Relentless Health Value™
543 episodes - English - Latest episode: 20 days ago - ★★★★★ - 203 ratingsAmerican Healthcare Entrepreneurs and Execs you might want to know. Talking.
Relentless Health Value is a weekly interview podcast hosted by Stacey Richter, a healthcare entrepreneur celebrating fifteen years in the business side of healthcare.
This show is for leaders in pharma, devices, payers, providers, patient advocacy and healthcare business. It's for health industry innovators, entrepreneurs or wantrepreneurs or intrapreneurs.
Relentless Healthcare Value is the show for you if you want to connect with others trying to manage the triple play: to provide healthcare value while being personally and professionally fulfilled.
Homepage Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed
Episodes
EP441: Tables Get Turned. This Is Me Interviewed by Abby Burns From Radio Advisory About What Is Value
June 20, 2024 10:30 - 40 minutes - 36.9 MBTo read the full article with show notes, mentioned links and a full transcript, visit relentlesshealthvalue.com In this episode, Abby Burns from Radio Advisory interviews Stacey Richter, host of the Relentless Health Value podcast, during the Raising the Bar Value Summit. They discuss the complexities of defining and creating value in healthcare, focusing on the roles of various stakeholders including patients, providers, and payers. Stacey shares insights on the challenges and tensions i...
EP440: What Is the Optimal Size for a Medical Practice? With David Muhlestein, PhD, JD
June 13, 2024 10:30 - 38 minutes - 35 MBIn Episode 440 of 'Relentless Health Value,' host Stacey Richter engages with David Muhlestein to explore the optimal size for a medical practice, concluding that 10 to 20 physicians supported by a capable team provide the best balance of economies of scale and community integration. The conversation transitions into the challenges large healthcare systems face, particularly the Diversification Discount. This diversification often impedes patient care and operational efficiency by misalign...
EP439: Fixing the Generic Drug Pricing Problem, Where Patients Pay More When They Use Their Insurance, With Luke Slindee, PharmD
June 06, 2024 10:30 - 28 minutes - 39.7 MBIn Episode 439 of 'Relentlessly Seeking Value,' host Stacey Richter discusses the convoluted issues surrounding generic drug pricing with pharmacy consultant Luke Slindee. To read the full article and show notes with links mentioned as well as a full transcript, click here. They delve into the ways traditional Pharmacy Benefit Managers (PBMs) exploit the system to make immense profits, often leading patients to pay more even with insurance. The conversation explores various solutions, su...
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 10:30 - 38 minutes - 53.5 MBIn this episode of Relentless Health Value we dive into the concept of Cognitive Dissonance in the healthcare industry with Dr. John Lee, an ER physician and chief medical information officer. We explore how healthcare professionals navigate the conflict between their beliefs and actions, especially in large healthcare organizations. Dr. Lee shares practical advice on celebrating small wins, incremental improvements, and fostering a supportive culture among colleagues. This conversation sh...
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 10:30 - 15 minutes - 14.2 MBThe Unseen Influence of the RUC on Healthcare This episode of 'Relentless Health Value' features a discussion with Brian Klepper, a healthcare analyst and former CEO of the National Business Coalition on Health, about the powerful yet obscure RUC (RBRVS Update Committee) and its significant impact on the economics of primary care and the broader healthcare system. The RUC, a committee within the American Medical Association, plays a critical role in determining the relative value of medica...
EP436: Let’s Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia, With Elizabeth Mitchell
May 16, 2024 10:30 - 41 minutes - 38 MBIn this episode of Relentless Health Value we follow up on the topic of employer inertia discussed with Lauren Vela in episode 406, turning our focus to third-party administrators (TPAs), administrative services only (ASOs), and health plans. Elizabeth Mitchell from the Purchaser Business Group on Health (PBGH) joins us to discuss the roles of TPAs and ASOs, highlighting the gap in the market for independent, efficient TPAs not owned by health plans. We also delve into the trend of direct ...
Encore! EP363: How to Cut Healthcare Admin Burden in Half, With David Scheinker, PhD
May 09, 2024 10:30 - 33 minutes - 31.1 MBFor a full transcript of this episode, click here. I’m gonna encore this episode with David Scheinker, PhD, for several reasons; but here’s a big one: Why are we as an industry not doing what David Scheinker suggests in this episode? Why are we not doing, I don’t know, kinds of logical things to reduce admin burden in this country when everyone agrees admin burden is a problem? But let me back up for a moment for context. Two things happened since this show originally aired. One is tha...
