American businessman
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In 2009, David Goldhill's father died of a hospital-acquired infection. And he realized that preventing medical errors was not an economic imperative in the American healthcare system.In fact, our third-party payment system creates a misalignment of incentives, making insurers and governments the customer rather than the patients themselves.So, David wrote a cover story for The Atlantic entitled ‘How American Health Care Killed My Father' which expanded into a book, Catastrophic Care: Why Everything We Think We Know about Health Care Is Wrong.Since then, David has become a leading voice for healthcare advocacy and founded Sesame, a company that is revolutionizing healthcare with a direct-pay marketplace that delivers high quality healthcare at half the price.On this episode of The Beat, David joins hosts Dr. Jessica Shepherd and Dr. Gautam Gulati to explain who uses the marketplace and how competition drives down prices on Sesame without compromising quality of care.David discusses what attracts providers to the Sesame model and describes the criteria for joining the platform as well as its rigorous rating system.Listen in for insight on maintaining continuity of care in telehealth and learn how David is bringing a revolution of consumerism to healthcare in the US and around the world.Topics CoveredHow Sesame eliminates the third-party payment system from healthcareThe breakdown of who uses Sesame's direct pay marketplaceHow competition drives down prices on Sesame without compromising quality of careThe personal experience that inspired David's healthcare advocacyHow the third-party payment system causes a misalignment of incentives in healthcareWhy insurance- and safety net-based healthcare systems are outdated What attracts healthcare providers to the Sesame modelThe criteria for providers to join Sesame and the platform's rigorous rating systemHow David thinks about maintaining continuity of care in telehealthHow Sesame handles the transference of health records and informationWhat David admires about the current healthcare system in AmericaDavid's vision for bringing a revolution of consumerism to the healthcare industryConnect with David GoldhillSesameDavid at SesameDavid on LinkedInConnect with Dr. Gautam Gulati & Dr. Jessica ShepherdViVEHLTHDr. Shepherd on TwitterDr. Shepherd on LinkedInDr. Gulati on TwitterDr. Gulati on LinkedInResources‘How American Health Care Killed My Father' in The AtlanticCatastrophic Care: Why Everything We Think We Know about Health Care Is Wrong by David GoldhillAtul Gawande‘The Cost Conundrum' in The New Yorker‘The Heroism of Incremental Care' in The New Yorker‘In Health Care, America Is the World's Indispensable Nation' in The Washington Post
This episode's Community Champion Sponsor is Catalyst. To virtually tour Catalyst and claim your space on campus, or host an upcoming event: https://www.catalysthealthtech.com/ (CLICK HERE) --- After personally experiencing the brokenness of the American healthcare industry with the death of his father, our next guest has become a national-leading advocate of market-based reform and is building healthcare's superstore that delivers convenient, high-quality, full-scope medical care at affordable prices. David Goldhill, CEO of Sesame, joins us to discuss his team's strategy of bringing healthcare services into the 21st century by removing the complexities and commitments that burden its consumers for a meaningfully better experience. Join us to learn why and how David and the Sesame team are on a mission to deliver radically normal healthcare for our nation as we continue to work together to move our industry forward. Let's go! Episode Highlights: David's critique of the lack of democratization of healthcare services Sesame's direct-pay platform for patients and providers to sell and buy healthcare services in a normal way Sesame's innovations before and during the pandemic that ensures patients receive great value from their services Why hasn't a healthcare marketplace such as Sesame's been able to previously exist? About Our Guest: David Goldhill is the founder and CEO of Sesame, which operates an innovative direct pay marketplace for the full range of health care services. Sesame (https://sesamecare.com/) launched its service in Kansas City in 2019. Goldhill has been a leading voice of market-based health care reform since publication of “How American Health Care Killed My Father” as the cover story of the September 2009 issue of The Atlantic. Goldhill is the author of “Catastrophic Care: Why Everything We Think We Know about Health Care is Wrong” (Knopf, January 2013) and of “The Real Costs of American Health Care” (Vintage 2016). He is co-editor of New York's Next Health Care Revolution (Manhattan Institute, 2015). Goldhill is chair of the Board of Directors of the Leapfrog Group, an employer-sponsored organization dedicated to hospital safety and transparency. In his business career, Goldhill was president and CEO of GSN, which operates a US cable television network seen in 80 million homes and one of the world's largest digital games companies. He previously served as president and COO of Universal Television Group, the largest division of Universal Studios. In this