Listen to a podcast, please open Podcast Republic app. Available on Google Play Store and Apple App Store.
| Episode | Date |
|---|---|
|
EP525: PMPM vs FFS—The Perverse Incentives Plan Sponsors Sometimes Miss, With Cristin Dickerson, MD
|
Aug 19, 2026 |
|
EP524: Beating Provider Network Pricing Games by Thinking About Buying Healthcare Like a Manufacturer Supply Chain, With John Quinn
|
Aug 12, 2026 |
|
The Sleeping Giants of Healthcare—Why Self-insured Employers and Clinicians Keep Missing Each Other, With Suhas Gondi, MD, MBA. EP523
|
Aug 05, 2026 |
|
How GoodRx Actually Makes Money: PBMs, Cash Prices, and Pharmacy Contracts, With Ge Bai, PhD, CPA (EP522)
|
Jul 29, 2026 |
|
How Revenue Cycle Management (RCM) Became an Over $200 Billion Healthcare Hot Potato, With Andrew Tsang. EP521
|
Jul 22, 2026 |
|
Cash-Pay Generic Drugs Are a Functioning Market in Healthcare—Policymakers Beware and Be Careful. EP520
|
Jul 15, 2026 |
|
Cognitive Atrophy and Referral Incentives Breaking Primary Care, With Lisa Rosenbaum, MD (EP519)
|
Jul 08, 2026 |
|
How Do You Explain the Difference Between an ASO Vendor and a TPA? With Claire Brockbank. Episode 518
|
Jul 01, 2026 |
|
Prior Authorizations & Pharma Rebate Contracts — How Financial Motives Keep Generics Off Formularies (EP517)
|
Jun 24, 2026 |
|
Cash Pay From the Pharma Manufacturer Point of View, With Ophelia Johnson (EP516)
|
Jun 17, 2026 |
|
Self-Insured Employers: SNF Fraud or Perverse Incentives? Understaffing, Gamed STAR Ratings, and Medicare Dollars at Skilled Nursing Facilities with Michelle Cera. EP515
|
Jun 10, 2026 |
|
Successfully Suing a Health System for Their Anticompetitive Contracts and Also Collecting Damages for Plan Sponsors and Members, With Matt Cantor. EP514
|
Jun 03, 2026 |
|
Revisiting Cunning Anticompetitive Hospital Contracts, With Brennan Bilberry - EP513
|
May 27, 2026 |
|
3 Kinds of Broker/EBC Rent-Seeking Payment Models—A Lawyer's Perspective, With Doug Aldeen. EP512
|
May 27, 2026 |
|
The Perverse Incentive Trap Hidden Inside Value-Based Care — and What to Do About It. EP511
|
May 14, 2026 |
|
Why Employers Pay More Because of Vertically Integrated Medicare Advantage Carriers with Betsy Seals. EP510
|
May 07, 2026 |
|
The 7.7% Wake-Up Call: A Roadmap to Align Finance Teams With Non-complacent Benefit Design, With Patrick Nelli. EP509
|
Apr 30, 2026 |
|
Why Don't More Self-insured CEOs Take Bold Action in Health Benefits Strategy? With Lee Lewis. (EP508)
|
Apr 23, 2026 |
|
4 Core Concepts to Buy or Deliver the Highest Value Healthcare — A Review With 14 Expert Voices (EP507)
|
Apr 16, 2026 |
|
Price Transparency Data: How Employers, Shareholders, and Clinics Use It, With Jerry DiMaso (EP506)
|
Apr 09, 2026 |
|
The Death of the "What Is Value" Guessing Game for Clinical and Plan Decision-Makers Ready to Move On, With Ahilan Sivaganesan, MD (EP505)
|
Apr 02, 2026 |
|
A Back-to-Basics Roadmap Through the Perverse Incentives to Advanced Primary Care, With Ryan Jacobs (EP504)
|
Mar 26, 2026 |
|
Insights to Outwit the Hot Mess of the Non-Healthcare Market (INBW46)
|
Mar 19, 2026 |
|
From Lazy PPO Networks to Smart Collaboration — A Roadmap for Direct-to-Employer Specialty Care. EP503
|
Mar 12, 2026 |
|
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)
|
Mar 05, 2026 |
|
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
|
Feb 26, 2026 |
|
Why the Commercial Carrier Market Never Changes — Six Reasons There Is No Market. Take 2 of EP398
|
Feb 19, 2026 |
|
EP500: This Is Episode 500, and It's All About You, Tribe
|
Feb 12, 2026 |
|
Self-insured Employers and Other Plan Sponsors Are Paying Millions for MSK (Musculoskeletal) Injuries That Would Have Healed Themselves, With Jay Kimmel, MD. EP499
|
Feb 05, 2026 |
|
The Payment Integrity Arms Race—RCM (Revenue Cycle Management) and Plan Sponsors, With Mark Noel (EP498)
|
Jan 29, 2026 |
|
The "Just Spend Everything You're Given" Trap—Lessons in True Provider Fiscal Discipline, With Gary Campbell
|
Jan 22, 2026 |
|
What You Don't Know About Healthcare Transactions and Clearinghouses Could Cost You, With Zack Kanter
|
Jan 15, 2026 |
|
Plan Sponsors Spend About $1.20 to Buy $1 of Healthcare, and Clinical Organizations Receive 80¢ for Every $1.20 Spent, With Mark Newman
|
Jan 08, 2026 |
|
2025 Year-End Themes, Part 2: The Two Things That Have to Change for Any of the Rest of It to Work
|
Dec 31, 2025 |
|
INBW44: The Relentless Health Value Themes That We Covered Throughout 2025—A Recap, Part 1
|
Dec 24, 2025 |
|
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
|
Dec 18, 2025 |
|
The Measurement Trap: Why We Track Healthcare Costs and Outcomes Exactly Backwards with Dr. Mick Connors. EP495
|
Dec 11, 2025 |
|
Six Tensions of Pharmaceutical Drug Pricing, With Sarah Emond of ICER. EP494
|
Dec 04, 2025 |
|
Bonus Add-on for EP494: ICER and the Pharma Pricing Arms Race, With Sarah Emond
|
Dec 04, 2025 |
|
INBW43: Five Baskets of Thank Yous to Hand Out, Along With a Plug for Big Demand Curve Energy
|
Nov 26, 2025 |
|
Direct Contracts and the ECEN High-Value Network Model, Take Two EP240: With Olivia Ross
|
Nov 20, 2025 |
|
What Employer CEOs Are Figuring Out About Healthcare Costs Right Now, With John Quinn. EP493
|
Nov 13, 2025 |
|
How to Run a High-Quality Hospital at 143% of Medicare, With Dr. Sam Flanders and Shane Cerone
|
Nov 06, 2025 |
|
The PBGH Transparency Demonstration Project and What It Means for TPAs, Consultants, and Employers
|
Oct 30, 2025 |
|
3 Problematic Hospital Myths: There Is No Healthcare Market, With Shane Cerone and Dr. Sam Flanders. EP490
|
Oct 23, 2025 |
|
How Margin and Mission Work Together at a Multispecialty Group, With Dan Greenleaf of Duly. EP489 Part 2
|
Oct 16, 2025 |
|
How Mission Becomes a Path to Margin at a Multispecialty Group, With Dan Greenleaf of Duly. EP489 Part 1
|
Oct 09, 2025 |
|
Mark Cuban and Cora Opsahl on Trust, Simplicity, High Deductibles, and Direct Contracting. EP488
|
Oct 02, 2025 |
|
Detective Skills for Following the Healthcare Dollar, Part 2 With Kevin Lyons of the NJ State PBA. EP487 Part 2
|
