Podcasts about healthcare disruption

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Best podcasts about healthcare disruption

Latest podcast episodes about healthcare disruption

The Disrupted Podcast
We NOT Them

The Disrupted Podcast

Play Episode Listen Later Jun 22, 2026 40:46


What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. In this conversation, Jamie and Scott explore: Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. www.YourHealth.Org

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Experiencing Healthcare Podcast
Matt Goes To The Capital

Experiencing Healthcare Podcast

Play Episode Listen Later Jun 16, 2026 42:14


What if the most important care in the entire healthcare system is also the most underfunded? While hospitals and inpatient reimbursements rise with inflation, the physician fee schedule has quietly declined roughly 33% in real terms over 25 years — and this year it's facing another cut. In this episode, Jamie Preston sits down with Your Health CEO Matt Staub, just back from Capitol Hill, where he spent a record-setting 95-degree day meeting with seven legislative offices to advocate for physicians, providers, and the patients they serve across rural South Carolina, Georgia, and beyond. What follows is part field report, part reflection on why preventive primary care saves money and lives — and why we plan meticulously for weddings, retirement, and vacations, but treat our own health with a "call us if something happens" approach. In this conversation: Why a 2.5–5% physician fee cut hits frontline rural practices hardest The bipartisan doctors' caucus and the real appetite for reform Why winning can come from a loss — the Kobe Bryant mindset on process over outcome How a Disney ride (Spaceship Earth) reframes humanity's whole story around communication The case for proactive, team-based primary care over reactive sick visits Press play for a conversation about advocacy, communication, and a simple, powerful idea: the change you need to make starts with you.

LTC University Podcast
What If Your Company Trained You to Outgrow Your Job?

LTC University Podcast

Play Episode Listen Later Jun 15, 2026 36:10


What if educating your people so well that they could leave was exactly the point? At Your Health, that's not a risk to manage — it's the philosophy that built an entire learning ecosystem. In this episode, Jamie talks with Aubrey Wall, who came to Your Health from a background in education and now leads Your Health University, the organization's learning management system and continuous-development engine. Aubrey brings an educator's eye to a fast-evolving healthcare environment, where best practice changes by the day and meeting patients where they are demands that staff never stop learning. Here's what you'll hear: Why a healthcare company runs 12-month, Department of Labor–registered apprenticeships — including programs in management, value-based care, population health, and hospice aide preparation How gamification is being built into nurse instruction (straight from Aubrey's dissertation research) The difference between Your Health University (your classroom) and the Hub (your resource library) How LinkedIn Learning delivered roughly $4.2 million in CEUs to staff last year Meeting Leah — the new AI assistant that helps employees find exactly the right course If you've ever believed growing your people is a cost rather than the whole point, this conversation will change how you think. Press play, then go ask Leah a question. www.YourHealth.Org

ai press adhd accountability labor nurses curiosity reporting creative directors trained health and wellness leadership development professional development protocols hub dyslexia registered nurses edtech gamification special education employee engagement lifelong learning palliative care behavioral health microsoft teams workflows patient care continuing education workforce development medical education professional growth talent development continuous learning upskilling leadership training your health clinical practice patient experience health care professionals population health peer support organizational culture healthcare providers lms health care reform end of life care leadership insights ceu subject matter experts healthcare innovation career advancement hospice care mentorship program outgrow patient outcomes wellness podcast adobe photoshop ceus healthcare management reskilling value based care case management career pathways ai in education licensure nursing students healthcare technology healthcare leadership learning technologies employee development evidence based practice technical college skill building learning culture care management knowledge sharing learning management systems learning differences business training adobe illustrator community health workers nursing education virtual classrooms self directed learning preceptor education innovation quality of care healthcare podcast medical assistant staff retention resource library educational innovation clinical coordinator employee growth peer coaching healthcare disruption it training continuing education credits healthcare careers proprietary software just in time learning
LTC University Podcast
Christopher Laffey, NP: What Happens When Healthcare Follows You Home

LTC University Podcast

Play Episode Listen Later Jun 8, 2026 37:48


What if your healthcare team already knew what happened during your hospital stay — before you even explained it? What if someone on your care team noticed you were struggling on a Saturday and simply showed up? In this episode, Jamie sits down with Christopher Laffey, Nurse Practitioner at Your Health, to break down what a truly connected, proactive model of care actually looks like when it's working. Christopher practices in North Charleston, SC, where his team — nurses, therapists, social workers, community health workers, and more — functions less like a traditional office practice and more like a living, breathing safety net woven around each patient's real life. What you'll hear in this episode: Why most patients are failing not because nobody cares, but because the system itself is fragmented — and what doing it differently actually looks like on a Tuesday morning The real difference between "patient-centered" as a marketing phrase and patient-centered as a daily practice (hint: it involves seeing the medication bottles on the kitchen table) A powerful real-life story of a bedbound patient whose caregiver suddenly disappeared — and how the team mobilized over a weekend, on their own time, to prevent a hospitalization The single mindset shift every clinician needs to make the transition from visit-based thinking to longitudinal care Why "value-based care" doesn't mean discounted care — it means the organization is accountable for your outcomes, not just your appointments If you've ever left a doctor's appointment feeling more confused than when you walked in, this episode will show you what healthcare can feel like when it's actually designed around you. www.YourHealth.Org

The Disrupted Podcast
If You Didn't Document It, Medicare Thinks It Never Happened

The Disrupted Podcast

Play Episode Listen Later Jun 8, 2026 32:39


It was 3 o'clock in the morning when Scott Middleton finally signed the papers. The merger was official. And within days, he was already on the road — visiting facilities, riding along with providers, and spotting the same gap everywhere he went: brilliant clinicians doing real work that was completely invisible to the system. In this episode of The Disrupted Podcast, Jamie sits down with Scott Middleton, calling in from Boston, to unpack what he's discovering on the ground in the newly merged Your Health organization — and why tracking your time isn't about paperwork. It's about protection, proof, and getting paid for every minute of care you're already delivering. What you'll hear in this episode: The Dr. Jeeve story: a high-producing doc who managed a nursing home crisis by phone, saved a patient from an unnecessary ER visit — and never billed for it, leaving Medicare with no record of his intervention Why not documenting a visit before a hospitalization doesn't just cost you revenue — it makes you look like a bad provider, even when you did everything right How insurance companies like United Healthcare boldly take 15% off the top of every healthcare dollar — and why that math means providers can't afford to give their time away for free The TCPA pattern Scott keeps seeing: 15,000–18,000 visits a month, almost entirely in nursing homes, with zero follow-up once patients go home The new post-discharge standard: every patient leaving a nursing home gets a telehealth visit within 48 hours, then weekly follow-up for four weeks — no one gets left in the gap This episode is a masterclass in understanding that documentation isn't bureaucracy — it's how you tell your story, protect your reputation, and keep the care you've already given from disappearing. www.YourHealth.Org

