Podcasts about cost of care

In this episode of Disruption/Interruption, host KJ interviews Matt Seefeld, CEO at MedEvolve, about the chaos and inefficiencies in the US healthcare revenue cycle. Matt shares how generative AI and a focus on human accountability can help providers achieve "zero touch" claims, reduce waste, and improve access to care, especially for small and rural hospitals. Four Key Takeaways: The Real Cost of Healthcare is Obscured (3:00)The US healthcare system lacks alignment between consumers, providers, and payers, making it nearly impossible to know the true cost of care. Administrative Waste is a Billion-Dollar Problem (04:01)Most providers touch claims multiple times, with 63% of those touches being wasted effort due to system inefficiencies and payer games. AI is a Tool, Not a Cure-All (31:50)While AI can automate and improve processes, more than half of claim errors still require human intervention, and technology alone won't solve systemic issues. Access to Care is Shrinking for Many Americans (24:00, 27:00)As costs rise and reimbursements fall, small and rural hospitals are closing, and more Americans are forced to seek care through emergency services or go without. Quote of the Show (31:50):"More than half—53%—of the errors that we see that humans have to get involved with come from AI solutions, so they're not smart enough yet." - Matt Seefeld Join our Anti-PR newsletter where we’re keeping a watchful and clever eye on PR trends, PR fails, and interesting news in tech so you don't have to. You're welcome. Want PR that actually matters? Get 30 minutes of expert advice in a fast-paced, zero-nonsense session from Karla Jo Helms, a veteran Crisis PR and Anti-PR Strategist who knows how to tell your story in the best possible light and get the exposure you need to disrupt your industry. Click here to book your call: https://info.jotopr.com/free-anti-pr-eval Ways to connect with Matt Seefeld: LinkedIn: https://www.linkedin.com/in/matt-seefeld-521319/ Company Website: https://medevolve.com How to get more Disruption/Interruption: Amazon Music - https://music.amazon.com/podcasts/eccda84d-4d5b-4c52-ba54-7fd8af3cbe87/disruption-interruption Apple Podcast - https://podcasts.apple.com/us/podcast/disruption-interruption/id1581985755 Spotify - https://open.spotify.com/show/6yGSwcSp8J354awJkCmJlDSee omnystudio.com/listener for privacy information.

 Join host Dr. Cougar Hall as he sits down with Alan Pruhs, Executive Director of the Association for Utah Community Health, for a powerful and heartfelt conversation about what it really means to make healthcare accessible for all. From the rural clinics of Bicknell to the streets of Salt Lake City, Alan shares inspiring stories from Utah's community and migrant health centers—where compassion, cultural humility, and collaboration drive the mission. Hear how Utah's “community health” model tackles social determinants of health, why affordable care matters to everyone (insured or not), and how we can take the politics out of health to focus on people. This episode is a reminder that health is not a privilege—it's a shared responsibility. Recorded, Edited & Produced by Christy Gonzalez, Harper Xinyu Zhang, Madison McArthur, Kailey Hopkins, and Tanya Gale

Have you ever found yourself suddenly in the role of caring for someone you love, without a roadmap for what that really means? In this episode of It's a Mindset, I sit down with Casey Beros, award-winning health journalist, bestselling author, keynote speaker, and one of Australia's leading medical MCs. For two decades, Casey has been translating complex science into practical strategies that empower everyday people to live healthier, happier lives. But it was becoming the primary carer for her beloved dad that changed everything. That experience inspired her heartfelt new book, Next of Kin, a compassionate and practical “what to expect when you're expecting to care for someone you love.” Part memoir, part guide, it's a much-needed companion for navigating the emotional and often overwhelming toll of care. As a mum of two herself, Casey understands firsthand the unique strain of the sandwich generation, caring for ageing parents while raising children and trying to maintain a sense of self. She brings honesty, humour, and deep compassion to this conversation. For me, this episode was a reminder of how important it is to prepare for the inevitable, the loss of our parents, and how caring can challenge everything from our routines to our sense of self. My biggest takeaway? The most meaningful thing we can do is spend time with the people we love, and when we align to one clear purpose, it sustains us even when times are tough. Key Episode Takeaways The toll of care not only on the carer, but on those around them as well. Why it can feel impossible to maintain wellbeing routines while caring for someone with acute needs. The most meaningful time is always the time spent with those you love. How having one thing that is uniquely yours, your purpose, can create greater alignment and sustain you through difficult seasons. About the Guest Casey Beros is an award-winning health journalist, bestselling author, keynote speaker and one of Australia's leading medical MC's. She has spent the last 20 years asking our brightest minds how we can all live happier, healthier lives. Along the way she found some answers, and she shares them with the Australian public in a way that's both steeped in science and delightfully entertaining. She has hosted TV programs for the ABC and Channel 10, and written for many of our leading digital publications. She has a superhuman ability to translate complex science into practical and actionable strategies that empower the most important person in the health journey - you. Being the primary carer for her beloved Dad was the catalyst for Casey to write her new book Next Of Kin - a 'what to expect when you're expecting' to become a carer for someone you love. A heartfelt companion, it's a practical and compassionate guide to navigating the complex, emotional and challenging world of care. Mum to two little girls, Casey is Australia's self-proclaimed parallel parking champion and knows the words to more pop songs than is probably normal. Show Resources Learn more about Casey's new book, Next of Kin - HERE Check out Casey's website - HERE Follow Casey on Instagram - HERE Follow the Podcast Host, Emma Lagerlow on Instagram - HERE Learn more about 1:1 coaching with Emma - HERE If you LOVED the episode, make sure you share it on your Instagram stories and tag us @emmalagerlow and @caseyberos. Yours in Care and Compassion, Emma, X.