Sep 25, 2025 |
|
A Former Police Detective Investigates the 3 Big Barriers to the Public Sector Getting Better Affordable Health Benefits, With Kevin Lyons. EP487 Part 1
|
Sep 18, 2025 |
|
How to Operationalize Direct Contracting and Bundled Payments, With Dr. Stan Schwartz of ZERO.health. EP486
|
Sep 11, 2025 |
|
Why Imaging Is 6-11% of Plan Spend and How Direct Contracting Fixes It, With Dr. Cristin Dickerson. EP485
|
Sep 04, 2025 |
|
TPA and Health Plan Inertia: What Self-Insured Employers Need to Know, With Elizabeth Mitchell
|
Aug 28, 2025 |
|
3 Burning Questions Every Self-Insured Employer Should Be Asking Right Now, With Dave Chase. EP484
|
Aug 21, 2025 |
|
Reversing the Healthcare Cost Flywheel: From Discounts to Better Member Health, With Jonathan Baran. EP483 Part 2
|
Aug 14, 2025 |
|
How the Healthcare Cost Flywheel Works — and Why It Keeps Spinning, With Jonathan Baran. EP483 Part 1
|
Aug 07, 2025 |
|
Bonus Add-on: Honoring Those in Healthcare Who Are Trying Every Day to Do the Right Thing, With Jonathan Baran
|
Aug 07, 2025 |
|
How Margin Shoves Mission Off the Bus: A Primary Care Case Study, With Dr. Stan Schwartz
|
Jul 31, 2025 |
|
3 Surprising Ways Carriers Make Lots of Money, With Preston Alexander of The Healthcare Breakdown. EP482
|
Jul 24, 2025 |
|
Take Two: EP445: What Does It Take for an Indie Primary Care Practice to Survive Right Now? With Tom X. Lee, MD
|
Jul 17, 2025 |
|
Bonus Clip: Dr. Tom Lee Talks About Why Retail Clinics Are Not Doing So Well, in His Opinion
|
Jul 17, 2025 |
|
EP481: Seriously, IRL, What Does "No Margin, No Mission" Even Mean? With Benjamin Schwartz, MD, MBA
|
Jul 10, 2025 |
|
Take Two: EP438: Is It Mission and/or Margin? With John Lee, MD
|
Jul 03, 2025 |
|
Payment Integrity Meets Health System Boasts, Such as Our Rates Are 2x Medicare, With Kimberly Carleson. EP480
|
Jun 26, 2025 |
|
The Rebate Wall: Why Chasing Pharma Rebates Can Block Better Patient Care with Ann Lewandowski - Summer Short
|
Jun 19, 2025 |
|
What Could Go Wrong Covering High-Cost Claimants With Stop-Loss Reinsurance? EP479.
|
Jun 12, 2025 |
|
Take Two: EP433: The Mystery of the Weekly Claims Wire, With Justin Leader
|
Jun 05, 2025 |
|
EP478: Stop-Loss Coverage, Part 1: How It Goes Right, and How It Can Go Horribly Wrong, With Andreas Mang and Jon Camire
|
May 29, 2025 |
|
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
|
May 22, 2025 |
|
How to Earn Trust in Healthcare: Four Principles That Actually Work. Bonus Add-on to EP477 with Charles Green
|
May 22, 2025 |
|
Talking Whistleblowing and the Pharma Rebates Whistleblower Case With an Actual Whistleblower, With Ann Lewandowski. EP476
|
May 15, 2025 |
|
Is This a Moment or a Movement? Three Forces Reshaping Healthcare With Peter Hayes. EP475
|
May 08, 2025 |
|
Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD. EP474
|
May 01, 2025 |
|
How Trusted Primary Care Relationships Keep Patients Out of the ER — and Lower Plan Costs. EP473
|
Apr 24, 2025 |
|
How Hospitals Engineer $800,000 Claims and What Plan Sponsors Can Do About It. EP472
|
Apr 17, 2025 |
|
EP471: High-Cost Claimants in 2025 and Beyond—What Is Really Expensive Not to Know? With Christine Hale, MD, MBA
|
Apr 10, 2025 |
|
EP470: Continuing the ER and Primary Care Through Line Over to Rural Hospitals and Healthcare, With Nikki King, DHA
|
Apr 03, 2025 |
|
EP469 (Part 2): The Impact on Plan Sponsors of Medicare Site-Neutral Payments and HSA Reforms, With James Gelfand, JD
|
Mar 27, 2025 |
|
EP469 (Part 1): The Impact on Plan Sponsors of Medicaid Cuts, With James Gelfand, JD
|
Mar 27, 2025 |
|
EP468: Very Common Assumptions That Aren't Actually True About Member Engagement and the Healthcare Industry, With Matt McQuide
|
Mar 20, 2025 |
|
EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter
|
Mar 13, 2025 |
|
EP466: What Is Rising Faster, Insurance Premiums or Hospital Prices? With Vivian Ho, PhD
|
Mar 06, 2025 |
|
EP465: The Not Super Effective Contracting Industry Norm, Where Jumbo Plans and Others Wind Up Paying $10,000 for $50 Drugs, With Chris Crawford
|
Feb 27, 2025 |
|
EP464: ER Visits Now 6% of Total Plan Spend. Is It Upcoding or What? With Al Lewis
|
Feb 20, 2025 |
|
EP463: Medicare Advantage Policies—Which Will Stay and Which Will Go Now? With Betsy Seals
|
Feb 13, 2025 |
|
Encore! EP384: How Shareholders Impact Carrier Behavior, Exactly and Specifically, With Wendell Potter
|
Feb 06, 2025 |
|
EP462: Managing Populations of Whole, Actual People Who Are Not the Sum of a Bunch of Different Body Parts, With Scott Conard, MD
|
Jan 30, 2025 |
|
INBW42: A Philosophical Rabbit Hole of Considerations for Plan Sponsors and Others
|
Jan 23, 2025 |
|
EP461: Pick Only One, Plan Sponsors: Do You Want to Control GLP-1 Volume or Control GLP-1 Unit Cost? With Chris Crawford
|
Jan 16, 2025 |
|
How Disruptors Can Scale to 99% of Americans: A Theory of Change for Healthcare with Rushika Fernandopulle, MD. EP460
|
Jan 09, 2025 |
|
EP459: Cost Containment by Co-Pay Maximizer or Co-Pay Accumulator: Points to Ponder, With Bill Sarraille
|
Jan 02, 2025 |
|
INBW41: End-of-Year Wrap-Up and My Personal Charter Encore: Where the Rubber Hits the Road
|
Dec 26, 2024 |
|
Encore! EP419: The Financialization of Health Benefits for Boards of Directors and C-Suites of Self-Insured Employers, With Andreas Mang
|
Dec 19, 2024 |
|
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
|
Dec 12, 2024 |
|
EP457: It's a Big Thing: Medical Spread Pricing. So, Let's Talk About Contract Transparency, With Cynthia Fisher
|
Dec 05, 2024 |
|
INBW40: Thank Yous and the Intersection of Product Value, Collaboration, and Being a "Giver"
|
Nov 27, 2024 |
|
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
|
Nov 21, 2024 |
|
Encore! EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews
|
Nov 14, 2024 |
|
EP456: Advice to Pharma at the Intersection of Product Value, Reputation, and Patient Affordability, With Brian Reid
|
Nov 07, 2024 |
|
EP455: A Leadership Blueprint for Measurably Better Care, With Beau Raymond, MD
|
Oct 31, 2024 |
|