EP435: Optimized Pharmacy Benefits Are Required if You Want to Do or Buy Value-Based Care, With Dan Mendelson
May 02, 2024 10:30 - 35 minutes - 32.4 MBOptimizing Pharmacy Benefits in Value-Based Care: A Conversation with Dan Mendelson In Episode 435 of 'Relentless Health Value,' Stacey Richter hosts Dan Mendelson from Morgan Health to discuss the importance of integrating pharmacy benefits into the broader context of value-based care. The conversation stems from a LinkedIn post by Mendelson outlining five key considerations for optimizing pharmacy benefits. Topics include the total cost of care, the need for value-based decision-making i...
EP434: 5 Surprises About Bundled Payments, With Benjamin Schwartz, MD, MBA
April 25, 2024 10:30 - 39 minutes - 36.2 MBFive Surprising Facts About Bundled Payments in Healthcare In Episode 434 of 'Relentless Health Value,' host Stacey Richter interviews Dr. Ben Schwartz, an orthopedic surgeon and prolific writer, about bundled payments in the healthcare industry. The discussion focuses on four key surprises related to bundled payments: the all-encompassing nature of the 90-day post-surgery cost coverage; the reluctance of commercial payers to engage with bundled payment models; the shifting dynamics toward...
EP433: The Mystery of the Weekly Claims Wire: What Are Plan Sponsors Actually Paying For Each Week? With Justin Leader
April 18, 2024 10:30 - 40 minutes - 36.6 MBUnveiling Hidden Fees in Weekly Claims: What Plan Sponsors Need to Know Episode 433 of Relentless Health Value dives into the complexities of weekly claims wires that self-funded employers receive. Host Stacey Richter speaks with Justin Leader about the hidden fees embedded in these claims, including shared savings fees, prior authorization fees, prepayment integrity fees, pay and chase fees, and TPA claims review fees. Learn how these undisclosed charges impact plan sponsors and why trans...
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
April 11, 2024 10:30 - 36 minutes - 33.8 MBMission vs. Margin: Dr. Scott Conard's Journey in Transforming Primary Care In this encore episode, Stacey Richter discusses the challenges and opportunities in primary care transformation with Dr. Scott Conard. The conversation explores the conflict between mission-driven healthcare and profitability, drawing from Dr. Conard's personal and professional experiences. Key topics include advanced primary care models, perverse incentives in the healthcare system, the impact of large health sys...
Encore! EP297: A Driver of Patient Engagement and Clinician Team Success That Is Almost Always Overlooked, With Jerry Durham
April 04, 2024 10:30 - 34 minutes - 47.4 MBUnlocking the Front Desk: The Overlooked Key to Patient and Clinician Success In this encore episode of Relentless Health Value, host Stacey Richter delves into a crucial yet often ignored aspect of patient engagement and clinical success with Jerry Durham from the Client Experience Company. The discussion emphasizes how the front desk can significantly influence positive patient outcomes and mitigate clinician burnout. Jerry outlines the 'patient life cycle' and the vital role of the fron...
EP432: The Knifepoint Intersection of Margin and Mission and the Peril of Cutting Clinical “Waste,” With Kate Wolin, ScD
March 28, 2024 10:30 - 38 minutes - 35.1 MBBalancing Mission and Margin in Healthcare: Lessons from Kate Wolin In Episode 432 of 'Relentlessly Seeking Value,' host Stacey Richter discusses with behavioral epidemiologist and digital health entrepreneur Kate Wolin about the challenges and opportunities in merging clinical care with efficient business practices. They explore the pitfalls of scaling healthcare services while maintaining patient outcomes and why human-centered approaches are vital. They stress the importance of aligning...
EP431: How Accountability for Outcomes Works in the Real World With Kenny Cole, MD
March 21, 2024 10:30 - 39 minutes - 36.1 MBFor a full transcript of this episode, click here. There’s this meme that’s going around on the interwebs with the caption, “Sometimes the shortest distance in between two places isn’t a straight line.” What? Yeah, because actually there’s three dimensions in the real world. So, when we all consider the real world, understanding the contours of reality and aligning with them is the only way to devise a winning strategy—not only if you’re timing rubber balls getting dropped off straight o...