Right up front here, let me just state loudly that there are some amazing independent TPAs (third-party administrators) out there who have the expertise, the scrappy willfulness, and the deep desire to do right by their clients, their self-insured employer clients. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. And look, they may be facing some of the same headwinds that plan sponsors themselves face, like anticompetitive contracts, brokers who are up to no good, etc. So, just keep that in mind as you listen. And the main point of all of this if you are a plan sponsor is, find a good TPA partner, which, as Bryce Platt has said about consultants but same rules apply about TPAs here, the difficulty is being informed enough to tell the difference. So, the goal of this show is to help with that, the “be informed enough to tell the difference.” All of this being said, this is technically a Take Two; but we trimmed it down and welcome to a whole new intro. So, call this a refresher and an update about a really, really important topic from last year that is becoming extremely (maybe even more) relevant this year. Really relevant. Consider, for example, the show with Claire Brockbank (EP453) about carrier/TPA RFPs (requests for proposal) and all of the landmines that are really expensive, that are buried in some of these contracts. Then there was the Cynthia Fisher show (EP457) from last year about the millions, maybe billions of dollars in aggregate going missing in medical (ie, TPA or ASO [administrative services only]) spread pricing. We had “The Mystery of the Weekly Claims Wire” show with Justin Leader (EP433), again, revealing money that's being disappeared when the TPA is withdrawing dollars from plan sponsor checking accounts. And then there's the payment integrity episode with Kimberly Carleson (EP480) from a few weeks ago with just another wrinkle on this, namely TPAs or ASOs who insist on auditing themselves and how that turns out for members and plan sponsors. Oh, and last, but certainly not least, is the whistleblower show with Ann Lewandowski (EP476) on how a TPA arm of an EBC (employee benefit consultant) allegedly pocketed $20 million—$20 million of their client's pharma rebates—and used that $20 million to fund their executive bonus pool. What a time to be alive! All of this just highlights the huge stakes for plan sponsors to really understand what their TPA is all about. And when I say high stakes, I mean from both a legal standpoint and also just vast dollars in play here. But this episode with Elizabeth Mitchell is also, I'm gonna say, extremely relevant given just a few ripped from the headlines and news articles such as these. I'm gonna start actually with a post from Kimberly Carleson, and I like the comment by Jeff Evans, who wrote, “How does $8,710 equal $104,266?” Spoiler alert, it doesn't. Lots of missing dollars there. Someone's hands are in the cookie jar. Oh, look, the TPA has entered the chat. In a nutshell, and I'm quoting something Peter Hayes wrote, he wrote, “TPAs have received relatively little public attention. [There's an article in Health Affairs] that describes how TPAs impose hidden fees, benefit from their own form of spread pricing, and otherwise prioritize their own financial interests over those of their plan clients.” Also, here's a totally other issue. Let me quote Luke Prettol highlighting something Jason Shafrin had written about a paper by Jeff Marr, Daniel Polsky, and Mark Meiselbach. Let me slightly rephrase what Luke said. He wrote, “Employers pay, on average, a 4.7% [so almost 5%] price markup when hospitals are in their TPA's [Medicare Advantage] network.” Right? Dr. Eric Bricker talked about this in that episode (EP472) just how TPAs with MA (Medicare Advantage) business negotiate their commercial clients to pay higher rates so that then they can pay lower rates for their own MA members. As Luke wrote, “On its face, this overpayment does not appear to be solely in the interest of participants.” No kidding. Now, let's spin the wheel here. There are barriers for TPAs themselves, even the ones who have a deep desire to do the right thing. As Patrick Moore wrote, “Most TPAs still can't do [many of the things that employers might want because there are] PPO contracts.” So, is it a rock in a hard place situation? I mean, if the TPA has no other options than using a carrier's PPO (preferred provider organization) network with all its attendant contractual issues, then yeah, that is one definite challenge. Along these lines, let me read a post by Rina Tikia, because I think she sums up this really well. “When independent TPAs … push for transparency, they're blocked under the banner of ‘fiduciary risk.' “Meanwhile, the largest carriers and PBMs, with Cayman shell subsidiaries, DOJ kickback probes, [huge] hedge fund ties, [$10 million-plus] lobbying budgets, and antitrust violations continue unchecked. They are not only allowed to operate but celebrated as