podcast

Relentless Health Value

Stacey Richter

Welcome to Relentless Health Value, the podcast for those working in the belly of the beast to fix our fundamentally broken healthcare system. If you are a self-insured employer, plan sponsor, benefits consultant, clinician, a C-suite…

Tick the episodes you want: each one is ready in about two minutes.

When Patient Experience Means Parking and Pianos, Plan Sponsors Pay for Hotels, Not Outcomes—What to Measure Instead, With Robyn Leone 2026-10-28 · 37m
The One Question to Test if a TPA Is Actually Independent, With Kimberly Carleson 2026-10-21 · 9m
Level Funding Is Self-funding: 5 Avoidable Contract Risks, With Frank Pennachio 2026-10-14 · 37m
Why Avoidable ER Visits Aren't the Real Cost Problem: Revisiting Our Interview With HHS Nominee Chris Klomp 2026-10-07 · 37m
Slaying the Three-Headed Monster of Health Plan Networks, With Evan Anderson 2026-09-30 · 38m
A Wildly Underappreciated Point: Overpaying for Infusions Means Overpaying for Stop-Loss Coverage, With Jake Velie and Keith Hartman, RPh 2026-09-23 · 38m
How Stark Law, Stipends, and Noncompetes Drive Hospital Consolidation, With Eric Bricker, MD 2026-09-16 · 39m
Private Equity in Primary Care: What the Data Actually Shows, With Yashaswini Singh, PhD. Episode 528. 2026-09-09 · 39m
Why Should a Plan Sponsor Care About the 340B Charity Program? With Shawn Gremminger 2026-09-02 · 23m
Mark Cuban and Cora Opsahl: The Truth About Pass-Through PBM Contracts and Generic Compliance Ratios 2026-08-26 · 20m
PMPM vs FFS—The Perverse Incentives Plan Sponsors Sometimes Miss, With Cristin Dickerson, MD 2026-08-19 · 17m
Beating Provider Network Pricing Games by Thinking About Buying Healthcare Like a Manufacturer Supply Chain, With John Quinn 2026-08-12 · 17m
The Sleeping Giants of Healthcare—Why Self-insured Employers and Clinicians Keep Missing Each Other, With Suhas Gondi, MD, MBA. EP523 2026-08-05 · 35m
How GoodRx Actually Makes Money: PBMs, Cash Prices, and Pharmacy Contracts, With Ge Bai, PhD, CPA (EP522) 2026-07-29 · 14m
How Revenue Cycle Management (RCM) Became an Over $200 Billion Healthcare Hot Potato, With Andrew Tsang. EP521 2026-07-22 · 36m
Cash-Pay Generic Drugs Are a Functioning Market in Healthcare—Policymakers Beware and Be Careful. EP520 2026-07-15 · 32m
Cognitive Atrophy and Referral Incentives Breaking Primary Care, With Lisa Rosenbaum, MD (EP519) 2026-07-08 · 40m
How Do You Explain the Difference Between an ASO Vendor and a TPA? With Claire Brockbank. Episode 518 2026-07-01 · 14m
Prior Authorizations & Pharma Rebate Contracts — How Financial Motives Keep Generics Off Formularies (EP517) 2026-06-24 · 27m
Cash Pay From the Pharma Manufacturer Point of View, With Ophelia Johnson (EP516) 2026-06-17 · 44m
Self-Insured Employers: SNF Fraud or Perverse Incentives? Understaffing, Gamed STAR Ratings, and Medicare Dollars at Skilled Nursing Facilities with Michelle Cera. EP515 2026-06-10 · 43m
Successfully Suing a Health System for Their Anticompetitive Contracts and Also Collecting Damages for Plan Sponsors and Members, With Matt Cantor. EP514 2026-06-03 · 44m
Revisiting Cunning Anticompetitive Hospital Contracts, With Brennan Bilberry - EP513 2026-05-27 · 36m
3 Kinds of Broker/EBC Rent-Seeking Payment Models—A Lawyer's Perspective, With Doug Aldeen. EP512 2026-05-27 · 37m
The Perverse Incentive Trap Hidden Inside Value-Based Care — and What to Do About It. EP511 2026-05-14 · 30m
Why Employers Pay More Because of Vertically Integrated Medicare Advantage Carriers with Betsy Seals. EP510 2026-05-07 · 36m
The 7.7% Wake-Up Call: A Roadmap to Align Finance Teams With Non-complacent Benefit Design, With Patrick Nelli. EP509 2026-04-30 · 38m
Why Don't More Self-insured CEOs Take Bold Action in Health Benefits Strategy? With Lee Lewis. (EP508) 2026-04-23 · 44m
4 Core Concepts to Buy or Deliver the Highest Value Healthcare — A Review With 14 Expert Voices (EP507) 2026-04-16 · 34m
Price Transparency Data: How Employers, Shareholders, and Clinics Use It, With Jerry DiMaso (EP506) 2026-04-09 · 36m
The Death of the "What Is Value" Guessing Game for Clinical and Plan Decision-Makers Ready to Move On, With Ahilan Sivaganesan, MD (EP505) 2026-04-02 · 44m
A Back-to-Basics Roadmap Through the Perverse Incentives to Advanced Primary Care, With Ryan Jacobs (EP504) 2026-03-26 · 34m
Insights to Outwit the Hot Mess of the Non-Healthcare Market (INBW46) 2026-03-19 · 20m
From Lazy PPO Networks to Smart Collaboration — A Roadmap for Direct-to-Employer Specialty Care. EP503 2026-03-12 · 46m
How Some Pretty Wild Medicare Fraud Sabotages ACOs and Also Independent Practices and Could Cost Plan Sponsors Such as Self-insured Employers a Lot of Zeros Downstream, With Brian Machut. (EP502) 2026-03-05 · 39m
Speaking of Infusions, Do You Want to Pay $135 or Do You Want to Pay $13,560 for the Exact Same Drug? With Ivana Krajcinovic, PhD. EP501 2026-02-26 · 40m
Why the Commercial Carrier Market Never Changes — Six Reasons There Is No Market. Take 2 of EP398 2026-02-19 · 35m
EP500: This Is Episode 500, and It's All About You, Tribe 2026-02-12 · 38m
Self-insured Employers and Other Plan Sponsors Are Paying Millions for MSK (Musculoskeletal) Injuries That Would Have Healed Themselves, With Jay Kimmel, MD. EP499 2026-02-05 · 28m
The Payment Integrity Arms Race—RCM (Revenue Cycle Management) and Plan Sponsors, With Mark Noel (EP498) 2026-01-29 · 35m
The "Just Spend Everything You're Given" Trap—Lessons in True Provider Fiscal Discipline, With Gary Campbell 2026-01-22 · 37m
What You Don't Know About Healthcare Transactions and Clearinghouses Could Cost You, With Zack Kanter 2026-01-15 · 38m
Plan Sponsors Spend About $1.20 to Buy $1 of Healthcare, and Clinical Organizations Receive 80¢ for Every $1.20 Spent, With Mark Newman 2026-01-08 · 37m
2025 Year-End Themes, Part 2: The Two Things That Have to Change for Any of the Rest of It to Work 2025-12-31 · 23m
INBW44: The Relentless Health Value Themes That We Covered Throughout 2025—A Recap, Part 1 2025-12-24 · 24m
Encore! EP450: When Your Health Plan Is $9 Million in the Hole, Who Are You Going to Call? A CPA. And Tell Them to Bring Their Spreadsheets, With Marilyn Bartlett, CPA, CMA, CFM, CGMA 2025-12-18 · 35m
The Measurement Trap: Why We Track Healthcare Costs and Outcomes Exactly Backwards with Dr. Mick Connors. EP495 2025-12-11 · 33m
Six Tensions of Pharmaceutical Drug Pricing, With Sarah Emond of ICER. EP494 2025-12-04 · 40m
Bonus Add-on for EP494: ICER and the Pharma Pricing Arms Race, With Sarah Emond 2025-12-04 · 12m
INBW43: Five Baskets of Thank Yous to Hand Out, Along With a Plug for Big Demand Curve Energy 2025-11-26 · 17m
