Creating a New Healthcare

Dr. Daphne Bascom earned a DPhil/PhD in physiological sciences at the University of Oxford, a medical degree at the University of Pittsburgh, and completed fellowship training in microvascular and reconstructive surgery of the head and neck at Oregon Health Sciences University. She has more than two decades of executive leadership across health systems, health technology, and community health. Most recently, she served as Vice President of Population Health at Saint Luke’s Health System in Kansas City. So, how and why did she leave all of that to pursue lifestyle medicine, a “vegetable-forward” way of life, and a completely different kind of care? As we've heard from many of our guests, for Dr. Bascom, it was personal. Between witnessing her mother's long and arduous struggle with COPD and helping her father navigate the healthcare system, she recognized that despite her many years of training, her work as a surgeon, and her leadership, she still wasn't doing the work that got her into medicine in the first place. She wanted to help people be healthy. Period.  That deep calling led her to become the Chief Operating Officer of The Vegan Gym, a global digital health platform dedicated to plant-based performance, healthspan, and longevity. She now hosts the Thrive on Plants podcast and is the Founder of The Longevity Lab. As a lifelong believer in equity and inclusion, Dr. Bascom works hard to ensure that this information is accessible to all people, and much of the education she puts together on these topics is available for free on her YouTube channel, @TheVeganGym.

In the last decade of a person's life, we spend 7x what we spend on taking care of them in all the years that came before. SEVEN TIMES! That's not only unbelievable, it’s unsustainable, particularly as our aging population grows and life span increases. So, if it’s not just about increasing life span, or the number of years someone lives, what is it about? For Dr. Tzipi Strauss, Founder and Director of the Sheba Longevity Center, it's about increasing health span, that is the number of years a person lives healthily, without the need for significant intervention.  The work Dr. Strauss and her team are doing focuses on longevity. It's a step beyond lifestyle medicine in that they look across all body systems, and at the individual as a whole, to identify their biggest risk factors and what interventions they actually need, not just what the latest fad says. The emphasis on behavior change is significant, and that may be the holy grail, getting people to adopt these healthy changes permanently, but Dr. Strauss finds that when patients see their biological age and the impact of the decisions and choices they've been making, their motivation to change is different. It's data driven. Professor Strauss is a physician-scientist, pediatrician, and neonatologist, and a leading voice in the emerging field of longevity medicine. She is the Founder and Director of the Sheba Longevity Center—one of the first academic longevity centers embedded within a public healthcare system. Her work combines clinical innovation, research, and policy, aiming to transform longevity from a privilege into a scalable, evidence-based public health model.

Without intervention, in 2050, everyone in the US population will either have Alzheimer's disease or be caring for someone with Alzheimer's disease. That's the state of where we're at with cognitive decline. Right now, if you reach the age of 85, your chances of developing cognitive decline are 1 in 2. That's right, 50%. But, BUT, new research is helping us understand the hidden drivers of cognitive decline and creating hope at the same time. Because now that we understand the origin of risk for an individual, we can prescribe specific interventions to circumvent that risk and prevent the disease altogether. This is the amazing work of James Maskell and Dr. Kristine Burke, my guests on the show today. Dr. Burke is Co-PI of the EVANTHEA Study, a clinical trial designed to look at the impact of a precision medicine approach to Alzheimer's disease. The initial results are astounding – with intervention, 91% of participants saw improvement in cognitive function. That's better than any drug, lifestyle medicine, or treatment protocol we have to date by a long shot. These two join me today to talk about what those hidden drivers are, how precision medicine can help, who's going to pay for it, and why this is so critically important to society at large. Dr. Kristine Burke is a triple board-certified precision medicine physician and the Founder and Executive Medical Director of True Health Center for Precision Medicine in Northern California. She is also the Co-Founder and Chief Medical Officer of TruNeura who is advancing a scalable model for brain health that integrates clinical insight, data, and AI-supported decision tools. James Maskell has spent the past decade innovating at the cross section of functional medicine and community. To that end, he created the Functional Forum, the world's largest integrative medicine conference with record-setting participation online and growing physician communities around the world.

