Afleveringen
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Who really drives change in a general practice?
In this episode, Ami and Zac tackle one of the biggest leadership challenges facing healthcare businesses: when does listening to your team become allowing your team to dictate the direction of the practice? (or the tail wag the dog)!!
They explore the balance between supporting staff and doctors through change and recognising when ongoing resistance begins to hold the business back. How much time should leaders invest in bringing everyone along before making the decision to move forward regardless?
The conversation then takes an unexpected turn into one of general practice's most debated topics: who should discuss fees with patients?
Should GPs confidently explain their billing decisions as part of the consultation, or is it more efficient to leave those conversations to an experienced administration team?
Ami argues that doctors should focus on medicine, while trained support staff handle the financial discussions to create a smoother patient experience. Zac believes doctors need to become more comfortable having transparent billing conversations and that avoiding them ultimately undermines private billing success.
It's a passionate debate with strong arguments on both sides.
Key Topics
Who really drives change within a medical practice? How long should leaders tolerate resistance before making difficult decisions? Should doctors discuss fees directly with patients? The impact of billing confidence on private practice success The role of reception and administration teams in financial conversations Creating a consistent patient experience around billingWe'd love to hear your thoughts.
Should doctors confidently discuss their fees with patients, or should those conversations be handled by the practice support team?
Join the conversation by connecting with Practice Partners on LinkedIn or Facebook, or send us your thoughts. Your feedback might even feature in a future episode.
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The new financial year brings more than just award remuneration increases. It is also the ideal time to review employment contracts, HR documentation, policies, and accreditation readiness.
In this episode, Ami and Zac walk through a practical approach to implementing annual pay increases, communicating changes with staff, and ensuring your practice remains compliant. They also discuss why July is the perfect opportunity to audit employee records before accreditation and future workforce requirements catch you by surprise.
Whether you're a Practice Manager, Practice Owner or HR Lead, this episode provides practical advice you can implement immediately.
In this episode we cover:
Understanding the 2026 Fair Work Award wage increases Who should, and should not, receive a pay increase Managing above-award employees fairly and consistently Calculating wage increases using a simple payroll spreadsheet Communicating pay increases professionally with your team Common mistakes practices make during annual pay reviews Reviewing employment contracts and HR documentation Preparing staff files for accreditation and compliance Tracking mandatory training, immunisations and certifications Upcoming accreditation changes and what practices should be planning for nowWho should listen?
Practice Owners Practice ManagersHR ManagersMedical Practice AdministratorsAnyone responsible for payroll, compliance or accreditation within general practiceSupport the show
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Zijn er afleveringen die ontbreken?
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In this episode of the Practice Partners Podcast, Ami and Zac are joined by two-time guest, James Gillespie - Founder of Cleanbill, to unpack the findings from Cleanbill's latest electorate breakdown report and what it reveals about bulk billing, out-of-pocket costs, and healthcare accessibility across Australia.
Together, they explore why Cleanbill developed electorate-level reporting, how transparent healthcare data is helping patients make more informed decisions, and why practices can benefit from understanding how they compare within their local market. James also shares how Cleanbill has evolved beyond a bulk billing directory into a comprehensive healthcare platform featuring practitioner profiles, accessibility information, opening hours, clinic biographies, and more.
The conversation examines one of the report's most significant findings: while bulk billing rates have increased, patient out-of-pocket costs continue to rise. Zac, Ami and James discuss the realities facing general practice, including increasing operating costs, Medicare incentives, mixed billing models, and the ongoing challenge of delivering financially sustainable primary care.
The episode concludes with an exciting look at what's next for Cleanbill, including quarterly reporting, enhanced practice analytics, and new service-based search capabilities designed to help patients find specific services such as iron infusions, chronic disease management, and other specialised care.
