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Relentless Health Value

American 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.

EP505: The Death of the "What Is Value" Guessing Game for Clinical and Plan Decision-Makers Ready to Move On, With Ahilan Sivaganesan, MD

43 mins; April 02, 2026

EP504: A Back-to-Basics Roadmap Through the Perverse Incentives to Advanced Primary Care, With Ryan Jacobs

33 mins; March 26, 2026

Insights to Outwit the Hot Mess of the Non-Healthcare Market

19 mins; March 19, 2026

EP503: Smart Collaboration With Direct-to-Employer Specialty Care, With Ryan Wells; Leo Spector, MD, MBA; and Adam Stavisky

46 mins; March 12, 2026

EP502: 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

38 mins; March 05, 2026

EP501: 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

39 mins; February 26, 2026

Take Two: EP398: Why Are Commercial Carrier Marketplaces Completely Boring? Maybe Because There Isn't a Marketplace, With Jacob Asher, MD

34 mins; February 19, 2026

EP500: This Is Episode 500, and It's All About You, Tribe

38 mins; February 12, 2026

EP499: Self-insured Employers and Other Plan Sponsors Are Paying Millions for MSK (Musculoskeletal) Injuries That Would Have Healed Themselves, With Jay Kimmel, MD

28 mins; February 05, 2026

EP498: The Payment Integrity Arms Race—RCM (Revenue Cycle Management) and Plan Sponsors, With Mark Noel

34 mins; January 29, 2026

Take Two: EP341: The "Just Spend Everything You're Given" Trap—Lessons in True Provider Fiscal Discipline, With Gary Campbell

36 mins; January 22, 2026

EP497: What You Don't Know About Healthcare Transactions and Clearinghouses Could Cost You, With Zack Kanter

38 mins; January 15, 2026

EP496: Plan Sponsors Spend About $1.20 to Buy $1 of Healthcare, and Clinical Organizations Receive 80¢ for Every $1.20 Spent, With Mark Newman

36 mins; January 08, 2026

INBW45: Extremely Actionable Themes That We Covered Throughout 2025

23 mins; December 31, 2025

INBW44: The Relentless Health Value Themes That We Covered Throughout 2025—A Recap, Part 1

23 mins; December 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

35 mins; December 18, 2025

EP495: Wait … Flip That—A Crazy Revelation I Had About Trying to Fix U.S. Healthcare, With Mick Connors, MD

33 mins; December 11, 2025

EP494: Six Tensions of Pharmaceutical Drug Pricing, With Sarah Emond

39 mins; December 04, 2025

Bonus Add-on for EP494: Who Is ICER and What Is the Arms Race of Pharmaceutical Pricing That the Status Quo Has Created? With Sarah Emond

11 mins; December 04, 2025

INBW43: Five Baskets of Thank Yous to Hand Out, Along With a Plug for Big Demand Curve Energy

16 mins; November 26, 2025

Take Two: EP240: A Direct Contracted and Actually High-Value Network That Elizabeth Mitchell From PBGH Talked About, With Olivia Ross

34 mins; November 20, 2025

EP493: Revelations Mainstream CEOs Are Having About the Healthcare Market Right Now—Also, Some Advice, With John Quinn

36 mins; November 13, 2025

EP492: The Solutions Show: How to Run a High-Quality Hospital at 143% of Medicare, With Sam Flanders, MD, and Shane Cerone

36 mins; November 06, 2025

EP491: Incumbent TPAs and Consultants Getting Called to Jumbo Employer Client HQ to Answer Awkward Questions, With Elizabeth Mitchell

50 mins; October 30, 2025

EP490: The Problem Show: 3 Problematic Hospital Myths, Including "There Is a Healthcare Market," With Shane Cerone and Sam Flanders, MD

35 mins; October 23, 2025

EP489: MARGIN! Margin That Creates a Path to Mission at a Multispecialty Group, With Dan Greenleaf

26 mins; October 16, 2025

EP489: Achieving Mission That Is a Path to Margin at a Multispecialty Practice, With Dan Greenleaf

31 mins; October 09, 2025

EP488: Mark Cuban, Cora Opsahl, Trust, Simplicity, and a Chicken—Today We Talk Healthcare

55 mins; October 02, 2025

EP487 (Part 2): Kevin Lyons Shares What He Learned in Detective Training That He Uses to Follow the Healthcare Dollar

14 mins; September 25, 2025

EP487 (Part 1): A Former Police Detective Investigates the 3 Big Barriers to the Public Sector Getting Better Affordable Health Benefits, With Kevin Lyons

