Relentless Health Value
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EP440: What Is the Optimal Size for a Medical Practice? With David Muhlestein, PhD, JD
38 mins; June 13, 2024
EP439: Fixing the Generic Drug Pricing Problem, Where Patients Pay More When They Use Their Insurance, With Luke Slindee, PharmD
28 mins; June 06, 2024
EP438: Recognizing Cognitive Dissonance and Thinking About How to Overcome It When in the Belly of the Beast, With John Lee, MD
38 mins; 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
15 mins; May 23, 2024
EP436: Let's Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia, With Elizabeth Mitchell
41 mins; May 16, 2024
Encore! EP363: How to Cut Healthcare Admin Burden in Half, With David Scheinker, PhD
33 mins; May 09, 2024
EP435: Optimized Pharmacy Benefits Are Required if You Want to Do or Buy Value-Based Care, With Dan Mendelson
35 mins; May 02, 2024
EP434: 5 Surprises About Bundled Payments, With Benjamin Schwartz, MD, MBA
39 mins; April 25, 2024
EP433: The Mystery of the Weekly Claims Wire: What Are Plan Sponsors Actually Paying For Each Week? With Justin Leader
40 mins; April 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
36 mins; April 11, 2024
Encore! EP297: A Driver of Patient Engagement and Clinician Team Success That Is Almost Always Overlooked, With Jerry Durham
34 mins; April 04, 2024
EP432: The Knifepoint Intersection of Margin and Mission and the Peril of Cutting Clinical "Waste," With Kate Wolin, ScD
38 mins; March 28, 2024
EP431: How Accountability for Outcomes Works in the Real World With Kenny Cole, MD
39 mins; March 21, 2024
EP430: Advice for Digital Health Vendors Selling to Employers, With Barbara Wachsman
38 mins; March 14, 2024
EP429: Following the Dollar Through Pharmacy Acronyms Like WAC, AWP, and NADAC, With Luke Slindee, PharmD
38 mins; March 07, 2024
EP428: Do-It-Now Advice From the J&J and the DOL v BCBS Lawsuits, With Julie Selesnick
41 mins; February 29, 2024
EP427: How Do Digital Health Vendors Deliver Patient Outcomes and Experiences? With Rik Renard
36 mins; February 22, 2024
Encore! EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono
35 mins; February 15, 2024
EP426: Cost Containment Versus Value-based Drug Purchasing, With Nina Lathia, RPh, MSc, PhD
33 mins; February 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
39 mins; February 01, 2024
INBW39: The Narcissism of Small Differences Is a Really Must-Know Concept When Attempting to Fix the Healthcare Industry
19 mins; January 25, 2024
EP424: Five Things for Hospital System Execs to Get Real About in 2024, With Peter Hayes
45 mins; January 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
44 mins; January 11, 2024
EP422: Some Indie Pharmacy Upshots That Surprised Me—and I Thought I Was Pretty in the Know, With Benjamin Jolley, PharmD
36 mins; January 04, 2024
Encore! EP392: When Patient Journeys Don't Fit in the EHR, With Emily Kagan Trenchard
30 mins; December 28, 2023
Encore! EP372: Step One for Employers and Unions—Get Your Data, With Cora Opsahl
31 mins; December 21, 2023
EP421: Wildly Improving Outcomes When the Patient Is, for Reals, in the Center—For Maternity and Beyond, With Jodilyn Owen
35 mins; December 14, 2023
EP420: Paying Cash for Generic Drugs—Some Finer Points That Had Totally Gone Over My Head, With Ge Bai, PhD, CPA
36 mins; December 07, 2023
EP419: The Financialization of Health Benefits for Boards of Directors and C-Suites of Self-Insured Employers, With Andreas Mang
38 mins; November 30, 2023
Encore! EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root
32 mins; November 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
54 mins; November 16, 2023