“Health doesn't just happen within the four walls of the hospital.” Or, at least, it shouldn't have to. The work of our guest today, Dr. Eve Cunningham, and her team at Cadence, ensures that patients with chronic conditions can continue to live and thrive at home. Through remote patient monitoring but also behavioral support, medication titration, and relationship building, they ensure that patients understand their condition, are able to manage it effectively at home, and have another set of eyes looking out in case something starts to go awry. It's technology driven, but it’s human focused.  Eve is the Chief Medical Officer of Cadence, a medical group and remote care delivery system that supports health systems, clinicians, and patients in delivering care beyond the four walls of a hospital or clinic. Dr. Cunningham has spent the last 20 years deploying transformational health system programs at scale, leading large multidisciplinary medical groups, and integrating AI into clinical care at some of the largest non-profit health systems in the country. She is a board-certified OB-GYN and leader in virtual care, clinical AI, and clinician burnout.

We're quick to blame genetics for our health and wellness issues, but the reality is that genetics only makes up 18% of our health destiny. That means the rest is up to us.  Our guest today, Dr. Grant Zarzour, has seen that first hand in his own family. When his son was diagnosed with moderate autism, he and his wife refused to accept the predictions for his future. They dove head first into the data and in so doing, revolutionized not just their son's life, but their own. Now a relentless proponent of diet, sleep, and exercise for physical and mental health, Dr. Zarzour feels like we all have a hand in our own destiny. We just have to commit.  Dr. Zarzour is a practicing hip and knee surgeon in Mobile, AL.  He is the president of the largest orthopaedic practice in Alabama. While treating thousands of patients a year, Grant has developed a passion for preventive medicine. In 2024, he founded Sperity Health, which offers personalized longevity coaching to help its members improve their diet, exercise, and sleep with expert MD guidance. Sperity Health's mission is to lower its member's risk of cancer, cardiovascular disease, and dementia by up to 50% based on data and science.

Forty percent of the time, oncology care is not being delivered in concordance with guidelines. FORTY PERCENT! As our guest today explains, that's not because of bad doctors. It's because oncology care changes rapidly and because almost eighty percent of patients are being seen by a community oncologist, a physician who is responsible for treating ALL types of cancer, instead of a specialist. How can we address that? Well, as Dr. Yousuf Zafar explains, there are really three options. The patient travels to an NCI Cancer Center to seek a second opinion. This is obviously expensive and inconvenient and out of scope for many patients.  The patient's provider calls another oncologist in their network consult on the case. These relationships are critical but not universal. We can formalize this provider-to-provider framework and have it paid for by a patient's employer. This is the basis for AccessHope. Today's guest is a practicing oncologist and adjunct professor at Duke University, and chief medical officer at AccessHope, where he focuses on expanding access to expert cancer care for patients treated outside of academic centers. While National Cancer Institute Designated Comprehensive Cancer Centers deliver superior outcomes, they treat only 20 percent of cancer patients. Dr. Zafar is working to extend that expertise to the remaining 80 percent.

It's rare that an article title alone makes me want to stop what I'm doing and read it, but that's what happened when I saw the title of Jess Craig's recent article, “Why More Doctors are Billing Their Patients Like it's the 1920's.” In this article, and subsequently, our conversation here on the podcast, Jess explains what she means, citing the growing number of physician practices organized around the concept of direct pay. That is, the practice or physician determines a set cash price for their services and the patient pays that price out of pocket. This model may seem like we're going backwards, to a time when health insurance didn't exist, but in fact, it's starting to be seen as one of the most progressive ways of managing rapidly inflating costs and concern about quality. While there are still questions around accessibility, as Jess points out, it may be one of the first advances we've seen in over a decade that could actually move the needle.  Jess Craig is a health reporter for Straight Arrow News (SAN). Prior to joining SAN, Jess worked as an infectious disease epidemiologist and health security technical advisor for international research institutes and US government agencies, including the CDC, USDA, and USAID. Jess worked as a freelance journalist for eight years, covering science, health, and world news for various outlets. She also served as a reporting fellow for NPR in 2020 and for Vox in 2024.