Key takeaways
Why healthcare transparency benefits both patients and practices.How electorate-level reporting provides more meaningful insights than national averages.Why bulk billing rates have increased while patient out-of-pocket costs continue to rise.How practices can use benchmarking data to improve accessibility, patient experience, and competitiveness.What's next for Cleanbill and how new analytics will provide practices with more actionable insights.Associated Links
Cleanbill Data: https://cleanbill.com.au/cleanbill-dataUpdate your listing (free): https://cleanbill.com.au/update-listing-detailsClaim your listing (free): https://cleanbill.com.au/clinic-portalEpisode timestamps
02:24 Why Cleanbill created electorate breakdown reports
04:22 What Cleanbill is really trying to achieve
08:28 Transparency, competition, and attracting the right patients
14:08 Cleanbill's new analytics dashboard and electorate comparisons
17:17 How practices can claim and manage their Cleanbill listing
20:00 Why out-of-pocket costs are increasing despite higher bulk billing rates
24:04 Medicare incentives and the challenge of practice sustainability
27:24 Funding pressures, urgent care, and the strain on general practice
35:07 How government and policymakers are using Cleanbill data
47:12 What's next for Cleanbill: quarterly reporting, richer analytics, and service-based search
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Leadership Fatigue: The Silent Threat Facing High-Performing Leaders
Leadership can be incredibly rewarding, but it can also be exhausting. In this episode, Ami Assigal and Zac Pandur unpack the reality of leadership fatigue, exploring the warning signs, stages, and practical strategies leaders can use to avoid burnout while continuing to lead effectively.
Drawing on their own experiences in healthcare and business leadership, Ami and Zac discuss why many leaders become trapped in reactive cycles, how teams can unintentionally become dependent on their leaders, and the importance of creating accountability, resilience, and sustainable leadership habits.
The conversation examines the progression from enthusiasm and drive through to frustration, disengagement, and burnout, while offering practical solutions to help leaders regain control, improve communication, and build stronger, more independent teams.
Whether you're leading a medical practice, managing a business, supervising a team, or simply looking to become a better leader, this episode provides valuable insights into protecting your energy and maintaining long-term effectiveness.
In this episode:
• What leadership fatigue is and why it affects so many leaders
• The five stages of leadership fatigue and how to recognise them
• Common signs of burnout and emotional exhaustion
• Why leaders often unintentionally create team dependency
• The role of accountability and ownership in high-performing teams
• Practical communication strategies for difficult conversations
• How to navigate resistance to change and maintain momentum
• Building leadership systems that reduce stress and improve outcomesKey Takeaway:
Leadership fatigue rarely happens overnight. It develops gradually through repeated stress, poor boundaries, and excessive dependence from teams. The most effective leaders recognise the warning signs early, communicate clearly, empower others, and build systems that allow both themselves and their teams to thrive.Support the show
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Navigating the 2026 Backflip: Industry Changes and Practice Preparedness
Just weeks before significant healthcare reforms were due to take effect, the Australian healthcare industry witnessed a dramatic policy reversal. In this extra episode, Zac and Ami unpack the government's latest Medicare backflip, the confusion surrounding Assignment of Benefit reforms, and what practices need to be doing right now to prepare for the changes ahead.
From compliance concerns and patient communication to fee reviews, bulk billing pressures, and rising operational costs, this episode provides practical advice for practice owners, managers, and healthcare leaders navigating an increasingly complex environment.
In this episode:
What changed with the government's Medicare reform agenda and why it mattersThe Assignment of Benefit confusion and common industry misconceptionsWhy many practices may have misunderstood the practical impact of the reformsPreparing for July 1 fee increases across Medicare, wages, insurances, and subscriptionsBulk billing trends across Australia and the financial realities facing practicesCommunication strategies for discussing fee changes with patientsFinancial forecasting and maintaining practice viability during uncertaintyThe importance of leadership, financial literacy, and strategic planningTechnology, innovation, and operational efficiencies that can support profitabilityPractical actions practices can take immediately to stay aheadWhether you're a practice owner, manager, GP, or healthcare leader, this episode offers timely insights to help your business remain compliant, financially sustainable, and prepared for whatever comes next.
Resources & Links
RACGP Webinar: July 1 Changes & Verbal Consent RequirementsCyber Insurance Resources with Meena Wahi: [email protected]Support the show
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Medicare’s Biggest Billing Change in Years? What Every Practice Needs to Know
From 1 July, the way practices obtain and record Assignment of Benefit (AoB) consent is changing... ever so slightly, marking one of the "most significant Medicare administration updates in history".
