Inside Reproductive Health Podcast

They were lucky. The gas to the incubator stopped flowing, but XiltriX caught the failure in time, no embryos were lost… and no headlines were made. But what happens if the next failure isn’t? In this episode, Dr. Matthew “Tex” VerMilyea of Ovation and US Fertility, and Moises Eilemberg, CEO of XiltriX North America, return to Inside Reproductive Health to ask a hard question: What would your lab do in a crisis? You’ll hear: * The catastrophic loss Sweden’s biobank suffered (and what you need to learn from it) * Why embryologist shortages are reshaping the IVF lab * What standardizing monitoring protocols could mean for your network * Why Tex believes monitoring as a service is the future * The steps to take after a public lab failure (and how to avoid needing them) * How XiltriX helps fertility labs gain 24/7 visibility, rapid response alerts, and peace of mind This isn’t about tech. It’s about protecting the future of your lab, your brand, and your patients.

What happens when managed care surges in IVF, reimbursements drop, and physicians are expected to do more work for less? Dr. Ravi Gada and Manish Chhadua are back on the show, and they don’t hold back. Dr. Gada is a partner at one of the largest independently owned practices in the United States and he and Manish co-own and operate a firm called CloudRx,  In this episode, they dig into: * What 70 fertility centers are doing to slash administrative costs from prior authorization chaos *  How medication side savings are shifting into the medical services side (and what that means for practices) * Changes in the payer market and insurer preferences you need to know about * Why Organon and Follistim have gained so much market share in the past 5–7 years * Why academic fertility center ratings are shockingly low (and what private practices can learn from that)

From a founding partner about to retire, to an associate just out of fellowship, all five REIs at Carolina Conceptions sat down to share their takes on staying private, staying aligned, and staying real. Carolina Conceptions invited us in, and we talked real talk about: * The golden parachute of private equity (and why they’ve resisted it) * The tension between high-touch care and the operational demands of growth * How they’re navigating succession, new tech, and alignment across multiple generations of REIs

I've captured and interrogated one of fertility doctors’ enemies…a lawyer. But this one’s on your side. Matthew Maruca has served as General Counsel for Inception Fertility since 2019, and he’s here to walk you through the legal threats and legislative currents shaping the future of fertility care.  While this episode isn’t legal advice, Matt brings insight into how reproductive health is being fought for, and fought against, in the courtroom and the legislature. In this episode, Matt covers: - What’s behind the rise in lawsuits and how they’re modeled after personal injury cases - The emerging legislative strategies from think tanks like the Heritage Foundation - Which reproductive treatments are being targeted (like PGT) - How to draft your consent forms to reduce liability - The #1 thing providers can do to protect themselves from unnecessary litigation - How to keep your premiums down when litigation is on the rise. Listen and learn with Matt Maruca.

Fertility doctors are burnt out. Not all of them, but enough to warrant a real conversation. Dr. Jason Yeh is a full-time fertility physician, a national medical director, an academic-turned-industry leader—and very much in the thick of this discussion. In this episode, we unpack the often unspoken reality of REI burnout and why so many are struggling to stay engaged after a decade in the field. In this conversation, Dr. Yeh shares: * What REIs are saying in private physician groups about exhaustion and disillusionment * Why the 7–10 year career mark is so critical for burnout * The impact of rising caseloads on quality of life (300+ cycles per year) * How Inception is trying to stay physician-friendly (and why autonomy matters) * Why executive roles don’t always protect physicians from burnout * His take on corporate vs physician-led leadership in fertility care Whether you’re a newer fellow just entering the field or a seasoned provider feeling the weight of your career, this conversation is for you.