597 - General Practice in Transition: AI, Technology Adoption and Clinic Operations

Talking HealthTech37mApril 6, 2026

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AI-Generated Summary

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.

Key Takeaways
1

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.

2

Financial sustainability in GP clinics requires embracing technology early, especially AI, to reduce costs and improve billing accuracy.

3

The future of general practice may split into two models: ultra-lean, AI-run bulk-billing clinics and high-touch, tech-enhanced private clinics.

4

Practice owners should seek mentors outside of medicine to avoid siloed thinking and adopt innovative business practices.

5

Accreditation, while necessary, often adds administrative burden without proportional clinical value—processes need reform to focus on real quality.

Chapters
0:00
2 min

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.

2:15
3 min

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.

5:30
6 min

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.

11:00
8 min

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.

Highlight
19:00
7 min

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%.

Highlight
High-Impact Quotes
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%.
Casey Going26:58
Viral: 90.0
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.
Casey Going31:57
Viral: 88.0
Ignorance isn't the worst thing in the world. It's the illusion of knowledge.
Casey Going30:20
Viral: 87.0
Speakers

Host

Peter Birch

Guest

Casey Going
Topics Discussed
AI in General Practice95%Practice Financial Sustainability92%Rural Healthcare Challenges90%Medicare Funding Realities88%Tech Adoption in Healthcare87%Future of Primary Care Models85%Practice Ownership & Mentorship80%Clinic Accreditation & Compliance75%
People & Brands

MBS Pro

organization

15xPositive

Casey Going

person

12xPositive

Medicare

other

10xNeutral

Talking Health Tech

media

10xPositive

Peter Birch

person

8xPositive

AI Receptionist

other

7xPositive

Services Australia

other

3xPositive

Clinimetrics

organization

2xPositive

Practice Owners Conference

other

2xPositive

RFCG

organization

1xNeutral

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