In this episode, Ami Assigal and Zac Pandur unpack what the new digital consent framework means for general practice, how software vendors are adapting, and what practice owners, managers, and clinicians need to do to remain compliant.
The discussion explores the move away from traditional paper-based processes, the increasing role of practice management systems, patient consent requirements, record keeping obligations, and the potential impact on fraud prevention and accountability. Ami and Zac also dive into the often-overlooked SMS Sender ID reforms at ACMA and why practices should act now to avoid disruption to patient communications.
Whether you're a GP, practice manager, nurse, receptionist, or healthcare business owner, this episode provides practical insights into the operational and compliance changes that will affect every Australian general practice.
In this episode:
• What Assignment of Benefit actually means and why it matters
• The new digital consent requirements commencing 1 July
• How Best Practice, HotDoc, Tyro and other systems are adapting
• Record keeping and compliance obligations for practices
• Potential risks, benefits and fraud considerations
• SMS Sender ID changes and what ACMA practices must do before the deadline
• Practical steps to prepare your practice for implementationKey Takeaway:
The new AoB framework aims to modernise Medicare claiming and improve patient consent processes, but successful implementation will require practices to understand their obligations, update workflows, and ensure their technology partners are ready.Support the show
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In this episode, Zac Pandur and Ami Assigal unpack the evolving world of healthcare marketing and the ongoing debate between managing marketing internally or partnering with external agencies. From social media strategy and branding to compliance, analytics, and long-term practice growth, this episode provides a practical look into what actually works in modern healthcare marketing.
The discussion explores the strengths and limitations of both internal teams and outsourced marketing providers, including the importance of understanding your current position before investing heavily into campaigns or branding. Zac and Ami also discuss the growing role of analytics tools, the risks of poor marketing advice, and why authenticity and compliance remain critical in healthcare.
Whether you’re a practice owner, manager, or healthcare entrepreneur, this episode offers practical insight into building a sustainable and effective marketing strategy.
Key Discussion Points:
• Pros and cons of internal marketing teams
• Benefits and risks of external marketing agencies
• How to assess your current marketing performance
• Building an effective healthcare brand
• Compliance considerations in healthcare marketingResources Mentioned:
Google Analytics: https://analytics.google.com/
Meta Business Suite: https://business.facebook.com/
AHPRA: https://www.ahpra.gov.au/
TGA Guidelines for Alternative Medicine Marketing: https://www.tga.gov.au/Support the show
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Find any resources discussed in this podcast, and all of our other resources at https://www.practicepartners.com.au/resources/ -
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This week, Zac Pandur and Ami Assigal discuss the hidden risks of walking intellectual property within general practice and business operations.
The episode explores how knowledge, processes, policies, procedures, and operational know-how can easily “walk out the door” when staff leave, and why strong SOPs, documentation, and handover processes are critical for protecting business continuity.
The team also touches on:
Staff handovers and operational gapsWhether employees should work notice periodsBuilding systems that reduce reliance on individualsPlenty of laughs along the wayCelebrating Ami’s 40th birthday 🎉Key Takeaway
If important knowledge only exists in one staff member’s head, it is a business risk. Strong systems and clear documentation protect both the team and the business.
Support the show
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In Episode 82 of the Practice Partners Podcast, Zac Pandur takes on a solo discussion around one of the biggest challenges facing healthcare teams today: negativity in the industry and why positivity matters more than ever.
With increasing operational pressure, staffing shortages, burnout, and rising patient expectations, many healthcare environments have fallen into a cycle of stress, frustration, and reactive culture. In this episode, Zac explores how negativity impacts team morale, leadership, patient experience, and long-term business performance, and why leaders must take responsibility for shaping a more constructive workplace culture.
This is not about toxic positivity or ignoring real problems. It is about creating resilient teams, improving communication, and building workplaces where people feel supported, valued, and motivated despite the pressure.