capacity, he oversaw all operations at the company's domestic and international cable television networks, cable and network television studios, first-run syndication business and worldwide television distribution. Goldhill was also chairman and CEO of Independent Network Holdings, Ltd. (INTH), which created and operated the TV3 television network in Russia. Prior, Goldhill was the CFO of Act III Communications, a privately-owned holding company with interests in television stations, movie theaters, magazines, and film/television production. He has served as Director of Commerce Hub (CHUBA), Expedia (EXPE), eLong (LONG), and numerous private companies. Goldhill graduated from Harvard University with a B.A. degree in history and holds an M.A. degree in history from New York University. Links Supporting This Episode: Sesame website: https://sesamecare.com/ (CLICK HERE) David Goldhill LinkedIn page: https://www.linkedin.com/in/david-goldhill-5bb1a238/ (CLICK HERE) Sesame Twitter page: https://twitter.com/Sesamecare (CLICK HERE) Clubhouse handle: @mikebiselli Mike Biselli LinkedIn page: https://www.linkedin.com/in/mikebiselli (CLICK HERE) Mike Biselli Twitter page: https://twitter.com/mikebiselli (CLICK HERE) Visit our website: https://www.passionatepioneers.com/ (CLICK HERE) Subscribe to newsletter: https://forms.gle/PLdcj7ujAGEtunsj6 (CLICK HERE) Guest nomination... Support this podcast
In this eighth installment of the Fortress and Frontier series on Discourse Magazine Podcast, Robert Graboyes, a senior research fellow at the Mercatus Center, speaks with David Goldhill about how to fix the incentives in healthcare, why the insurance system is outdated, why the government is a poor regulator in this industry, and much more. Goldhill is an American business executive and writer on healthcare policy. He co-founded and runs the independent healthcare marketplace organization Sesame.For a full transcript of this conversation with helpful links, visit DiscourseMagazine.com.
Robert Graboyes, a healthcare economist for the Mercatus Center at George Mason University, joins Garrett today to discuss the health care system in America. He talks about its purpose, why it's broken, how being a doctor is similar to and different from being a pilot, and the high stakes of getting it right. They also discuss such topics as innovation in health care, which level of government should be responsible for health care regulation and reform, and the history and effects of certificate of need laws. If you are constantly frustrated by American health care, this is the episode for you. Mercatus Center at George Mason University - www.mercatus.org Twitter - @robert_graboyes Read Fortress and Frontier in American Health Care - https://www.mercatus.org/publications/healthcare/fortress-and-frontier-american-health-care The Dubious Case for Professional Licensing by Uwe Reinhardt - https://economix.blogs.nytimes.com/2013/10/11/the-dubious-case-for-professional-licensing/ You can buy a copy of David Goldhill's Catastrophic Care on Amazon. https://www.amazon.com/Catastrophic-Care-Everything-Think-Health/dp/034580273X/ref=sr_1_2?dchild=1&keywords=catastrophic+care&qid=1626714092&sr=8-2 Washington Post: “7 experts try to answer who has the world's best health-care system” https://www.washingtonpost.com/opinions/2021/06/17/best-health-care-systems-world/ Robert also hosts his own podcast called Fortress and Frontier. You can listen to his episode with Dr. Devi Shetty here. https://www.mercatus.org/podcasts/06042021/fortress-and-frontier-narayana-system-and-innovations-healthcare Learn more about the Healthcare Openness and Access Project on Mercatus' website. https://www.mercatus.org/publications/healthcare/healthcare-openness-and-access-project-2020-full-release Find more information on the Night Scout project at http://www.nightscout.info/ Read more about how certificate of need laws led to an infant's death in Virginia https://reason.com/2017/01/25/virginia-certificate-of-need-hospital/ John Goodman Priceless https://www.amazon.com/Priceless-Healthcare-Independent-Studies-Political/dp/1598130838/ref=sr_1_1?dchild=1&keywords=priceless+john+goodman&qid=1626738493&sr=8-1 The Creative Destruction of Medicine by Eric Topol https://www.amazon.com/Creative-Destruction-Medicine-Digital-Revolution/dp/0465061834/ref=sr_1_5?dchild=1&keywords=eric+topol&qid=1626738540&sr=8-5 The Patient Will See You Now by Eric Topol https://www.amazon.com/Patient-Will-See-You-Now/dp/0465040020/ref=sr_1_4?dchild=1&keywords=eric+topol&qid=1626738638&sr=8-4 Deep Medicine by Eric Topol https://www.amazon.com/Deep-Medicine-Artificial-Intelligence-Healthcare/dp/1541644638/ref=sr_1_3?dchild=1&keywords=eric+topol&qid=1626738638&sr=8-3 The Innovator's Prescription by Christensen, Grossman, and Mwang https://www.amazon.com/Innovators-Prescription-Disruptive-Solution-Health/dp/1259860868/ref=sr_1_3?dchild=1&keywords=grossman+healthcare+book&qid=1626738819&sr=8-3
David Goldhill made waves in 2009 with his Atlantic cover story, "How American Health Care Killed My Father." Since then he's worked to revolutionize the way Americans receive and pay for medical care. He sat down with Steve to share the philosophy behind his new company Sesame, an online marketplace for discounted health services.
