The New Healthcare

The New Healthcare is a podcast for doctors, residents, and medical students who believe medicine can be better—including through independent practice. Hosted by Dr. Adama Diarra, an internal medicine physician, the show explores how clinicians and the experts who support them are rethinking how care is delivered, how practices are built, and how we can reclaim autonomy, purpose, and humanity in medicine—while delivering better care for our patients and our communities.Each episode dives into the evolving world of private practices, concierge medicine, direct primary care, and other innovative practice models, including micro-practices, telehealth-first clinics, and hybrid systems. Through conversations with physicians and thought partners across healthcare, the podcast offers practical insights into building sustainable practices, navigating nontraditional career paths, and practicing medicine on your own terms.While the primary audience is clinicians in training and practice, the s

The New Healthcare is a health podcast hosted by Dr Adama Diarra, with 26 episodes on record and a Required Pod Score of 80.

Dr Adama Diarra hosts The New Healthcare, a health show with 26 episodes published.

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  Episode #4

  S2E4 A Mother Sold Her Land to Pay a Hospital Bill — Then Stopped Feeding Her Other Child with Athena Hall, MD

  Sep 1, 202650 minS2

  A mother in Rwanda sold her family's land and livestock to save one of her children — and had to stop feeding another to do it. That's the story that changed how Dr. Athena Hall thinks about healthcare. A pediatric hospitalist and urgent care physician, Athena spent a year in Rwanda during a global health fellowship, watching a "gold standard" Western medical model create hospital-acquired infections, financial ruin, and impossible choices for the families it was meant to help. She's carried that lesson home ever since — because the same broken math shows up here too: two-thirds of U.S. bankruptcies are tied to medical debt, and the specialty that actually saves the system money, primary care, is the one getting squeezed hardest. In this conversation, Athena and Adama dig into why healthcare's foundation — not just its policies — is misaligned with why people go into medicine in the first place. They talk about Alaska's Nuka System of Care and what happens when communities take back control of their own health systems, the power dynamics between doctors and patients, and why Athena thinks fixing any of this requires what she calls "cathedral thinking" — building something we may not live to see finished. It's a conversation about incentives, power, and what it actually takes to redesign a system from the inside — one relationship at a time. Adama Diarra, DO, FACP, DipABOM

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  Episode #3

  S2E3 The Muscle Group Nobody Talks About — Until It Stops Working

  Aug 17, 202642 minS2

  Episode Description Pelvic floor health affects everyone — but it's rarely discussed until something goes wrong. In this episode, Dr. Adama Diarra sits down with Dr. Isabel Hoyven Cisneros to break down what the pelvic floor actually does, why it matters for men and women alike, and why so many common symptoms go unaddressed simply because patients don't know to ask about them. Dr. Cisneros walks through the "five S's" of pelvic floor function, what a healthy pelvic floor looks like versus a dysfunctional one, and the surprisingly wide range of conditions tied back to this single muscle group — from incontinence and prolapse to pelvic tension, diastasis recti, and sexual dysfunction. She also shares the screening questions every clinician should be asking, the tools reshaping pelvic floor therapy today, and real patient outcomes that show just how transformative this often-overlooked area of care can be. This episode is a practical primer for physicians who want to recognize pelvic floor dysfunction in their patients — and a reminder that whole-person care means asking the questions patients don't always know to bring up themselves. Key Topics Why pelvic floor dysfunction goes unrecognized in everyday clinical visits The five S's: what the pelvic floor actually does What a healthy pelvic floor looks like vs. common signs of dysfunction Pelvic floor issues in men — an overlooked and undertreated area Pelvic floor tension: the lesser-known counterpart to weakness Diastasis recti, prolapse, and pressure management Sexual dysfunction and pain as pelvic floor symptoms, not standalone issues Screening questions physicians can start using today Innovative tools shaping the future of pelvic floor therapy

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  Episode #23

  S1E23 The Secret Fishing Hole: The 100-Year Legal Blueprint for Cash Medicine No One Told You About — with Jim Eischen, Esq.

