The Anesthesia Crisis We Need to Address with Dr. Randy Moore

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CRNAs are in demand. Salaries are strong. Jobs are plentiful. So why is Dr. Randy Moore sounding the alarm?

In this episode, Randy joins Sharon and guest host Kevin Chem, DNP, CRNA to unpack his viral Substack article, “No One Is Coming to Save Us.” The core message is uncomfortable but clear: while anesthesia organizations remain divided over turf and titles, payers are quietly reshaping reimbursement policy in ways that could have long-term consequences for both CRNAs and anesthesiologists.

From QZ billing reductions to UnitedHealthcare’s policy changes and broader reimbursement pressures, Randy argues that economics — not rhetoric — ultimately determines practice models. We want to move beyond blame and toward strategy: litigation, legislation, public relations, and the possibility of collaboration between historically fractured groups. The big question isn’t whether things are good right now. It’s whether the profession will be ready when the cycle turns.

Here’s some of what you’ll hear in this episode:

🐺 “The Wolf Is at the Door” - Why strong demand today doesn’t eliminate economic risk tomorrow.
💰 Reimbursement Drives Practice Models - How financial pressure reshapes anesthesia care delivery.
⚖️ Fragmentation Weakens Leverage - Why divided organizations benefit payers.
🏛️ Multi-Front Strategy: Litigation, Legislation, PR - What a serious, coordinated response could look like.
🔄 Cycles in Compensation & Demand - Preparing during strength rather than reacting in weakness.

Important Links: 

• Read Randy’s Substack post
• The 1099 CRNA Institute
• Earn MAC Dev Credit
• Now you can watch the show on YouTube! 

 

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"If I'm not slightly embarrassed by who I was three years ago, then I'm probably not growing or evolving."

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