EP430: Advice for Digital Health Vendors Selling to Employers, With Barbara Wachsman
March 14, 2024 10:30 - 38 minutes - 35.5 MBFor a full transcript of this episode, click here. We have been spending a bunch of time here on Relentless Health Value talking about PBMs (pharmacy benefit managers) lately and pharmacy benefits, but we are moving into a new topic area. It sort of kicked off three weeks ago with the pod with Rik Renard (EP427) on the importance of care flows if you are a digital health vendor trying to get consistent outcomes. But then I actually went back to the PBM/pharmacy benefits topic to talk with ...
EP429: Following the Dollar Through Pharmacy Acronyms Like WAC, AWP, and NADAC, With Luke Slindee, PharmD
March 07, 2024 11:30 - 38 minutes - 52.6 MBFor a full transcript of this episode, click here. In this healthcare podcast we’re talking about pharmacy acronyms or terms like AWP and WAC, and, not really an acronym, but we’ll also talk pharmacy list prices, rebates, discounts. We also have NADAC, but that’s slightly off to the side for reasons we’ll get to in a sec. Most of these acronyms refer to a number with a dollar sign in front of it, and it’s hell on wheels to figure out if and/or to what extent that number reflects what is ...
EP428: Do-It-Now Advice From the J&J and the DOL v BCBS Lawsuits, With Julie Selesnick
February 29, 2024 11:30 - 41 minutes - 57.5 MBPractical Steps for Plan Sponsors Post-J&J and DOL vs. BCBS Lawsuits In Episode 428 titled 'Do It Now Advice From the J&J and the DOL versus BCBS lawsuits,' host Stacey Richter discusses the implications of two major legal cases on plan sponsors with guest Julie Selesnick, an attorney specializing in fiduciary responsibilities. The episode covers essential actions for plan sponsors, brokers, and employee benefit consultants to avoid conflicts of interest and ensure fiduciary compliance. Se...
EP427: How Do Digital Health Vendors Deliver Patient Outcomes and Experiences? With Rik Renard
February 22, 2024 11:30 - 36 minutes - 50 MBThe Importance of Standardized Care Flows in Digital Health: An Interview with Rik Renard To read the full article and show notes with links mentioned as well as a full transcript, click here. In this episode of Relentless Health Value, host Stacey Richter speaks with Rik Renard from Awell about the significance of standardized care flows in digital health. The discussion covers the impact these care processes have on patient outcomes, clinician efficiency, and the healthcare system's ov...
Encore! EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono
February 15, 2024 11:30 - 35 minutes - 48.4 MBUnveiling Hidden Compensation: How Employee Benefit Consultants and Brokers Profit from Plan Sponsors To read the full article and show notes with links mentioned as well as a full transcript, click here. In this encore episode of 'Relentlessly Seeking Value,' Stacey Richter interviews A.J. Loiacono, CEO of CapitalRx. They delve into the hidden compensation practices of Employee Benefit Consultants (EBCs) and brokers engaging with plan sponsors. The discussion unveils the potential confl...
EP426: Cost Containment Versus Value-based Drug Purchasing, With Nina Lathia, RPh, MSc, PhD
February 08, 2024 11:30 - 33 minutes - 30.6 MBCost Containment vs Value-Based Drug Purchasing with Nina Lathia To read the full article and show notes with links mentioned as well as a full transcript, click here. In this episode of 'Relentless Health Value,' host Stacey Richter discusses with Nina Lathia the complex debate between cost containment and value-based drug purchasing strategies. They delve into the negative impacts of poor pharmacy benefit strategies, such as increased healthcare costs, bankruptcies, and reduced member ...
EP425: Three Ways for “Regular” Clinical Practices to Take Cash When It’s Cheaper for a Patient Than Using Their Insurance, With Marshall Allen
February 01, 2024 11:30 - 39 minutes - 36 MBEpisode 425: Operationalizing Cash Payments in Clinical Practices with Marshall Allen To read the full article and show notes with links mentioned as well as a full transcript, click here. In this episode of Relentless Health Value, Stacey Richter speaks with Marshall Allen about how clinical practices can implement cash payment options for patients, which can often be cheaper than using insurance. They discuss the growing trend of patients struggling with high deductibles and the legal ...