Michigan's Big Show
* Dr. Marschall Runge, Longtime CEO of Michigan Medicine and Author of “The Great Healthcare Disruption”

Michigan's Big Show

Play Episode Listen Later Jun 4, 2026 9:01 Transcription Available


The Disrupted Podcast

What does it actually cost when a doctor writes a verbal order over the phone instead of seeing the patient? Scott Middleton has the receipts — and the answer is going to make you rethink everything about how American healthcare spends its money. In this episode of The Disrupted Podcast, Scott announces a landmark three-way merger bringing Your Health together with Transitional Care Professionals of America (TCPA) out of Georgia and Providence Care, a hospice organization in South Carolina. The combined organization will serve approximately 55,000 active patients — not patients on a list, but people being seen regularly — and Scott lays out exactly how he's going to run it. What you'll hear in this episode: Why Scott's family owning 80% of the merged company changes everything about how decisions get made — and who they get made for The difference between fee-for-service and value-based care, and why the ACO model means every unnecessary hospitalization literally comes out of Your Health's pocket How Your Health's risk-adjustment-based visit model (16 visits per year per risk point) was independently validated by a new government study — and why it works The three things Scott is asking every new employee to do in the first weeks: align with a nurse practitioner, track every minute of care management, and recruit like their livelihood depends on it — because it does Why Scott's new management philosophy is six words: "Keep them out of the hospital and see your damn patients" This isn't a corporate announcement. It's a playbook for how healthcare can actually work when operators run the company, providers see their patients, and every minute of care gets counted. www.YourHealth.Org

Price of Business Show
John Baxter- The Greatest Healthcare Disruption in History Is Happening Now

Price of Business Show

Play Episode Listen Later May 18, 2026 8:43


05-18-2026 John Baxter Learn more about the interview and get additional links here: https://usdailyreview.com/the-greatest-healthcare-disruption-in-history-is-happening-now/ Subscribe to the best of our content here: https://priceofbusiness.substack.com/ Subscribe to our YouTube channel here: https://www.youtube.com/channel/UCywgbHv7dpiBG2Qswr_ceEQ

history john baxter healthcare disruption
LTC University Podcast
A Nurse Practitioner's Field Guide to Whole-Person Care — with Jaclyn Taylor, PART 1

LTC University Podcast

Play Episode Listen Later May 15, 2026 26:42


What if every "non-compliant" patient was actually a signal that the system isn't working for them? In this episode, Jamie sits down with Jaclyn Taylor, Clinical Strategy Director at Your Health and a nurse practitioner who started her career as a home-based provider in 2020 — thrown straight into the fire of COVID, isolated patients, and a healthcare world rewriting itself in real time. What she saw inside patients' homes — medications scattered on tables, food insecurity, missing transportation — changed how she thinks about every chart she's ever read. You'll hear: Why a nurse-first pathway gives nurse practitioners a fundamentally different lens than a medical school pathway — and why patients feel it What working across home care, telehealth, trauma, and wellness teaches you about treating the whole human, not just the diagnosis Why trauma surgery turned Jacqueline into a believer in proactive, longitudinal care — and what gets missed when we only meet patients after something has already gone wrong The two words she uses to describe what's most broken in traditional healthcare: fragmentation and misalignment How empathy stops being a poster and starts being operational — built into the design of care itself If you've ever felt invisible inside the healthcare system, or if you're the one trying to fix it, this conversation reframes the whole game. Press play. www.YourHealth.Org

The Disrupted Podcast
The Administrator Role Part 1

The Disrupted Podcast

Play Episode Listen Later May 2, 2026 28:52


Most healthcare organizations wait until they're drowning to add administrative support. Your Health is doing the opposite — and it's changing the math on what a primary care practice can actually deliver. In Part 1 of this two-part conversation, Scott Middleton — owner of Your Health, founder, and Chief Disruption Officer — sits down with Jamie Preston to unpack why a dedicated administrator is now sitting beside the executive director of clinical services at every care group. With hospice added to the model, a single care group can now be responsible for more than 80 staff members across four care teams — bigger than most medical organizations in the country. Asking a nurse to run that alone was breaking people and burying clinical judgment under scheduling concerns. In this episode: Why the care group exploded overnight — and what hospice changed about staffing ratios What the administrator does on Monday morning before the clinical team even looks at the dashboard The Bridget story: how a "we're not allowed to do one-on-ones" response nearly cost a dementia patient her home Why "what could we have done today" is the wrong question — and what to ask instead How fee-for-service quietly incentivizes the wrong decisions at the hospital level The team structure every administrator now sits inside: nurse, HR, marketing, engagement If you've ever wondered what's actually supposed to stand between a great clinician and burnout, this is it. www.YourHealth.Org

The Disrupted Podcast
The Nurse Case Manager

The Disrupted Podcast

Play Episode Listen Later Apr 25, 2026 26:14


What if the people case-managing your care had a financial reason to keep you sicker? That's the uncomfortable question Scott Middleton puts on the table in this episode — recorded live from the American Case Managers Conference in Orlando, where Scott went to learn, and ended up being told Your Health didn't "fit" because they weren't a hospital. Jamie and Scott unpack what the nurse case manager role actually looks like at Your Health — and why moving case management out of hospitals and into patients' homes isn't just better care, it's better economics. Scott shares the research proving the model works: 50% reduction in Medicare spend when patients are seen at the right frequency by the right people. In this episode: Why hospitalists may be "the demise of the American healthcare system" The difference between nurse practitioners (diagnose and treat) and nurse case managers (assess and guide) — and why blurring them costs patients The 16.05-visits-per-risk-point model David Clemens' research validated How coding departments are quietly diagnosing patients with diseases they don't have Why Medicare's 6-year insolvency window may be the disruption we need Head-to-toe assessments, delegation rights, and the real job of an RN in the home If you've ever suspected the system is working exactly as designed — just not for the patient — press play. www.YourHealth.Org

Experiencing Healthcare Podcast
What If You Don't Train Them — and They Stay?