mainstream options. “Why the double standard? Political donations? Foundation smokescreens? Nonprofit status as a PR shield?” These are excellent questions. And here's another challenge: brokers. Ramesh Kumar Budhani wrote about this one, just how hard it is sometimes to find—for TPA, an independent TPA, trying to do the right thing—to find brokers who prioritize doing the right thing for employers and helping their clients save money. The summary of all of this: There are TPAs and there are ASOs who aren't even trying. They are going to ride the flywheel, the gravy train, and catch all of the dollars flying off of it for as long as they can manage to cling to it with all 10 of their fingers. Then there are TPAs, mostly indies, trying super hard to do the right thing. But how successful they are is going to depend on how boxed in they are by the PPO networks or the carriers that the brokers or even plan sponsors may insist on. Just how courageous they are and just how smart they are and experienced they are about the market and how it actually operates. So, the show that follows is about all of this, including how we can inspire TPAs, which, in the show that follows, subsumes ASOs kind of into it. But in the show that follows, I hope it's inspiring to create an environment so that the market demands TPAs that do all of the things, and we make inertia not a viable business strategy. Elizabeth Mitchell, my guest today, currently serves as the president and CEO of the Purchaser Business Group on Health. Also mentioned in this episode are Purchaser Business Group on Health; Bryce Platt; Claire Brockbank; Cynthia Fisher; Justin Leader; Kimberly Carleson; Ann Lewandowski; Jeff Evans; Peter Hayes; Luke Prettol; Jason Shafrin; Jeff Marr; Daniel Polsky; Mark Meiselbach; Eric Bricker, MD; Tom Nash; Patrick Moore; Rina Tikia; Ramesh Kumar Budhani; Mark Cuban; Harold Miller; Chris Deacon; Moby Parsons, MD; Benjamin Schwartz, MD, MBA; Mishe Health; Rik Renard; and Cora Opsahl. You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH), advances its strategic focus areas of advanced primary care, functional markets, and purchasing value. She leads PBGH in mobilizing health care purchasers, elevating the role and impact of primary care, and creating functional healthcare markets to support high-quality affordable care, achieving measurable impacts on outcomes and affordability. At PBGH, Elizabeth leverages her extensive experience in working with healthcare purchasers, providers, policymakers, and payers to improve healthcare quality and cost. She previously served as senior vice president for healthcare and community health transformation at Blue Shield of California, during which time she designed Blue Shield's strategy for transforming practice, payment, and community health. Elizabeth served as the president and CEO of the Network for Regional Healthcare Improvement (NRHI), a network of regional quality improvement and measurement organizations. She also served as CEO of Maine's business coalition on health (the Maine Health Management Coalition), worked within an integrated delivery system (MaineHealth), and was elected to the Maine State Legislature, serving as a State Representative. Elizabeth served as vice chairperson of the U.S. Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee, board and executive committee member of the National Quality Forum (NQF), member of the National Academy of Medicine's “Vital Signs” Study Committee on core metrics, and a guiding committee member for the Health Care Payment Learning & Action Network. Elizabeth holds a degree in religion from Reed College and studied social policy at the London School of Economics.   08:06 What is the overarching context for health plans in healthcare purchasing? 11:31 Why is it important to reestablish a connection between the people paying for care and people providing care? 13:47 What are the needs of a self-insured employer when managing employee benefits? 19:00 Is it doable for employers to set their own contracts? 21:24 Is transparency presumed? 22:39 Will the new transparency upon us actually expose wasted expense? 24:23 EP408 with Chris Deacon. 25:58 “This is not about individual bad actors. … The systems … that is not aligned.” 27:39 Are there providers who want to work directly with employers? 30:53 Why is it important that incentives need to be aligned? 32:42 EP427 with Rik Renard. 33:51 What's missing from the conversation on changing health plans?   You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   @lizzymitch2 of @PBGHealth discusses #TPA and #healthplan vs. #jumboemployer inertia on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Dave Chase, Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode), Dr Stan Schwartz (Summer Shorts), Preston Alexander, Dr Tom X Lee (Take Two: EP445), Dr Tom X Lee (Bonus Episode), Dr Benjamin Schwartz, Dr John Lee (Take Two: EP438), Kimberly Carleson, Ann Lewandowski (Summer Shorts)  