EP454: How the Particle v Epic Lawsuit Impacts Plan Sponsors and Public Health Trying to Get Data, With Brendan Keeler
|
Oct 24, 2024 |
|
EP453: Running a TPA (Third-Party Administrator) RFP Process That Is Less of a Wild West Fiduciary Shootout, With Claire Brockbank
|
Oct 17, 2024 |
|
EP452: Fiduciary Duty vs the Healthcare Status Quo, With Cora Opsahl
|
Oct 10, 2024 |
|
Spotlight Episode: Oncology Side Effect Management in the Real World, With Dan Nardi From Reimagine Care
|
Oct 03, 2024 |
|
EP451: Hey, Let's Not Talk About Artificial Intelligence, With Spencer Dorn, MD, MPH, MHA
|
Sep 26, 2024 |
|
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
|
Sep 19, 2024 |
|
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
|
Sep 12, 2024 |
|
EP448 (Part 2): 340B: Why Employers Should Probably Care About What's Happening Here, With Shawn Gremminger
|
Sep 05, 2024 |
|
EP448 (Part 1): 340B: Where It Started, Where It Is Now, and Who Is Really Benefiting From This Massive Program, With Shawn Gremminger
|
Sep 05, 2024 |
|
The Euphemism That Has Become Value-Based Care, With Elizabeth Mitchell—Summer Shorts 9
|
Aug 29, 2024 |
|
Encore! EP413: The Intersection of Healthcare Waste, Value-Based Care, and the Potential Rising Power of PCPs, With Will Shrank, MD
|
Aug 22, 2024 |
|
Encore! EP402: What Physicians Trying to Clinically Integrate Care in the Real World Need to Know, With Amy Scanlan, MD
|
Aug 15, 2024 |
|
EP447: Why an "EHR Strategy" Isn't Enough, With Ashleigh Gunter
|
Aug 08, 2024 |
|
EP446: Hey, Let's Not Talk About EHRs, With Spencer Dorn, MD, MPH, MHA
|
Aug 01, 2024 |
|
EP445: Can a Primary-Care-Only Practice Survive in 2024? With Tom X. Lee, MD
|
Jul 25, 2024 |
|
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
|
Jul 18, 2024 |
|
EP444: Two State Healthcare Laws Often Don't Go as Planned: CON and COPA, With Ann Kempski
|
Jul 11, 2024 |
|
EP443: Let Us Never Pay the First Bill in Honor of Marshall Allen
|
Jul 04, 2024 |
|
EP442: A Short Rumination on Saving Money, Except Not Saving Money. Oncology Side Effect Management as a Case Study, With Andreas Mang
|
Jun 27, 2024 |
|
EP441: Tables Get Turned. This Is Me Interviewed by Abby Burns From Radio Advisory About What Is Value
|
Jun 20, 2024 |
|
EP440: What Is the Optimal Size for a Medical Practice? With David Muhlestein, PhD, JD
|
Jun 13, 2024 |
|
EP439: Fixing the Generic Drug Pricing Problem, Where Patients Pay More When They Use Their Insurance, With Luke Slindee, PharmD
|
Jun 06, 2024 |
|
EP438: Recognizing Cognitive Dissonance and Thinking About How to Overcome It When in the Belly of the Beast, With John Lee, MD
|
May 30, 2024 |
|
EP437: The Most Powerful Committee No One Ever Heard of and Their Role in Primary Care and Mental Health Struggles, With Brian Klepper, PhD
|
May 23, 2024 |
|
EP436: Let's Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia, With Elizabeth Mitchell
|
May 16, 2024 |
|
Encore! EP363: How to Cut Healthcare Admin Burden in Half, With David Scheinker, PhD
|
May 09, 2024 |
|
EP435: Optimized Pharmacy Benefits Are Required if You Want to Do or Buy Value-Based Care, With Dan Mendelson
|
May 02, 2024 |
|
EP434: 5 Surprises About Bundled Payments, With Benjamin Schwartz, MD, MBA
|
Apr 25, 2024 |
|
EP433: The Mystery of the Weekly Claims Wire: What Are Plan Sponsors Actually Paying For Each Week? With Justin Leader
|
Apr 18, 2024 |
|
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
|
Apr 11, 2024 |
|
Encore! EP297: A Driver of Patient Engagement and Clinician Team Success That Is Almost Always Overlooked, With Jerry Durham
|
Apr 04, 2024 |
|
EP432: The Knifepoint Intersection of Margin and Mission and the Peril of Cutting Clinical "Waste," With Kate Wolin, ScD
|
Mar 28, 2024 |
|
EP431: How Accountability for Outcomes Works in the Real World With Kenny Cole, MD
|
Mar 21, 2024 |
|
EP430: Advice for Digital Health Vendors Selling to Employers, With Barbara Wachsman
|
Mar 14, 2024 |
|
EP429: Following the Dollar Through Pharmacy Acronyms Like WAC, AWP, and NADAC, With Luke Slindee, PharmD
|
Mar 07, 2024 |
|
EP428: Do-It-Now Advice From the J&J and the DOL v BCBS Lawsuits, With Julie Selesnick
|
Feb 29, 2024 |
|
EP427: How Do Digital Health Vendors Deliver Patient Outcomes and Experiences? With Rik Renard
|
Feb 22, 2024 |
|
Encore! EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono
|
Feb 15, 2024 |
|
EP426: Cost Containment Versus Value-based Drug Purchasing, With Nina Lathia, RPh, MSc, PhD
|
Feb 08, 2024 |
|
EP425: Three Ways for "Regular" Clinical Practices to Take Cash When It's Cheaper for a Patient Than Using Their Insurance, With Marshall Allen
|
Feb 01, 2024 |
|
INBW39: The Narcissism of Small Differences Is a Really Must-Know Concept When Attempting to Fix the Healthcare Industry
|
Jan 25, 2024 |
|
EP424: Five Things for Hospital System Execs to Get Real About in 2024, With Peter Hayes
|
Jan 18, 2024 |
|
EP423: Maximizers and the "the Drugs Aren't Covered" Schemes Employers Use to Save Money (or Not) on Pharmacy Benefits, With Joey Dizenhouse
|
Jan 11, 2024 |
|
Some Indie Pharmacy Upshots That Surprised Me—and I Thought I Was Pretty in the Know, With Benjamin Jolley, PharmD. EP422
|
Jan 04, 2024 |
|
Encore! EP392: When Patient Journeys Don't Fit in the EHR, With Emily Kagan Trenchard
|
Dec 28, 2023 |
|
Encore! EP372: Step One for Employers and Unions—Get Your Data, With Cora Opsahl
|
Dec 21, 2023 |
|
EP421: Wildly Improving Outcomes When the Patient Is, for Reals, in the Center—For Maternity and Beyond, With Jodilyn Owen
|
Dec 14, 2023 |
|
EP420: Paying Cash for Generic Drugs—Some Finer Points That Had Totally Gone Over My Head, With Ge Bai, PhD, CPA
|
Dec 07, 2023 |
|
The Financialization of Health Benefits for Boards of Directors and C-Suites of Self-Insured Employers, With Andreas Mang. EP419
|
Nov 30, 2023 |
|
Encore! EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root
|
Nov 23, 2023 |
|
EP418: Mark Cuban With Some Advice for CEOs and CFOs of Self-insured Employers, With Mark Cuban and Ferrin Williams, PharmD, MBA, From Scripta
|
Nov 16, 2023 |
|