INBW39: The Narcissism of Small Differences Is a Really Must-Know Concept When Attempting to Fix the Healthcare Industry
January 25, 2024 11:30 - 19 minutes - 26.3 MBThe Narcissism of Small Differences in Healthcare: Building a Unified Village for Patient-Centric Solutions To read the full article and show notes with links mentioned as well as a full transcript, click here. In this inbetweenisode of 'Relentlessly Seeking Value,' Stacey Richter discusses the concept of the 'Narcissism of Small Differences' and its implications for the American healthcare industry. Richter explores how minor disagreements can prevent collaboration among healthcare prof...
EP424: Five Things for Hospital System Execs to Get Real About in 2024, With Peter Hayes
January 18, 2024 11:30 - 45 minutes - 41.3 MBFive Realities Hospital Execs Need to Face in 2024 with Peter Hayes To read the full article and show notes with links mentioned as well as a full transcript, click here. In episode 424 of Relentless Health Value, host Stacey Richter speaks with Peter Hayes about five critical topics hospital system executives must address in 2024. They discuss the implications of the Consolidated Appropriations Act, the necessity for hospitals to become more administratively and technologically efficien...
EP423: Maximizers and the “the Drugs Aren’t Covered” Schemes Employers Use to Save Money (or Not) on Pharmacy Benefits, With Joey Dizenhouse
January 11, 2024 11:30 - 44 minutes - 60.8 MBUnpacking Pharmacy Benefit Management: Maximizer Programs and Patient Impacts with Joey Dizenhouse To read the full article and show notes with links mentioned as well as a full transcript, click here. Episode 423 of 'Relentless Health Value' features a conversation with Joey Dizenhouse about the tactics employed by PBMs and pharmacy benefit schemes to manage drug costs, often leading to misaligned incentives. Joey outlines how maximizer programs work, differentiating between spread and ...
EP422: Some Indie Pharmacy Upshots That Surprised Me—and I Thought I Was Pretty in the Know, With Benjamin Jolley, PharmD
January 04, 2024 11:30 - 36 minutes - 50.4 MBEpisode 422: The Financial Struggles and Unexpected Insights of Independent Pharmacies with Benjamin Jolley To read the full article and show notes with links mentioned as well as a full transcript, click here. In this episode, Stacey Richter interviews Benjamin Jolley, a multi-generational pharmacy leader and consultant, who discusses the financial challenges faced by independent pharmacies. Jolley reveals that a significant portion of a pharmacy's profits comes from a mere 10% of presc...
Encore! EP392: When Patient Journeys Don’t Fit in the EHR, With Emily Kagan Trenchard
December 28, 2023 11:30 - 30 minutes - 28.2 MBRedefining the Patient Journey Beyond EHR: Insights with Emily Kagan Trenchard To read the full article and show notes with links mentioned as well as a full transcript, click here. In this encore episode of 'Relentless Health Value,' Stacey Richter speaks with Emily Kagan Trenchard about the limitations of Electronic Health Records (EHR) in capturing comprehensive patient journeys. Emily, SVP and Chief of Consumer Digital Solutions at Northwell Health, discusses the importance of integr...
Encore! EP372: Step One for Employers and Unions—Get Your Data, With Cora Opsahl
December 21, 2023 11:30 - 31 minutes - 43.6 MBHarnessing Data for Smarter Health Fund Management with Cora Opsahl from 32BJ To read the full article and show notes with links mentioned as well as a full transcript, click here. In this encore episode of Relentlessly Seeking Value, Stacey Richter talks with Cora Opshal, Director of the 32BJ Health Fund, about the imperative for employers and unions to obtain and effectively use their health data. The conversation details the significant benefits of data analytics, such as smart decisi...
EP421: Wildly Improving Outcomes When the Patient Is, for Reals, in the Center—For Maternity and Beyond, With Jodilyn Owen
December 14, 2023 11:30 - 35 minutes - 32.6 MBImproving Maternity Outcomes: The Role of Trust and Community-Based Care To read the full article and show notes with links mentioned as well as a full transcript, click here. In Episode 421, 'Wildly Improving Outcomes When The Patient Is, For Reals, In The Center. For Maternity and Beyond,' host Stacey Richter interviews Jodilyn Owen, clinical director of the Rainier Valley Birth and Health Center. They discuss the systemic issues in the U.S. healthcare system where financial incentives...