Direct Contracts and the ECEN High-Value Network Model, Take Two EP240: With Olivia Ross 2025-11-20 · 35m
What Employer CEOs Are Figuring Out About Healthcare Costs Right Now, With John Quinn. EP493 2025-11-13 · 37m
How to Run a High-Quality Hospital at 143% of Medicare, With Dr. Sam Flanders and Shane Cerone 2025-11-06 · 36m
The PBGH Transparency Demonstration Project and What It Means for TPAs, Consultants, and Employers 2025-10-30 · 50m
3 Problematic Hospital Myths: There Is No Healthcare Market, With Shane Cerone and Dr. Sam Flanders. EP490 2025-10-23 · 36m
How Margin and Mission Work Together at a Multispecialty Group, With Dan Greenleaf of Duly. EP489 Part 2 2025-10-16 · 26m
How Mission Becomes a Path to Margin at a Multispecialty Group, With Dan Greenleaf of Duly. EP489 Part 1 2025-10-09 · 32m
Mark Cuban and Cora Opsahl on Trust, Simplicity, High Deductibles, and Direct Contracting. EP488 2025-10-02 · 55m
Detective Skills for Following the Healthcare Dollar, Part 2 With Kevin Lyons of the NJ State PBA. EP487 Part 2 2025-09-25 · 14m
A Former Police Detective Investigates the 3 Big Barriers to the Public Sector Getting Better Affordable Health Benefits, With Kevin Lyons. EP487 Part 1 2025-09-18 · 31m
How to Operationalize Direct Contracting and Bundled Payments, With Dr. Stan Schwartz of ZERO.health. EP486 2025-09-11 · 38m
Why Imaging Is 6-11% of Plan Spend and How Direct Contracting Fixes It, With Dr. Cristin Dickerson. EP485 2025-09-04 · 33m
TPA and Health Plan Inertia: What Self-Insured Employers Need to Know, With Elizabeth Mitchell 2025-08-28 · 36m
3 Burning Questions Every Self-Insured Employer Should Be Asking Right Now, With Dave Chase. EP484 2025-08-21 · 32m
Reversing the Healthcare Cost Flywheel: From Discounts to Better Member Health, With Jonathan Baran. EP483 Part 2 2025-08-14 · 30m
How the Healthcare Cost Flywheel Works — and Why It Keeps Spinning, With Jonathan Baran. EP483 Part 1 2025-08-07 · 32m
Bonus Add-on: Honoring Those in Healthcare Who Are Trying Every Day to Do the Right Thing, With Jonathan Baran 2025-08-07 · 9m
How Margin Shoves Mission Off the Bus: A Primary Care Case Study, With Dr. Stan Schwartz 2025-07-31 · 19m
3 Surprising Ways Carriers Make Lots of Money, With Preston Alexander of The Healthcare Breakdown. EP482 2025-07-24 · 38m
Take Two: EP445: What Does It Take for an Indie Primary Care Practice to Survive Right Now? With Tom X. Lee, MD 2025-07-17 · 46m
Bonus Clip: Dr. Tom Lee Talks About Why Retail Clinics Are Not Doing So Well, in His Opinion 2025-07-17 · 7m
EP481: Seriously, IRL, What Does "No Margin, No Mission" Even Mean? With Benjamin Schwartz, MD, MBA 2025-07-10 · 34m
Take Two: EP438: Is It Mission and/or Margin? With John Lee, MD 2025-07-03 · 36m
Payment Integrity Meets Health System Boasts, Such as Our Rates Are 2x Medicare, With Kimberly Carleson. EP480 2025-06-26 · 32m
The Rebate Wall: Why Chasing Pharma Rebates Can Block Better Patient Care with Ann Lewandowski - Summer Short 2025-06-19 · 19m
What Could Go Wrong Covering High-Cost Claimants With Stop-Loss Reinsurance? EP479. 2025-06-12 · 27m
Take Two: EP433: The Mystery of the Weekly Claims Wire, With Justin Leader 2025-06-05 · 39m
EP478: Stop-Loss Coverage, Part 1: How It Goes Right, and How It Can Go Horribly Wrong, With Andreas Mang and Jon Camire 2025-05-29 · 32m
Through Line Show: What the Tribe Thinks You Need to Know About Trust or It's Gonna Be a Problem. Also, Why You Are Smart, With Stacey Richter 2025-05-22 · 19m
How to Earn Trust in Healthcare: Four Principles That Actually Work. Bonus Add-on to EP477 with Charles Green 2025-05-22 · 12m
Talking Whistleblowing and the Pharma Rebates Whistleblower Case With an Actual Whistleblower, With Ann Lewandowski. EP476 2025-05-15 · 36m
Is This a Moment or a Movement? Three Forces Reshaping Healthcare With Peter Hayes. EP475 2025-05-08 · 34m
Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD. EP474 2025-05-01 · 41m
How Trusted Primary Care Relationships Keep Patients Out of the ER — and Lower Plan Costs. EP473 2025-04-24 · 35m
How Hospitals Engineer $800,000 Claims and What Plan Sponsors Can Do About It. EP472 2025-04-17 · 35m
EP471: High-Cost Claimants in 2025 and Beyond—What Is Really Expensive Not to Know? With Christine Hale, MD, MBA 2025-04-10 · 35m
EP470: Continuing the ER and Primary Care Through Line Over to Rural Hospitals and Healthcare, With Nikki King, DHA 2025-04-03 · 35m
EP469 (Part 2): The Impact on Plan Sponsors of Medicare Site-Neutral Payments and HSA Reforms, With James Gelfand, JD 2025-03-27 · 31m
EP469 (Part 1): The Impact on Plan Sponsors of Medicaid Cuts, With James Gelfand, JD 2025-03-27 · 26m
EP468: Very Common Assumptions That Aren't Actually True About Member Engagement and the Healthcare Industry, With Matt McQuide 2025-03-20 · 35m
EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter 2025-03-13 · 23m
EP466: What Is Rising Faster, Insurance Premiums or Hospital Prices? With Vivian Ho, PhD 2025-03-06 · 36m
EP465: The Not Super Effective Contracting Industry Norm, Where Jumbo Plans and Others Wind Up Paying $10,000 for $50 Drugs, With Chris Crawford 2025-02-27 · 34m
EP464: ER Visits Now 6% of Total Plan Spend. Is It Upcoding or What? With Al Lewis 2025-02-20 · 32m
EP463: Medicare Advantage Policies—Which Will Stay and Which Will Go Now? With Betsy Seals 2025-02-13 · 35m
Encore! EP384: How Shareholders Impact Carrier Behavior, Exactly and Specifically, With Wendell Potter 2025-02-06 · 35m
EP462: Managing Populations of Whole, Actual People Who Are Not the Sum of a Bunch of Different Body Parts, With Scott Conard, MD 2025-01-30 · 34m
INBW42: A Philosophical Rabbit Hole of Considerations for Plan Sponsors and Others 2025-01-23 · 28m
EP461: Pick Only One, Plan Sponsors: Do You Want to Control GLP-1 Volume or Control GLP-1 Unit Cost? With Chris Crawford 2025-01-16 · 23m
How Disruptors Can Scale to 99% of Americans: A Theory of Change for Healthcare with Rushika Fernandopulle, MD. EP460 2025-01-09 · 41m
EP459: Cost Containment by Co-Pay Maximizer or Co-Pay Accumulator: Points to Ponder, With Bill Sarraille 2025-01-02 · 40m
INBW41: End-of-Year Wrap-Up and My Personal Charter Encore: Where the Rubber Hits the Road 2024-12-26 · 26m
Encore! EP419: The Financialization of Health Benefits for Boards of Directors and C-Suites of Self-Insured Employers, With Andreas Mang 2024-12-19 · 39m
EP458: A Really Unexpected Consideration for Solving Staffing Shortages That Impact Access and Care Quality That Is Based on a Ton of Evidence, With Komal Bajaj, MD 2024-12-12 · 37m
