Lifers with Christina Farr Dr. Kameron Matthews & Inlightened President Shelli Pavone on saving primary care from collapse
Jan 13, 2026
Dr. Kameron Matthews, Chief Health Officer at Impact Care, and Shelli Pavone, President of Inlightened, dive into the healthcare crisis, focusing on the challenges in Medicaid and primary care. They discuss how licensing chaos hampers telehealth and the importance of clinician engagement in innovation. The duo highlights growing clinician burnout and the critical need for understanding healthcare regulations to enable real change. They advocate for restoring primary care continuity and recognize the role of unsung heroes in the healthcare system.
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Regulatory Fragmentation Limits Scale
- State-based licensure and fragmented Medicaid rules block scalable telehealth and workforce models.
- Kameron Matthews says these regulatory differences force costly duplication and prevent nationwide deployment of care innovations.
Medicaid Shifts Threaten Safety-Net Care
- Changes to Medicaid policy will deeply affect local safety-net hospitals and widen disparities.
- Kameron Matthews warns payment shifts could close services and worsen access for maternity and pediatric care.
Advocate Locally To Change Incentives
- Engage with policy and local advocacy to fix broken incentives that block innovation.
- Shelli Pavone and Kameron Matthews urge entrepreneurs to lobby and show up locally to change rules preventing patient access.