Zac discusses:
Why negativity spreads quickly in healthcare environments The operational impact of poor workplace culture The difference between realism and pessimism How leadership behaviour shapes team morale Practical ways to improve positivity within practices and healthcare businesses Why culture is becoming a competitive advantage in healthcareA practical and honest conversation for practice owners, managers, healthcare leaders, and team members looking to improve culture and performance in an increasingly demanding industry.
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In this episode, Zac Pandur and Ami Assigal break down the realities of GP recruitment and why most clinics get it wrong.
From ineffective reference checks to poor alignment and cultural misfits, this conversation focuses on the practical steps required to hire well and reduce long-term risk when bringing doctors into your practice.
We cover:
• Why traditional reference checks are losing value and where they still matter for GPs
• How to identify early “yellow flags” and manage red flags within the first 6 to 12 months
• Aligning clinical interests, billing style, and expectations before onboarding
• How to run structured, effective reference conversations
• Recruiter vs practice-led reference checks
• Trial periods and ongoing review vs traditional probation
• Cultural fit and personality in long-term success
• Key legal considerations when engaging doctorsWe also speak honestly about:
• The lack of transparency across healthcare recruitment
• Why most references are overly positive and lack real insight
• The risk of hiring for convenience rather than alignment
• The long-term cost of cultural misfitsIf your practice is hiring or considering bringing on new doctors, this is a necessary reset. Structured recruitment, strong alignment, and disciplined processes are critical to building a stable and high-performing clinical team.
Support the show
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In this episode, Zac Pandur and Ami Assigal break down the recent RBA surcharge changes announcement and what they actually mean for general practice.
With shifts in payment processing rules and increasing cost pressures, practices need to reassess how they approach billing, surcharges, and patient communication. This episode focuses on the practical steps required to stay compliant while maintaining financial stability.
We cover:
• What the RBA surcharge changes are and how they impact your practice
• The real cost of payment processing and how to manage it
• Fee adjustments and when they are necessary
• How to communicate pricing changes clearly to patients
• Supporting your team with consistent messaging and scripting
• Financial discipline and maintaining profitability in a changing environmentWe also speak honestly about:
• Why “consistent messaging is key when communicating fee changes”
• The importance of equipping your team, not leaving them exposed
• “Back yourself in pricing and know your practice's worth”If your practice hasn’t reviewed its billing structure recently, this is a necessary reset. Clear pricing, strong communication, and confident leadership are critical in the current environment.
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Risk in healthcare is not theoretical. It is operational, daily, and often hiding in plain sight.
In Episode 79, Zac Pandur and Ami Assigal take a structured look at risk management in general practice, focusing on compliance, staff accountability, and the increasing scrutiny around Medicare and Assignment of Benefit.
As regulations tighten, practices that lack discipline in their processes will be the first exposed.
We cover:
• The real sources of risk in medical practices today
• Assignment of Benefit changes and what they mean for your clinic
• Medicare compliance and audit preparedness
• Staff training, accountability, and behavioural risk
• The intersection of HR, compliance, and operational control
• Practical steps to assess and mitigate risk across your practiceWe also speak honestly about:
• Why staff behaviour is one of the biggest uncontrolled risks in clinics
• The gap between “knowing” compliance and actually executing it
• The ownership burden, and why risk ultimately sits with youIf you are not actively managing risk in your practice, you are accepting it. This episode gives you the framework to take back control.
Support the show
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Most practices do not fail from big, obvious issues. They drift through small, unnoticed problems that compound over time. Spot checks are the mechanism that stops that drift.
In this episode, Zac and Ami break down how to implement structured, meaningful spot checks that uncover issues early and drive accountability across your team.
We cover:
• What effective spot checks actually look like in a real practice
• How to audit Medicare registrations, billing patterns, and appointments
• Identifying revenue leakage through small operational gaps
• Reviewing cleanliness, patient experience, and front desk performance
• Building simple routines that can be repeated consistently
• Turning spot checks into a proactive management tool, not a reactive fixWe also speak honestly about:
• Why most spot checks are superficial and miss real problems
• The risk of ignoring overdue accounts, billing errors, and compliance gaps
• How lack of oversight leads to cultural and performance decline
• The difference between micromanagement and structured accountability
• Why consistency in checks matters more than intensityThis is a practical, operational episode focused on giving you clear actions you can implement immediately. Spot checks are not about control. They are about visibility, consistency, and protecting the long-term performance of your business.