With the recent explosion of GLP-1 drugs, the war on obesity seems to have taken a new and potent turn, but many are concerned about the recidivism, the side effects, and our reenergized obsession with being thin. Our guest today, Dr. Laure DeMattia, is a board certified family medicine physician and obesity specialist. For her, obesity is personal, as she has struggled her entire life with this chronic condition. In this episode, Dr. DeMattia breaks down for us how GLP-1 drugs work to hyperdrive weight loss, why that loss is rarely sustainable without long term use of the drugs, and her own philosophy outside of medication that helps her patients feel seen, heard, and safe. It's both an educational conversation and a behind-the-curtains look at the obesity epidemic from someone on the front lines.  Dr. Laure DeMattia helps women stop blaming themselves for their physiology and find lasting health for over 20 years. Her dual perspective as both a doctor and a patient makes her uniquely compassionate, challenging the myth that willpower is the solution. Author of the book, The 4 Food Cues, Dr. DeMattia hosts her own YouTube channel, Navigating Obesity with Dr. D, where she offers a compassionate, realistic viewpoint about weight and weight loss.

“It doesn't matter what is going on in your life, nutrition is relevant.” And, at least for most Americans, getting help with their nutrition is covered by their insurance. So, why isn't working with a dietician a normal part of every American's care plan? Our guest today is trying to address that question. Noah Kotlove, the CEO and Co-Founder of Berry Street, went through his own nutrition journey after spending his first thirty years clinically obese. He tried every fad diet imaginable, with great success, but like many, gained all of the weight back because of the unsustainability of so much restriction. He finally found lasting change when he met with a dietician, a step recommended by his primary care provider, and, surprisingly to him, totally covered by his insurance plan.  That personal experience led Noah to create Berry Street, an online, DTC nutrition therapy platform that helps clients access registered dieticians while taking the guesswork out of the payment part. In this episode, Noah shares how Berry Street works, why the relationship between dietician and client is such a critical part of success, and how they leverage information, expertise, and technology to improve the customer experience and increase the likelihood of sustainable outcomes. Noah founded Berry Street after losing 60 pounds through nutrition therapy, aiming to scale insurance-covered care through technology and change the way Americans eat. A serial entrepreneur, Noah is also the Founder of Sobrietysoft, an addiction recovery app with over 6 million users. He sees technology as a tool that allows us to get creative about outcomes over products.

“As an internist, we are always focusing on risk factors. Instead, in lifestyle medicine, we are focusing on root causes.” We've heard this before – nutrition, exercise, sleep, stress, toxins, community – so it should be no surprise that these are also the six pillars upon which lifestyle medicine is based. The difference is that in this discipline, these six pillars are the prescription for how we deal with chronic health conditions. Our guest today, Dr. Padmaja Patel, talks about how she implements these factors into clinical medicine so that patients leave with a precise, personalized lifestyle plan. The goal? Put chronic conditions in remission. Padmaja Patel, MD, FACLM, DipABLM, CPE is a board-certified internist and nationally recognized physician leader specializing in Lifestyle Medicine, Whole-Person Health, and value-based care transformation. She currently serves as President of the American College of Lifestyle Medicine (ACLM) and Chief Medical Officer of Nudj Health, an ACLM-certified Lifestyle Treatment Program focused on scalable, evidence-based lifestyle interventions.

What if employers just stopped offering healthcare benefits to their employees? Could that happen? If the astronomical cost of healthcare keeps expanding, some employers will have no choice. That's where our guest this week comes in. Shawn Gremminger is the President and CEO of the National Alliance of Healthcare Purchaser Coalitions. His organization works with regional coalitions of employers to help them advance health policy, leverage their collective power, and drive market change. In this episode, we talk about some examples of what that looks like in real time and how things like direct contracting may help employers continue to offer benefits while staying in business.  Known for his wide-ranging policy expertise, and government relations experience, Shawn brings to the National Alliance a successful record of working with coalitions, employers and other healthcare purchasers, policymakers, and industry stakeholders toward the mission of achieving high-quality, affordable, equitable healthcare. He began his career as a lobbyist for the Children's Hospital Association and has since held senior leadership roles at Families USA and America's Essential Hospitals.