Encore! EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson
34 mins; November 09, 2023
EP417: 5 Kinds of Payer and Provider Collaborations and 5 Must-Haves for Said Collaborations to Work, With Josh Berlin, JD
33 mins; November 02, 2023
EP416: Why Should Med Schools Teach the Business of Medicine? With Adam Brown, MD, MBA
41 mins; October 26, 2023
EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews
43 mins; October 19, 2023
EP414: An IRL How-To for Delivering Better Care and Getting Paid for It—A Value-Based Case Study, With Justina Lehman
39 mins; October 12, 2023
EP413: The Intersection of Healthcare Waste, Value-Based Care, and the Potential Rising Power of PCPs, With Will Shrank, MD
35 mins; October 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
10 mins; September 29, 2023
Encore! EP361: The Gap in Closing Care Gaps, With Carly Eckert, MD, PhD(c), MPH
30 mins; September 28, 2023
EP412: Leadership of the Art and Science of Medicine, With Robert Pearl, MD
32 mins; September 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
20 mins; September 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
20 mins; August 31, 2023
Should You Not Give Employees the Benefit Design They Think They Want? With Lauren Vela—Summer Shorts 6
9 mins; August 24, 2023
Payers Trying to Differentiate Themselves by Working With Provider Organizations … or Not, With Jacob Asher, MD—Summer Shorts 5
14 mins; August 17, 2023
Supergroups, Super ACOs, and Ochsner's Value-Based Care Journey, With Eric Gallagher—Summer Shorts 4
18 mins; August 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
34 mins; August 03, 2023
EP409: 3 Really Cool Innovative Primary Care Bright Spots and a Few Notes for Policymakers and Payers, With Larry Bauer, MSW, MEd
38 mins; July 27, 2023
Does Advanced Primary Care Reduce Access for Patients? With Vivek Garg, MD, MBA—Summer Shorts 3
5 mins; July 20, 2023
What Happens When Someone Tries to Un-transform a Transformed PCP Practice? With Scott Conard, MD—Summer Shorts 2
6 mins; July 13, 2023
How Come There Aren't More Hospital Antitrust Cases? With Brennan Bilberry—Summer Shorts 1
8 mins; July 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
9 mins; June 29, 2023
Encore! EP365: The Real Deal With PBM Contracts and Drug Rebates, With Scott Haas
33 mins; June 22, 2023
EP408: Who's Suing Who? An Overview of Healthcare Legal Goings-on, With Chris Deacon
39 mins; June 15, 2023
EP407: Considering Comprehensive Primary Care at Humana, With Vivek Garg, MD, MBA
35 mins; June 08, 2023
EP406: The Inertia Show: 5 Excellent Reasons for the "Why" With the Inertia in Benefits Departments, With Lauren Vela
32 mins; June 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
32 mins; May 25, 2023
EP405: What Else Physicians Trying to Clinically Integrate in the Real World Really Need to Know, With Eric Gallagher
31 mins; May 18, 2023
EP404: What Now? Who's on the Board of Those Big Hospitals? With Suhas Gondi, MD, MBA
32 mins; May 11, 2023
EP403: The Mix & Match With the How Doctors Get Paid, With Rachel Reid, MD, MS
32 mins; May 04, 2023
EP402: What Physicians Trying to Clinically Integrate Care in the Real World Need to Know, With Amy Scanlan, MD
32 mins; April 27, 2023
EP401: The Most Interesting Questions About the IRA Drug Price Negotiations, With Peter J. Neumann, ScD
31 mins; April 20, 2023
EP400: My Manifesto, Part 2: Where the Rubber Hits the Road
21 mins; April 13, 2023
Encore! EP285: Who Is Auditing These Healthcare Bills? Also, That Cigna Lawsuit, With Dawn Cornelis, Cofounder and Director of Transparency at ClaimInformatics
30 mins; April 06, 2023
EP399: My Manifesto, Part 1: The Relentless Health Value Tribe, I Salute You.
