How do you transform a concierge-style medical practice into a team-based model that truly serves aging patients with chronic conditions?

In this episode of “PEMBA On Demand,” host Dr. Norman A. Chapin interviews Sandy Valino Stock, Managing Medical Director at OSF Complete Care 55 Plus. Sandy shares her journey from running a concierge-style direct primary care practice to leading a team-based, insurance-inclusive model that focuses on adults 55 and older living with chronic conditions. She offers insights on adapting care models to patient needs, implementing innovative programs, and balancing leadership with clinical work. The discussion also explores physician well-being, the value of mentorship, and strategies for building sustainable, patient-centered healthcare systems.

• Transitioning from a concierge-style direct primary care model to an insurance-inclusive system

• How to adapt healthcare practices to evolving patient needs and market demands

• Designing a unique care model for patients aged 55+ with chronic conditions at OSF Complete Care 55 Plus

• The impact of team-based care and cross-training staff on patient experience and efficiency

• Leveraging remote patient monitoring (RPM) programs for chronic condition management

• Addressing physician burnout and the role of self-care and mindfulness in practice

• Why mentorship and business acumen are essential for career transitions in medicine

• Growth and expansion plans for OSF Complete Care 55 Plus to serve an aging population

• Integrating telemedicine with personalized care strategies in modern healthcare

• Balancing clinical responsibilities with administrative leadership in physician roles

• Dr. Norman A. Chapin on LinkedIn
• PEMBA On Demand Podcast on Apple
• Sandy Valino Stock, DO, MBA on LinkedIn

In this episode of “PEMBA On Demand,” host Dr. Norman A. Chapin sits down with Dr. Thom Lobe—pediatric surgeon, entrepreneur, innovator, and founder of the T.E. Lobe Family Foundation—to explore how a family foundation can become a powerful engine for physician-led innovation. Dr. Lobe explains the trust-and-foundation structure that directs non-W2 income into mission-driven initiatives, why he chose a private family foundation, and the safeguards that ensure accountability. The conversation also highlights his three central missions: advancing early childhood education, expanding access to stem cell therapies for children, and developing an AI-enabled infant health monitoring device. Whether you’re considering your legacy, launching new ventures, or seeking sustainable ways to fund transformative care models, this episode offers both practical strategies and inspiring lessons.

• Why Dr. Lobe created a family foundation and how it differs from a public foundation or donor-advised fund

• The business trust → family trust → foundation flow for non-W2 revenue (and why trusts must be irrevocable)

• Governance basics: directors, annual filings, spending rules (the 5% minimum distribution), and audit trails

• Mission focus: early childhood education, need-based support for stem cell treatments, and an AI-driven infant monitor

• Inside the R&D model: funding engineers, building a prototype, planning FDA studies, and aiming for affordability & access

• Clinical lens on stem cells for neuroinflammation in autism and other conditions; importance of repeated treatments

• Practical lessons learned: choosing the right attorneys/accountants, state nuances, and avoiding common setup mistakes

• Vision & scale: multi-million-dollar grant goals, market outlook for infant monitoring, and building a legacy vehicle for family involvement

• Dr. Norman A. Chapin on LinkedIn
• PEMBA On Demand Podcast on Apple
• T.E. Lobe Family Foundation: lobefoundation.org

In this episode of "PEMBA On Demand," Dr. Joseph Nounou, a 2020 PEMBA graduate, shares his transition from anesthesia to founding Auros Pharma, a biotech startup tackling the opioid crisis with a novel medication. He discusses his motivations for pursuing an MBA, the challenges of launching a pharmaceutical company during COVID-19, and the personal and financial sacrifices involved. Dr. Nounou emphasizes the importance of physician leadership in drug development and his commitment to affordable, life-saving treatments, highlighting how business education empowered him to drive innovation and broader impact in healthcare.

• Transition from clinical practice in anesthesia to entrepreneurship in biotech.
• Founding of Auros Pharma to address the opioid crisis with a novel medication.
• Motivations for pursuing an MBA to gain business knowledge.
• Challenges faced during the COVID-19 pandemic and their impact on business management.
• Personal transformation driven by burnout and a desire for a more fulfilling career.
• The process of bootstrapping a pharmaceutical startup and financial realities involved.
• Importance of physician involvement in the pharmaceutical industry and drug development.
• Regulatory complexities and the FDA approval process for new medications.
• The role of physicians in promoting effective and cost-efficient prescribing practices.
• Future aspirations for Auros Pharma's medication and the impact of mentorship from the PEMBA program.

• Dr. Norman A. Chapin on LinkedIn

• PEMBA On Demand Podcast on Apple

• Dr. Joseph Nounou on LinkedIn

In this episode of "PEMBA On Demand," host Dr. Norman A. Chapin interviews Dr. Amanda Ryan, an interventional cardiologist and PEMBA alum, about her mission to transform rural healthcare in New Mexico. Inspired by her grandfather’s struggles, Dr. Ryan discusses founding an independent cardiology practice and nonprofit, building local healthcare pipelines, and leveraging business skills from her MBA. She shares insights on leadership, advocacy, and using media to educate patients. Dr. Ryan also reflects on overcoming professional challenges and outlines her future goals, including law school and writing a memoir to inspire others.

• Dr. Amanda Ryan's journey in transforming rural healthcare in New Mexico.
• The personal inspiration behind her career choice, influenced by her grandfather's heart condition.
• Challenges faced in establishing an independent cardiology practice in a rural setting.
• The importance of building professional relationships with other healthcare specialists.
• Initiatives to create a local pipeline of healthcare professionals through education and training.
• The founding and goals of the nonprofit organization Partners in Heart Health.
• Strategies for effective fundraising and community engagement to support healthcare initiatives.
• The role of her podcast, Homegrown Heart, in patient education and outreach.
• Insights on the impact of the Physician Executive MBA (PEMBA) on her career and business acumen.
• Future aspirations, including attending law school and writing a book to inspire others.