EP457: It's a Big Thing: Medical Spread Pricing. So, Let's Talk About Contract Transparency, With Cynthia Fisher 2024-12-05 · 34m
INBW40: Thank Yous and the Intersection of Product Value, Collaboration, and Being a "Giver" 2024-11-27 · 18m
Encore! EP418: Mark Cuban With a PSA for CEOs and CFOs of Self-insured Employers, With Mark Cuban and Ferrin Williams, PharmD, MBA, From Scripta 2024-11-21 · 56m
Encore! EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews 2024-11-14 · 40m
EP456: Advice to Pharma at the Intersection of Product Value, Reputation, and Patient Affordability, With Brian Reid 2024-11-07 · 40m
EP455: A Leadership Blueprint for Measurably Better Care, With Beau Raymond, MD 2024-10-31 · 39m
EP454: How the Particle v Epic Lawsuit Impacts Plan Sponsors and Public Health Trying to Get Data, With Brendan Keeler 2024-10-24 · 35m
EP453: Running a TPA (Third-Party Administrator) RFP Process That Is Less of a Wild West Fiduciary Shootout, With Claire Brockbank 2024-10-17 · 37m
EP452: Fiduciary Duty vs the Healthcare Status Quo, With Cora Opsahl 2024-10-10 · 40m
Spotlight Episode: Oncology Side Effect Management in the Real World, With Dan Nardi From Reimagine Care 2024-10-03 · 19m
EP451: Hey, Let's Not Talk About Artificial Intelligence, With Spencer Dorn, MD, MPH, MHA 2024-09-26 · 13m
EP450: When Your Health Plan Is $9 Million in the Hole, Who Are You Going to Call? A CPA. And Tell Them to Bring Their Spreadsheets, With Marilyn Bartlett, CPA, CGMA, CMA, CFM 2024-09-19 · 35m
EP449: For Clinical Leaders, Payers, and Plan Sponsors, Let's Talk About Blind Spots for Getting Patients or Members Appropriate Care, With Marty Makary, MD, MPH 2024-09-12 · 38m
EP448 (Part 2): 340B: Why Employers Should Probably Care About What's Happening Here, With Shawn Gremminger 2024-09-05 · 26m
EP448 (Part 1): 340B: Where It Started, Where It Is Now, and Who Is Really Benefiting From This Massive Program, With Shawn Gremminger 2024-09-05 · 38m
The Euphemism That Has Become Value-Based Care, With Elizabeth Mitchell—Summer Shorts 9 2024-08-29 · 17m
Encore! EP413: The Intersection of Healthcare Waste, Value-Based Care, and the Potential Rising Power of PCPs, With Will Shrank, MD 2024-08-22 · 35m
Encore! EP402: What Physicians Trying to Clinically Integrate Care in the Real World Need to Know, With Amy Scanlan, MD 2024-08-15 · 33m
EP447: Why an "EHR Strategy" Isn't Enough, With Ashleigh Gunter 2024-08-08 · 29m
EP446: Hey, Let's Not Talk About EHRs, With Spencer Dorn, MD, MPH, MHA 2024-08-01 · 35m
EP445: Can a Primary-Care-Only Practice Survive in 2024? With Tom X. Lee, MD 2024-07-25 · 48m
Encore! EP397: The Minefield That Is a PBM Contract and Also Some Advice for EBCs Who Are Taking Money Under the Table, With Paul Holmes 2024-07-18 · 34m
EP444: Two State Healthcare Laws Often Don't Go as Planned: CON and COPA, With Ann Kempski 2024-07-11 · 35m
EP443: Let Us Never Pay the First Bill in Honor of Marshall Allen 2024-07-04 · 36m
EP442: A Short Rumination on Saving Money, Except Not Saving Money. Oncology Side Effect Management as a Case Study, With Andreas Mang 2024-06-27 · 19m
EP441: Tables Get Turned. This Is Me Interviewed by Abby Burns From Radio Advisory About What Is Value 2024-06-20 · 40m
EP440: What Is the Optimal Size for a Medical Practice? With David Muhlestein, PhD, JD 2024-06-13 · 38m
EP439: Fixing the Generic Drug Pricing Problem, Where Patients Pay More When They Use Their Insurance, With Luke Slindee, PharmD 2024-06-06 · 29m
EP438: Recognizing Cognitive Dissonance and Thinking About How to Overcome It When in the Belly of the Beast, With John Lee, MD 2024-05-30 · 39m
EP437: The Most Powerful Committee No One Ever Heard of and Their Role in Primary Care and Mental Health Struggles, With Brian Klepper, PhD 2024-05-23 · 16m
EP436: Let's Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia, With Elizabeth Mitchell 2024-05-16 · 42m
Encore! EP363: How to Cut Healthcare Admin Burden in Half, With David Scheinker, PhD 2024-05-09 · 34m
EP435: Optimized Pharmacy Benefits Are Required if You Want to Do or Buy Value-Based Care, With Dan Mendelson 2024-05-02 · 35m
EP434: 5 Surprises About Bundled Payments, With Benjamin Schwartz, MD, MBA 2024-04-25 · 40m
EP433: The Mystery of the Weekly Claims Wire: What Are Plan Sponsors Actually Paying For Each Week? With Justin Leader 2024-04-18 · 40m
Encore! EP391: A Case Study for Anyone Trying to Level Up Primary Care That I'm Gonna Call "How Margin Shoves Mission Off the Bus," With Scott Conard, MD 2024-04-11 · 37m
Encore! EP297: A Driver of Patient Engagement and Clinician Team Success That Is Almost Always Overlooked, With Jerry Durham 2024-04-04 · 35m
EP432: The Knifepoint Intersection of Margin and Mission and the Peril of Cutting Clinical "Waste," With Kate Wolin, ScD 2024-03-28 · 38m
EP431: How Accountability for Outcomes Works in the Real World With Kenny Cole, MD 2024-03-21 · 39m
EP430: Advice for Digital Health Vendors Selling to Employers, With Barbara Wachsman 2024-03-14 · 39m
EP429: Following the Dollar Through Pharmacy Acronyms Like WAC, AWP, and NADAC, With Luke Slindee, PharmD 2024-03-07 · 38m
EP428: Do-It-Now Advice From the J&J and the DOL v BCBS Lawsuits, With Julie Selesnick 2024-02-29 · 42m
EP427: How Do Digital Health Vendors Deliver Patient Outcomes and Experiences? With Rik Renard 2024-02-22 · 36m
Encore! EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono 2024-02-15 · 35m
EP426: Cost Containment Versus Value-based Drug Purchasing, With Nina Lathia, RPh, MSc, PhD 2024-02-08 · 33m
EP425: Three Ways for "Regular" Clinical Practices to Take Cash When It's Cheaper for a Patient Than Using Their Insurance, With Marshall Allen 2024-02-01 · 39m
INBW39: The Narcissism of Small Differences Is a Really Must-Know Concept When Attempting to Fix the Healthcare Industry 2024-01-25 · 19m
EP424: Five Things for Hospital System Execs to Get Real About in 2024, With Peter Hayes 2024-01-18 · 45m
EP423: Maximizers and the "the Drugs Aren't Covered" Schemes Employers Use to Save Money (or Not) on Pharmacy Benefits, With Joey Dizenhouse 2024-01-11 · 44m
Some Indie Pharmacy Upshots That Surprised Me—and I Thought I Was Pretty in the Know, With Benjamin Jolley, PharmD. EP422 2024-01-04 · 37m
Encore! EP392: When Patient Journeys Don't Fit in the EHR, With Emily Kagan Trenchard 2023-12-28 · 31m
Encore! EP372: Step One for Employers and Unions—Get Your Data, With Cora Opsahl 2023-12-21 · 32m
EP421: Wildly Improving Outcomes When the Patient Is, for Reals, in the Center—For Maternity and Beyond, With Jodilyn Owen 2023-12-14 · 36m