Chris is joined by David Goldhill, CEO & Founder of Sesame - a direct to patient marketplace to discuss the impact of telehealth, why this is considered a big innovation and why innovation in healthcare is continuously stymied.Support the show (https://healthcareamericana.com/sponsors/)
In our ongoing series around the COVID-19 crisis, we plan each episode with the specific aim of delivering you, the listener, actionable items you can do right now. To ensure that during this crisis you can solidify and strengthen your business while continuing to serve your patients at the highest level, we're bringing you two of our favorite people in healthcare. Joining us today is David Goldhill, CEO of Sesame and Dr. Allison Edwards who runs a direct primary care facility, to talk about how you can adopt the right strategies for doctors to overcome this crisis. Highlights How a personal tragedy and a timely New Yorker article set David Goldhill on the path from being a top media exec to one of our leading voices in healthcare. Why incentives and priorities are a huge motivation and focus of David's research. What we saw was an opportunity to create something of an alternative health economy outside of third party reimbursement. David Goldhill The Direct Primary Care Marketplace: A guide for practices and patients. The solution for high deductible patients you can't collect from. We elected to not bill insurance in our clinic simply because we wanted to make sure that we were actually working for our patients as our customers. Dr. Allison Edwards Insurance made it difficult to treat patients: How helping under-served populations in an FQHC drove Dr. Edwards to DPC. The DPC Speed Advantage: How Dr. Edwards was able to adapt and pivot without having to convince government or insurers, she just had to convince her patients. The NEW Channels, Formats, and Expectations for the doctor-patient relationship. An overview of the video platform, payment, and scheduling with Sesame. What you can and can't do through Telemedince in Primary Care. A rundown of the Virtual Check-in Don't let perfect be the enemy of good. David Goldhill, President and Chief Executive Officer David Goldhill is the founder and CEO of Sesame, which operates an innovative direct pay marketplace for the full range of health care services. Sesame launched its service in Kansas City in 2019. Goldhill has been a leading voice of market-based health care reform since publication of “How American Health Care Killed My Father” as the cover story of the September 2009 issue of The Atlantic. Goldhill is the author of “Catastrophic Care: Why Everything We Think We Know about Health Care is Wrong” (Knopf, January 2013) and of “The Real Costs of American Health Care” (Vintage 2016). He is co-editor of New York's Next Health Care Revolution (Manhattan Institute, 2015). Goldhill is chair of the Board of Directors of the Leapfrog Group, an employer-sponsored organization dedicated to hospital safety and transparency. In his business career, Goldhill was president and CEO of GSN, which operates a US cable television network seen in 80 million homes and one of the world's largest digital games companies. He previously served as president and COO of Universal Television Group, the largest division of Universal Studios. In this capacity, he oversaw all operations at the company's domestic and international cable television networks, cable and network television studios, first-run syndication business and worldwide television distribution. Goldhill was also chairman and CEO of Independent Network Holdings, Ltd. (INTH), which created and operated the TV3 television network in Russia. Prior, Goldhill was the CFO of Act III Communications, a privately-owned holding company with interests in television stations, movie theaters, magazines, and film/television production. He has served as Director of Commerce Hub (CHUBA), Expedia (EXPE), eLong (LONG), and numerous private companies. Goldhill graduated from Harvard University with a B.A. degree in history and holds a M.A. degree in history from New York University. Sesame Sesame is a marketplace for health services where customers pay upfront for care. Sesame connects patients and providers directly, making quality health care more accessible, affordable, and transparent. No surprise bills, no hidden costs. Just great doctors offering their services at fair, transparent prices. Sesame offers an end-to-end HIPAA-compliant telemedicine solution with a key distinction. Sesame virtual appointment includes our direct-pay payment and billing functionality. At a moment of uncertain reimbursement policies around telemedicine – and with telemedicine appointments carrying fees meaningfully less than in-office visits, Sesame allows practices to recoup revenue with little administrative cost. Our platform is a fully HIPAA compliant, easy to use service that enables any licensed medical provider in the US - in any specialty - to immediately list their services using our convenient, self-onboarding tool. The platform also works with other video services, which allows physicians to utilize Sesame for its upfront payment functionality alongside an existing video conference solution. We're offering the service free to all providers for the next three months as a way to introduce the concept of direct-pay services to a broader range of providers. Patients can use Sesame to find the telemedicine care they need, with a wide range of specialties and providers—from general consultations, to dermatology, physical therapy and beyond, all available with clear, affordable pricing and a straightforward booking platform. Links, Resources and Related Episodes Sesamecare.com Catastrophic Care: Why Everything We Think We Know about Health Care Is Wrong Catastrophic Care Book Review by Don Lee DPCFrontier.com Direct primary care alliance university EHRs for DPC – Elation, Hint, Atlas (in the order they were mentioned) Twitter @SesameCare @Dr_A_Edwards @David_Goldhill Linkedin: Sesame David Goldhill Dr. Allison Edwards More on Direct Primary Care (DPC) from The #HCBiz Show
In this episode of The Pulse podcast, we interview Mike Botta, founder of Sesame, about his path to founding a direct-care marketplace with David Goldhill. Sesame is a New York-based startup building out a direct care marketplace for individuals to purchase a full range of medical services.
Watch or listen to the latest Soho Forum on expanding government-run health care.
This special episode features conversations with two authors from the world of big ideas: TV executive David Goldhill and law professor Tim Wu. A family tragedy propelled Goldhill into an exhaustive analysis — and eventual indictment — of America’s health care system. Listen and learn why the system of incentives in U.S. health care needs a new prescription, and what commonly held myths could be accelerating the system’s downward spiral. Wu’s latest book traces the evolution of advertising from the penny press of the 1830s to today’s BuzzFeed. Learn why today’s quest for clicks raises questions for consumers about the ultimate cost of “free.” David Goldhill is president and CEO of the Game Show Network. He is the author of Catastrophic Care: How American Health Care Killed My Father — and How We Can Fix It. Tim Wu is a law professor at Columbia University and formerly served as a senior advisor to the U.S. Federal Trade Commission. His latest book is The Attention Merchants: The Epic Scramble to Get Inside Our Heads. Your host, Matt Miller, is the policy and communications advisor for Capital Group. An author and former Washington Post columnist, Matt was co-host of the public radio program Left, Right & Center. Do you have any topics for Capital Ideas? Please contact our editorial team at CapitalIdeas@capgroup.com.