If you are not actively reviewing your systems, you are relying on luck. That is not a strategy.
Listen now and put structure around one of the simplest ways to improve performance, reduce risk, and protect revenue.
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This episode takes a different approach.
Zac and Ami run through a rapid-fire round of true or false questions, unpacking some of the most common assumptions in general practice and challenging what actually holds up in the real world.
Each question opens up a deeper conversation around performance, efficiency, and where practices are quietly losing money.
We cover:
• Whether busy clinics are actually profitable
• If more patients really equals better performance
• The role of nurses in driving revenue and efficiency
• How much impact systems and software really have on outcomes
• Why practice managers can make or break performance
• Where hidden opportunities sit within your current operationsWe also speak honestly about:
• The gap between perception and reality in most practices
• Why activity often gets mistaken for productivity
• The operational inefficiencies that go unnoticed day-to-day
• How culture influences performance more than most realise
• The risks of running without clear structure and accountabilityThis format is fast, direct, and practical. No overcomplication, just clear insights tied to real operational challenges.
If you want a sharper lens on what is actually working in your practice, and what is not, this episode will give you exactly that.
Listen now and pressure test your own assumptions against what actually drives results.
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Hiring friends or family sounds simple. In reality, it is one of the quickest ways to damage culture, create tension, and lose control of standards if handled poorly.
In this episode, Ami and Zac break down how to approach these situations with structure, clarity, and discipline so you protect both the relationship and the business.
We cover:
• When hiring friends or family actually makes sense, and when it does not
• Setting clear boundaries from day one to avoid blurred roles
• How to create proper job descriptions, KPIs, and accountability early
• Avoiding favouritism and maintaining fairness across the team
• Managing performance issues without damaging personal relationships
• Why documentation and structure matter more in these scenarios
We also speak honestly about:
• The emotional bias that leads to poor hiring decisions
• How delays in addressing issues make things worse
• The risk to team culture when standards are not applied consistently
• Handling resignations or fallout when things do not work out
• Why professionalism must override personal relationships
This is a practical discussion for business owners and managers who want to avoid the common mistakes that come with hiring people they know. Done right, these hires can work. Done poorly, they create long-term damage.
If you are considering bringing a friend or family member into your business, or already have, this episode gives you a clear framework to manage it properly.
Listen now and take control of one of the most misunderstood areas of leadership.Support the show
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Flu season is one of the highest-volume, highest-demand periods in general practice. Most clinics underestimate the level of planning and structure required to run it properly.
In this episode of the Practice Partners Podcast, Ami and Zac walk through the full flu clinic setup and delivery process, from early planning through to execution and follow-up.
We cover:
• How to plan flu clinics in advance to avoid stock issues and workflow bottlenecks
• Structuring appointment books to maximise throughput without compromising care
• Setting up efficient patient flow across admin, nursing, and clinical teams
• Vaccine ordering, storage, and cold chain management fundamentals
• Using data to track uptake, identify gaps, and drive recalls
• Managing high-volume days without overwhelming your team
• Aligning flu clinics with broader preventative health strategies
We also speak honestly about:
• Clinics running out of stock due to poor forecasting
• Underutilised nurse capacity during flu season
• Missed revenue and patient engagement opportunities
• Lack of clear ownership across the team
• Compliance gaps that create clinical and business risk
If you are a practice owner, manager, nurse, or GP preparing for flu season, this episode provides a clear, practical framework to set your clinics up properly.Support the show
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Recurring problems are one of the biggest frustrations in healthcare practices.
In this episode of the Practice Partners Podcast, Ami and Zac unpack why the same operational issues keep resurfacing in clinics and what practice owners and managers can actually do to stop the cycle.
From staffing gaps and rostering chaos to communication breakdowns and unclear processes, many practice problems are not caused by people. They are caused by systems that were never clearly defined, implemented, or followed through.