EP420: Paying Cash for Generic Drugs—Some Finer Points That Had Totally Gone Over My Head, With Ge Bai, PhD, CPA 2023-12-07 · 37m
The Financialization of Health Benefits for Boards of Directors and C-Suites of Self-Insured Employers, With Andreas Mang. EP419 2023-11-30 · 38m
Encore! EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root 2023-11-23 · 32m
EP418: Mark Cuban With Some Advice for CEOs and CFOs of Self-insured Employers, With Mark Cuban and Ferrin Williams, PharmD, MBA, From Scripta 2023-11-16 · 55m
Encore! EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson 2023-11-09 · 34m
EP417: 5 Kinds of Payer and Provider Collaborations and 5 Must-Haves for Said Collaborations to Work, With Josh Berlin, JD 2023-11-02 · 34m
EP416: Why Should Med Schools Teach the Business of Medicine? With Adam Brown, MD, MBA 2023-10-26 · 41m
EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews 2023-10-19 · 43m
EP414: An IRL How-To for Delivering Better Care and Getting Paid for It—A Value-Based Case Study, With Justina Lehman 2023-10-12 · 40m
EP413: The Intersection of Healthcare Waste, Value-Based Care, and the Potential Rising Power of PCPs, With Will Shrank, MD 2023-10-05 · 35m
EP411: Getting Paid (or Paying) for New Innovations Used in Hospitals as Part of a Procedure or a DRG—Also Bloodstream Infections and Dialysis, With Secretary David Shulkin, MD, and Erin Mistry 2023-09-29 · 10m
Encore! EP361: The Gap in Closing Care Gaps, With Carly Eckert, MD, PhD(c), MPH 2023-09-28 · 31m
EP412: Leadership of the Art and Science of Medicine, With Robert Pearl, MD 2023-09-21 · 33m
Are Physicians (and the Rest of Us, Nothing for Nothing) Knights, Knaves, and/or Pawns? With Larry Bauer, MSW, MEd—Summer Shorts 8 2023-09-14 · 21m
Why Do Actuarial Risk Horizons Really Matter for Anybody Trying to Improve Patient Outcomes? With Keith Passwater and JR Clark—Summer Shorts 7 2023-08-31 · 20m
Should You Not Give Employees the Benefit Design They Think They Want? With Lauren Vela—Summer Shorts 6 2023-08-24 · 9m
Payers Trying to Differentiate Themselves by Working With Provider Organizations … or Not, With Jacob Asher, MD—Summer Shorts 5 2023-08-17 · 14m
Supergroups, Super ACOs, and Ochsner's Value-Based Care Journey, With Eric Gallagher—Summer Shorts 4 2023-08-10 · 18m
EP410: The Imperative and a 201-Level Financial How-To for Payers and Provider Organizations to Collaborate to Help CKD Patients and Others With Chronic Conditions, With Dan Serrano 2023-08-03 · 34m
EP409: 3 Really Cool Innovative Primary Care Bright Spots and a Few Notes for Policymakers and Payers, With Larry Bauer, MSW, MEd 2023-07-27 · 38m
Does Advanced Primary Care Reduce Access for Patients? With Vivek Garg, MD, MBA—Summer Shorts 3 2023-07-20 · 6m
What Happens When Someone Tries to Un-transform a Transformed PCP Practice? With Scott Conard, MD—Summer Shorts 2 2023-07-13 · 6m
How Come There Aren't More Hospital Antitrust Cases? With Brennan Bilberry—Summer Shorts 1 2023-07-06 · 8m
INBW38: What I'm Up to Right Now, Big RHV Plans for the Summer—Also Doug Pohl, Justina Lehman, and Dr. Amy Scanlan 2023-06-29 · 10m
Encore! EP365: The Real Deal With PBM Contracts and Drug Rebates, With Scott Haas 2023-06-22 · 33m
EP408: Who's Suing Who? An Overview of Healthcare Legal Goings-on, With Chris Deacon 2023-06-15 · 40m
EP407: Considering Comprehensive Primary Care at Humana, With Vivek Garg, MD, MBA 2023-06-08 · 35m
EP406: The Inertia Show: 5 Excellent Reasons for the "Why" With the Inertia in Benefits Departments, With Lauren Vela 2023-06-01 · 32m
Encore! EP249: The War on Financial Toxicity in North Carolina as a Case Study Everybody Should Be Keeping Their Eye On, With Dale Folwell, North Carolina State Treasurer 2023-05-25 · 32m
EP405: What Else Physicians Trying to Clinically Integrate in the Real World Really Need to Know, With Eric Gallagher 2023-05-18 · 32m
EP404: What Now? Who's on the Board of Those Big Hospitals? With Suhas Gondi, MD, MBA 2023-05-11 · 33m
EP403: The Mix & Match With the How Doctors Get Paid, With Rachel Reid, MD, MS 2023-05-04 · 33m
EP402: What Physicians Trying to Clinically Integrate Care in the Real World Need to Know, With Amy Scanlan, MD 2023-04-27 · 33m
EP401: The Most Interesting Questions About the IRA Drug Price Negotiations, With Peter J. Neumann, ScD 2023-04-20 · 32m
EP400: My Manifesto, Part 2: Where the Rubber Hits the Road 2023-04-13 · 22m
Encore! EP285: Who Is Auditing These Healthcare Bills? Also, That Cigna Lawsuit, With Dawn Cornelis, Cofounder and Director of Transparency at ClaimInformatics 2023-04-06 · 30m
EP399: My Manifesto, Part 1: The Relentless Health Value Tribe, I Salute You. 2023-03-30 · 12m
EP398: Why Is the Commercial Payer Marketplace in California Completely Boring? With Jacob Asher, MD 2023-03-23 · 34m
EP397: The Minefield That Is a PBM Contract and Also Some Advice for EBCs Who Are Taking Money Under the Table, With Paul Holmes 2023-03-16 · 34m
EP396: How to Answer This Question: Will Humira® Biosimilars Reduce Drug Spend? With Anna Hyde 2023-03-09 · 34m
Encore! EP293: Game Theory Gone Wild: Co-pay Cards, Co-pay Accumulators, and Co-pay Maximizers, With Dea Belazi, PharmD, MPH, President and CEO of AscellaHealth 2023-03-02 · 34m
EP395: Consolidated Hospital Systems and Cunning Anticompetitive Contracts, With Brennan Bilberry 2023-02-23 · 36m
EP394: Spoiler Alert: It Is Counterintuitive Which Hospitals Offer the Most Charity Care, With Vikas Saini, MD, and Judith Garber 2023-02-16 · 34m
EP393: How Do You Know if a Practice or a CIN (Clinically Integrated Network) Is Actually Clinically Integrated? With David Muhlestein, PhD, JD 2023-02-09 · 32m
Encore! EP355: The 5 Business Models for Digital Health Companies, With Nikhil Krishnan 2023-02-02 · 36m
EP392: When Patient Journeys Don't Fit in the EHR System, With Emily Kagan Trenchard From Northwell Health 2023-01-26 · 32m
EP391: Lessons for Private Equity and Others Trying to Do Right by PCPs and Their Patients, With Scott Conard, MD 2023-01-19 · 35m
EP390: What Legislators Need to Know About Hospital Prices, With Gloria Sachdev, PharmD, and Chris Skisak, PhD 2023-01-12 · 35m
EP389: The Clapback When Hospitals Cannot Constrain Their Own Prices, With Mike Thompson 2023-01-05 · 35m
Encore! EP326: The Unfortunate News About HRRP, With Insight Into How to Fix It, With Rishi Wadhera, MD, MPP 2022-12-29 · 34m
Encore! EP356: PBMs React to GoodRx, Mark Cuban, and Amazon Pharmacy, With Ge Bai, PhD, CPA 2022-12-22 · 36m
INBW37: Harnessing the Miracle of the Commons to Improve the Patient Journey Nationwide, A Conversation With Dave Dierk, Co-President of Aventria Health Group 2022-12-15 · 25m
