FHC #221: What 440 medical groups are saying about healthcare today

FHC #221: What 440 medical groups are saying about healthcare today

July 14, 2026 · 56 min

About this episode

Dr. Jerry Penso discusses the major concerns in healthcare today, including payment systems, access to care, and workforce challenges.

Dr. Jerry Penso leads one of the most influential organizations in American healthcare. As president and CEO of AMGA, the American Medical Group Association, Penso represents 440 medical groups and health systems that care for nearly 100 million Americans. That vantage point makes him an ideal guest for Season 11 of Fixing Healthcare with cohosts Dr. Robert Pearl and Jeremy Corr . This season’s guests are being asked what they are hearing from patients, clinicians and healthcare leaders right now. For Penso, three concerns rise above the rest: A payment system that is fundamentally broken. Worsening access to care. A workforce under severe strain. Penso begins with payment, especially Medicare and Medicaid. He explains that Medicare’s physician fee schedule has failed to keep up with inflation, leaving medical groups paid less in real terms while the cost of running a practice continues to rise. Medicaid cuts, he warns, will add further financial strain, especially for hospitals and medical groups that cannot choose which patients come through the emergency department or clinic doors. The second major concern is access. Penso describes emergency rooms backed up across the…

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