First week of June, what'd you miss in vet med?Hill's launches Microbiome Portal with HarvardOklahoma State OK's $250M for new hospitalChewy pledges $1M to LMUMars studies patient safety eventsA call for more independenceSynchrony reports on Lifetime Costs of PetsHelpful links:The Bird Bath substackFrontiers - Making the case for a resurgent U.S. independent veterinary practice segment: a SWOT analysisThe One Health Microbiome ResourceAVMA Journals - Patient safety events cause harm across a variety of veterinary care settings: a global retrospective analysisSynchrony - Pet Lifetime of Care 2025

This week on the podcast, Cate connects with Charlotte Jacobs — a parent and  childcare provider at Seedlings to Sunflowers Nonprofit Childcare and Family Center in Gorham — and Hazel Willow, a Maine parent who has utilized Head Start and now advocates for protecting childcare services and workers. “My child’s last day living in the… The post Podcast: ‘A Day Without Childcare' and the real cost of care gaps first appeared on Maine Beacon.

Long Island lawmakers denounce a law moving elections to even years. A Connecticut bill would give state control to town-run summer camps. New York homeland security officials warn parents about a dangerous new TikTok trend. Plus, WSHU heard from you about your climate concerns.

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

- Overview of the Medical & Indirect Costs of Treatment - What to Do When Cancer Treatment Seems Unaffordable – Self Advocacy - Talking with Your Health Care Team about Your Financial Concerns - The Benefits & Limitations of Your Health Plans, Insurance, Medicare & Medicaid Coverage - Tips on Appealing Your Insurance & Medicare Claims & Provider Denials - Living Wills, Health Care Proxies & Advance Health Care Directives - Accessing Financial, Co-Payment Assistance & Medicaid Programs - Support for the Underinsured & Uninsured, Including the Affordable Care Act (ACA) & Medicaid - Other Resources for Financial Help - Questions for Our Panel of Experts

In the final AMA Update episode of 2024, American Medical Association CXO Todd Unger looks back on another year of stories about the work that physicians are doing across the country and how the AMA is fighting to support them.

Bill Kramer, senior advisor for health policy at the Purchaser Business Group on Health, talks about how the country's largest employers figure out how to keep the cost of health care sustainable for their employees. 

In this episode, Stacey Richter speaks with Rob Andrews, CEO of the Health Transformation Alliance (HTA) and former Congressman, about the strategic steps jumbo employers can take to achieve improved health outcomes while reducing cost. They delve into the importance of using data to discern effective practices, negotiate contracts, and hold intermediaries accountable. To Read The Show Notes With All Mentioned Links, Visit the Episode Page. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. The discussion highlights maternal health as a critical area of focus, with successful interventions shown to reduce NICU admissions and overall healthcare costs. Andrews emphasizes the role of self-insured employers in driving systemic changes that align financial incentives with health outcomes. This encore is very relevant after the shows with Cora Opsahl (EP452), Claire Brockbank (EP453), and Marilyn Bartlett (EP450). Getting better health for the 160 million Americans covered by commercial insurance is all about rates, rights, and power. 07:34 How did Rob get to his current role? 09:08 The problem of maternal health and mortality rate, and how self-insured employers wind up directly and indirectly paying for this. 10:27 Why economic consequences move the needle, and why sometimes they don't. 12:26 Why the best way to address costs isn't to re-shift costs but to address them directly. 13:22 Why compensation that isn't dependent on outcomes is a problem. 16:23 “Strategy's not what people say; it's what they do.” 18:21 How do you operationalize saving money with better outcomes? 26:26 How do employers turn conflict into collaboration? 28:20 What is the win-win-win structure among employers, payers, and providers in Rob's eyes? 30:53 To whom should the task of risk adjustment fall? 34:43 “Better contracts do improve outcomes.”  

Texas hospitals must ask patients starting Friday whether they are in the U.S. legally and track the cost of treating people without legal status.   Please Like, Comment and Follow 'The Ray Appleton Show' on all platforms:   ---    'The Ray Appleton Show' is available on the KMJNOW app, Apple Podcasts, Spotify, YouTube or wherever else you listen to podcasts.    --  'The Ray Appleton Show'   Weekdays 11 AM -2 PM Pacific on News/Talk 580 AM & 105.9 FM KMJ    | Website  | Facebook | Podcast |   -  Everything KMJ   KMJNOW App | Podcasts | Facebook | X | Instagram   See omnystudio.com/listener for privacy information.

