Saravanan Kasthuri
Interventional radiologist practicing in rural eastern Washington who founded an independent office-based ambulatory surgical practice and discusses the impact of Medicare reimbursement on rural, office-based care.
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Jan 24, 2026 • 17min
Medicare cuts are destroying independent rural medical practices
Jason McKitrick, a healthcare consultant focused on office-based policy, and Saravanan Kasthuri, an interventional radiologist running a rural ambulatory practice, explain why Medicare cuts are crushing independent rural care. They discuss shrinking reimbursements, rising costs, consolidation into hospitals and private equity, and a proposed technical fee schedule as a fix. The conversation highlights threats to access for underserved patients.