Decreasing cost. It's the Holy Grail. The thing we all know must happen in order for healthcare to become sustainable and usable for the majority of Americans. We know data analytics help. They help to identify those who are at the highest risk and who are the highest cost. But, what if we were able to look at those who are currently low cost and predict who might become high cost? Taking it one step further, could we then reach out to those folks and offer a clinical intervention built on relationship that might help prevent that high cost event from ever happening? That's exactly the kind of model our guest today has built at Converging Health. Dr. Conard operates at the intersection of clinical medicine, advanced analytics, medical group leadership, and business strategy for early and emerging companies. He began his journey as a solo practitioner, eventually growing his medical practice to over 510 clinicians over 20 years. After the practice was acquired by a hospital system, Dr. Conard became the Chief Medical Officer for a brokerage/consulting firm and led an innovation lab focused on effective health risk reduction interventions. Currently, he is the Co-Founder of Converging Health, LLC, a technology-empowered consulting and services company. Converging Health collaborates with at-risk entities such as self-insured corporations, medical groups, accountable care organizations (ACOs) taking financial risk, and insurance captives to enhance well-being, reduce costs, and improve member experiences.

When employers look at all of the point solutions that are out there to add to their list of employee benefits, the top three should be… Primary care Primary care Primary care As a family medicine physician with an extensive background in advanced primary care, our guest today knows how true this is not just in theory, but in practice. Her work these days is getting employers to see the import of this investment as well. In her role as Chief Medical Officer, Dr. Marla McLaughlin partners directly with employers to identify workforce health priorities, design targeted strategies and apply real-time clinical insights to improve outcomes.  Dr. McLaughlin has dedicated her career to expanding access to high-quality primary care, guiding patients to the right care at the right time and fostering trusted patient-provider relationships. She believes the most effective healthcare combines technology with human-centric care to improve outcomes and experiences. McLaughlin brings that perspective and passion to Castlight Health and Vera Whole Health, where she plays a pivotal role in strengthening clinical operations, improving care quality and enhancing both patient and care team experiences.

“Let's inspect what we expect.” What a powerful statement. If we expect cost transparency, let's inspect what those costs have been to date. If we expect freedom of choice, let's evaluate how that has worked for employees up to this point. And let's expect an “and” approach instead of an “or” approach. As I say often these days, the devil is in the details, so it only makes sense that we put some energy and effort into inspecting what those details are and have been so we can expect what they will be in the future. That's exactly the goal and role of today's guest.  Jeff Bak is the President of Imagine360, whose mission is to reduce health plan costs for  employers, employees and their families. He has three decades of experience in managing and growing healthcare services companies. Prior to Imagine360, Jeff served as the global practice leader of the Health, Life Sciences & Business Process Outsourcing (BPO) division for Wipro Limited, and was the president and CEO of HealthPlan Holdings (HPH)—a leading healthcare solutions business.

Medicare for all. Not socialized medicine, just a single, government-run system that provides healthcare.  Is it possible? Or even viable? Our guest this week on the Creating a New Healthcare podcast believes so. In fact, he sees it as the only way to ultimately address the affordability problem with healthcare, particularly for high cost conditions like cancer. In today's episode, we talk with Dr. Troy Brennan about his book, The Transformation of American Health Insurance: On the Path to Medicare for All, and why a single payer, government system is needed, and how the changes the current administration has made to our public health systems is taking us backwards, not forward. Troyen Brennan is an Adjunct Professor at Harvard Chan School of Public Health.  He was formerly the Executive Vice President and Chief Medical Officer for CVS Health and Aetna. Before that, he was the President of the Brigham and Women's Physician Organization and Professor of Medicine at Harvard Medical School.  He was also Professor of Law and Public Health at the Harvard Chan School of Public Health.  Brennan was formerly the Chair of the American Board of Internal Medicine and is a member of the National Academy of Medicine. He has published six books and over 600 articles. 

Last week, we talked about the six key drivers of personal health with Dr. Tom Frieden. But how does that factor into our conversation about the value (or not) of wearables and supplements? This week, Dr. Zeev Neuwirth and Producer, Jess Greenwood, are back to unpack that for you. We discuss the role wearables do and potentially could play in helping each one of us achieve and maintain better health. We talk about how important it is to understand that the six drivers of personal health may be simple, but they're not necessarily easy and why that means individuals are not to blame.  Most importantly, we offer an invitation. To those who are creating, supporting, or changing their own environments to support better health for themselves or their community. We want to hear from you! Please get in touch so we can share your story on the podcast.