EP420: Paying Cash for Generic Drugs—Some Finer Points That Had Totally Gone Over My Head, With Ge Bai, PhD, CPA
December 07, 2023 11:30 - 36 minutes - 33.8 MBUncovering the Economics of Paying Cash for Generic Drugs with Ge Bai To read the full article and show notes with links mentioned as well as a full transcript, click here. In this episode, Stacey Richter talks with Dr. Ge Bai, a professor at Johns Hopkins, about the rationale and financial implications of paying cash for generic drugs instead of using insurance. The discussion highlights the inherent inefficiencies and high administrative costs associated with PBMs (Pharmacy Benefit Man...
EP419: The Financialization of Health Benefits for Boards of Directors and C-Suites of Self-Insured Employers, With Andreas Mang
November 30, 2023 11:30 - 38 minutes - 35.1 MBThe Financialization of Health Benefits: A Boardroom Imperative To read the full article and show notes with links mentioned as well as a full transcript, click here. In episode 419 of Relentless Health Value, Stacey Richter interviews Andreas Mang from Blackstone on the financialization of healthcare benefits for corporate boards and C-suite executives. The discussion highlights the transformation of healthcare benefits into a significant business aspect, emphasizing the importance of C...
Encore! EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root
November 23, 2023 11:30 - 32 minutes - 44.2 MBEncore: Achieving Customer-Centric Transformation in Large Organizations with Karen Root To read the full article and show notes with links mentioned as well as a full transcript, click here. In this encore episode of 'Relentless Health Value', host Stacey Richter speaks with Karen Root, Director of Experience Strategy at BI, about achieving customer-centric transformation and innovation in large organizations. The discussion highlights the importance of change management, systems thinki...
EP418: Mark Cuban With Some Advice for CEOs and CFOs of Self-insured Employers, With Mark Cuban and Ferrin Williams, PharmD, MBA, From Scripta
November 16, 2023 11:30 - 54 minutes - 75.1 MBEpisode 418: Mark Cuban’s Insights on Reducing Healthcare Costs for Self-Insured Employers To read the full article and show notes with links mentioned as well as a full transcript, click here. In Episode 418 of Relentless Health Value, Mark Cuban, CEO and founder of Mark Cuban Cost Plus Drugs, joins host Stacey Richter, and guest Farron Williams, Chief Pharmacy Officer at Scripta, to provide critical advice for CEOs and CFOs of self-insured employers. The podcast delves into the financi...
Encore! EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson
November 09, 2023 11:30 - 34 minutes - 31.2 MB5 Strategies for Self-Insured Employers to Enhance Employee Health To read the full article and show notes with links mentioned as well as a full transcript, click here. In this encore episode of Relentless Health Value, host Stacey Richter revisits her discussion with Dan Mendelson, CEO of Morgan Health at JPMorgan Chase. They delve into five pivotal actions self-insured employers can take to improve employee health significantly. These actions include expanding accountable care models,...
EP417: 5 Kinds of Payer and Provider Collaborations and 5 Must-Haves for Said Collaborations to Work, With Josh Berlin, JD
November 02, 2023 10:30 - 33 minutes - 46.3 MBExploring Effective Payer-Provider Collaborations: Insights and Key Strategies To read the full article and show notes with links mentioned as well as a full transcript, click here. In episode 417 of Relentless Health Value, Stacey Richter engages in a detailed discussion with Josh Berlin from Rule of Three consulting firm about the dynamics and strategies behind successful provider and payer collaborations in the healthcare industry. They delve into the historically adversarial relation...
EP416: Why Should Med Schools Teach the Business of Medicine? With Adam Brown, MD, MBA
October 26, 2023 10:30 - 41 minutes - 37.8 MBNow, I’m being pretty careful here because med schools are super sensitive about their curriculums. And I am sensitive to the fact there’s much to teach in four years. So, throwing no shade here, what do I know from the Krebs cycle? Choices of what to teach are tough. With that disclaimer, in this healthcare podcast I am speaking with Adam Brown MD, MBA, about an article he wrote entitled “Dear Medical Schools, Educate Students on the Business of Medicine—Without it, you are doing your stude...
EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews
October 19, 2023 10:30 - 43 minutes - 39.5 MBImproving Healthcare Outcomes and Reducing Costs: Insights from Rob Andrews of HTA To read the full article and show notes with links mentioned as well as a full transcript, click here. In Episode 415, Stacey Richter speaks with Rob Andrews, CEO of the Health Transformation Alliance (HTA), about how jumbo employers are achieving better healthcare outcomes while saving on total care costs. The discussion highlights the significant positive impact of targeted healthcare strategies on reduc...