Experiencing Healthcare Podcast

Play Episode Listen Later Apr 24, 2026 44:24


"What if you train them and they leave?" It's the fear that quietly keeps most healthcare leaders from investing in their people. Matt Staub — CEO of Your Health — wants you to sit with the question his mentor once asked in return: What if you don't train them, and they stay? In this episode, Matt joins Jamie Preston for a conversation about why workforce education isn't a perk at Your Health — it's the culture. From nationally accredited apprenticeships, to a training pipeline built out of a licensing crisis, to the real people behind the success stories, this is a blueprint for leaders who want to grow something that lasts. Key topics covered: The lumberjack story: why sharpening your axe beats swinging harder every time How a shortage of licensed administrators became the catalyst for Your Health's training engine The shift from "education happens on your own time" to "this is how we behave" Real success stories — Olivia, Kristin, Taylor, McKinsey, Rebecca — and what they share Matt's three challenges for anyone ready to grow: show up, find your who, take your shot If you've ever wondered whether developing your people is worth the cost, this episode will change the math. Press play — then look around, and ask yourself who's looking at you.

The Disrupted Podcast
The Care Group Model

The Disrupted Podcast

Play Episode Listen Later Apr 18, 2026 41:12


What if the reason healthcare teams burn out isn't the workload — it's the org chart? On this episode of The Disrupted Podcast, Jamie and Scott, break down the evolution of The Care Group Model — and why the instinct to build a "separate hospice team" is exactly the wrong move. Scott walks through what a true care team looks like when nurse practitioners, nurses, community health workers, social workers, chaplains, and triage nurses are orchestrated around the patient — not siloed around a diagnosis. Inside the episode: Why adding hospice to existing care groups beats building a parallel hospice division The new non-clinical "administrator" role Your Health is rolling out — and why every nurse needs one at their side Using DISC assessments to build teams that actually function (and why nurses aren't the same personality type) How mutual accountability and group-based bonuses fix the "don't bill too much CCM" problem Why matching a chaplain to a patient's faith tradition matters more than checking the box The $110 million Medicare savings story the industry still doesn't understand If you lead a clinical team, run an operation, or care about what healthcare could look like when it's built around people instead of paperwork — press play. www.YourHealth.Org

The Disrupted Podcast
Social Services

The Disrupted Podcast

Play Episode Listen Later Apr 10, 2026 35:28


A man is dying — literally in his last hour, the death rattle audible — and the hospital team arrives to take him for a radiation treatment. His family had no idea. No one had told them. No one had started the conversation. This is not a rare exception. This is what happens when social services is treated as an afterthought. In this episode of The Disrupted Podcast, host Jamie Preston and Scott Middleton, Owner and Chief Disruption Officer of Your Health, go deep on one of the most overlooked levers in healthcare — social services. From the social determinants that drive healthcare costs more than healthcare itself, to the care team structures Your Health is building to close the gap, this is a candid, unfiltered look at what's broken, what's possible, and what it actually costs when we don't act. What you'll hear in this episode: Why social determinants of health — food access, medication literacy, housing instability, social isolation — are the real drivers of healthcare spending, and why most systems still ignore them The truth about advanced care planning: why it's quietly dropping, why every patient within two to three years of death needs that conversation, and the story of Janet Denino's cousin that makes the cost of silence impossible to ignore How the mental health stigma is shifting generationally — and how telehealth, AI-assisted tools, and a smarter therapy cadence are changing who actually gets support The billing math behind 280,000 possible care management hours that were built down to 110 — and why that gap isn't just a business problem, it's a human one What it actually takes to build a social services program that works: the right roles, the right ratios, and why getting out to see patients is non-negotiable The system won't fix itself. But the people in it can. This episode shows you how. www.YourHealth.Org

Experiencing Healthcare Podcast
Quarter 1 at Your Health

Experiencing Healthcare Podcast

Play Episode Listen Later Apr 8, 2026 42:18


What if the healthcare system your loved one relies on doesn't even know they need help until it's too late — and what would it look like if it did? In this Q1 2026 episode, Jamie Preston sits down with Matt Staub, CEO of Your Health, for a candid and wide-ranging look at how one of the country's largest home-based care providers is navigating the evolving landscape of value-based care, population health, and the human experience at the center of it all. Matt brings his characteristic clarity and heart to a conversation that is equal parts strategy, story, and honest reckoning with what the system still gets wrong. Key topics covered: Why 11% of patients account for 67% of all healthcare spending — and why most of them don't know they're in an ACO The evolution of value-based care: from quality-over-cost to outcomes + patient experience over total costs How Your Health is becoming proactive — not reactive — about falls, readmissions, and high-needs patients The quiet crisis of patient trust: down from 71% in 2020 to just 33% today, and what the correlation means for hospitalizations Real stories: a 79-year-old patient who went from barely existing to living fully — and Matt's own mom, who hasn't fallen since leaving the hospital after her stroke If you work in healthcare, advocate for someone in the system, or simply believe that better is possible — this episode will change the way you see what care can be.

Experiencing Healthcare Podcast
People Serving People

Experiencing Healthcare Podcast

Play Episode Listen Later Mar 27, 2026 40:34


What if the greatest threat to healthcare isn't a broken system — it's a dehumanized one? In this episode of Experiencing Healthcare, Jamie Preston and Your Health CEO Matt Staub wrestle with a deceptively simple idea from Harvard Business School Professor Ryan Buell: service is the business of people helping people. Sparked by Matt's experience at an Athena Health executive leadership forum, this is a conversation about what it truly means to serve — in a world where technology promises to do it faster, cheaper, and at scale. Key topics covered: Why you can never fully take people out of a service industry — and what happens to care quality when you try How ambient listening technology like Mobius is using AI to restore human connection in the exam room, not replace it The ICU nurses who used tough love to get a post-heart-surgery patient walking — and what that story reveals about what genuine service really looks like The "can vs. should" question every healthcare leader must ask before deploying new technology How to show up and serve others with excellence, even on your hardest personal days Healthcare will always evolve — but Matt and Jamie make a compelling case that the human at the center of care is the one thing worth protecting above all else. This one's worth the listen.

Experiencing Healthcare Podcast
Is American Healthcare a Commodity?

