life Integration and Wellness
29:35 Advice Legacy and Closing
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À propos de The Underdog Physician Podcast
The Underdog Physician podcast is for pre-med students, medical students, residents, and attendings who feel like they’re underdogs. I am a physician practicing in the US, hosting this podcast to be a source of inspiration for those willing to embrace their challenges and beat the odds no matter where they are in their entrepreneurial or academic journey. I will be discussing physician entrepreneurship and sharing the journeys of those who aspired to serve society in unique and creative ways. Listen as I interview amazing physicians who overcame great odds and are now doing amazing work.
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