30 mins; September 18, 2025

EP486: The Secrets to Operationalizing Direct Contracting From an OG, With Stan Schwartz, MD

38 mins; September 11, 2025

EP485: Imaging Costs 6% to 11% of Plan Sponsor Spend: How Direct Contracting Can Save Money and Improve Access, With Cristin Dickerson, MD

33 mins; September 04, 2025

Take Two: EP436: Let's Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia, With Elizabeth Mitchell

35 mins; August 28, 2025

EP484: What Are the 3 Most Burning Questions That Plan Sponsors Have Right Now? With Dave Chase

31 mins; August 21, 2025

EP483 (Part 2): Reversing the Healthcare Flywheel to Contain Skyrocketing Healthcare Costs, With Jonathan Baran

29 mins; August 14, 2025

EP483 (Part 1): To Contain Skyrocketing Healthcare Costs or Renewals, You Gotta Understand How the Flywheel Works, With Jonathan Baran

32 mins; August 07, 2025

Bonus Add-on to EP483 (Part 1): Honoring Those in Healthcare Who Are Trying Every Day to Do the Right Thing, With Jonathan Baran

8 mins; August 07, 2025

How Margin Shoves Mission Off of the Bus: A Primary Care Case Study, With Stan Schwartz, MD—Summer Shorts

19 mins; July 31, 2025

EP482: 3 Surprising Ways Carriers Make Lots of Money—What Do Plan Sponsors and Clinical Organizations Really Need to Know? With Preston Alexander

38 mins; July 24, 2025

Take Two: EP445: What Does It Take for an Indie Primary Care Practice to Survive Right Now? With Tom X. Lee, MD

46 mins; July 17, 2025

Bonus Clip: Dr. Tom Lee Talks About Why Retail Clinics Are Not Doing So Well, in His Opinion

6 mins; July 17, 2025

EP481: Seriously, IRL, What Does "No Margin, No Mission" Even Mean? With Benjamin Schwartz, MD, MBA

33 mins; July 10, 2025

Take Two: EP438: Is It Mission and/or Margin? With John Lee, MD

35 mins; July 03, 2025

EP480: Payment Integrity Meets Health System Boasts, Such as Our Rates Are 2x Medicare, With Kimberly Carleson

32 mins; June 26, 2025

Pharma Rebates: A Few Nuances You May Not Have Thought Of, With Ann Lewandowski—Summer Shorts

19 mins; June 19, 2025

EP479: Part 2. What Could Go Wrong Covering High-Cost Claimants With Stop-Loss Reinsurance?

27 mins; June 12, 2025

Take Two: EP433: The Mystery of the Weekly Claims Wire, With Justin Leader

38 mins; June 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

31 mins; May 29, 2025

EP477: 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

18 mins; May 22, 2025

Bonus Add-on to EP477: How to Earn Trust, With Charles Green

11 mins; May 22, 2025

EP476: Talking Whistleblowing and the Pharma Rebates Whistleblower Case With an Actual Whistleblower, With Ann Lewandowski

35 mins; May 15, 2025

EP475: Is This a Moment or a Movement? With Peter Hayes

34 mins; May 08, 2025

EP474: Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD

41 mins; May 01, 2025

EP473: Keeping Patients out of the ER: How Trusted Relationships in Primary Care Should Work. A Take 2 With Kenny Cole, MD

34 mins; April 24, 2025

EP472: The Well-Honed, Three-Prong Hospital Playbook to Maximize Revenue From High-Cost Claimants, With Eric Bricker, MD

35 mins; April 17, 2025

EP471: High-Cost Claimants in 2025 and Beyond—What Is Really Expensive Not to Know? With Christine Hale, MD, MBA

34 mins; April 10, 2025

EP470: Continuing the ER and Primary Care Through Line Over to Rural Hospitals and Healthcare, With Nikki King, DHA

35 mins; April 03, 2025

EP469 (Part 2): The Impact on Plan Sponsors of Medicare Site-Neutral Payments and HSA Reforms, With James Gelfand, JD

30 mins; March 27, 2025

EP469 (Part 1): The Impact on Plan Sponsors of Medicaid Cuts, With James Gelfand, JD

25 mins; March 27, 2025

EP468: Very Common Assumptions That Aren't Actually True About Member Engagement and the Healthcare Industry, With Matt McQuide