Experiencing Healthcare Podcast

Play Episode Listen Later Mar 14, 2026 50:59


America spends nearly double what the fourth-ranked country spends on healthcare per capita — and still ranks among the worst in outcomes. So what exactly are we paying for? In this episode of the Experiencing Healthcare Podcast, Jamie Preston and Your Health CEO Matt Staub examine what happens when healthcare gets treated like gasoline: something people expect to be available, can't easily compare on quality, and ultimately choose based on price or convenience. When brand and price stop mattering, the only differentiator left is how patients are made to feel — and whether they trust the person across from them enough to actually change. What you'll hear in this episode: Why Matt ranks service above outcomes and access — and the patient story that changed how he thinks about both The "Chick-fil-A problem": how your healthcare experience is now being compared to your best service experience anywhere, not just the clinic down the street What provider burnout really looks like when a clinician closes their notes at 11pm wondering if their patient listened How insurance billing creates distrust that bleeds directly into the patient-provider relationship — and what healthcare organizations can do about it Why the most caring thing a doctor can do sometimes feels like the worst customer service in the room If you've ever felt like a number in a waiting room — or if you've ever been the one trying to help someone who wouldn't listen — this conversation will stay with you. Press play.

The Disrupted Podcast
The Role That Could Eliminate Most Hospitalizations: The Care Manager

The Disrupted Podcast

Play Episode Listen Later Mar 13, 2026 53:56


In this episode of The Disrupted Podcast, Jamie and Scott have a  raw, specific, and deeply personal conversation about Care Managers: who they are, what they're actually supposed to do, and why getting this role wrong is costing patients their health and organizations millions of dollars. Scott opens with a story that hits hard: his 91-year-old father's recent hospitalization, the mistakes that nearly happened, and what it cost him — financially and emotionally — to navigate a system that wasn't built for the patient. What you'll hear in this episode: Why care managers are controllers, not schedulers — and what happens when organizations get that wrong The medication reconciliation crisis: how discharge errors are sending patients straight back to the ER How Your Health's new geographic mapping tool is transforming how care teams schedule 30 days of visits in advance The shared bonus model designed to stop care team members from fighting over visits — and start winning together What care managers should never be doing — and the analytical skill set that separates great ones from average ones If you're building care teams, leading a healthcare organization, or just trying to keep a loved one safe in a broken system, this episode will change how you think about the people standing between your patients and the hospital. www.YourHealth.Org

Self-Funded With Spencer
Building The TPA Of The Future

Self-Funded With Spencer

Play Episode Listen Later Mar 10, 2026 57:08


"We don't view ourselves as a TPA, we view ourselves more as a platform... our goal is to simplify and reduce the barriers of entry into the TPA space."The role of the Third-Party Administrator is undergoing a massive evolution. No longer just a back-office claims processor, the modern TPA is being asked to serve as the high-tech, high-touch "nucleus" of the entire health plan.My guest this week is Vinny Esposito, CEO of Reflect Health (formerly S&S Health). Drawing on a decade of experience in the hedge fund world, Vinny recognized a massive opportunity to bring scalable, asset-light infrastructure to the self-funded market. Today, Reflect Health acts almost like the "Intel Inside" of the industry, licensing its proprietary claims technology to other TPAs and health plans.In this episode, we explore exactly what it takes to build the TPA of the future. We discuss how to solve "point solution fatigue" through a centralized marketplace, the mechanics behind infusion drug carve-outs, and how to successfully deploy dynamic deductibles to incentivize better care routing. Vinny also shares his bold vision for "frictionless claims" paid instantly at the point of service, moving us closer to an Amazon-style shopping experience for healthcare.If you want to understand the technological and administrative innovations driving the self-funded market forward, this episode provides the blueprint.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Competing on Service in the TPA Market (00:01:56) Meet Vinny Esposito & Reflect Health (00:03:35) Rebranding from S&S Health (00:07:32) From Hedge Funds to Healthcare Disruption (00:11:05) The Platform Model: Licensing Tech to Other TPAs (00:15:05) The Marketplace & Infusion Drug Carve-Outs (00:19:14) How the TPA Role is Expanding (The "Nucleus") (00:24:12) Direct Contracting, RBP, and DPC Integration (00:29:15) Dynamic Deductibles & Tiered Networks (00:33:25) Curing "Point Solution Fatigue" (00:41:09) The Future of Stop-Loss and Preventative Care (00:45:44) The Fiduciary Breaking Point & 80% Renewals (00:50:26) Frictionless Claims & Amazon-Style HealthcareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Self-Funded With Spencer
Building The TPA Of The Future

Self-Funded With Spencer

Play Episode Listen Later Mar 10, 2026 57:08


"We don't view ourselves as a TPA, we view ourselves more as a platform... our goal is to simplify and reduce the barriers of entry into the TPA space."The role of the Third-Party Administrator is undergoing a massive evolution. No longer just a back-office claims processor, the modern TPA is being asked to serve as the high-tech, high-touch "nucleus" of the entire health plan.My guest this week is Vinny Esposito, CEO of Reflect Health (formerly S&S Health). Drawing on a decade of experience in the hedge fund world, Vinny recognized a massive opportunity to bring scalable, asset-light infrastructure to the self-funded market. Today, Reflect Health acts almost like the "Intel Inside" of the industry, licensing its proprietary claims technology to other TPAs and health plans.In this episode, we explore exactly what it takes to build the TPA of the future. We discuss how to solve "point solution fatigue" through a centralized marketplace, the mechanics behind infusion drug carve-outs, and how to successfully deploy dynamic deductibles to incentivize better care routing. Vinny also shares his bold vision for "frictionless claims" paid instantly at the point of service, moving us closer to an Amazon-style shopping experience for healthcare.If you want to understand the technological and administrative innovations driving the self-funded market forward, this episode provides the blueprint.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Competing on Service in the TPA Market (00:01:56) Meet Vinny Esposito & Reflect Health (00:03:35) Rebranding from S&S Health (00:07:32) From Hedge Funds to Healthcare Disruption (00:11:05) The Platform Model: Licensing Tech to Other TPAs (00:15:05) The Marketplace & Infusion Drug Carve-Outs (00:19:14) How the TPA Role is Expanding (The "Nucleus") (00:24:12) Direct Contracting, RBP, and DPC Integration (00:29:15) Dynamic Deductibles & Tiered Networks (00:33:25) Curing "Point Solution Fatigue" (00:41:09) The Future of Stop-Loss and Preventative Care (00:45:44) The Fiduciary Breaking Point & 80% Renewals (00:50:26) Frictionless Claims & Amazon-Style HealthcareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