Encore! EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson
|
Nov 09, 2023 |
|
EP417: 5 Kinds of Payer and Provider Collaborations and 5 Must-Haves for Said Collaborations to Work, With Josh Berlin, JD
|
Nov 02, 2023 |
|
EP416: Why Should Med Schools Teach the Business of Medicine? With Adam Brown, MD, MBA
|
Oct 26, 2023 |
|
EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews
|
Oct 19, 2023 |
|
EP414: An IRL How-To for Delivering Better Care and Getting Paid for It—A Value-Based Case Study, With Justina Lehman
|
Oct 12, 2023 |
|
EP413: The Intersection of Healthcare Waste, Value-Based Care, and the Potential Rising Power of PCPs, With Will Shrank, MD
|
Oct 05, 2023 |
|
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
|
Sep 29, 2023 |
|
Encore! EP361: The Gap in Closing Care Gaps, With Carly Eckert, MD, PhD(c), MPH
|
Sep 28, 2023 |
|
EP412: Leadership of the Art and Science of Medicine, With Robert Pearl, MD
|
Sep 21, 2023 |
|
Are Physicians (and the Rest of Us, Nothing for Nothing) Knights, Knaves, and/or Pawns? With Larry Bauer, MSW, MEd—Summer Shorts 8
|
Sep 14, 2023 |
|
Why Do Actuarial Risk Horizons Really Matter for Anybody Trying to Improve Patient Outcomes? With Keith Passwater and JR Clark—Summer Shorts 7
|
Aug 31, 2023 |
|
Should You Not Give Employees the Benefit Design They Think They Want? With Lauren Vela—Summer Shorts 6
|
Aug 24, 2023 |
|
Payers Trying to Differentiate Themselves by Working With Provider Organizations … or Not, With Jacob Asher, MD—Summer Shorts 5
|
Aug 17, 2023 |
|
Supergroups, Super ACOs, and Ochsner's Value-Based Care Journey, With Eric Gallagher—Summer Shorts 4
|
Aug 10, 2023 |
|
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
|
Aug 03, 2023 |
|
EP409: 3 Really Cool Innovative Primary Care Bright Spots and a Few Notes for Policymakers and Payers, With Larry Bauer, MSW, MEd
|
Jul 27, 2023 |
|
Does Advanced Primary Care Reduce Access for Patients? With Vivek Garg, MD, MBA—Summer Shorts 3
|
Jul 20, 2023 |
|
What Happens When Someone Tries to Un-transform a Transformed PCP Practice? With Scott Conard, MD—Summer Shorts 2
|
Jul 13, 2023 |
|
How Come There Aren't More Hospital Antitrust Cases? With Brennan Bilberry—Summer Shorts 1
|
Jul 06, 2023 |
|
INBW38: What I'm Up to Right Now, Big RHV Plans for the Summer—Also Doug Pohl, Justina Lehman, and Dr. Amy Scanlan
|
Jun 29, 2023 |
|
Encore! EP365: The Real Deal With PBM Contracts and Drug Rebates, With Scott Haas
|
Jun 22, 2023 |
|
EP408: Who's Suing Who? An Overview of Healthcare Legal Goings-on, With Chris Deacon
|
Jun 15, 2023 |
|
EP407: Considering Comprehensive Primary Care at Humana, With Vivek Garg, MD, MBA
|
Jun 08, 2023 |
|
EP406: The Inertia Show: 5 Excellent Reasons for the "Why" With the Inertia in Benefits Departments, With Lauren Vela
|
Jun 01, 2023 |
|
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
|
May 25, 2023 |
|
EP405: What Else Physicians Trying to Clinically Integrate in the Real World Really Need to Know, With Eric Gallagher
|
May 18, 2023 |
|
EP404: What Now? Who's on the Board of Those Big Hospitals? With Suhas Gondi, MD, MBA
|
May 11, 2023 |
|
EP403: The Mix & Match With the How Doctors Get Paid, With Rachel Reid, MD, MS
|
May 04, 2023 |
|
EP402: What Physicians Trying to Clinically Integrate Care in the Real World Need to Know, With Amy Scanlan, MD
|
Apr 27, 2023 |
|
EP401: The Most Interesting Questions About the IRA Drug Price Negotiations, With Peter J. Neumann, ScD
|
Apr 20, 2023 |
|
EP400: My Manifesto, Part 2: Where the Rubber Hits the Road
|
Apr 13, 2023 |
|
Encore! EP285: Who Is Auditing These Healthcare Bills? Also, That Cigna Lawsuit, With Dawn Cornelis, Cofounder and Director of Transparency at ClaimInformatics
|
Apr 06, 2023 |
|
EP399: My Manifesto, Part 1: The Relentless Health Value Tribe, I Salute You.
|
Mar 30, 2023 |
|
EP398: Why Is the Commercial Payer Marketplace in California Completely Boring? With Jacob Asher, MD
|
Mar 23, 2023 |
|
EP397: The Minefield That Is a PBM Contract and Also Some Advice for EBCs Who Are Taking Money Under the Table, With Paul Holmes
|
Mar 16, 2023 |
|
EP396: How to Answer This Question: Will Humira® Biosimilars Reduce Drug Spend? With Anna Hyde
|
Mar 09, 2023 |
|
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
|
Mar 02, 2023 |
|
EP395: Consolidated Hospital Systems and Cunning Anticompetitive Contracts, With Brennan Bilberry
|
Feb 23, 2023 |
|
EP394: Spoiler Alert: It Is Counterintuitive Which Hospitals Offer the Most Charity Care, With Vikas Saini, MD, and Judith Garber
|
Feb 16, 2023 |
|
EP393: How Do You Know if a Practice or a CIN (Clinically Integrated Network) Is Actually Clinically Integrated? With David Muhlestein, PhD, JD
|
Feb 09, 2023 |
|
Encore! EP355: The 5 Business Models for Digital Health Companies, With Nikhil Krishnan
|
Feb 02, 2023 |
|
EP392: When Patient Journeys Don't Fit in the EHR System, With Emily Kagan Trenchard From Northwell Health
|
Jan 26, 2023 |
|
EP391: Lessons for Private Equity and Others Trying to Do Right by PCPs and Their Patients, With Scott Conard, MD
|
Jan 19, 2023 |
|
EP390: What Legislators Need to Know About Hospital Prices, With Gloria Sachdev, PharmD, and Chris Skisak, PhD
|
Jan 12, 2023 |
|
EP389: The Clapback When Hospitals Cannot Constrain Their Own Prices, With Mike Thompson
|
Jan 05, 2023 |
|
Encore! EP326: The Unfortunate News About HRRP, With Insight Into How to Fix It, With Rishi Wadhera, MD, MPP
|
Dec 29, 2022 |
|
Encore! EP356: PBMs React to GoodRx, Mark Cuban, and Amazon Pharmacy, With Ge Bai, PhD, CPA
|
Dec 22, 2022 |
|
INBW37: Harnessing the Miracle of the Commons to Improve the Patient Journey Nationwide, A Conversation With Dave Dierk, Co-President of Aventria Health Group
|
Dec 15, 2022 |
|
EP388: Merrill Goozner on the Future of Healthcare and Glide Paths to Get There
|
Dec 08, 2022 |
|
EP387: Medicare Advantage Trends and How Medicare Advantage Plans Will or Will Not Succeed, With Betsy Seals, CEO and Cofounder of Rebellis Group
|
Dec 01, 2022 |
|
INBW36: Will Healthcare Stakeholders Who Don't Collaborate Wind Up With a Business Problem?