As a society, and as an industrial complex, we've made health complicated…and expensive. But, epidemiology suggests that what we need to do to achieve and maintain personal health is really quite simple. Dr. Tom Frieden returns to the show to talk about the second half of his book, The Formula for Your Health. Through extensive research and review of hundreds of epidemiological studies, he distills the findings down to six basic things we need to be doing in order to be healthy. Dr. Frieden acknowledges that there is nuance, but he also affirms that history is clear. There are other societies in the world that were and are far healthier than the US population, and NOT because they had wearables, packaged food, home massagers, or Pelotons.  Dr. Frieden is author of the book, The Formula for Better Health: How to Save Millions of Lives—Including Your Own. He is also the founder and CEO of Resolve to Save Lives, a global health organization that accelerates action against the world’s deadliest health threats. Resolve to Save Lives has worked with governments and other partners in more than 60 countries to save millions of lives. Dr. Frieden previously served as director of the U.S. Centers for Disease Control and Prevention (CDC) and New York City Health Commissioner, where he led efforts that increased life expectancy by 3 years and helped end major health crises including the largest US outbreak of multidrug-resistant tuberculosis, the 2014 West Africa Ebola epidemic, and responses to H1N1, Zika, and other threats.

It's the start of a new year, and that means resolutions and recommitments to personal health and wellness. Undoubtedly, there were thousands of wearable devices purchased as presents over the holidays and many more in the post-holiday sale madness. Supplement commercials and social media ads are going strong as we start this new year. But, are these things actually necessary for health?  Today, we kick off our Winter Season of Creating a New Healthcare with a deep dive into the wellness industrial complex. Jess Greenwood, Producer of the podcast, joins Host, Dr. Zeev Neuwirth to dissect what we've heard from the experts interviewed on the show as well as our own personal experiences. We debate the role of wearables in behavior change, the influence of the wellness industrial complex, where supplements fit into a healthy diet, and what the companies that make these products really want and need from their users. If you've been a bit skeptical if that Oura ring can help you achieve max readiness or even if you're convinced those Magnesium supplements will be the game changer this year, this conversation is for you.

As we close out the year, Dr. Zeev Neuwirth steps away from his usual interviews to share a heartfelt, personal message directly with you, our listeners.

Certified Nursing Assistants. They are the lifeblood of so much of what we do in healthcare, particularly in elder care, and yet they rarely share the limelight with the doctors, surgeons, and specialists.  Our guest today, Peter Murphy Lewis, is a documentary film maker who started out just trying to educate the Nebraska government on the shortage of CNAs in their state. What started as a single, 20-min documentary has turned into multiple seasons of the hit show, People Worth Caring About. The docuseries highlights the work of CNAs in nursing homes, sharing their stories in order to change perceptions about the work they do and demonstrate the value and reward of this much-needed profession.  Peter Murphy Lewis is a healthcare advocate and former CNA himself. His work spans television, podcasting, and marketing, with a focus on caregiving and long-term care. Born in Kansas, Peter's path took a dramatic — and deeply personal — turn when a health scare forced him to reassess his priorities. What followed was a journey from academia and international politics to global media, entrepreneurship, and eventually founding Strategic Pete — a platform dedicated to helping small businesses and entrepreneurs grow. Now, Peter uses his storytelling skills to challenge misconceptions about caregiving, aiming to reshape how society values care and those who provide it.

We know that healthcare is broken, but how, exactly? And why is it that nothing seems to be helping? Well, as Chris Deacon says in this honest, open interview, “Until ...

See, Believe, Create. Could it be so simple? Our guest today believes so. Dr. Tom Frieden has spent his entire career working public health, and in his estimation, these three ...

As an industry, we've been circling around the idea of value-based care for the past decade. But, did it ever occur to anyone to ask real people, the recipients of ...

Do you have an Apple watch? Fitbit? Oura ring? Woop? Wearables have taken over in the past decade with claims that by constantly monitoring our heart rate, sleep, respiration, and ...

The only device we're with every day, all the time is our phones. And yet, we often travel to outpatient clinics, pay significant copays, and engage physicians once or twice ...