EP414: An IRL How-To for Delivering Better Care and Getting Paid for It—A Value-Based Case Study, With Justina Lehman
October 12, 2023 10:30 - 39 minutes - 36.6 MBDelivering Better Care and Getting Paid: A Value-Based Healthcare Guide with Justina Lehman To read the full article and show notes with links mentioned as well as a full transcript, click here. In Episode 414 of 'Relentless Health Value,' host Stacey Richter interviews Justina Lehman to explore practical strategies for healthcare practices to provide coordinated, high-value care while achieving financial growth. The discussion covers the detailed steps for developing and implementing va...
EP413: The Intersection of Healthcare Waste, Value-Based Care, and the Potential Rising Power of PCPs, With Will Shrank, MD
October 05, 2023 10:30 - 35 minutes - 32.4 MBReducing Healthcare Waste: Aligning Incentives and Empowering Primary Care Physicians To read the full article and show notes with links mentioned as well as a full transcript, click here. In Episode 413 of 'Relentless Health Value,' Stacey Richter interviews Dr. Will Schrank on the intersection of healthcare waste, value-based care, and the rising influence of primary care physicians (PCPs). Dr. Schrank's extensive background includes roles at CMMI, CVS Health, UPMC, and Humana, and he ...
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
September 29, 2023 13:46 - 10 minutes - 9.42 MBThe following episode covers my intro to the episode and thoughts on the topic of new innovations used in hospitals as part of procedure including bloodstream infections and dialysis. Oh, hey, some unexpected news. This interview is unavailable at this time. One of these days we may be able to make it available, and if so, this will be announced in our weekly email. So please subscribe by going over to our website at RelentlessHealthValue.com. The episode emphasizes the remarkable progre...
Encore! EP361: The Gap in Closing Care Gaps, With Carly Eckert, MD, PhD(c), MPH
September 28, 2023 10:30 - 30 minutes - 28 MBThe Reality of Closing Care Gaps: A Conversation with Dr. Carly Eckert To read the full article and show notes with links mentioned as well as a full transcript, click here. In this encore episode titled 'The Gap In Closing Care Gaps,' host Stacey Richter interviews Dr. Carly Eckert, exploring the pervasive issue of care gaps in the U.S. healthcare system. Care gaps arise from fragmented medical transitions and tend to recurred if root societal causes are left unaddressed. The conversat...
EP412: Leadership of the Art and Science of Medicine, With Robert Pearl, MD
September 21, 2023 10:30 - 32 minutes - 29.9 MBLeadership in Modern Medicine: Balancing Art and Science with Dr. Robert Pearl To read the full article and show notes with links mentioned as well as a full transcript, click here. In Episode 412 of 'Relentless Health Value,' Stacey Richter interviews Dr. Robert Pearl, former CEO of Kaiser Permanente, to discuss the evolution and current state of leadership in medicine. The conversation explores the balance between the art and science of medicine, touching on how advancements in technol...
Are Physicians (and the Rest of Us, Nothing for Nothing) Knights, Knaves, and/or Pawns? With Larry Bauer, MSW, MEd—Summer Shorts 8
September 14, 2023 10:30 - 20 minutes - 28.7 MBSummer Shorts: Knights, Knaves, and Pawns in Healthcare To read the full article and show notes with links mentioned as well as a full transcript, click here. In this episode, Stacey Richter speaks with Larry Bauer about the societal perceptions of physicians as knights, knaves, or pawns, inspired by a 2010 JAMA article by Dr. Sachin Jain and Dr. Christine Kassel. They delve into how these perceptions influence healthcare policies, the moral dilemmas faced by physicians, and the need for...
Why Do Actuarial Risk Horizons Really Matter for Anybody Trying to Improve Patient Outcomes? With Keith Passwater and JR Clark—Summer Shorts 7
August 31, 2023 10:30 - 20 minutes - 18.7 MBUnderstanding Actuarial Risk Horizons in Healthcare with Keith Passwater and J.R. Clark To read the full article and show notes with links mentioned, click here. In this episode, Stacey Richter speaks with Keith Passwater and J.R. Clark, healthcare entrepreneurs and executives, about the importance of actuarial risk horizons in improving patient outcomes. They discuss how different risk horizons impact healthcare costs, benefit designs, and plan strategies. Keith and JR explain the key d...