|
Nov 24, 2022 |
|
Encore! EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else's Business, With Eric Bricker, MD
|
Nov 16, 2022 |
|
EP386: What You Need to Know About ER Bills Post the No Surprises Act, With Al Lewis
|
Nov 10, 2022 |
|
EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson
|
Nov 03, 2022 |
|
EP384: How Shareholders Impact Payer Behavior, Exactly and Specifically, With Wendell Potter
|
Oct 27, 2022 |
|
EP383: Direct Contracting as a Health System Business Strategy, With Nick Stefanizzi
|
Oct 20, 2022 |
|
Encore! EP335: Why Private Equity Is Willing to Pay $55,000 per Patient to Primary Care Start-ups, With Brian Klepper, PhD
|
Oct 13, 2022 |
|
EP382: Pharma Conflicts of Interest and the Anti-Kickback Statute, With Aaron Mitchell, MD, MPH
|
Oct 06, 2022 |
|
EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root
|
Sep 29, 2022 |
|
EP380: 7 Big Reasons Medicare Drug Price Negotiation Actually Happened This Time Around—What Changed? With Mark Miller, PhD
|
Sep 22, 2022 |
|
EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono
|
Sep 15, 2022 |
|
EP378: The Status of Telehealth Reimbursement and Other Telehealth Policy Updates, With Josh LaRosa, MPP
|
Sep 08, 2022 |
|
INBW35: Collaboration Between Healthcare Providers, Payers, and Others Is Required to Improve Chronic Care Patient Outcomes
|
Sep 01, 2022 |
|
Encore! EP295: The Not Entirely New but Definitely Improved Way to Measure Primary Care, With Rebecca Etz, PhD
|
Aug 25, 2022 |
|
Encore! EP337: A Patient-First Specialty Pharmacy, Not a Money-First Specialty Pharmacy, With Olivia Webb
|
Aug 18, 2022 |
|
EP377: Specialty Pharmacy, PBM, Hospital, Employer, and Pharma Strategic Maneuvering, With Mike Baldzicki, CRCM
|
Aug 11, 2022 |
|
EP376: Interoperability—Who's Who and Doing What? With Lisa Bari, MBA, MPH
|
Aug 04, 2022 |
|
EP375: Medicare Advantage Plans in the Hot Seat, With Betsy Seals, CEO and Cofounder of Rebellis Group
|
Jul 28, 2022 |
|
EP374: How to Grade a Health Plan and a Few Validated Success Stories, With Dave Chase, Cofounder of Health Rosetta
|
Jul 21, 2022 |
|
EP373: How to Kick a Big Hospital Out of Your Network, With Cora Opsahl
|
Jul 14, 2022 |
|
EP372: Step One for Employers and Unions—Get Your Data, With Cora Opsahl
|
Jul 07, 2022 |
|
Encore! EP308: How Financial Toxicity Wreaks Havoc on Value-Based Payment Success, With Mark Fendrick, MD
|
Jun 30, 2022 |
|
EP371: Buy and Bill vs Pharmacy Bagging—Which Is Better for a Plan Sponsor and Patients? With Erik Davis and Autumn Yongchu
|
Jun 23, 2022 |
|
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
|
Jun 16, 2022 |
|
EP369: What's Up With Specialty Pharmacy Bagging? With Keith Hartman, RPh
|
Jun 09, 2022 |
|
Encore! EP282: Do You Know How Much Cancer Centers Get Paid to Put Patients on Drugs? With Aaron Mitchell, MD, MPH
|
Jun 02, 2022 |
|
INBW34: The Absence of Collaboration Between Healthcare Stakeholders: What It Means
|
May 26, 2022 |
|
EP368: How to Successfully Roll Out New Benefit Designs to Employees and New Care Delivery Models at a Provider Organization, With Ashleigh Gunter
|
May 19, 2022 |
|
EP367: Why Would a Hospital Direct Contract With an Employer Looking to Pay Less? With Doug Hetherington
|
May 12, 2022 |
|
EP366: An In-Depth Dissection of Our Dysfunctional Healthcare Benefits Market, With Kevin Schulman, MD
|
May 05, 2022 |
|
EP365: The Real Deal With PBM Contracts and Drug Rebates, With Scott Haas
|
Apr 28, 2022 |
|
EP364: A Way to Think About Transforming the Healthcare Industry, With David Muhlestein, PhD, JD
|
Apr 21, 2022 |
|
EP363: How to Cut the Healthcare Administrative Burden in Half, With David Scheinker, PhD
|
Apr 14, 2022 |
|
EP362: A CFO Talks About a Hybrid Business Model, With Ali Ucar
|
Apr 07, 2022 |
|
EP361: The Gap in Closing Care Gaps, With Carly Eckert, MD
|
Mar 31, 2022 |
|
EP360: How to Deliver Value-Based Care That Meets Value-Based Payment Objectives, With Jeb Dunkelberger
|
Mar 24, 2022 |
|
EP359: Value-Based Payments—You Get What You Pay For, With Dan O'Neill
|
Mar 17, 2022 |
|
EP358: How Health Insurance Plan Design Can Lead to Patients Sacrificing Needed Care, Their Mental Health, and (Sometimes) Buying Groceries, With Wayne Jenkins, MD
|
Mar 10, 2022 |
|
EP357: Standing Up Telehealth That Actually Advances Providers' Core Business, With Liliana Petrova
|
Mar 03, 2022 |
|
EP356: PBMs React to GoodRx, Mark Cuban, and Amazon Pharmacy, With Ge Bai, PhD, CPA
|
Feb 24, 2022 |
|
EP355: The 5 Business Models of Digital Health Companies, With Nikhil Krishnan
|
Feb 17, 2022 |
|
EP354: 7 Vital Success Factors to Stand Up a CIN (Clinically Integrated Network), With Shawn Rhodes
|
Feb 10, 2022 |
|
EP353: What You Need to Know About Specialty Pharmacy Formularies and Rebating, With Pramod John, PhD
|
Feb 03, 2022 |
|
EP352: Some Big Actionable Surprises About the Efficacy and Effectiveness of Specialty Pharmaceuticals, With Pramod John, PhD
|
Jan 27, 2022 |
|
EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else's Business, With Eric Bricker, MD, From AHealthcareZ
|
Jan 20, 2022 |
|
EP350: Employers Direct Contracting With Hospitals, in Real Life, With Katy Talento
|
Jan 13, 2022 |
|
INBW33: Thank You, and a Few Thoughts
|
Jan 06, 2022 |
|
INBW32: The Ultimate Impact of Telehealth: A Thought Experiment
|
Dec 30, 2021 |
|
Encore! EP294: Building a Center of Excellence: A Playbook for Physician Entrepreneurs, With Steve Schutzer, MD
|
Dec 23, 2021 |
|
EP349: How Integrated Is a Clinically Integrated Network, Actually? With Lisa Trumble
|
Dec 16, 2021 |
|
EP348: Your Burning Questions About Payviders Answered! With Jeb Dunkelberger
|
Dec 09, 2021 |
|
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
|
Dec 02, 2021 |
|
Encore! EP288: The "Big Three" PBMs Spinning Up GPOs—What? With Mike Schneider
|
