Relentless Health Value

By Stacey Richter

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Subscribers: 27
Reviews: 0
Episodes: 400

Description

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 executive or anyone in the business of healthcare tired of the "transformational theater" and marketing fluff, you have found your tribe. The U.S. healthcare system isn't a rational market; it's a game of Pachinko where perverse incentives reign, and as we always say, where there's mystery, there's margin. Hosted by Stacey Richter, we relentlessly hunt down the administrative "inches" of waste and expose the hidden fees draining the $5.6 trillion healthcare sector. We transform wonky healthcare theory into ruthlessly practical, actionable insights. Whether it's demanding radical transparency, navigating complex PBM contracts, or buying actual healthcare instead of illusory discounts, our mandate is simple: If it results in a net positive for patients, we do it. Join the Relentless Health Value Tribe to equip yourself with the fiduciary armor needed to outwit the status quo, demand accountability, and drive real change.

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