In the latest episode of Medicine: The Truth, Dr. Robert Pearl and Jeremy Corr return with timely insights on some of the most pressing issues in healthcare today. From the ... The post MTT #88: Abortion restrictions, PBMs and the rising cost of care appeared first on Fixing Healthcare.

In the latest episode of Medicine: The Truth, Dr. Robert Pearl and Jeremy Corr return with timely insights on some of the most pressing issues in healthcare today. From the ... The post MTT #88: Abortion restrictions, PBMs and the rising cost of care appeared first on Fixing Healthcare.

In this Spotlight Episode host Stacey Richter discusses the management of oncology side effects with Dan Nardi, CEO of Reimagine Care. Highlighting the challenges cancer patients face, especially following chemotherapy which often leads to nausea and readmissions, the conversation delves into how Reimagine Care facilitates at-home integrative cancer care.   Their services focus on proactive and reactive support via AI-driven tools like 'Remy' to assist patients outside of clinical environments. This approach aims to reduce emergency visits and improve patient outcomes while easing the workload on healthcare providers. The discussion underscores the role of patient reported outcomes and the integration of technology with human care to improve the quality of oncology treatment pathways.   To Read the Full Article Notes with Mentioned Links, Visit Our Episode Page . If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Note from Stacey Richter: Pulling off a show like this one is not cheap, and my Aventria business partner Dave Dierk and I are happy to fund the vast majority of it. But yeah, breath of fresh air, and thanks much to the team over at Reimagine Care for their sponsorship. My one disclaimer is that I have not personally vetted the solution, but there is a white paper available where you will also find some insights from Reimagine Care's work with Memorial Hermann Health System. 03:38 Why is it really important to keep track of oncology patients and their side effects? 04:27 Why is cancer treatment such a complex care journey? 05:57 Are there outcome and financial issues that compound when an oncology patient is left to navigate their care journey on their own? 08:53 What is difficult in navigating cancer treatment care pathways, and what does Reimagine Care tackle within that? 09:55 EP157 with Ethan Basch, MD. 10:17 How does Reimagine Care proactively check in with oncology patients to help them navigate their care pathways? 12:41 How does Reimagine Care measure their performance, and how did their work affect patient outcomes? 13:28 The Reimagine Care white paper. 14:57 How do providers feel about Reimagine Care services? 17:37 Where can technology really make a difference in cancer care?

On World Alzheimer's Day, On Your Behalf looks at everything from ageing well to advice around planning for your care.Should older drivers have to re sit their test once they reach a certain age? Presenter Anna Curran has been meeting some older drivers to get their take on the matter.She chats to road safety expert, Rob Heard from the Older Drivers Forum about older drivers' safety.Jonathan Furphy from the Driver Vehicle Agency shares information about how to check your eligibility to drive when you reach an older age. Solicitor Rachael McKee answers questions about power or attorney and planning your care. Paschal McKeown from AGE NI and Ruth Barry from the Alzheimers Society join Anna to discuss issues around getting a diagnosis, planning care and where to get help.

Kevin Freeman, Chief Commercial Officer at Health Catalyst, discusses helping healthcare organizations improve outcomes and lowering costs.

Dave Roberts, chief human resources officer for the West Ada School District, talks about the innovative way his district, with help from Regence and moves from the Idaho Legislature, cut the cost of premiums for employees, and what we can all do to ensure we're getting effective, affordable health care. 

Dr. Emily Tincher joins us to discuss the rising costs of veterinary care and how they impact pet families. Dr. Andy Roark and Dr. Tincher dive into her co-authored book chapter on cost, access to care, and payment options, highlighting key factors driving price increases, such as staffing costs, practice economics, and the cost of consumables and drugs. Dr. Tincher also shares insights on effectively communicating with pet owners about these costs and the importance of understanding their preferences. LINKS: Nationwide's Most Common Claims: https://news.nationwide.com/041824-dermatitis-gastroenteritis-most-common-conditions-prompt-vet-visits/ Cost of Care, Access to Care, and Payment Options in Veterinary Practice: https://www.vetsmall.theclinics.com/article/S0195-5616(23)00156-0/abstract Spectrum of Care: www.spectrum-of-care.com Open Door Veterinary Collective: https://opendoorconsults.org/ Pyometra Peer Reviewed Article Referenced: https://avmajournals.avma.org/view/journals/javma/260/S2/javma.20.12.0713.xml ABOUT OUR GUEST Emily M. Tincher, DVM, is Senior Director of Pet Health at Nationwide. A second-generation veterinarian, she is co-author of a chapter in Veterinary Clinics of North America: Small Animal Practice, "Cost of Care, Access to Care, and Payment Options in Veterinary Practice.” Dr. Tincher is a member of the Board of Directors for the Veterinary Leadership Institute and has become a sought-after speaker, most recently on spectrum of care topics, presenting at major veterinary conferences across North America.