Nov 25, 2021 |
|
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
|
Nov 18, 2021 |
|
EP345: Can Pharma Imagine How Our Health System Will Look in the Future? With Paul Simms
|
Nov 11, 2021 |
|
EP344: The High Cost of Generic Drugs, With Steven Quimby, MD
|
Nov 04, 2021 |
|
EP343: What Provider Leadership Teams Need to Know to Operationalize Value-Based Care, With David Carmouche, MD
|
Oct 28, 2021 |
|
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
|
Oct 21, 2021 |
|
EP341: How to Cut Administrative Waste AND Attract and Retain Doctors and Nurses, With Gary Campbell
|
Oct 14, 2021 |
|
EP340: How Digital Front Doors Can Enable Value-Based Care, With Kristin Begley
|
Oct 07, 2021 |
|
AEE17: Employers and Reference-Based Pricing—David Contorno's Latest Thinking
|
Oct 05, 2021 |
|
EP339: Helping Employers Navigate the Perilous Medical-Industrial Complex, With David Contorno
|
Sep 30, 2021 |
|
EP338: Ideas to Meet Rural Healthcare's Tough Challenges, With Nikki King, DHA
|
Sep 23, 2021 |
|
EP337: A Patient-First Specialty Pharmacy, Not a Money-First Specialty Pharmacy, With Olivia Webb
|
Sep 16, 2021 |
|
EP336: The Barbarians at the Gate—Who Are They and How Do They Cause Trouble for the Healthcare Industry Status Quo? With Brandon Weber
|
Sep 09, 2021 |
|
INBW30: A Hot Take on Healthcare Stakeholders Not Collaborating
|
Sep 02, 2021 |
|
AEE16: The Destruction of Primary Care—A Short History, With Brian Klepper, PhD
|
Aug 31, 2021 |
|
EP335: Why Is Private Equity Willing to Pay $55,000 per Patient to Primary Care Start-ups? With Brian Klepper, PhD
|
Aug 26, 2021 |
|
EP334: Do Consumers Ditch High-Cost Providers After Shopping With Price Transparency Tools? With Sunita Desai, PhD
|
Aug 19, 2021 |
|
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
|
Aug 12, 2021 |
|
EP332: A New OS for Provider Organizations—The Patient-Centered Value System (PCVS), With Tony DiGioia, MD
|
Aug 05, 2021 |
|
EP331: Employers Buyer Beware! Six Tricks Wellness and Point-solution Vendors Use to Overstate Their Results, With Al Lewis, Cofounder and CEO of Quizzify
|
Jul 29, 2021 |
|
EP330: What Is Going On Over at Health Systems? With John Marchica, CEO at Darwin Research Group
|
Jul 22, 2021 |
|
EP329: Virtual-First Health Care Solutions—Their Promise and a Few Outstanding Questions, With Joe Connolly From Visana Health
|
Jul 15, 2021 |
|
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
|
Jul 08, 2021 |
|
ENCORE! EP263: The Start-up Who Won Medicare's AI Contest, Beating Out IBM, Deloitte, and Mayo—A Conversation With Andrew Eye
|
Jul 01, 2021 |
|
EP327: Pharma Hooking Up With Start-ups, With Naomi Fried, PhD, About PharmStars™
|
Jun 24, 2021 |
|
EP326: The Unfortunate News About HRRP, With Insights on How to Fix It, With Rishi Wadhera, MD, MPP
|
Jun 17, 2021 |
|
EP325: The Show in Which Dr. Mai Pham Disagrees With Three of My Value-Based Care Premises
|
Jun 10, 2021 |
|
EP324: ACOs (Accountable Care Organizations): Do They, in Fact, Improve the Quality of Care and Reduce Costs? With Nicole Bradberry and Kelly Conroy
|
Jun 03, 2021 |
|
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
|
May 27, 2021 |
|
EP323: A Short Take on Digital Tools Purporting to Maximize Throughput, With Arshad Rahim, MD, MBA, FACP, of Mount Sinai Health System
|
May 20, 2021 |
|
EP322: Cherry Picking, Lemon Dropping, and Other Learnings for Value-Based Care Models, With Monica Lypson, MD, MHPE
|
May 13, 2021 |
|
EP321: How to Point Out Low-Value Care Without Starting a Fistfight, With Rich Klasco, MD
|
May 06, 2021 |
|
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
|
May 04, 2021 |
|
EP320: Is Telehealth vs In-Person Care Like Some Kind of Winner-Takes-All Cage Fight? With Christian Milaster From Ingenium
|
Apr 29, 2021 |
|
EP319: How Do We Improve Outcomes in Skilled Nursing and Also Assisted Living Facilities? With Grace Terrell, MD
|
Apr 22, 2021 |
|
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
|
Apr 15, 2021 |
|
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
|
Apr 08, 2021 |
|
EP316: Unexpectedly Talking About Employers, With David Carmouche, MD, From Ochsner, a Large Health System
|
Apr 01, 2021 |
|
EP315: The Very Unsexy Essential for Technology to Drive Outcomes That Nobody Talks About, With Bob Matthews
|
Mar 25, 2021 |
|
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
|
Mar 23, 2021 |
|
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
|
Mar 18, 2021 |
|
EP313: Partnering Up With Fiercely Local and Fiercely Independent Pharmacies, With Dan Strause and Drew Leatherberry
|
Mar 11, 2021 |
|
EP312: Radically Improving Population Health: Listen and Learn From One of Our Country's Best-Kept Secrets, With Douglas Eby, MD, MPH, CPE
|
Mar 04, 2021 |
|
EP311: How Aging in Place Becomes a Business Problem for FFS Providers, With Sumit Nagpal
|
Mar 02, 2021 |
|
AEE13: Have You Ever Wondered How GoodRx Makes Money? With Ge Bai, PhD, CPA
|
Mar 02, 2021 |
|
EP310: The 2020 Shkreli Awards for the Worst Examples of Profiteering and Dysfunction in Health Care, With Vikas Saini, MD, and Shannon Brownlee
|
Feb 18, 2021 |
|
EP309: FFS Providers Getting Locked Out of Referral Flows, Right Now, As We Speak, With Jeff Hogan
|
Feb 11, 2021 |
|
EP308: At Least Two Surprising Insights About Value-Based Care, With Mark Fendrick, MD
|
Feb 04, 2021 |
|
EP307: The Surprise Billing Legislation: Its Impact on Providers, Hospitals, Self-insured Employers, and (Most of All) Patients, With Loren Adler
|
Jan 28, 2021 |
|
EP306: A Deep Dive Into Amazon's Pharmacy and the Amazon Pharmacy Model Some Employers Are Running With, With Ge Bai, PhD, CPA
|
Jan 21, 2021 |
|
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
|
Jan 14, 2021 |
|
AEE12: Steve Blumberg and I Discuss the 2020 Humana Value-based Care Report
|
Jan 12, 2021 |