11 mins; March 30, 2023
EP398: Why Is the Commercial Payer Marketplace in California Completely Boring? With Jacob Asher, MD
34 mins; March 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
33 mins; March 16, 2023
EP396: How to Answer This Question: Will Humira® Biosimilars Reduce Drug Spend? With Anna Hyde
33 mins; March 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
33 mins; March 02, 2023
EP395: Consolidated Hospital Systems and Cunning Anticompetitive Contracts, With Brennan Bilberry
35 mins; February 23, 2023
EP394: Spoiler Alert: It Is Counterintuitive Which Hospitals Offer the Most Charity Care, With Vikas Saini, MD, and Judith Garber
34 mins; February 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
31 mins; February 09, 2023
Encore! EP355: The 5 Business Models for Digital Health Companies, With Nikhil Krishnan
35 mins; February 02, 2023
EP392: When Patient Journeys Don't Fit in the EHR System, With Emily Kagan Trenchard From Northwell Health
31 mins; January 26, 2023
EP391: Lessons for Private Equity and Others Trying to Do Right by PCPs and Their Patients, With Scott Conard, MD
35 mins; January 19, 2023
EP390: What Legislators Need to Know About Hospital Prices, With Gloria Sachdev, PharmD, and Chris Skisak, PhD
34 mins; January 12, 2023
EP389: The Clapback When Hospitals Cannot Constrain Their Own Prices, With Mike Thompson
34 mins; January 05, 2023
Encore! EP326: The Unfortunate News About HRRP, With Insight Into How to Fix It, With Rishi Wadhera, MD, MPP
34 mins; December 29, 2022
Encore! EP356: PBMs React to GoodRx, Mark Cuban, and Amazon Pharmacy, With Ge Bai, PhD, CPA
36 mins; December 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
24 mins; December 15, 2022
EP388: Merrill Goozner on the Future of Healthcare and Glide Paths to Get There
34 mins; December 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
34 mins; December 01, 2022
INBW36: Will Healthcare Stakeholders Who Don't Collaborate Wind Up With a Business Problem?
19 mins; November 24, 2022
Encore! EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else's Business, With Eric Bricker, MD
34 mins; November 16, 2022
EP386: What You Need to Know About ER Bills Post the No Surprises Act, With Al Lewis
32 mins; November 10, 2022
EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson
34 mins; November 03, 2022
EP384: How Shareholders Impact Payer Behavior, Exactly and Specifically, With Wendell Potter
36 mins; October 27, 2022
EP383: Direct Contracting as a Health System Business Strategy, With Nick Stefanizzi
32 mins; October 20, 2022
Encore! EP335: Why Private Equity Is Willing to Pay $55,000 per Patient to Primary Care Start-ups, With Brian Klepper, PhD
33 mins; October 13, 2022
EP382: Pharma Conflicts of Interest and the Anti-Kickback Statute, With Aaron Mitchell, MD, MPH
32 mins; October 06, 2022
EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root
32 mins; September 29, 2022
EP380: 7 Big Reasons Medicare Drug Price Negotiation Actually Happened This Time Around—What Changed? With Mark Miller, PhD
33 mins; September 22, 2022
EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono
35 mins; September 15, 2022
EP378: The Status of Telehealth Reimbursement and Other Telehealth Policy Updates, With Josh LaRosa, MPP
33 mins; September 08, 2022
INBW35: Collaboration Between Healthcare Providers, Payers, and Others Is Required to Improve Chronic Care Patient Outcomes
13 mins; September 01, 2022
Encore! EP295: The Not Entirely New but Definitely Improved Way to Measure Primary Care, With Rebecca Etz, PhD
31 mins; August 25, 2022
Encore! EP337: A Patient-First Specialty Pharmacy, Not a Money-First Specialty Pharmacy, With Olivia Webb
32 mins; August 18, 2022
EP377: Specialty Pharmacy, PBM, Hospital, Employer, and Pharma Strategic Maneuvering, With Mike Baldzicki, CRCM
32 mins; August 11, 2022
EP376: Interoperability—Who's Who and Doing What? With Lisa Bari, MBA, MPH
34 mins; August 04, 2022
EP375: Medicare Advantage Plans in the Hot Seat, With Betsy Seals, CEO and Cofounder of Rebellis Group
32 mins; July 28, 2022
EP374: How to Grade a Health Plan and a Few Validated Success Stories, With Dave Chase, Cofounder of Health Rosetta
35 mins; July 21, 2022