In this episode, Dr. Brian McClain, founder and managing partner of Pinnacle Care Providers in Ohio, and Emily Rafferty, CEO of the new platform bringing Pinnacle together with Preferred Podiatry Group, share how a model of post-acute care built over decades became the foundation for a multi-state platform. Dr. McClain explains why staying the same was the bigger risk for a practice that had always improved, and how unscripted conversations with chief clinical officers across the Shore portfolio answered his concerns before he said yes. Emily describes why the work is personal for her and for most of the team, and how the platform plans to multiply the clinical model's impact through provider recruiting, technology, and relationships with the communities it serves. They also explain how physicians keep leading the clinical model through a clinical advisory board, and why growth in this business means more time with patients, not less. Finally, they look five years out, to a day when coordinated care delivered where people live is the standard rather than the exception.

Key Takeaways:

• Weigh the risk of staying the same against the risk of changing, because with an aging population and fast-moving technology, a practice that improves slowly gets left behind
• Vet a partner by talking unscripted with leaders already inside the portfolio and asking them anything, because trust built that way is what lets a mission-driven practice say yes
• Keep physicians leading the clinical model and give them a clinical advisory board, so practices in different markets learn from each other instead of being standardized from above
• Buy time for patients by stripping out work that adds no value, because proactive care drives both quality outcomes and financial results

Chapters:

1. 00:00 – Introduction
2. 02:15 – Why Post-Acute Care Is Personal
3. 07:37 – Bringing Pinnacle and PPG Together
4. 10:21 – Why Partner, and Ask Them Anything
5. 12:52 – Staying the Same Was the Bigger Risk
6. 16:17 – Doctors Lead the Doctors
7. 20:03 – Growth, Communities, and More Time With Patients

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You'll also find other Microcap Moments episodes, alongside our series Everyday Heroes and Bigger. Stronger. Faster., highlighting the people and stories that make the microcap space unique.

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