|
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
|
Jan 07, 2021 |
|
Encore! EP216: How Medicare Part D Plans Became Addicted to Drug Rebates, With Chris Sloan From Avalere Health
|
Dec 31, 2020 |
|
Encore! EP231: Pharmaceutical Contracting, PBMs, Pharmacies, Employers, and the Latest HHS Rebate Proposal, With AJ Loiacono, CEO of Capital Rx
|
Dec 24, 2020 |
|
INBW29: The Secret to Transforming Our Health Care System Revealed—A Summary of the Wisdom of Relentless Health Value Guests in 2020
|
Dec 17, 2020 |
|
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
|
Dec 10, 2020 |
|
EP302: The Gigantic Problem I Have With Talk About Telehealth, With Blake McKinney, MD, From CirrusMD
|
Dec 03, 2020 |
|
Encore! EP206: Turns Out, High‑Deductible Plans Do Not Drive High‑Quality, Cost‑Effective Care, With Ashok Subramanian, CEO and Founder of Centivo
|
Nov 26, 2020 |
|
EP301: What Is Up With the Hospital and Payer Transparency Rules From CMS Now and Also After January 20? With Jeff Leibach, MBA
|
Nov 19, 2020 |
|
EP300: Getting the Right Drugs Developed and Thinking Different About How to Pay for Them, With Bruce Rector, MD
|
Nov 12, 2020 |
|
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
|
Nov 05, 2020 |
|
EP298: The Intersection of Value-Based Payments and Behavioral Health—Also, the Rise of Telepsychiatry, With Don Fowls, MD
|
Oct 29, 2020 |
|
EP297: How the Front Desk Can Make or Break Patient Trust and, Potentially, Outcomes, With Jerry Durham From The Client Experience Company
|
Oct 22, 2020 |
|
EP296: Oncology FAQs About Telehealth, Standardizing Care, and Drug Prices, With Vincent Rajkumar, MD, of Mayo Clinic, Rochester
|
Oct 15, 2020 |
|
EP295: Surprising Insights About Measuring Primary Care Performance, With Rebecca Etz, PhD
|
Oct 08, 2020 |
|
EP294: Building a Center of Excellence: A Playbook for Physician Entrepreneurs, With Steve Schutzer, MD, Physician Executive for the Orthopedic Service Line at Trinity Health of New England and Medical Director of the Connecticut Joint Replacement Institu
|
Oct 01, 2020 |
|
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
|
Sep 24, 2020 |
|
EP292.5: Teladoc Livongo Part 2
|
Sep 17, 2020 |
|
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
|
Sep 15, 2020 |
|
EP291: What Are Medicare Advantage Plans Up to Right About Now? With Betsy Seals, Cofounder of the Rebellis Group
|
Sep 10, 2020 |
|
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
|
Sep 03, 2020 |
|
EP290: Shining a Light on the Crafty Gambits Used by Some (Not All) Hospital Billing Departments, With Doug Aldeen
|
Aug 27, 2020 |
|
EP289: The Right Amount of Oncology Screening and Care—In a Pandemic and Not in a Pandemic, With Bishal Gyawali, MD, PhD
|
Aug 20, 2020 |
|
EP288: The "Big Three" PBMs Spinning Up GPOs—What? With Mike Schneider, Principal at Avalere Health
|
Aug 13, 2020 |
|
EP287: The Time for Entrepreneurial Physician Leaders Is Right Now, With Dan O'Neill, MA, MS
|
Aug 06, 2020 |
|
EP286: Advice for Health Systems in the Face of Consumerism and Value-based Contracts, With John Rodis, MD, MBA
|
Jul 30, 2020 |
|
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
|
Jul 23, 2020 |
|
EP284: When Prescribers Know How Much a Drug Will Cost Patients at the Point of Prescribing, With Carm Huntress, CEO and Cofounder of RxRevu
|
Jul 16, 2020 |
|
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
|
Jul 09, 2020 |
|
INBW27: Two Metrics to Measure the Value of Care Delivered
|
Jul 02, 2020 |
|
EP282: Do You Know How Much Cancer Centers Get Paid to Put Patients on Drugs? With Aaron Mitchell, MD, MPH
|
Jun 25, 2020 |
|
EP281: Badly Managed Health System Supply Chains Steal From Patients and the Providers Who Let This Happen, With Rob Austin From Guidehouse
|
Jun 18, 2020 |
|
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
|
Jun 11, 2020 |
|
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
|
Jun 04, 2020 |
|
EP278: Will COVID-19 Result in a New Normal for Value-based Pharmaceutical Pricing? With Maura Calsyn From the Center for American Progress
|
May 28, 2020 |
|
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
|
May 21, 2020 |
|
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
|
May 14, 2020 |
|
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
|
May 12, 2020 |
|
EP274: What Telehealth Means After the Pandemic, With Jonathan Thierman, MD, PhD, From LifeBridge Health System
|
May 07, 2020 |
|
EP273: At What Level Will Telehealth Survive After the End of the Pandemic? With Jonathan Thierman, MD, PhD, From LifeBridge Health System
|
Apr 30, 2020 |
|
EP272: Why This Pandemic Is a Game Changer for PCPs and the Employers and Plans Who Pay Them, With Guy Culpepper, MD
|
Apr 28, 2020 |
|
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
|
Apr 23, 2020 |
|
EP270: How to Save Primary Care Practices With the Marshall Plan for Prospective Payment Models, With Dave Chase, Cofounder and CEO of Health Rosetta
|
Apr 16, 2020 |
|
EP269: Prepping for the Next Wave: What Payers and Providers Should Be Doing Right Now to Get Ready, With Eric Bricker, MD, From AHealthcareZ
|
Apr 09, 2020 |
|
AEE11: COVID-19 Billing, With Doug Aldeen and Al Lewis
|
Apr 07, 2020 |
|
EP268: After June: Action Steps for Hospitals, Payers, Employers, and Pharma, With Marty Makary, MD, MPH
|
Apr 02, 2020 |
|
EP267: From Now Until June: Action Steps for Hospitals, Payers, Employers, Pharma, With Marty Makary, MD, MPH
|
Mar 30, 2020 |
|
EP266: When the Scrubs and the Suits Partner Together, Everybody Is Happier … Except Maybe Those Looking to Exploit Patients, With Matt Anderson, MD, MBA
|
Mar 26, 2020 |
|
EP265: The What, the How, and the Questionable Why of Digital Therapeutic Formularies, With Randy Vogenberg, PhD
|
Mar 19, 2020 |
|
EP264: How Prior Auths Collide With Trust, With Ron Wince, CEO of Myndshft