The Disrupted Podcast
The Visit That Saves a Life Has No Diagnosis Code: The Community Health Worker

The Disrupted Podcast

Play Episode Listen Later Mar 6, 2026 51:20


What if the most powerful person on your care team isn't a nurse, a doctor, or a specialist — but someone showing up at 8:00 AM to check blood pressure, eat lunch with residents, and play vital signs bingo? In this episode, we go deep on the Community Health Worker role: what it is, what it isn't, and why most organizations are dramatically underusing it. Scott pulls no punches on the disconnect between what CHWs are doing and what they should be doing — and why the difference is costing patients their health and workers their bonuses. What you'll hear in this episode: Why the #1 complaint about CHW visits ("you're seeing our patients too much") is actually a communication failure, not a frequency problem — and how to fix it The specific visit types every community health worker should be scheduling: vital signs, medication reconciliation, lab draws, wound care, advanced care plans, and more How Mary White, a CHW in Gainesville, Georgia, goes in with 5 patients on her list and leaves having seen 15 — and what her approach reveals about what this role is really for Why buildings that aren't growing have either the wrong person or not enough people — and how to think through both The full compensation breakdown: base salary, guaranteed bonus, and how the right CHW can earn close to $80,000 a year If you hire, manage, or are a community health worker, this episode will reshape how you think about the role. Hit play. www.YourHealth.Org

Disruption / Interruption
Disrupting HealthTech for Women: Hacking Hormonal Health with Oleg Kovalev

Disruption / Interruption

Play Episode Listen Later Mar 5, 2026 26:02


In this episode of Disruption/Interruption, KJ sits down with Oleg Kovalev, Chief Marketing Officer at Aspect Health, revealing how his company became the #1 women's hormonal health startup in the USA by disrupting traditional PCOS treatment. Discover how continuous glucose monitoring and lifestyle coaching are helping one in five women manage a condition that doctors have been treating wrong for decades—and how this medical innovation is driving explosive business growth. Four Key Takeaways: [4:21] PCOS affects 20% of women and is the #1 cause of infertility - Traditional medicine has underdiagnosed and undertreated PCOS for decades, leaving millions of women without proper answers or solutions beyond pills that mask symptoms. [8:33] Managing glucose levels can dramatically reduce PCOS symptoms - Simple lifestyle changes combined with continuous glucose monitoring help women see real-time correlations between their food choices and symptom improvement, leading to exceptional product retention. [17:24] Data-driven positioning beats gut feeling every time - Aspect Health grew 12x in nine months by systematically testing positioning through paid ads and user behavior metrics rather than relying on intuition or assumptions. [24:11] Ask what you should NOT be doing - Focus and intentionality come from eliminating tasks rather than adding them—the critical question every founder and marketer must answer to achieve breakthrough success. Quote of the Show (8:00):"When women go to doctor and they ask questions about PCOS, in most cases they don't get answers to their questions. Often they are given some standard protocol of taking some kind of pills." - Oleg Kovalev 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 Oleg Kovalev LinkedIn: https://www.linkedin.com/in/alecko/Company Website: www.aspect-health.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.

Impact Quantum: A Podcast for Engineers
Quantum Computing in LATAM - Financial and Healthcare Disruption from QNOW

Impact Quantum: A Podcast for Engineers

Play Episode Listen Later Mar 2, 2026 51:26 Transcription Available


In this episode, your hosts Frank La Vigne and Candace Gillhoolley dive deep into the rapidly evolving quantum tech landscape of Latin America, with a special spotlight on Argentina. Joined by Daniel Ruiz, founder of QNOW, the conversation explores why Argentina and the broader LATAM region are emerging as surprising global leaders in quantum research, development, and application—particularly in the financial and healthcare sectors.Daniel Ruiz shares insight into the unique challenges and opportunities for quantum startups in Argentina, from the abundance of technical talent to the barriers around funding, infrastructure, and brain drain. The discussion touches on the entrepreneurial spirit of the region, the role of government and academia, and how LATAM innovators are bringing fresh perspectives to a field often dominated by the US, China, and Europe.Whether you're a quantum enthusiast, a tech founder, or simply curious about the global impact of quantum computing, this episode offers an energetic and honest look at the paths, pitfalls, and potential in LATAM. Stay tuned for practical lessons, misconceptions worth busting, and why the next quantum breakthrough might just come from south of the equator!Linkshttps://www.linkedin.com/in/luisdanielruiz-in/https://www.linkedin.com/company/qnow-tech/Time Stamps00:00 Argentina's Quantum and AI Landscape03:52 "LATAM's Quantum Innovation Potential"07:20 Tech Applications: Finance & Healthcare13:09 Quantum Computing: Awareness and Investment18:30 "Unlocking LATAM's Research Potential"20:52 "Latin America's Growing Tech Potential"26:36 Quantum-Driven Drug Discovery Process28:32 "Argentina's Quantum Potential Explored"32:51 "Quantum Complements Classical Data"37:41 "Embrace Unique Innovation Identity"43:14 Quantum Innovation Challenges in Latin America46:56 "The Right Team Drives Success"49:15 Global Perspectives on Quantum Tech

The Disrupted Podcast
The Yeses Have Butts: How to Find the Yes in Every Healthcare Conversation

The Disrupted Podcast

Play Episode Listen Later Feb 27, 2026 40:12


What does it actually take to say yes in healthcare when the system is wired to say no? In this episode of The Disrupted Podcast, Scott takes you straight into the field — from a brand-new administrator in Marietta, Georgia who's already revolutionizing her building eight days in, to a 190-patient facility in Charleston where the real conversation isn't about hospice referrals, it's about whether you have the staff to back it up. Scott gets honest about the moments where healthcare organizations talk a big game but fold when it matters — refusing acute visits to non-panel patients, locking providers into rigid workflows, and hiring bodies instead of talent. He challenges all of it. And he does it with the kind of clarity that only comes from someone who's actually in the buildings, at the dinner tables, and on the phone doing the hard work every day. From a nurse who deserves a Tesla to a wristband that could change emergency response forever, this episode is packed with real stories, bold ideas, and a simple but radical belief: that getting to the yes isn't just good business — it's the whole point of healthcare. If you're a provider, administrator, nurse, or healthcare leader who's tired of the way things have always been done, this one's for you. www.YourHealth.Org

TechNation Radio Podcast
Episode 664: Episode 26-07 The Great Healthcare Disruption

TechNation Radio Podcast

Play Episode Listen Later Feb 17, 2026 59:00


On this week's Tech Nation, Moira speaks with Dr. Marschall Runge, University of Michigan Medical School Professor and author of “The Great Healthcare Disruption: Big Tech, Bold Policy, and the Future of American Medicine,” about the ways the American Healthcare system is changing - and needs to change - for the future. Then, Tech Nation Health Chief Correspondent Dr. Daniel Kraft discusses some of the latest developments for early cancer screening.

