597 - General Practice in Transition: AI, Technology Adoption and Clinic Operations
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In this episode of Talking Health Tech, host Peter Birch sits down with Casey Going, a rural GP and founder of MBS Pro, to explore the evolving landscape of general practice in Australia. Casey shares his firsthand experience running a large, tech-integrated clinic in rural Queensland, emphasizing how operational pressures—especially staffing shortages and financial constraints—have made technology adoption not just beneficial but essential. He discusses the dual role of AI in general practice: as a tool to reduce administrative burdens and improve efficiency, while also serving as a recruitment magnet for younger, tech-savvy GPs. The conversation delves into the future of primary care, predicting a bifurcation between ultra-lean, AI-driven bulk-billing clinics and more personalized, technology-enhanced 'bougie' clinics that prioritize patient experience. Casey also unpacks the challenges of Medicare funding, accreditation, and the precarious financial margins in general practice, advocating for mentorship, cross-industry learning, and early adoption of AI to ensure long-term sustainability. The episode concludes with a forward-looking vision of practice ownership, where scale, specialization, and smart tech integration are key to survival in a rapidly changing healthcare ecosystem.
AI in general practice should be seen as a tool to enhance human care, not replace it—freeing staff from repetitive tasks to focus on patients.
Financial sustainability in GP clinics requires embracing technology early, especially AI, to reduce costs and improve billing accuracy.
The future of general practice may split into two models: ultra-lean, AI-run bulk-billing clinics and high-touch, tech-enhanced private clinics.
Practice owners should seek mentors outside of medicine to avoid siloed thinking and adopt innovative business practices.
Accreditation, while necessary, often adds administrative burden without proportional clinical value—processes need reform to focus on real quality.
Welcome & Episode Intro
Peter Birch introduces the episode, promotes the Talking Health Tech newsletter, and welcomes Casey Going, founder of MBS Pro and a rural GP, to discuss the future of general practice.
Casey's Background & MBS Pro's Mission
Casey shares his journey as a rural GP and founder of MBS Pro, a tech company focused on AI tools for general practice. He emphasizes the importance of testing technology in real-world clinic environments.
Rural Practice Challenges & Tech as a Solution
Casey discusses the operational pressures in rural general practice—staff shortages, financial strain, and patient access—arguing that tech adoption is not optional but a necessity for survival and recruitment.
The Three-Cornered Triangle of Practice Management
“When you're testing these things and when it gets going, your AI receptionist can do all sorts of funny things... It was telling patients we were in a town three hours over.”
Medicare Realities & the Myth of 'Free' Care
“A rebate for a standard consult... is $43 and that will get you 15 minutes of time... margins for general practice can be less than 5%.”
“A rebate for a standard consult... is $43 and that will get you 15 minutes of time... margins for general practice can be less than 5%.”
“I see a divide... one clinic is Mad Max and the other clinic is sort of like what is it Elysium when you're up in there.”
“Ignorance isn't the worst thing in the world. It's the illusion of knowledge.”
Host
Guest
MBS Pro
organization
Casey Going
person
Medicare
other
Talking Health Tech
media
Peter Birch
person
AI Receptionist
other
Services Australia
other
Clinimetrics
organization
Practice Owners Conference
other
RFCG
organization
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