|
Mar 12, 2020 |
|
EP263: How Population Health Leaders Use Artificial Intelligence Right Now, With Andrew Eye From ClosedLoop
|
Mar 05, 2020 |
|
EP262: The Ease of Doing Business, With Brian Van Winkle and Rishab Shah From Johns Hopkins Medicine and Working With NODE.Health
|
Feb 27, 2020 |
|
EP261: Six Essential Steps to Get Population Health Right, With Fred Goldstein, President and Founder of Accountable Health, LLC
|
Feb 20, 2020 |
|
AEE10: An Update on the Snowball of Drug Pricing Initiatives in Washington Right Now, With Josh LaRosa, MPP, Policy Director, Wynne Health Group
|
Feb 18, 2020 |
|
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
|
Feb 13, 2020 |
|
EP259: What Are Payers Looking to Solve For Right Now? With Rahul Dubey of Percynal Health Innovations
|
Feb 06, 2020 |
|
EP258: Areas of Promise, With Seven Health Care Thought Leaders
|
Jan 30, 2020 |
|
EP257: Rating the Raters of Hospital Quality, With Karl Bilimoria, MD, From Northwestern Medicine
|
Jan 23, 2020 |
|
EP256: A Major Health Care Cost Driver Revealed: Misdiagnoses in Radiology, With Ron Vianu, Founder and CEO of Covera Health
|
Jan 16, 2020 |
|
EP255: UCHealth: A Short List of Hospital Innovations Rolled Out in 2019, With Richard Zane, MD, From UCHealth
|
Jan 09, 2020 |
|
EP254: How to Achieve Outcomes That Matter to Patients, With Nadine Jackson McCleary, MD, MPH, BSN
|
Jan 02, 2020 |
|
INBW26: A Three-Prong Plan to Find Areas of Promise and/or Promising Companies in Health Care
|
Dec 19, 2019 |
|
EP253: How to Use Health IT to Help Patients and Providers Collaborate, With George Mathew, Chief Medical Officer at DXC Technology
|
Dec 12, 2019 |
|
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
|
Dec 05, 2019 |
|
INBW25: Behind the Marketing: Preparing Account Management for Successful Selling Into Health Systems, With Co-Hosts Stacey Richter and Dave Dierk, Co-Presidents of Aventria Health Group
|
Nov 28, 2019 |
|
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
|
Nov 21, 2019 |
|
EP251: Preventing Readmissions and Improving Patient Outcomes With Telehealth and Other Digital Tools, With Dr. Kimberly Noel From Stony Brook Medicine
|
Nov 14, 2019 |
|
EP250: How to Make Patient-Collected Data Actionable for Shared Decision Making, With Vicky Tiase From NewYork-Presbyterian Hospital
|
Nov 07, 2019 |
|
EP249: The War on Financial Toxicity in North Carolina, With Dale Folwell, North Carolina State Treasurer
|
Oct 31, 2019 |
|
EP248: United We Could Definitely Stand Against Rising Health Care Costs, With Mark Blum From America's Agenda
|
Oct 24, 2019 |
|
EP247: From Quality Measures to Medicare Advantage (Maybe for All) and Price Gouging, With John Gorman, CEO and Chairman of Nightingale Partners
|
Oct 17, 2019 |
|
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
|
Oct 10, 2019 |
|
EP245: Arithmetically Impossible, With Al Lewis, Cofounder and CEO of Quizzify
|
Oct 03, 2019 |
|
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
|
Sep 26, 2019 |
|
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
|
Sep 19, 2019 |
|
EP242: The Price We Pay: What Broke American Health Care—and How to Fix It, With Marty Makary, MD
|
Sep 12, 2019 |
|
EP241: Putting the Squeeze on Community Pharmacies, With Vinay Patel, Founder, Self Insured Pharmacy Networks
|
Sep 05, 2019 |
|
INBW24: Are Patients Consumers?
|
Aug 29, 2019 |
|
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
|
Aug 22, 2019 |
|
EP239: How to Escape From Legal Purgatory When Collaborating, With Bill Tanenbaum of Polsinelli
|
Aug 15, 2019 |
|
EP238: Who Will Be the Knights in Shining Armor Who Fix the American Health Care System? With Brian Klepper, PhD, From the Validation Institute
|
Aug 08, 2019 |
|
EP237: Improving Health Care Value by Pausing and Asking Questions, With Derek Winn, Cofounder at Distilled Concepts and Consultant at the Business Benefits Group
|
Aug 01, 2019 |
|
EP236: Customer Experience Advice: When Building to Simplicity, It Has to Be Perfect, With Liliana Petrova, CEO/Founder at The Petrova Experience
|
Jul 25, 2019 |
|
EP235: The Right Providers Will Maximize Health Care Value. So Who Are the Right Providers? With Suzanne Clough, MD, CMO at ArmadaHealth
|
Jul 18, 2019 |
|
EP234: Customer Experience Drives Trust, and the Two Together Drive Outcomes, With Claire Sporton of Confirmit
|
Jul 11, 2019 |
|
INBW23: What I Said at the Rare Disease Roundtable Last Week
|
Jul 04, 2019 |
|
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
|
Jun 27, 2019 |
|
EP232: Why the Right KPIs Are Vital to Improve Patient/Customer Experience, With Jon Skinner From The Verde Group
|
Jun 20, 2019 |
|
EP231: Pharmaceutical Contracting, PBMs, Pharmacies, Employers, and the HHS Rebate Proposal: What You Need to Know Now, With AJ Loiacono, CEO of Capital Rx
|
Jun 13, 2019 |
|
EP230: The Best Way to Improve Patient Outcomes and Satisfaction and Reduce Burnout, With John Lynn, Founder of Healthcare Scene, Expo.Health, and HITMC
|
Jun 06, 2019 |
|
EP229: One Core Skill All Successful Start-up Teams Possess, With Alex Fair, Managing Partner at MedStartr Ventures and CEO of MedStartr
|
May 30, 2019 |
|
INBW22: A Very Practical Opioid Alternatives Program for Employers
|
May 23, 2019 |
|
EP228: How to Figure Out What Patients Really Want, With Julie Rish, PhD, From the Cleveland Clinic
|
May 16, 2019 |
|
EP227: What Should Pharma Be Doing Right Now About the HHS Proposal to Effectively Curtail PBM Rebates?, With Kuo Tong, Managing Director at Navigant
|
May 09, 2019 |
|
EP226: Is the Surprise Billing Gold Rush Screeching to a Halt?, With Devon Herrick, PhD, Health Economist and Policy Analyst
|
May 02, 2019 |
|
EP225: Can We Afford to Make Health Care Patient-centric?, With Joe Selby, MD, MPH, Executive Director of PCORI
|
Apr 25, 2019 |