As we continue our series of listener questions ahead of the election, we focus on the Cost of Care and how care later in life should be paid for. Dan Whitworth has been to Shipley to meet Graham, who's concerned about the cost of his own care – he wants to know what politicians plan to do about it.Energy companies are continuing to hang on to billions of pounds of their customers' money, which has built up as credit on their accounts. The energy regulator Ofgem says that during 2023, the average amount of credit in energy accounts for people who pay for their gas and electricity by fixed direct debit was £3.7 billion pounds. What's behind that?More than half a million people were left without their Child Benefit payment this week, after a technical issue at HMRC. What was done to help them?And this week, new banknotes featuring a portrait of King Charles III came into circulation – how can you get hold of one?Presenter: Felicity Hannah Reporter: Dan Whitworth Researchers: Jo Krasner and Catherine Lund Editor: Jess Quayle(First broadcast at 12pm Saturday 8th June, 2024)

To 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 in the healthcare system, such as the fragmentation of care, financial toxicity, and the cultural norms that inhibit progress. The conversation also highlights practical examples and potential strategies to drive value and sustain positive changes within the industry. 03:33 Stacey's journey and mission. 04:16 The story of Scott Conard, MD (EP391). 09:28 Why it's important not just to drive change but to sustain it. 12:23 Heart Failure: A Case Study in Value. 14:13 EP438 with John Lee, MD. 15:07 Why patient positive value often fails instead of succeeds. 18:07 How financial toxicity has become clinical toxicity in healthcare. 19:44 How cultural norms have evolved into healthcare challenges. 23:38 The story of Mike Tuggy, MD, in Washington. 25:13 Looking at the four tensions in measuring value as continuums. 25:37 Why timeline is important in creative value in healthcare. 27:52 Finding Allies by Michael Leavitt. 28:34 What are the four ways to measure value in healthcare? 29:27 How do payers and providers collaborate to align on value metrics? 31:26 Why will proven versus experimental treatments become more important in the next few years? 34:54 Stacey's manifesto (EP400) and values for personal integrity in healthcare. 38:55 Stacey's parting advice. For more information, go to Radio Advisory or Aventria Health Group.

Opinion: WA Cares' benefit isn't keeping up with the cost of care. Elizabeth New believes it's becoming painfully clear that the lifetime benefit attached to the state's mandatory long-term-care program will not be adequate even for Washingtonians who someday qualify for WA Cares' dollars. https://www.clarkcountytoday.com/opinion/opinion-wa-cares-benefit-isnt-keeping-up-with-the-cost-of-care/ #Opinion #Columns #Commentary #ElizabethNewHovde #WashingtonPolicyCenter #LifetimeBenefit #MandatoryLongTermCareProgram #WashingtonState #WACares #PayrollTax #PriceCompetitiveInsuranceMarket #VancouverWa #ClarkCountyWa #ClarkCountyNews #ClarkCountyToday

Welcome to another episode of The Veterinary Roundtable! This week we take a deeper dive into the Dr. Levine episode; our honest thoughts on the conversation, how we prepared, discuss finer points through an amazing listener inquiry, and more!Do you have a question for The Veterinary Roundtable? Ask us on any social media platform or email harrison@kingmediamarketing.com!Do you have an inquiry? Send it to us on any social media platform or email harrison@kingmediamarketing.com!Episodes of The Veterinary Roundtable are on all podcast services along with video form on YouTube!Instagram: https://tinyurl.com/2h27xnfuTikTok: https://tinyurl.com/m8f62ameTIMESTAMPSTIMESTAMPSIntro 00:00Quick Updates 06:18 Our Thoughts On Last Week's Episode 08:13Ad Read: 20:40Listener Inquiry 21:16Outro 45:34

Welcome to another episode of Questions With Crocker! This episode Dr. Crocker and Shane the potential ban on non-compete agreements, ways to prevent splenic tumors, the correlation between cost and advancements in veterinary medicine, and more.Episodes release weekly on Thursdays at 9am EST and are available on all podcast platforms including a video version on YouTube!Have a question for the podcast? Email questionswithcrocker@gmail.com for your question to be featured on an upcoming episode!TikTok: https://www.tiktok.com/@questionswithcrockerInstagram: https://www.instagram.com/questionswithcrocker/YouTube: https://www.youtube.com/channel/UClk4BQm7SRDXJpdzraAkKRwTIMESTAMPSIntro 00:00Non-Competes Are Being Banned 02:08A Recent Hemoabdomen Case 12:40How To Prevent Cancer In Pets 19:41The Correlation Between Cost And Medicine Advancements 22:28Outro 28:46

Estimating the costs of treating patients hospitalized with COVID-19; preparing for climate change risks to the 2024 elections; the problem with "crime-free housing" policies; and how to ensure a successful and secure recovery in Ukraine. For more information on this week's episode, visit rand.org/podcast.