Shingo Principles Podcast
Episode 56: Leading Through Healthcare Disruption

Shingo Principles Podcast

Play Episode Listen Later Jan 29, 2026 26:14


Health care organizations are entering a period of significant disruption following the passage of H.R. 1, with deep Medicaid cuts, tighter eligibility requirements, and growing administrative complexity reshaping the care landscape—especially for safety-net providers. This moment raises a critical leadership challenge: how to continue delivering high-quality, safe, and accessible care while doing more with fewer resources.This webinar explores why Lean thinking is no longer optional, but essential, in navigating today's turbulence and building long-term resilience. Drawing on lessons from past disruptions and real-world examples from leading health systems, we will examine how principle-based Lean frameworks help organizations improve cost, quality, access, and patient experience—even under intense pressure.Participants will learn how forward-thinking health care leaders use Lean to strengthen culture and engagement, align strategy with daily operations, redesign care delivery to improve access, reduce administrative burden, and thoughtfully integrate technology and AI. The session emphasizes Lean not as a set of tools, but as a leadership mindset that enables clarity, adaptability, and sustained performance in uncertain times.To learn more, please visit https://shingo.org/articles. 

health ai drawing medicaid healthcare disruption
The Disrupted Podcast
Healthcare Isn't Complicated—Go See Your Patients

The Disrupted Podcast

Play Episode Listen Later Jan 16, 2026 37:50


In this episode of The Disrupted Podcast, Scott Middleton returns from the JP Morgan healthcare conference with a blunt takeaway: the future of care is not a magic pill, another telehealth platform, or a clever financial structure — it's showing up. Scott breaks down why healthcare has become unnecessarily complicated, how fee-for-service incentives distort decision-making, and why “easy-entry” models won't hold up long-term.He makes the case that Your Health's home-based care model is hard to replicate because it requires operational excellence—routing, scheduling, team coordination, and intentional touchpoints. Scott also challenges internal culture issues: finger-pointing, poor communication, inefficient scheduling, and employees misunderstanding the mission. The solution is both simple and demanding: build systems that make weekly in-person encounters possible for high-risk patients and hold the line on execution. www.YourHealth.Org

Disruption / Interruption
Disrupting Biotech: How DNA Nanorobots Are Rewriting the Rules of Drug Discovery with Jurek Kozyra

Disruption / Interruption

Play Episode Listen Later Jan 8, 2026 30:35


In this episode of Disruption/Interruption, host KJ sits down with Jurek Kozyra, founder and CEO of Nanovery, to explore how DNA nanotechnology and AI are revolutionizing molecular medicine. Discover how tiny nanorobots made from DNA could dramatically accelerate drug development, make diagnostics faster and more affordable, and potentially cure diseases that were previously untreatable. From detecting diseases in hours instead of days to cutting years off the drug development process, this conversation reveals the cutting-edge science that's transforming healthcare. Four Key Takeaways: The Promise of Oligonucleotide Therapeutics (9:06) Traditional medicine targets defective proteins, but many diseases can't be cured because we can't find the right molecule. Oligonucleotide therapeutics target mRNA—the underlying mechanism of disease—meaning you could potentially cure all diseases since all proteins come from mRNA. DNA Nanorobots for Rapid Detection (14:12) Nanovery's DNA nanorobots can detect diseases in blood samples within 2-4 hours compared to traditional lab tests that take two days. These self-assembling machines produce fluorescent signals when they find specific DNA or RNA molecules, enabling point-of-care diagnostics. Accelerating Drug Development (17:13) Pharmaceutical companies race against 20-year patents while drugs take 10+ years to develop. Nanovery's technology provides more accurate data at lower cost and time, potentially shaving years off the development process and helping more drugs successfully reach the market. Real-World Clinical Validation (20:26) In a hospital study with 170 patient samples, Nanovery's technology delivered same or better results than traditional tests in just two hours instead of two days—a game-changer for emergency situations like drug overdoses where immediate answers are critical. Quote of the Show (9:05):"If you can target mRNA very specifically, that means that in theory you could potentially cure all diseases. That's why this area is so exciting right now." – Jurek Kozyra 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 Jurek Kozyra: LinkedIn: https://www.linkedin.com/in/j3ny/ Company Website: https://nanovery.co.uk 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.

The Better Life with Dr. Pinkston Podcast
The Great Healthcare Disruption: A Path to Better Health

The Better Life with Dr. Pinkston Podcast

Play Episode Listen Later Jan 3, 2026 50:01


In this episode of The Better Life, Dr. Pinkston sits down with Dr. Marschall Runge, Dean of the University of Michigan Medical School and CEO of Michigan Medicine. Together, they explore the systemic challenges facing the American healthcare system and discuss the optimistic future outlined in Dr. Runge’s new book, The Great Healthcare Disruption. The conversation dives deep into the "corporatization" of medicine, where insurance companies and administrative costs often take precedence over the doctor-patient relationship. Dr. Runge highlights a startling statistic: while the U.S. spends the most on healthcare globally, it ranks roughly 60th in "healthy average life expectancy." They discuss potential solutions, including shifting focus toward prevention, learning from international models like Singapore and Denmark, and restoring the fundamental trust between physicians and their patients. Key Topics Covered: The Efficiency Gap: Comparing the 16% administrative costs of private insurance to the 2% cost of Medicare. The Preventive Approach: How lifestyle factors, nutrition, and social policy impact long-term health outcomes. AI in Healthcare: The double-edged sword of AI being used by insurance companies to drive high denial rates. The Primary Care Shortage: Why the U.S. has fewer primary care doctors per capita than almost any other developed nation and how "medical homes" can bridge the gap. Restoring Trust: Moving away from "Reddit-based" medical advice and back to evidence-based care provided by trusted professionals. See omnystudio.com/listener for privacy information.