EP388: Merrill Goozner on the Future of Healthcare and Glide Paths to Get There 2022-12-08 · 35m
EP387: Medicare Advantage Trends and How Medicare Advantage Plans Will or Will Not Succeed, With Betsy Seals, CEO and Cofounder of Rebellis Group 2022-12-01 · 35m
INBW36: Will Healthcare Stakeholders Who Don't Collaborate Wind Up With a Business Problem? 2022-11-24 · 19m
Encore! EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else's Business, With Eric Bricker, MD 2022-11-16 · 35m
EP386: What You Need to Know About ER Bills Post the No Surprises Act, With Al Lewis 2022-11-10 · 32m
EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson 2022-11-03 · 35m
EP384: How Shareholders Impact Payer Behavior, Exactly and Specifically, With Wendell Potter 2022-10-27 · 36m
EP383: Direct Contracting as a Health System Business Strategy, With Nick Stefanizzi 2022-10-20 · 33m
Encore! EP335: Why Private Equity Is Willing to Pay $55,000 per Patient to Primary Care Start-ups, With Brian Klepper, PhD 2022-10-13 · 33m
EP382: Pharma Conflicts of Interest and the Anti-Kickback Statute, With Aaron Mitchell, MD, MPH 2022-10-06 · 33m
EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root 2022-09-29 · 33m
EP380: 7 Big Reasons Medicare Drug Price Negotiation Actually Happened This Time Around—What Changed? With Mark Miller, PhD 2022-09-22 · 33m
EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono 2022-09-15 · 35m
EP378: The Status of Telehealth Reimbursement and Other Telehealth Policy Updates, With Josh LaRosa, MPP 2022-09-08 · 33m
INBW35: Collaboration Between Healthcare Providers, Payers, and Others Is Required to Improve Chronic Care Patient Outcomes 2022-09-01 · 14m
Encore! EP295: The Not Entirely New but Definitely Improved Way to Measure Primary Care, With Rebecca Etz, PhD 2022-08-25 · 31m
Encore! EP337: A Patient-First Specialty Pharmacy, Not a Money-First Specialty Pharmacy, With Olivia Webb 2022-08-18 · 33m
EP377: Specialty Pharmacy, PBM, Hospital, Employer, and Pharma Strategic Maneuvering, With Mike Baldzicki, CRCM 2022-08-11 · 32m
EP376: Interoperability—Who's Who and Doing What? With Lisa Bari, MBA, MPH 2022-08-04 · 34m
EP375: Medicare Advantage Plans in the Hot Seat, With Betsy Seals, CEO and Cofounder of Rebellis Group 2022-07-28 · 32m
EP374: How to Grade a Health Plan and a Few Validated Success Stories, With Dave Chase, Cofounder of Health Rosetta 2022-07-21 · 36m
EP373: How to Kick a Big Hospital Out of Your Network, With Cora Opsahl 2022-07-14 · 29m
EP372: Step One for Employers and Unions—Get Your Data, With Cora Opsahl 2022-07-07 · 34m
Encore! EP308: How Financial Toxicity Wreaks Havoc on Value-Based Payment Success, With Mark Fendrick, MD 2022-06-30 · 35m
EP371: Buy and Bill vs Pharmacy Bagging—Which Is Better for a Plan Sponsor and Patients? With Erik Davis and Autumn Yongchu 2022-06-23 · 33m
EP370: How Do Some Health Systems Manage to Charge 6x the Cost of a Specialty Pharmacy Med to Infuse It? With Erik Davis and Autumn Yongchu 2022-06-16 · 32m
EP369: What's Up With Specialty Pharmacy Bagging? With Keith Hartman, RPh 2022-06-09 · 33m
Encore! EP282: Do You Know How Much Cancer Centers Get Paid to Put Patients on Drugs? With Aaron Mitchell, MD, MPH 2022-06-02 · 33m
INBW34: The Absence of Collaboration Between Healthcare Stakeholders: What It Means 2022-05-26 · 19m
EP368: How to Successfully Roll Out New Benefit Designs to Employees and New Care Delivery Models at a Provider Organization, With Ashleigh Gunter 2022-05-19 · 31m
EP367: Why Would a Hospital Direct Contract With an Employer Looking to Pay Less? With Doug Hetherington 2022-05-12 · 34m
EP366: An In-Depth Dissection of Our Dysfunctional Healthcare Benefits Market, With Kevin Schulman, MD 2022-05-05 · 33m
EP365: The Real Deal With PBM Contracts and Drug Rebates, With Scott Haas 2022-04-28 · 33m
EP364: A Way to Think About Transforming the Healthcare Industry, With David Muhlestein, PhD, JD 2022-04-21 · 36m
EP363: How to Cut the Healthcare Administrative Burden in Half, With David Scheinker, PhD 2022-04-14 · 32m
EP362: A CFO Talks About a Hybrid Business Model, With Ali Ucar 2022-04-07 · 33m
EP361: The Gap in Closing Care Gaps, With Carly Eckert, MD 2022-03-31 · 32m
EP360: How to Deliver Value-Based Care That Meets Value-Based Payment Objectives, With Jeb Dunkelberger 2022-03-24 · 29m
EP359: Value-Based Payments—You Get What You Pay For, With Dan O'Neill 2022-03-17 · 35m
EP358: How Health Insurance Plan Design Can Lead to Patients Sacrificing Needed Care, Their Mental Health, and (Sometimes) Buying Groceries, With Wayne Jenkins, MD 2022-03-10 · 34m
EP357: Standing Up Telehealth That Actually Advances Providers' Core Business, With Liliana Petrova 2022-03-03 · 35m
EP356: PBMs React to GoodRx, Mark Cuban, and Amazon Pharmacy, With Ge Bai, PhD, CPA 2022-02-24 · 36m
EP355: The 5 Business Models of Digital Health Companies, With Nikhil Krishnan 2022-02-17 · 35m
EP354: 7 Vital Success Factors to Stand Up a CIN (Clinically Integrated Network), With Shawn Rhodes 2022-02-10 · 33m
EP353: What You Need to Know About Specialty Pharmacy Formularies and Rebating, With Pramod John, PhD 2022-02-03 · 31m
EP352: Some Big Actionable Surprises About the Efficacy and Effectiveness of Specialty Pharmaceuticals, With Pramod John, PhD 2022-01-27 · 28m
EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else's Business, With Eric Bricker, MD, From AHealthcareZ 2022-01-20 · 36m
EP350: Employers Direct Contracting With Hospitals, in Real Life, With Katy Talento 2022-01-13 · 36m
INBW33: Thank You, and a Few Thoughts 2022-01-06 · 14m
INBW32: The Ultimate Impact of Telehealth: A Thought Experiment 2021-12-30 · 19m
Encore! EP294: Building a Center of Excellence: A Playbook for Physician Entrepreneurs, With Steve Schutzer, MD 2021-12-23 · 34m
EP349: How Integrated Is a Clinically Integrated Network, Actually? With Lisa Trumble 2021-12-16 · 31m
EP348: Your Burning Questions About Payviders Answered! With Jeb Dunkelberger 2021-12-09 · 32m
EP347: Rolling Out Healthcare Initiatives That Actually Get Uptake With the Populations You Aim to Serve, With Ian Tong, MD, About the Black Community Innovation Coalition 2021-12-02 · 34m
Encore! EP288: The "Big Three" PBMs Spinning Up GPOs—What? With Mike Schneider 2021-11-25 · 30m
EP346: How Did Health Systems Get Addicted to the Inflated Prices They Charge Employers and Some Patients? 2021 Update, With Peter Hayes, President and CEO of the Healthcare Purchaser Alliance of Maine 2021-11-18 · 36m
EP345: Can Pharma Imagine How Our Health System Will Look in the Future? With Paul Simms 2021-11-11 · 32m
EP344: The High Cost of Generic Drugs, With Steven Quimby, MD 2021-11-04 · 33m