  Jul 5, 20261h 9mS1

  Episode Description Most physicians building concierge or membership-based practices are operating without a map. They've been told to opt out of Medicare, keep their fees low, and pick a tribe — DPC, concierge, hybrid — without ever understanding that a compliant, tax-advantaged, bulletproof model for cash medicine has existed in federal law since 1913. No one told them about it. That changes today. In this episode, Dr. Adama Diarra sits down with James Eischen, Esq., founder of Eischen Law Office and one of the foremost legal authorities on concierge and membership-based medicine in the United States. With nearly four decades of legal experience and 17 years spent exclusively in this space, Jim breaks down what the major practice models — DPC, concierge, executive health, lifestyle and longevity — actually are under the law, why the names don't mean what you think they mean, and why the confusion in this space is not an accident. Jim explains the legal and historical framework that has protected annual and routine exam-based subscription medicine since 1965, why you almost certainly do not need to opt out of Medicare to run a cash practice, how to structure your patient agreement so that your patients can unlock FSA and HSA benefits from day one, and why pricing yourself too low may be quietly undermining your practice before it gets off the ground. This episode also covers the history most physicians have never heard — the corporate, political, and racial roots of why this model was kept hidden from most of the medical profession, and why the cost of that ignorance has been borne not just by physicians, but by the patients and communities they serve. If you have ever asked yourself whether you can charge a membership fee and still bill insurance, whether you need to opt out of Medicare, or what your patient agreement actually needs to say — this conversation is the one you have been waiting for. Dr Adama Diarra, DO, FACP, DipABOM

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  Episode #22

  S1E22 Why Four Doctors Quit the Machine — And What It Actually Cost Them.

  Jun 21, 202627 minS1

  After months of conversations with physicians building independent practices — a concierge doctor who makes house calls, a DPC physician who traded a 2,000-patient panel for one capped at 300, an internal medicine doctor in Bend offering 60-minute first visits, and a cancer survivor running a holistic practice out of a converted space — Dr. Adama Diarra noticed the same four themes surfacing again and again. In this solo recap episode, Dr. Diarra pulls those threads together into one conversation: autonomy as a deliberate trade-off rather than an escape fantasy, AI as a tool to sharpen clinical judgment rather than replace it, the patient relationship as the actual product of medicine, and the constant temptation to let your brand outrun your care. Along the way: how an extra 45 minutes of autonomy helped one doctor catch a missed aortic aneurysm, why "physically ill" is how one physician described her old inbox, and why none of the doctors featured on this show built a following before they built trustworthy care. A practical, story-driven episode for any physician, NP, or PA weighing what independence actually costs — and what it's actually for.

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  Episode #21

  S1E21 The New Healthcare-Your Brain on Hypnosis: Pain, Prediction, and the Science of State Change with James Harrison

  Jun 14, 20261 hourS1

  The New Healthcare | In this episode, Dr. Adama Diarra sits down with James Harrison, certified clinical hypnotist and author of Mental Foraging , to explore what clinical hypnosis actually is — and what it isn't. James strips away the pop-culture myths and grounds the conversation in contemporary neuroscience: predictive processing, allostasis, mirror neurons, and the stability-plasticity problem. The two discuss how hypnosis works as a guided state change that can help patients access their own capacity for pain modulation, habit updating, and emotional reconsolidation. Practical territory covered includes chronic pain, IBS, fibromyalgia, smoking cessation, and sleep — along with clear guidance on which patients are good referral candidates and which aren't. James also shares simple, in-office techniques any clinician can use to begin shifting a patient's relationship to their pain signal — right in the exam room. For physicians looking to expand their integrative referral network, this episode offers both the neuroscience rationale and the clinical roadmap to do it thoughtfully.

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