The Disrupted Podcast
The Facility Model Explained: Staffing, Hospice, and the Power of Proactive Care

The Disrupted Podcast

Play Episode Listen Later Dec 26, 2025 48:30


In this episode of The Disrupted Podcast, Jamie and Scott break down what's really happening inside healthcare facilities—and why the problem isn't complexity, but misalignment. Through a real-world walkthrough of one provider's experience, Scott unpacks the Facility Model, explaining how proper staffing, proactive care, and smarter use of hospice, telehealth, and community health workers can radically improve outcomes for patients, providers, and facilities alike. This conversation pulls back the curtain on how healthcare systems unintentionally block good care—and how simple, human-centered adjustments can change everything. www.YourHealth.Org

The Disrupted Podcast
The Map, the Model, and the Moment: Rethinking Regional Growth

The Disrupted Podcast

Play Episode Listen Later Dec 19, 2025 44:08


In this episode of The Disrupted Podcast, Jamie sits down with Chief Disruption Officer Scott Middleton to unpack what's really holding healthcare organizations back from sustainable growth — and it's not demand. From inefficient scheduling and fragmented care teams to missed opportunities in behavioral health, hospice, and regional expansion, Scott lays out a candid blueprint for how ownership thinking, smarter systems, and physical presence in communities can radically improve outcomes.Through real-world examples, Scott explains how a new map-based scheduling model, regional restructuring into divisions, and empowered frontline teams can increase productivity by 20% overnight — while simultaneously reducing ER visits, hospitalizations, and burnout. The conversation ultimately reframes growth not as a staffing problem, but as a leadership, coordination, and accountability challenge. www.YourHealth.Org

TrueLife
Health Reform 2025

TrueLife

Play Episode Listen Later Dec 6, 2025 84:56


One on One Video Call W/George https://tidycal.com/georgepmonty/60-minute-meetingSupport the show:https://www.paypal.me/Truelifepodcast?locale.x=en_USThe Lila Code: https://orcid.org/0009-0008-4612-3942

The Disrupted Podcast
Why More Visits Save More Lives: The ACO Shift for 2026

The Disrupted Podcast

Play Episode Listen Later Dec 5, 2025 32:58


KEY TAKEAWAYSThe new ACO model increases funding for high-risk Medicare patients but requires disciplined execution.Visits — frequent, short, meaningful ones — are the #1 driver of reduced hospitalizations and better outcomes.The target is four visits per patient per month for those with a 2.4–2.8 risk score.Current numbers show only 2.5 visits per patient per month — leaving savings and outcomes on the table.Facilitators are essential: their job is to start conversations, gather information, and initiate telehealth visits.Notes, Mobius recordings, and consistent communication make providers more effective over time.Small, weekly touchpoints outperform long, infrequent visits in both outcomes and cost savings.Every team member plays a role in preventing hospitalizations and improving patient stability. www.YourHealth.Org

current shift visits medicare telehealth mobius patient outcomes facilitators value based care cost savings aco virtual care care coordination advanced care planning chronic care management healthcare disruption risk scores medicare patients
The Disrupted Podcast
The Mission: Keeping People out of The Hospital

The Disrupted Podcast

Play Episode Listen Later Oct 31, 2025 48:20


Key Takeaways (for on-air recap & social)Presence prevents: Being in the building daily beats any remote administrative stack.Rituals > heroics: Small, repeatable actions (exercise + vitals + lunch checks) compound.Caregivers stabilize: A modest weekly schedule creates 40 hours of reliable on-site support.Therapy cadence matters: Spread the care; keep people moving longer to reduce falls.Document to decide: Specific behavioral notes → faster NP decisions → fewer crises.Mission creates growth: Aligning to “no hospitalizations” reduces noise and increases referrals. www.YourHealth.Org

Disruption / Interruption
Disrupting Healthcare: How One Practitioner is Using AI and Behavioral Science to Transform Patient Care

Disruption / Interruption

Play Episode Listen Later Oct 23, 2025 28:46


In this episode of Disruption/Interruption, host KJ interviews Dr. Jay Greenstein, CEO of Embodi Health, about disrupting the status quo in healthcare. Dr. Greenstein shares his journey from chiropractor to tech entrepreneur, discusses the challenges of patient adherence, and reveals how his company is using AI, behavioral science, and gamification to transform musculoskeletal care and improve patient outcomes. Key Takeaways: The Healthcare System is Broken [4:12]Dr. Greenstein explains how the U.S. healthcare system is plagued by barriers and value extractors, making it difficult for patients to access the right care. Evidence-Based, Non-Pharmacologic Care is Essential [7:14]He emphasizes the importance of following clinical practice guidelines that prioritize non-pharmacologic interventions like spinal manipulation and exercise. Gamification Improves Patient Adherence [16:27]Dr. Greenstein describes how his team built a gamified app to reward patients for adhering to care plans, leading to measurable improvements in outcomes. AI and Remote Monitoring Drive Better Outcomes [18:17]The Embody platform uses AI-driven, evidence-based home exercise programs and remote therapeutic monitoring to keep patients and providers connected and engaged. Quote of the Show (4:12):"I want justice for humanity. I want justice for patients. I want justice for the healthcare system. Our system in the US is broken, and it can be fixed." – Dr. Jay Greenstein 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 Dr. Jay Greenstein: LinkedIn: https://www.linkedin.com/in/drjaygreenstein/ Company Website: https://embodihealth.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.

AI Briefing Room
EP-355 Commonwealth Fusion's $863m Boost

AI Briefing Room

Play Episode Listen Later Aug 29, 2025 2:53


i'm wall-e, welcoming you to today's tech briefing for friday, august 29. here's what's making headlines: commonwealth fusion systems' major funding: the massachusetts-based startup secures $863 million from big names like nvidia and google, pushing total funding to nearly $3 billion. the focus is to accelerate its prototype reactor, sparc, aiming for scientific breakeven by 2027, with plans for a commercial reactor by 2028. transunion data breach: a breach affecting 4.4 million customers via a third-party application. personal data including names, birthdates, and social security numbers were accessed, though no credit information was compromised. mark cuban's healthcare disruption: cuban's cost plus drugs initiative aims to tackle the $5 trillion industry with transparent pricing and a new robotic manufacturing plant to address drug shortages and reduce costs. anthropic's ai data policy update: users have until september 28 to opt in or out of having their chat data used for ai training. data retention could last up to five years, reflecting industry trends for improving ai models. expansion of mathgpt.ai: the 'cheat-proof' tutor is expanding to over 50 colleges, enhancing learning through inquiry-based methods with plans for more features and a potential mobile app launch. that's all for today. we'll see you back here tomorrow!