It's always interesting when your podcast producer comes to you and says she thinks the innovations we're featuring are sort of boring. Not exactly what you want to hear, but ...

On average, employers are unnecessarily wasting $4,000 per employee per year on healthcare benefits and associated costs. For a mid-size company of 100 employees, that's $400,000! EACH YEAR! Our guest ...

A Zen practice is not something we typically associate with a Washington insider and healthcare lobbyist. But, our guest today has not only made that his personal mission, but his ...

Despite the almost universal agreement that the United States healthcare system needs to move to value-based care, forward progress on that movement has all but stalled. Why? A big driver…no ...

How many grams of protein do you need to be healthy? What about fiber? Supplements? It feels like we're changing our diets daily to adhere to constantly shifting recommendations and ...

Opioid overdose is the #1 killer of 18-45 year olds in America. The crisis is not over, and we are still prescribing these addictive substances for pain management at an ...

Guest: Steve Brown, Founder and CEO, CureWise Can ChatGPT cure cancer? If you listen to the news, you would think it's close. But ChatGPT, just like any data repository, is ...

Guest: Neal Shah, Co-Founder, Counterforce Health Have you ever had a medical claim denied for a procedure or service that should have been covered by your insurance? You are not ...

Deborah Ault, known to most as “Nurse Deb”, has been a Registered Nurse for over 30 years. Before getting into Care Management, her bedside nursing experience included ER, ICU, Doctor's ...

Obesity in America. Is there any other diagnosis as relevant, timely, or important when we think about the impact on our healthcare system? I doubt it. So, today we are ...

Chelsea Ryckis is the award winning founder and president of Ethos Benefits, a firm dedicated to advancing health insurance strategies for employers nationwide. Their approach effectively eliminates fraud, waste and ...

On the show today, we are honored to have Dr. John Halamka, the Dwight and Dian Diercks president of the Mayo Clinic Platform, a digital initiative that brings together solution ...

Our guest today is Jasmine Bhatti, the founder and CEO of Navi Nurses, a rapidly growing, private-duty nursing company that's redefining at-home care. Navi Nurses has been recognized as one ...

Rob Andrews currently serves as the CEO of the Health Transformation Alliance (HTA). The HTA member companies collectively are responsible for more than 8 million employees, dependents, and retirees with ...

Susannah Fox is a highly accomplished health strategist and technologist. . Her book, Rebel Health: A Field Guide to the Patient-Led Revolution in Medical Care, was recently published by MIT ...

Dr. Farzad Mostashari is the Co-Founder and CEO of Aledade. He has spent his career at the forefront of healthcare policy and health information technology. Dr. Mostashari is the former ...

With years of experience as a PR strategist for healthcare technology companies, Erica Olenski has spent her career working at the intersection of innovation and care. From guiding early-stage startups ...

Our guest today is David Johnson, CEO of 4sight Health and author of the new book, The Coming Healthcare Revolution: 10 Forces that Will Cure America's Health Crisis. Prior to ...

This is the last episode of our Fall 2024 Season, and it's a powerful one. On the show today is Andrew Molosky, the President and Chief Executive Officer of Chapters ...

“… If it's garbage in, it's gonna be garbage out.” Boy, am I familiar with that truth. And it prevails across so many areas of healthcare, but maybe none more ...

On the show today is Mike Murphy, a distinguished growth leader with over 30 years experience as a C-level executive, specializing in healthcare and insurance. Mike's expertise spans M&A due ...

When your guest starts a business in healthcare with the adage “Go where the competition isn't”, you know it's going to be an interesting conversation. On the podcast today, I'm ...

Zack Cooper is a health economist whose work is focused on producing data-driven scholarship that can inform public policy. He currently serves as an Associate Professor of Public Health and ...

Our guest today is Naama Stauber Breckler, Co-Founder and CEO of Better Health, a medical supply and support platform that bundles peer coaching, education, and delivery of medical supplies to ...

Our expert guest on this episode is Brian Esterly, who was appointed CEO of TimeDoc Health in August 2023. Brian brings more than 25 years of healthcare leadership experience to ...

Ann Somers is the Director of Health Care at the Clayton Christensen Institute. Her research focuses on drivers of health (a.k.a. social determinants of health), maternal health, and the pathways ...