34 mins; March 20, 2025

EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter

23 mins; March 13, 2025

EP466: What Is Rising Faster, Insurance Premiums or Hospital Prices? With Vivian Ho, PhD

36 mins; March 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

34 mins; February 27, 2025

EP464: ER Visits Now 6% of Total Plan Spend. Is It Upcoding or What? With Al Lewis

31 mins; February 20, 2025

EP463: Medicare Advantage Policies—Which Will Stay and Which Will Go Now? With Betsy Seals

35 mins; February 13, 2025

Encore! EP384: How Shareholders Impact Carrier Behavior, Exactly and Specifically, With Wendell Potter

35 mins; February 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

33 mins; January 30, 2025

INBW42: A Philosophical Rabbit Hole of Considerations for Plan Sponsors and Others

27 mins; January 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

22 mins; January 16, 2025

EP460: Rushika Fernandopulle, MD's Theory of Change Starts With Status Quo Healthcare

41 mins; January 09, 2025

EP459: Cost Containment by Co-Pay Maximizer or Co-Pay Accumulator: Points to Ponder, With Bill Sarraille

39 mins; January 02, 2025

INBW41: End-of-Year Wrap-Up and My Personal Charter Encore: Where the Rubber Hits the Road

25 mins; December 26, 2024

Encore! EP419: The Financialization of Health Benefits for Boards of Directors and C-Suites of Self-Insured Employers, With Andreas Mang

38 mins; December 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

36 mins; December 12, 2024

EP457: It's a Big Thing: Medical Spread Pricing. So, Let's Talk About Contract Transparency, With Cynthia Fisher

34 mins; December 05, 2024

INBW40: Thank Yous and the Intersection of Product Value, Collaboration, and Being a "Giver"

17 mins; November 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

56 mins; November 21, 2024

Encore! EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews

39 mins; November 14, 2024

EP456: Advice to Pharma at the Intersection of Product Value, Reputation, and Patient Affordability, With Brian Reid

39 mins; November 07, 2024

EP455: A Leadership Blueprint for Measurably Better Care, With Beau Raymond, MD

38 mins; October 31, 2024

EP454: How the Particle v Epic Lawsuit Impacts Plan Sponsors and Public Health Trying to Get Data, With Brendan Keeler

34 mins; October 24, 2024

EP453: Running a TPA (Third-Party Administrator) RFP Process That Is Less of a Wild West Fiduciary Shootout, With Claire Brockbank

37 mins; October 17, 2024

EP452: Fiduciary Duty vs the Healthcare Status Quo, With Cora Opsahl

39 mins; October 10, 2024

Spotlight Episode: Oncology Side Effect Management in the Real World, With Dan Nardi From Reimagine Care

19 mins; October 03, 2024

EP451: Hey, Let's Not Talk About Artificial Intelligence, With Spencer Dorn, MD, MPH, MHA

12 mins; September 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

34 mins; September 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

38 mins; September 12, 2024

EP448 (Part 2): 340B: Why Employers Should Probably Care About What's Happening Here, With Shawn Gremminger

25 mins; September 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

37 mins; September 05, 2024

The Euphemism That Has Become Value-Based Care, With Elizabeth Mitchell—Summer Shorts 9

17 mins; August 29, 2024

Encore! EP413: The Intersection of Healthcare Waste, Value-Based Care, and the Potential Rising Power of PCPs, With Will Shrank, MD

34 mins; August 22, 2024

Encore! EP402: What Physicians Trying to Clinically Integrate Care in the Real World Need to Know, With Amy Scanlan, MD

32 mins; August 15, 2024

EP447: Why an "EHR Strategy" Isn't Enough, With Ashleigh Gunter

28 mins; August 08, 2024

EP446: Hey, Let's Not Talk About EHRs, With Spencer Dorn, MD, MPH, MHA

34 mins; August 01, 2024

EP445: Can a Primary-Care-Only Practice Survive in 2024? With Tom X. Lee, MD

47 mins; July 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

34 mins; July 18, 2024

EP444: Two State Healthcare Laws Often Don't Go as Planned: CON and COPA, With Ann Kempski

35 mins; July 11, 2024

EP443: Let Us Never Pay the First Bill in Honor of Marshall Allen

36 mins; July 04, 2024

EP442: A Short Rumination on Saving Money, Except Not Saving Money. Oncology Side Effect Management as a Case Study, With Andreas Mang

18 mins; June 27, 2024

EP441: Tables Get Turned. This Is Me Interviewed by Abby Burns From Radio Advisory About What Is Value

40 mins; June 20, 2024

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