When we think of care workers, we often picture individuals who nurture, assist, and heal other human beings. But behind that picture are the harsh realities of domestic work and the many sacrifices this marginalized group makes to uplift others. In this episode, producer and former Lemonada host Hoja Lopez chats with someone who's uncovering the truth behind the care economy and its exploitative roots. Activist, historian, and Barnard College professor Premilla Nadasen walks Hoja through her most recent book, CARE: The Highest Stage of Capitalism. The two discuss the unfair treatment low-wage workers, immigrants and women of color face in an industry that's built on inequality, and how despite all this, they're actually the people whose work “makes all other work possible.”    You can learn more about Premilla's work by following her on Twitter @premillanadasen.   This episode was made possible by the Marguerite Casey Foundation. Learn more about Marguerite Casey Foundation at https://www.caseygrants.org/See omnystudio.com/listener for privacy information.

I just want to stop here and have a gratitude moment. I wanted to thank the Pittsburgh Business Group on Health for inviting me to do the keynote at their annual symposium. It was a big honor. But in doing so, I had the opportunity to play clips from both the podcast and also from people who helped out and gave me a custom clip special for the occasion. So, thanks to Matt Ohrt; Jodilyn Owen; Justina Lehman (who provided a clinical pathway example); Andreas Mang; Larry Bauer; Rob Andrews (my guest in this episode); Nicole Bradberry; Amy Scanlan, MD; Rebecca Etz, PhD; David Muhlestein, PhD, JD; Lisa Trumble; and Doug Eby, MD, MPH, CPE. If you'd like a copy of that presentation, which is all about care gaps and the impact of care gaps especially as it might relate to self-insured employers, click here to request it. I also again want to thank Havarti Risk Services and Keith Passwater for a super nice donation to support the show, as well as Employees First. Please support these organizations who have supported us and help us keep the lights on over here. I am so looking forward to the show today. It is with Rob Andrews, who is the CEO of the Health Transformation Alliance (HTA), which is a group made up of jumbo employers. I had wanted to get Rob on the show ever since I heard him say at the thINc360 conference in DC earlier this summer, “Morally abhorrent doesn't move the needle. What moves the needle is financial implications.” This interview was my chance to ask Rob Andrews, what are these financial implications of which you speak that move needles? Financial implications to whom? What kinds of financial implications are we talking about? And when that needle moves, what happens? In the show that follows, Rob says that when you improve the health of employees and dependents and actually just the health of the community, you as an employer improve your financials directly and also indirectly, which Rob talks about relative to maternal health outcomes as his exemplar because, as a case study, it's undeniably superb. It's really interesting how employers in a geography wind up footing indirectly a rather shockingly large bill for babies and uninsured or underinsured moms or moms on Medicaid avoidably going to the ICU and the NICU, which the hospitals tally up as hundreds of thousands of dollars in billed charges. The term million-dollar baby is a term, after all. Listen to the episode that follows for more on these indirect costs and how they happen, but let me focus on the direct bucks out of pocket right now because … yeah, study after study shows that, for self-insured employers, if you pay for the right things and you steer to the right providers in the right care settings known to actually improve health, a self-insured employer and the member do a whole lot better than if the employer kind of laissez-faire pays for any manner of things provided by anybody who can manage to submit a billing code—even if that billing code comes with a too-good-to-be-true discount. Rob talks about how the HTA has data to suggest that if you, as a self-insured employer, lean in on paying for the right things, readmissions go down 29%. Total cost of care is 15% lower. Drugs cost 25% less. So, none of this is theoretical, as we talk about how employers can create a win-win—better health, lower costs. There are jumbo employers in the HTA right now who are doing this. I love how Will Shrank, MD, has put it; and I'm paraphrasing, but it's a point that keeps getting reiterated in episode after episode here on Relentless Health Value: There's a difference between paying for what you want and just negotiating allegedly cheaper prices. Buying things is not a strategy. And that is true no matter what price you think you're paying. Also not a strategy is buying things and then cost shifting to plan members, by the way. I love how Josh Butler uses a grocery analogy to describe but one possible flashpoint. Strategy, on the other hand, means addressing root causes. It's a considered plan of action to achieve an optimized ambition. Here is the strategic stepwise that Rob offers on this: 1. Discern the difference between rumor and data. Get your data and get it objectively analyzed by an objective third party, self-insured employers. Similar to what Justina Lehman was talking about last week (EP414), then you have what you need to figure out the delta between the worst performers and the best performers on a risk-adjusted basis. 