EP343: What Provider Leadership Teams Need to Know to Operationalize Value-Based Care, With David Carmouche, MD 2021-10-28 · 30m
EP342: How the Consolidated Appropriations Act (CAA) and ERISA Fiduciary Requirements Are an Anchor for Self-insured Employers to Navigate the Complexity of Healthcare, With Christin Deacon 2021-10-21 · 37m
EP341: How to Cut Administrative Waste AND Attract and Retain Doctors and Nurses, With Gary Campbell 2021-10-14 · 33m
EP340: How Digital Front Doors Can Enable Value-Based Care, With Kristin Begley 2021-10-07 · 32m
AEE17: Employers and Reference-Based Pricing—David Contorno's Latest Thinking 2021-10-05 · 9m
EP339: Helping Employers Navigate the Perilous Medical-Industrial Complex, With David Contorno 2021-09-30 · 31m
EP338: Ideas to Meet Rural Healthcare's Tough Challenges, With Nikki King, DHA 2021-09-23 · 34m
EP337: A Patient-First Specialty Pharmacy, Not a Money-First Specialty Pharmacy, With Olivia Webb 2021-09-16 · 33m
EP336: The Barbarians at the Gate—Who Are They and How Do They Cause Trouble for the Healthcare Industry Status Quo? With Brandon Weber 2021-09-09 · 33m
INBW30: A Hot Take on Healthcare Stakeholders Not Collaborating 2021-09-02 · 8m
AEE16: The Destruction of Primary Care—A Short History, With Brian Klepper, PhD 2021-08-31 · 10m
EP335: Why Is Private Equity Willing to Pay $55,000 per Patient to Primary Care Start-ups? With Brian Klepper, PhD 2021-08-26 · 33m
EP334: Do Consumers Ditch High-Cost Providers After Shopping With Price Transparency Tools? With Sunita Desai, PhD 2021-08-19 · 33m
EP333: Actually Using Care Plans in the Real World, With (in Order of Appearance) Jeff Hogan, Darrell Moon, Dr. Grace Terrell, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy 2021-08-12 · 19m
EP332: A New OS for Provider Organizations—The Patient-Centered Value System (PCVS), With Tony DiGioia, MD 2021-08-05 · 32m
EP331: Employers Buyer Beware! Six Tricks Wellness and Point-solution Vendors Use to Overstate Their Results, With Al Lewis, Cofounder and CEO of Quizzify 2021-07-29 · 32m
EP330: What Is Going On Over at Health Systems? With John Marchica, CEO at Darwin Research Group 2021-07-22 · 32m
EP329: Virtual-First Health Care Solutions—Their Promise and a Few Outstanding Questions, With Joe Connolly From Visana Health 2021-07-15 · 30m
EP328: An Interview Specifically for Health Care Executives, With Marshall Allen, Author of the Best Seller Never Pay the First Bill: And Other Ways to Fight the Health Care System and Win 2021-07-08 · 43m
ENCORE EP 263 - The Start-up Who Won Medicare's AI Contest, Beating Out IBM, Deloitte, and Mayo—A Conversation With Andrew Eye 2021-07-01 · 32m
EP327: Pharma Hooking Up With Start-ups, With Naomi Fried, PhD, About PharmStars™ 2021-06-24 · 32m
EP326: The Unfortunate News About HRRP, With Insights on How to Fix It, With Rishi Wadhera, MD, MPP 2021-06-17 · 37m
EP325: The Show in Which Dr. Mai Pham Disagrees With Three of My Value-Based Care Premises 2021-06-10 · 37m
EP324: ACOs (Accountable Care Organizations): Do They, in Fact, Improve the Quality of Care and Reduce Costs? With Nicole Bradberry and Kelly Conroy 2021-06-03 · 34m
Encore! EP244: A Playbook for Jumbo Employers—or Providers, Consultants, Carriers, or Pharma Who Get Paid by Jumbo Employers, With Lee Lewis, Chief Strategy Officer at the Health Transformation Alliance 2021-05-27 · 31m
EP323: A Short Take on Digital Tools Purporting to Maximize Throughput, With Arshad Rahim, MD, MBA, FACP, of Mount Sinai Health System 2021-05-20 · 18m
EP322: Cherry Picking, Lemon Dropping, and Other Learnings for Value-Based Care Models, With Monica Lypson, MD, MHPE 2021-05-13 · 31m
EP321: How to Point Out Low-Value Care Without Starting a Fistfight, With Rich Klasco, MD 2021-05-06 · 30m
AEE15: A Sidebar Conversation About the Importance and Challenges for Health Systems to Collaborate With Pharma Manufacturers, With David Carmouche, MD, From Ochsner, a Large Health System 2021-05-04 · 6m
EP320: Is Telehealth vs In-Person Care Like Some Kind of Winner-Takes-All Cage Fight? With Christian Milaster From Ingenium 2021-04-29 · 30m
EP319: How Do We Improve Outcomes in Skilled Nursing and Also Assisted Living Facilities? With Grace Terrell, MD 2021-04-22 · 31m
EP318: A Primer for Pharma Looking to Collaborate With Health Systems, From the Point of View of Troy Larsgard, a Pharmaceutical Category Manager at Johns Hopkins 2021-04-15 · 28m
EP317: Wait, the Latest Action on Drug Pricing Reform Can Be Found in the Infrastructure Bill? With Josh LaRosa, MPP, Policy Director, Wynne Health Group 2021-04-08 · 27m
EP316: Unexpectedly Talking About Employers, With David Carmouche, MD, From Ochsner, a Large Health System 2021-04-01 · 22m
EP315: The Very Unsexy Essential for Technology to Drive Outcomes That Nobody Talks About, With Bob Matthews 2021-03-25 · 32m
AEE14: A Short Lesson for Self-insured Employers: Dr. Doug Eby Gives Some Advice That Everybody Should Hear Who Is Interested in Improving Outcomes and Lowering Costs, With Douglas Eby, MD, MPH, CPE 2021-03-23 · 8m
EP314: Why Do SNF (Skilled Nursing Facility) Patients Need Two Pharmacies and a PBM? Following the Kinda Long Long-term Care Pharmaceutical Supply Chain, With Sheldon Weiss, MD 2021-03-18 · 29m
EP313: Partnering Up With Fiercely Local and Fiercely Independent Pharmacies, With Dan Strause and Drew Leatherberry 2021-03-11 · 30m
EP312: Radically Improving Population Health: Listen and Learn From One of Our Country's Best-Kept Secrets, With Douglas Eby, MD, MPH, CPE 2021-03-04 · 34m
EP311: How Aging in Place Becomes a Business Problem for FFS Providers, With Sumit Nagpal 2021-03-02 · 29m
AEE13: Have You Ever Wondered How GoodRx Makes Money? With Ge Bai, PhD, CPA 2021-03-02 · 8m
EP310: The 2020 Shkreli Awards for the Worst Examples of Profiteering and Dysfunction in Health Care, With Vikas Saini, MD, and Shannon Brownlee 2021-02-18 · 30m
EP309: FFS Providers Getting Locked Out of Referral Flows, Right Now, As We Speak, With Jeff Hogan 2021-02-11 · 32m
EP308: At Least Two Surprising Insights About Value-Based Care, With Mark Fendrick, MD 2021-02-04 · 35m
EP307: The Surprise Billing Legislation: Its Impact on Providers, Hospitals, Self-insured Employers, and (Most of All) Patients, With Loren Adler 2021-01-28 · 34m
EP306: A Deep Dive Into Amazon's Pharmacy and the Amazon Pharmacy Model Some Employers Are Running With, With Ge Bai, PhD, CPA 2021-01-21 · 30m
EP305: The 1% Most Expensive Claimants Racking Up Massive FFS Bills and Still Not Getting the Help They Need From Our Health Care System, With Darrell Moon, CEO of Orriant 2021-01-14 · 33m