Should You Not Give Employees the Benefit Design They Think They Want? With Lauren Vela—Summer Shorts 6
August 24, 2023 10:30 - 9 minutes - 8.28 MBLauren Vela is back on the pod today with a summer short that originally was a section of episode 406 that, unfortunately, I had to cut. It was a little bit tangential to the “why with the employer inertia” theme that the original episode was about. But tangential does not mean unimportant. This clip has some really critical insights on a different topic that may or may not to a greater or lesser degree contribute to inertia. And I’m gonna call this other topic the benefit design that most e...
Payers Trying to Differentiate Themselves by Working With Provider Organizations … or Not, With Jacob Asher, MD—Summer Shorts 5
August 17, 2023 10:30 - 14 minutes - 13.1 MBThis summer short is about the dynamic between payers and providers. An opening point that Jacob Asher, MD, my guest in this healthcare podcast, makes in the interview that follows is that, for a payer, it’s super hard to competitively differentiate from both a cost and/or a quality perspective when you and all of your payer competition use the exact same PPO (preferred provider organization) networks. I mean, what? Are these same exact doctors gonna somehow do a better job with your members...
Supergroups, Super ACOs, and Ochsner’s Value-Based Care Journey, With Eric Gallagher—Summer Shorts 4
August 10, 2023 10:30 - 18 minutes - 25.2 MBHere’s a quote from Rolling Stone magazine: “A supergroup is a very fragile thing. Rock bands are always about balancing huge egos, but when those egos are oversized from the get-go it can lead to huge problems. That’s why supergroups like Blind Faith often fail to go beyond a single album, and why long-lasting ones like CSNY had drama that never seemed to end.” Hmmm … that’s apropos because, turns out, super ACOs (accountable care organizations) may have some similar issues. A super ACO m...
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
August 03, 2023 10:30 - 34 minutes - 31.3 MBIn this healthcare podcast, I am talking with Dan Serrano; and we’re talking about payer/provider collaboration—blocking and tackling, I’m gonna say—from primarily a financial and revenue point of view. I’d classify this as, say, a 201-level discussion (ie, not entry level, but it’s also not super deep in the weeds). We mainly cover the ins and outs of why a provider organization should probably be looking to get paid to better take care of patients with chronic disease and drive better pati...
EP409: 3 Really Cool Innovative Primary Care Bright Spots and a Few Notes for Policymakers and Payers, With Larry Bauer, MSW, MEd
July 27, 2023 10:30 - 38 minutes - 52.2 MBIn this healthcare podcast, we are talking about innovative primary care teams and, by way of Larry Bauer, my guest today, bringing you three inspiring case studies. Much can be inferred from these case studies, as much from how they are alike as how they are different. It is wildly important at the same time that it is wildly underappreciated how different local markets are. I love how Cody Coonradt put it on LinkedIn the other day. He wrote: “Healthcare is not a $4T market—it’s 500 some-...
Does Advanced Primary Care Reduce Access for Patients? With Vivek Garg, MD, MBA—Summer Shorts 3
July 20, 2023 10:30 - 5 minutes - 8.07 MBI cut this clip out of episode 407 with Vivek Garg, MD, MBA, from Humana; and it’s actually a really nice follow-on from the show last week with Scott Conard, MD, where we talked about the blowback that happened with clinicians at a clinic. This clinic had put into effect a bunch of the comprehensive primary care kinds of things that Dr. Garg talks about in this summer short. But what happened in Dr. Conard’s case is a new practice manager tried to go back to the olden days, and, spoiler ale...
What Happens When Someone Tries to Un-transform a Transformed PCP Practice? With Scott Conard, MD—Summer Shorts 2
July 13, 2023 10:30 - 6 minutes - 8.41 MBBack at the beginning of this year, I was so sad when I had to edit out the clip that follows from the original and extremely popular episode 391 with Scott Conard, MD. In the literally probably three minutes that follows in this clip with Dr. Conard after I finish my ramblings here, Dr. Conard introduces the impact that changing the practice model in a PCP practice in Queens, New York, had on the staff and patients alike. Spoiler alert: No way no how were they going back to the old way of...