2. Now that you know what normal is and what good looks like, gang up and negotiate contracts that hold intermediaries accountable for outcomes and with performance guarantees. Address root causes and the excess and wasteful spend, in other words. Listen to the show with Dr. Will Shrank (EP413) for more on wasteful spend. 3. Be transparent with consumers/employers about relative quality. Educate them. You may also want to reward members who go to see those high-quality docs and/or make it expensive for them to go to the worst performers. There are lots of win-win case studies here on how well this works. Rob Andrews and I talk a bunch, as aforementioned, using maternal outcomes as a case study for lots of the points made; and this was done for several reasons. One is that, for some employers, maternity is a large chunk of their healthcare spend; so avoidably bad outcomes for moms and babies here is not only scandalous, as Rob Andrews puts it, in a country as wealthy as ours but also really costly—and many times avoidably so. Keeping even one mom and/or one baby out of the ICU or NICU can save hundreds of thousands of dollars. I said this already, and it's a brutal number worth repeating. But the good news is that there are really cost-effective pathways that actually work to keep moms and babies out of the most expensive care settings money can buy. Jodilyn Owen (on an episode coming up in about three weeks) talks about one of them in detail: how her maternal health clinic, which serves ZIP codes with, let's just say, a lot of social determinants of health going on, moms in her clinic have a lower rate of NICU admissions than even the fancy ZIP codes nearby. So, this can be done. Purchasers of healthcare just have to demand that it happens and pay for it to happen. Rob Andrews talks about this, and he also talks about why it is quite unlikely that payer or provider organizations themselves are gonna pick up this torch and make this happen unilaterally of their own volition. Now, he offers some nuance, and you should listen to that nuance.   You can learn more by emailing Rob at randrews@htahealth.com.   Robert E. Andrews is the chief executive officer (CEO) of the Health Transformation Alliance (HTA), an original author of the Affordable Care Act, and a former member of Congress. As CEO of the HTA, Robert oversees the strategic direction of approximately 60+ major corporations that have come together in an alliance to do one thing: fix our broken healthcare system. Formed by four founding members in September 2015, the HTA member companies collectively are responsible for more than 8 million employees, dependents, and retirees with an annual healthcare spend of $30+ billion. Through Robert's leadership, the HTA has launched value-driven solutions specifically designed to improve patient care and economic value through world-class data and analytics, pathbreaking pharmaceutical solutions, high-quality medical networks, and robust consumer engagement initiatives. To date, the cooperative has saved its member companies well over $2 billion in healthcare costs. Robert's leadership has been equally important in the HTA developing programs addressing racial and ethnic disparities in healthcare, mental health issues, and safe return-to-work programs following the pandemic. Robert served as a member of the United States House of Representatives for nearly 24 years. Upon his departure from Congress, President Barack Obama praised Robert's service as “an original author of the Affordable Care Act … and a vital partner in its passage and implementation.”   07:29 How did Rob get to his current role? 09:11 The problem of maternal health and mortality rate, and how self-insured employers wind up directly and indirectly paying for this. 10:36 Why economic consequences move the needle, and why sometimes they don't. 12:36 Why the best way to address costs isn't to re-shift costs but to address them directly. 14:34 Why compensation that isn't dependent on outcomes is a problem. 18:09 “Strategy's not what people say; it's what they do.” 21:40 How do you operationalize saving money with better outcomes? 29:46 How do employers turn conflict into collaboration? 31:41 What is the win-win-win structure among employers, payers, and providers in Rob's eyes? 34:13 To whom should the task of risk adjustment fall? 38:03 “Better contracts do improve outcomes.”   You can learn more by emailing Rob at randrews@htahealth.com.   Rob Andrews of HTA Health discusses how employers can save money and get better #healthcareoutcomes on our #healthcarepodcast. #podcast #digitalhealth #valuebasedcare #healthcare   Recent past interviews: Click a guest's name for their latest RHV episode! Justina Lehman, Dr Will Shrank, Dr Carly Eckert (Encore! EP361), Dr Robert Pearl, Larry Bauer (Summer Shorts 8), Secretary Dr David Shulkin and Erin Mistry, Keith Passwater and JR Clark (Summer Shorts 7), Lauren Vela (Summer Shorts 6), Dr Jacob Asher (Summer Shorts 5), Eric Gallagher (Summer Shorts 4)