In the third of a 3-part series on diagnosing American healthcare, Dr. Venu Julapalli explains from a physician's medical perspective what is fundamentally missing from the American healthcare system. Starting with first principles that also address the individual's life purpose and passion, Dr. Julapalli examines what could return the "crackle," joy, and spark to medical practice. Part I: Diagnosing American Medicine - Policy with Patrick Ishmael, Show Me Institute Part II: Diagnosing American Medicine: Business with David Goldhill, CEO of the Game Show Network & author of Catastrophic Care
In the second of a 3-part series on diagnosing American medicine, David Goldhill, CEO of The Gameshow Network and author of Catastrophic Care: Why Everything We Know About Healthcare is Wrong, takes on this diagnosis from a business perspective. Mr. Goldhill outlines many ways that sound business practices and the right economic incentives can be applied to healthcare, which would result in positive solutions like lowering costs, increasing quality and heightening access. Part I: Policy with Patrick Ishmael, Show Me Institute Part III: Medicine with Venu Julapalli, MD on Healthcare 3.0
Patrick Ishmael, Director of Government Accountability at the Show-Me Institute (MO), takes on the diagnosis of American Medicine from a policy perspective in the first of a 3-part series. How are current policies influencing healthcare, and what policy solutions could be introduced to ameliorate the problems we currently face? Watch for the rest of the series: Part II Business with David Goldhill, author of Catastophhic Care Part III Medicine with Venu Julapalli, MD on Healthcare 3.0
David Goldhill is the President and CEO of the Game Show Network, its television and internet entertainment channels reaching nearly 80 million American households. However, I would argue that perhaps his greatest influence has been in sparking thought and clearly clarifying an understanding on the problems inherent from the design and function of the American healthcare system. In 2013, his book Catastrophic Care: Why Everything We Think About Healthcare is Wrong won critical acclaim, leading to many speaking engagements, and praise from notables such as Malcolm Gladwell, numerous health policy think tanks, as well as articles in the New York Times and the Washington Post. In this RED HOT interview, David discusses: Why the healthcare operates like no other American industry How complexity in our health system is detrimental to consumers How the average American worker making $25K/yr. will spend nearly $2 million of their own money on healthcare costs. The importance of leaving the comprehensive health insurance model Putting power back into the American healthcare consumer The accidental benefits of the Affordable Care Act
Can’t we just come up with a system that gives people as much health care as each of them needs? Is it the government’s responsibility to do that? Can the government do that? What about the market—what would a free market in health care look like? Would it look anything like the system we have now?Michael Cannon joins Aaron and Trevor to help answer these questions. Cannon is the Cato Institute’s director of health policy studies.Show Notes and Further Reading:Michael F. Cannon, Healthy Competition: What’s Holding Back Health Care and How to Free It (book)David Goldhill, Catastrophic Care: How American Health Care Killed My Father—and How We Can Fix It (book)Michael F. Cannon, 50 Vetoes: How States Can Stop the Obama Health Care Law (white paper)Gallup Poll: Majority in U.S. Say Healthcare Not Gov’t Responsibility (November 18, 2013) See acast.com/privacy for privacy and opt-out information.
November 2013 featuring Gene Healy, Christopher A. Preble, David Goldhill, Gail Heriot, Jesse Walker, Josh Blackman, Frank Dikötter See acast.com/privacy for privacy and opt-out information.
After the needless death of his father, business executive David Goldhill began a personal exploration of a health care industry that for years has delivered poor service and irregular quality at astonishingly high cost. In Catastrophic Care, Goldhill shows the U.S. health care sector is not worth preserving in anything like its current form — and President Obama’s health care law is likely to exacerbate its failings. Goldhill proposes a different and radical solution to these agonizing problems. See acast.com/privacy for privacy and opt-out information.
More from Michelle Katz, our health care expert. This time we look at the role of the health insurance industry in making costs go up. We also talk about the fall-out of my book review of Catastrophic Care.
David Goldhill examines the nation's health care industry and the health insurance industry. They don't look good. The Affordable Care Act or ObamaCare don't fare well either. But Goldhill has solutions. This is a book review in the Informed Not Inflamed style.
Aired: 02/03/13 This week, my guest is DAVID GOLDHILL. After the death of his father, Goldhill, a business executive, began a personal exploration of a health-care industry that for years has delivered poor service and irregular quality at astonishingly high cost. His September 2009 Atlantic cover story rocked the health-care world, and Goldhill has written a book expanding on the topic, Catastrophic Care: How American Health Care Killed My Father-And How We Can Fix It. It is a system, he argues, that is not worth preserving in anything like its current form. He asserts Obamacare will not fix it, and offers his own radical solution. * As a nation, we now spend almost 18% of our GDP on health care. * In 1966, Medicare and Medicaid made up 1% of total government spending; now that figure is 20%. * The federal government spends - 8 times as much on health care as it does on education -- 12 times what it spends on food aid to children and families -- 30 times what it spends on law enforcement -- 78 times what it spends on land management and conservation -- 87 times the spending on water supply -- 830 times the spending on energy conservation. * For every two doctors in the U.S., there is now one health-insurance employee-more than 470,000 in total. In 2006, it cost almost $500 per person just to administer health insurance. * Of the 52 industries represented on Fortune's 2007 list, pharmaceuticals and medical equipment ranked third and fourth, respectively, in terms of profits as a share of revenue. From 2000 to 2007, the annual profits of America's top 15 health-insurance companies increased from $3.5 billion to $15 billion.
David Goldhill, whose father died from a hospital-borne infection, discusses his recent article in The Atlantic titled "How American Health Care Killed My Father." (September 1, 2009)