AEE12: Steve Blumberg and I Discuss the 2020 Humana Value-based Care Report 2021-01-12 · 8m
EP304: How a Provider Population Health Leader Who Went to Work for a Payer Thinks About Health Care Transformation, With Steve Blumberg, VP of Practice Transformation for GuideWell Health 2021-01-07 · 28m
Encore! EP216: How Medicare Part D Plans Became Addicted to Drug Rebates, With Chris Sloan From Avalere Health 2020-12-31 · 32m
Encore! EP231: Pharmaceutical Contracting, PBMs, Pharmacies, Employers, and the Latest HHS Rebate Proposal, With AJ Loiacono, CEO of Capital Rx 2020-12-24 · 38m
INBW29: The Secret to Transforming Our Health Care System Revealed—A Summary of the Wisdom of Relentless Health Value Guests in 2020 2020-12-17 · 25m
EP303: The Conflict Between QALYs for Drug Value and Specific Well-Funded Patient Advocacy Groups, With Anna Kaltenboeck From the Drug Pricing Lab at Memorial Sloan Kettering 2020-12-10 · 29m
EP302: The Gigantic Problem I Have With Talk About Telehealth, With Blake McKinney, MD, From CirrusMD 2020-12-03 · 31m
Encore! EP206: Turns Out, High‑Deductible Plans Do Not Drive High‑Quality, Cost‑Effective Care, With Ashok Subramanian, CEO and Founder of Centivo 2020-11-26 · 33m
EP301: What Is Up With the Hospital and Payer Transparency Rules From CMS Now and Also After January 20? With Jeff Leibach, MBA 2020-11-19 · 33m
EP300: Getting the Right Drugs Developed and Thinking Different About How to Pay for Them, With Bruce Rector, MD 2020-11-12 · 32m
EP299: FFS (Fee for Service) Is a Whole Business Model—It's Not Just a Way to Get Paid, With Alan Kaplan, MD, MBA, Assistant Professor of Urology at Georgetown University and a Practicing Urologist 2020-11-05 · 32m
EP298: The Intersection of Value-Based Payments and Behavioral Health—Also, the Rise of Telepsychiatry, With Don Fowls, MD 2020-10-29 · 33m
EP297: How the Front Desk Can Make or Break Patient Trust and, Potentially, Outcomes, With Jerry Durham From The Client Experience Company 2020-10-22 · 34m
EP296: Oncology FAQs About Telehealth, Standardizing Care, and Drug Prices, With Vincent Rajkumar, MD, of Mayo Clinic, Rochester 2020-10-15 · 33m
EP295: Surprising Insights About Measuring Primary Care Performance, With Rebecca Etz, PhD 2020-10-08 · 33m
EP294: Building a Center of Excellence: A Playbook for Physician Entrepreneurs, With Steve Schutzer, MD 2020-10-01 · 33m
EP293: Game Theory Gone Wild: Co-pay Cards, Co-pay Accumulators, and Co-pay Maximizers, With Dea Belazi, PharmD, MPH, President and CEO of AscellaHealth 2020-09-24 · 32m
EP292: Teladoc Buys Livongo: What Are the Implications for Providers, Employers, and the Market? Part 2, With Matt Anderson, MD, MBA, and Brian Klepper, PhD 2020-09-17 · 32m
EP292: Teladoc Buys Livongo: What Are the Implications for Providers, Employers, and the Market? Part 1, With Bob Matthews and Dan O'Neill, MA, MS 2020-09-15 · 32m
EP291: What Are Medicare Advantage Plans Up to Right About Now? With Betsy Seals, Cofounder of the Rebellis Group 2020-09-10 · 33m
Encore! EP225: Why, Right Now, It Is No Longer Optional to Suck at Patient Centricity, With Joe Selby, MD, MPH, Former Executive Director of PCORI 2020-09-03 · 31m
EP290: Shining a Light on the Crafty Gambits Used by Some (Not All) Hospital Billing Departments, With Doug Aldeen 2020-08-27 · 33m
EP289: The Right Amount of Oncology Screening and Care—In a Pandemic and Not in a Pandemic, With Bishal Gyawali, MD, PhD 2020-08-20 · 36m
EP288: The "Big Three" PBMs Spinning Up GPOs—What? With Mike Schneider, Principal at Avalere Health 2020-08-13 · 30m
EP287: The Time for Entrepreneurial Physician Leaders Is Right Now, With Dan O'Neill, MA, MS 2020-08-06 · 32m
EP286: Advice for Health Systems in the Face of Consumerism and Value-based Contracts, With John Rodis, MD, MBA 2020-07-30 · 34m
EP285: The Fascinating Story of Billions of Dollars Going Missing When the Back Office Pays Health Care Bills, With Dawn Cornelis, Cofounder and Director of Transparency at ClaimInformatics 2020-07-23 · 34m
EP284: When Prescribers Know How Much a Drug Will Cost Patients at the Point of Prescribing, With Carm Huntress, CEO and Cofounder of RxRevu 2020-07-16 · 35m
EP283: Your Telehealth Success May Be a Launchpad for Health System Innovation and Human-centered Health Care, With Sylvia Romm, MD, MPH, Chief Innovation Officer at Atlantic Health System 2020-07-09 · 33m
INBW27: Two Metrics to Measure the Value of Care Delivered 2020-07-02 · 18m
EP282: Do You Know How Much Cancer Centers Get Paid to Put Patients on Drugs? With Aaron Mitchell, MD, MPH 2020-06-25 · 35m
EP281: Badly Managed Health System Supply Chains Steal From Patients and the Providers Who Let This Happen, With Rob Austin From Guidehouse 2020-06-18 · 35m
EP280: Will Currently-in-Use Technology Advancements Wind Up Disrupting Traditional Models of Health Care Delivery and Reimbursement? With Yauheni Solad, MD, and Rahul Dubey 2020-06-11 · 38m
EP279: How Did Health Systems Get Addicted to the Inflated Prices They Charge Employers and Some Patients? With Peter Hayes, President and CEO of the Healthcare Purchaser Alliance of Maine 2020-06-04 · 38m
EP278: Will COVID-19 Result in a New Normal for Value-based Pharmaceutical Pricing? With Maura Calsyn From the Center for American Progress 2020-05-28 · 31m
EP277: Is Now the Time When Value-based Payments Overcome a Fierce and Sticky Fee-for-Service Overlord? With Eric Weaver, Executive Director of the Accountable Care Learning Collaborative 2020-05-21 · 32m
EP276: Advice for Self-insured Employers and That Prediction of a 4% to 40% Premium Increase in the Fully Insured Market, With Brian Scott From Point6 Healthcare 2020-05-14 · 26m
EP275: Will Self-insured Employer Costs Ultimately Go Up? The Why and How to Protect Your Company From Predatory Health Care Pricing, With Brian Scott, From Point6 Healthcare 2020-05-12 · 31m
EP274: What Telehealth Means After the Pandemic, With Jonathan Thierman, MD, PhD, From LifeBridge Health System 2020-05-07 · 21m
EP273: At What Level Will Telehealth Survive After the End of the Pandemic? With Jonathan Thierman, MD, PhD, From LifeBridge Health System 2020-04-30 · 29m
EP272: Why This Pandemic Is a Game Changer for PCPs and the Employers and Plans Who Pay Them, With Guy Culpepper, MD 2020-04-28 · 35m
EP271: A Surprise Billing Defense Strategy for Patients AND Employers in the Middle of a Pandemic, With Al Lewis, Rachel Miner, David Contorno, and Doug Aldeen 2020-04-23 · 41m
EP270: How to Save Primary Care Practices With the Marshall Plan for Prospective Payment Models, With Dave Chase, Cofounder and CEO of Health Rosetta 2020-04-16 · 26m