• Dr. Norman A. Chapin on LinkedIn

• PEMBA On Demand Podcast on Apple

• Dr. Amanda Ryan on LinkedIn

In this episode of "Pemba On Demand," host Dr. Norman A. Chapin interviews Martie Ross, Consulting Principal at PYA and Director of the Center for Rural Health Advancement. Together, they explore the evolution and challenges of alternative payment models (APMs) in healthcare, focusing on rural settings, value-based care, and the need for payer alignment. Martie shares insights on adapting APMs for rural providers, the importance of clinical transformation, and the future of mandatory payment models. The episode concludes with practical resources for healthcare professionals navigating payment reform and emphasizes the ongoing need for collaboration and innovation in healthcare delivery.

• Evolution of alternative payment models (APMs) in healthcare
• Impact of APMs on rural and safety-net providers
• Challenges and opportunities in implementing APMs in rural healthcare settings
• The role of the Affordable Care Act (ACA) in transforming healthcare payment structures
• Differences between primary care and specialty care in APM development
• Importance of collaboration among healthcare providers for effective patient care
• The significance of accurate data and benchmarks in evaluating APM effectiveness
• Barriers to commercial payer engagement in APMs
• Future directions for APMs, including mandatory episodic payment models
• Strategies for physician executives to navigate the transition to value-based care

• Dr. Norman A. Chapin on LinkedIn

• PEMBA On Demand Podcast on Apple

• Martie Ross on LinkedIn

In this episode of "Pemba On Demand," host Dr. Norman A. Chapin interviews Angie Caldwell, CPA and MBA, a leading expert in physician compensation design. Together, they explore the complexities of fair market value, the impact of technology and AI on physician work, and the challenges of creating sustainable, effective compensation models. Angie shares insights on pitfalls in plan design, the importance of stakeholder engagement, and adapting to evolving healthcare trends. The discussion emphasizes the need for thoughtful, transparent compensation strategies that align with both organizational goals and physician well-being.

• Physician compensation strategies and their complexities
• Fair market value (FMV) in compensation design
• Financial sustainability challenges in healthcare organizations
• Supply and demand issues for physicians in the healthcare market
• Impact of technology and artificial intelligence (AI) on physician work and compensation
• Common pitfalls in compensation plan design
• Importance of regulatory compliance in compensation models
• Trends in value-based care and upcoming payment model changes
• The role of advanced practice providers (APPs) in compensation considerations
• The significance of stakeholder engagement in designing effective compensation plans

• Angie Caldwell on LinkedIn

• Dr. Norman A. Chapin on LinkedIn

• PEMBA On Demand Podcast on Apple

• Washington Updates – June 13, 2025 (PYA)

In this episode of PEMBA On Demand, host Dr. Norman A. Chapin speaks with Dr. Robert Flora, Chief Academic Officer at McLaren Health Care and Professor of Obstetrics & Gynecology at Michigan State University College of Human Medicine. Together, they explore why traditional quality improvement (QI) strategies often fall short—and what it will take to lead meaningful change in modern healthcare.

Dr. Flora highlights the historical and systemic roots of today’s QI limitations, explains how rigid approaches fail to reflect the complexity of patient care, and introduces innovative frameworks like his “Nested Rapid Cycle Logic Model.” This episode empowers physician leaders with tools and insights for driving real, measurable change.

• Why standard QI approaches are no longer sufficient

• Moving from binary to systems-level thinking in clinical training

• Integrating social and structural determinants of health into care models

• Embracing data-driven, team-based strategies in leadership

• The role of QI training in preparing the next generation of physician leaders

• Recognizing external influences on healthcare quality and patient outcomes

• Long-term outcomes vs. short-term metrics: what really matters

• A hopeful vision for the future of quality improvement in healthcare

• Dr. Robert Flora on LinkedIn

• Dr. Norman A. Chapin on LinkedIn

• PEMBA On Demand Podcast on Apple

In this episode of "PEMBA On Demand," host Dr. Norman A. Chapin interviews Dr. A. Lee Hunter, Jr., a board-certified orthopedic surgeon and entrepreneur. Dr. Hunter shares his journey from clinician to founder of Hunter Med LLC, where he developed the innovative Elbow Lock device to improve elbow positioning during surgeries. He discusses the challenges of navigating FDA regulations and the importance of simplicity in medical device design. Dr. Hunter also reflects on how his MBA from the University of Tennessee has enhanced his business acumen. The episode offers valuable insights into the intersection of medicine and entrepreneurship.

• Transition from clinical practice to entrepreneurship in healthcare
• Development of the Elbow Lock device for improved surgical positioning
• Challenges faced in bringing a medical device to market, including FDA navigation
• Importance of simplicity in medical device design
• Insights into the regulatory landscape and patenting process for medical devices
• The role of an MBA in enhancing business acumen for healthcare professionals
• Experiences with marketing and distribution in the medical device industry
• Innovations aimed at improving patient care and surgical efficiency
• Reflections on the entrepreneurial journey and the importance of adaptability
• The intersection of medicine and entrepreneurship, highlighting physician leadership in healthcare innovation

Links and Resources:

• Physician Executive MBA at the University of Tennessee
• Dr. Norman A. Chapin on LinkedIn
• Dr. A. Lee Hunter, Jr. on LinkedIn