We cover:
• Why the same operational issues keep reappearing in healthcare practices
• The real root causes behind staffing, scheduling, and workflow breakdowns
• Why unclear processes create stress, confusion, and inconsistency for teams
• The role of SOPs and systems in preventing recurring operational problems
• Why follow-through is one of the most underrated leadership skills in healthcare
• Building trust with teams through clarity, consistency, and accountability
• How hands-on leadership helps identify issues before they become bigger problemsWe also speak honestly about:
• The daily “spot fires” that practice managers constantly deal with
• Staff disengagement and the warning signs leaders often miss
• Ethical dilemmas and complaint handling in real clinic environments
• Why many practices fix symptoms instead of solving the underlying issueIf you are a practice owner, manager, or healthcare leader, this episode provides practical insight into identifying recurring issues and putting the right structures in place to prevent them.
Running a healthcare practice will always involve challenges.
But when systems are clear and leaders follow through, problems stop repeating themselves.
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Nurses are one of the most underleveraged assets in general practice.
In this episode of the Practice Partners Podcast, Ami and Zac unpack what optimal nurse utilisation actually looks like in the real world and why it directly impacts patient care, workflow efficiency, and profitability.
We cover:
• What the ideal GP to nurse ratio looks like and why it varies by practice size and service mix
• How to structure nurse appointment books for flow, not chaos
• The difference between busy nurses and productive nurses
• Reducing care plan time using IT tools, templates, and process design
• Balancing clinical tasks versus administrative creep
• How confidence, training, and scope clarity change everything
• Building proactive and opportunistic care into everyday consultsWe also speak honestly about:
• Underutilised nurses and the silent cost to your practice
• Doctor hesitation and its downstream effect on workflow
• Bringing nurses into clinical meetings and decision making
• Structuring handovers to maximise appointment timeIf you are a practice owner, manager, GP, or nurse wanting to tighten operations and improve patient outcomes, this episode gives you practical, implementable insights.
Optimising your nursing team is not about adding more people.
It is about using the people you have, properly.Support the show
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Facility fees are one of the most misunderstood and debated topics in general practice. In this episode of the Practice Partners Podcast, Ami Assigal and Zac Pandur unpack the legal, operational, and psychological realities behind charging facility fees, and why understanding them is critical for sustainable practice management.
We unpack:
What facility fees actually are and when they can be charged alongside Medicare rebatesHow treatment room budgeting influences fee decisionsThe psychology behind charging patients and why staff confidence mattersThe compliance considerations every practice must understandHow clear patient communication protects trust and reputationWe also talk honestly about:
Why some teams hesitate to charge and how that impacts financial healthThe risks of inconsistent messaging across reception, nurses, and doctorsThe importance of structured billing processes to prevent revenue leakageEducating staff so fees are explained with clarity and confidenceAdapting fee models to suit your practice environment and patient baseThis episode is for practice owners, managers, and healthcare leaders who want to strengthen their billing systems, improve communication, and build financially sustainable clinics.
Facility fees are not just about revenue.
When implemented correctly, they support quality care, operational stability, and long term viability.References: Medicare Explanatory Note GN 7.17
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In this episode of the Practice Partners podcast, Zac and Ami are joined by James Gillespie, CEO & Founder of Cleanbill.
We discuss the evolution of healthcare data tracking and the significance of transparency in the industry. We explore the origins of Cleanbill, the importance of data in understanding bulk billing practices, and the future of healthcare analytics.
The conversation highlights the role of Cleanbill in providing comprehensive data to both patients and clinics, emphasising the need for accurate information in making informed healthcare decisions.
Cleanbill originated from a need for better healthcare data tracking.The importance of transparency in healthcare billing practices is crucial.Bulk billing rates are not always indicative of patient access.Data collection methodologies have evolved significantly over the years.The Cleanbill portal allows clinics to update their information easily.Patients benefit from having access to comprehensive healthcare data.Useful Links:
Cleanbill Portal - https://cleanbill.com.auCleanbill Clinic Portal - https://cleanbill.com.au/clinic-portal/loginSupport the show
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