EP269: Prepping for the Next Wave: What Payers and Providers Should Be Doing Right Now to Get Ready, With Eric Bricker, MD, From AHealthcareZ 2020-04-09 · 34m
AEE11: COVID-19 Billing, With Doug Aldeen and Al Lewis 2020-04-07 · 18m
EP268: After June: Action Steps for Hospitals, Payers, Employers, and Pharma, With Marty Makary, MD, MPH 2020-04-02 · 27m
EP267: From Now Until June: Action Steps for Hospitals, Payers, Employers, Pharma, With Marty Makary, MD, MPH 2020-03-30 · 32m
EP266: When the Scrubs and the Suits Partner Together, Everybody Is Happier … Except Maybe Those Looking to Exploit Patients, With Matt Anderson, MD, MBA 2020-03-26 · 31m
EP265: The What, the How, and the Questionable Why of Digital Therapeutic Formularies, With Randy Vogenberg, PhD 2020-03-19 · 29m
EP264: How Prior Auths Collide With Trust, With Ron Wince, CEO of Myndshft 2020-03-12 · 34m
EP263: How Population Health Leaders Use Artificial Intelligence Right Now, With Andrew Eye From ClosedLoop 2020-03-05 · 37m
EP262: The Ease of Doing Business, With Brian Van Winkle and Rishab Shah From Johns Hopkins Medicine and Working With NODE.Health 2020-02-27 · 32m
EP261: Six Essential Steps to Get Population Health Right, With Fred Goldstein, President and Founder of Accountable Health, LLC 2020-02-20 · 31m
AEE10: An Update on the Snowball of Drug Pricing Initiatives in Washington Right Now, With Josh LaRosa, MPP, Policy Director, Wynne Health Group 2020-02-18 · 15m
EP260: The Latest Shkreli Awards for the Worst Examples of Profiteering and Dysfunction in the Health Care Industry, With Shannon Brownlee and Vikas Saini, MD, of the Lown Institute 2020-02-13 · 32m
EP259: What Are Payers Looking to Solve For Right Now? With Rahul Dubey of Percynal Health Innovations 2020-02-06 · 33m
EP258: Areas of Promise, With Seven Health Care Thought Leaders 2020-01-30 · 32m
EP257: Rating the Raters of Hospital Quality, With Karl Bilimoria, MD, From Northwestern Medicine 2020-01-23 · 33m
EP256: A Major Health Care Cost Driver Revealed: Misdiagnoses in Radiology, With Ron Vianu, Founder and CEO of Covera Health 2020-01-16 · 33m
EP255: UCHealth: A Short List of Hospital Innovations Rolled Out in 2019, With Richard Zane, MD, From UCHealth 2020-01-09 · 28m
EP254: How to Achieve Outcomes That Matter to Patients, With Nadine Jackson McCleary, MD, MPH, BSN 2020-01-02 · 26m
INBW26: A Three-Prong Plan to Find Areas of Promise and/or Promising Companies in Health Care 2019-12-19 · 19m
EP253: How to Use Health IT to Help Patients and Providers Collaborate, With George Mathew, Chief Medical Officer at DXC Technology 2019-12-12 · 30m
EP252: The Not-So-Obvious Thing That Musculoskeletal Care and a 4-Minute Mile Have in Common, With Chad Gray, CEO of Integrated Musculoskeletal Care 2019-12-05 · 33m
INBW25: Behind the Marketing: Preparing Account Management for Successful Selling Into Health Systems, With Dave Dierk, Co-President of Aventria Health Group 2019-11-28 · 37m
Encore! EP176: Why We Think We're Getting Good Health Care, When We Aren't, With Dr. Robert Pearl, Author and Former CEO of the Permanente Medical Group. Co-hosted by Stacey Richter and Alex Akers 2019-11-21 · 36m
EP251: Preventing Readmissions and Improving Patient Outcomes With Telehealth and Other Digital Tools, With Dr. Kimberly Noel From Stony Brook Medicine 2019-11-14 · 31m
EP250: How to Make Patient-Collected Data Actionable for Shared Decision Making, With Vicky Tiase From NewYork-Presbyterian Hospital 2019-11-07 · 33m
EP249: The War on Financial Toxicity in North Carolina, With Dale Folwell, North Carolina State Treasurer 2019-10-31 · 34m
EP248: United We Could Definitely Stand Against Rising Health Care Costs, With Mark Blum From America's Agenda 2019-10-24 · 34m
EP247: From Quality Measures to Medicare Advantage (Maybe for All) and Price Gouging, With John Gorman, CEO and Chairman of Nightingale Partners 2019-10-17 · 34m
EP246: Even a Dream House Needs Plumbing, and Even Visionary Innovation Needs a Capable EHR Infrastructure, With Pam Arora, SVP and CIO at Children's Health in Dallas 2019-10-10 · 32m
EP245: Arithmetically Impossible, With Al Lewis, Cofounder and CEO of Quizzify 2019-10-03 · 33m
EP244: A Playbook for Jumbo Employers—or Providers, Consultants, Carriers, or Pharma Who Get Paid by Jumbo Employers, With Lee Lewis, Chief Strategy Officer at the Health Transformation Alliance 2019-09-26 · 37m
EP243: Who Will Be Impacted by the Snowball of Drug Pricing Initiatives Pouring Out of Washington Right Now? With Josh LaRosa, MPP, Policy Associate, Wynne Health Group 2019-09-19 · 32m
EP242: The Price We Pay: What Broke American Health Care—and How to Fix It, With Marty Makary, MD 2019-09-12 · 45m
EP241: Putting the Squeeze on Community Pharmacies, With Vinay Patel, Founder, Self Insured Pharmacy Networks 2019-09-05 · 36m
INBW24: Are Patients Consumers? 2019-08-29 · 18m
EP240: The Inside Scoop on How Medical Travel Improves Health Outcomes and Lowers Costs for Employers, With Olivia Ross, Associate Director of the Employers Centers of Excellence Network 2019-08-22 · 32m
EP239: How to Escape From Legal Purgatory When Collaborating, With Bill Tanenbaum of Polsinelli 2019-08-15 · 31m
EP238: Who Will Be the Knights in Shining Armor Who Fix the American Health Care System? With Brian Klepper, PhD, From the Validation Institute 2019-08-08 · 36m
EP237: Improving Health Care Value by Pausing and Asking Questions, With Derek Winn, Cofounder at Distilled Concepts and Consultant at the Business Benefits Group 2019-08-01 · 32m
EP236: Customer Experience Advice: When Building to Simplicity, It Has to Be Perfect, With Liliana Petrova, CEO/Founder at The Petrova Experience 2019-07-25 · 34m
EP235: The Right Providers Will Maximize Health Care Value. So Who Are the Right Providers? With Suzanne Clough, MD, CMO at ArmadaHealth 2019-07-18 · 33m
EP234: Customer Experience Drives Trust, and the Two Together Drive Outcomes, With Claire Sporton of Confirmit 2019-07-11 · 19m
INBW23: What I Said at the Rare Disease Roundtable Last Week 2019-07-04 · 16m
EP233: Integrative Oncology Is a Clinically Proven Approach—Here's to Hoping That News Gets Out to Payers and Patients, With Glenn Sabin of FON Consulting 2019-06-27 · 25m
EP232: Why the Right KPIs Are Vital to Improve Patient/Customer Experience, With Jon Skinner From The Verde Group 2019-06-20 · 26m
EP231: Pharmaceutical Contracting, PBMs, Pharmacies, Employers, and the HHS Rebate Proposal: What You Need to Know Now, With AJ Loiacono, CEO of Capital Rx 2019-06-13 · 50m
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