Recovery Recharged with Ellen Stewart: The Pushy Broad From The Bronx®
The Great Healthcare Disruption with author Dr Marschall S. Runge

Recovery Recharged with Ellen Stewart: The Pushy Broad From The Bronx®

Play Episode Listen Later Aug 27, 2025


Join us as medical thought leader Dr. Marschall Runge discusses his new book, "The Great Healthcare Disruption," where he examines the future of healthcare in America, including artificial intelligence, retail medicine, obesity drugs, gene therapies, virtual health platforms, personalized treatments, and innovative payment models. Published by Forbes Books.

Recovery Recharged with Ellen Stewart: The Pushy Broad From The Bronx®
The Great Healthcare Disruption with author Dr Marschall S. Runge

Recovery Recharged with Ellen Stewart: The Pushy Broad From The Bronx®

Play Episode Listen Later Aug 27, 2025


Join us as medical thought leader Dr. Marschall Runge discusses his new book, "The Great Healthcare Disruption," where he examines the future of healthcare in America, including artificial intelligence, retail medicine, obesity drugs, gene therapies, virtual health platforms, personalized treatments, and innovative payment models. Published by Forbes Books.

HMA Vital Viewpoints on Healthcare
Ready or Not: Implementing Strategy Amid Massive Healthcare Disruption

HMA Vital Viewpoints on Healthcare

Play Episode Listen Later Jul 23, 2025 30:31


Rebecca Nielsen and Alex Rich, co-leaders of HMA's Strategy and Transformation practice, have been supporting healthcare strategies in an ever-changing environment defined by constant disruption from AI, shifting regulatory policies, and financial strain. With so much change in the air now, many strategic plans are outdated before they ever get implemented. In this episode of Vital Viewpoints on Healthcare, they expose the blind spots that sabotage even the most well-crafted strategies and offer a grounded look at what actually works when change is the only constant. They unpack the challenge of the 5-year strategic plan and the risk of trying to do everything at once, explaining why real-time information sharing may be your most overlooked leadership tool. If your organization is struggling to turn strategy into action, this is the clarity you've been waiting for.

The Revitalizing Doctor
What If Our Patients Didn't Have to Choose Between Food and Medicine?

The Revitalizing Doctor

Play Episode Listen Later Jul 8, 2025 37:20


You shouldn't need a PhD in insurance billing to understand why your medication costs $600 this month and $60 the next. But for millions of Americans, that's the reality.In this episode of Heartline: Changemaking in Healthcare, I talk to pharmacist and startup founder Vinay Patel, whose decade-long career spans high-volume pharmacy operations, clinical program design, and now, drug pricing reform.Vinay's origin story begins with a moral injury: watching patients forced to choose between rent and medications. Instead of accepting the system as-is, he built one that works better. From negotiating fair reimbursement rates to empowering local pharmacies and cutting out predatory Pharmacy Benefit Managers (PBMs), his work is restoring agency—one prescription at a time.You'll hear how he:Turned failure and scarcity into a superpower as a founderBuilt a mission-driven team by prioritizing soft skills over perfect résumésDesigned cost-plus drug programs that serve patients firstProtects independent pharmacies while keeping GLP-1s accessible About the Guest:"Failure means you're learning. And in healthcare innovation, learning fast is everything.” – Vinay PatelVinay Patel is a pharmacist, entrepreneur, and healthcare reformer. After years running a home delivery pharmacy for 15,000+ patients a month, he founded MakoRx, a company that bypasses traditional pharmacy benefit managers to lower costs for employers and improve access for patients.Vinay's mission is deeply personal—and systemic. His company's cost-plus model strengthens local pharmacies, bypasses industry bloat, and brings transparency to one of healthcare's most broken sectors.

Becker’s Healthcare Podcast
The Great Healthcare Disruption: Dr. Marschall Runge on Innovation, Access, and the Future of Medicine

Becker’s Healthcare Podcast

Play Episode Listen Later Jun 9, 2025 22:13


In this episode, Dr. Marschall Runge, CEO of Michigan Medicine and Dean of the University of Michigan Medical School, joins the podcast to discuss his new book The Great Healthcare Disruption: Big Tech, Bold Policy, and the Future of American Medicine. He shares insights on transformative trends in healthcare, from AI and GLP-1 drugs to the urgent need for primary care investment and systemwide cost reform.

Product in Healthtech
Radical Clarity in Drug Pricing: How Rescription Uses the 340B Program and Patented Tech to Lower Costs

Product in Healthtech

Play Episode Listen Later Apr 22, 2025 13:39


In this episode of Product in Healthtech, we reconnect with Scott Martin, founder and CEO of Rescription, to discover how his company has evolved since our previous conversation.Topics covered:Rescription's "radical clarity" approach to transforming prescription drug costsHow Rescription leverages the 340B federal program as intended to benefit both health systems and patientsResults from partnerships with Bergen New Bridge and Baton Rouge General, showing 27-35% savingsWhy patients under Rescription's model receive zero-dollar copays for prescriptionsThe patent-pending adjudication technology developed with Vynyl that enables upfront processing at scaleRescription's ambitious expansion plans across 14 states and 15 additional health systemsKey moments:[01:16] Scott explains how Rescription's model differs from traditional PBMs[03:09] Clarifying misconceptions about the 340B program[05:14] Updates on partnerships with Bergen New Bridge and Baton Rouge General[07:25] How Rescription addresses pharmaceutical manufacturer pushback[09:24] Details on Rescription's patent-pending adjudication technology[11:15] Future expansion plans and new service offeringsResources mentioned:Wall Street Journal article featuring Rescription (link to be added)Follow Product in Healthtech:Website: productinhealthtech.comLinkedIn: Product in HealthtechEmail: info@productinhealthtech.com Product in Healthtech is community for healthtech product leaders, by product leaders. For more information, and to sign up for our free webinars, visit www.productinhealthtech.com.

Nightside With Dan Rea
“The Great Healthcare Disruption.”

Nightside With Dan Rea

Play Episode Listen Later Apr 18, 2025 42:25 Transcription Available


Physician shortages in the U.S. are affecting health systems and organizations nationwide and are predicted to have long-lasting effects on public health. According to the Association of American Medical Colleges, the U.S. is facing a shortage of up to 124,000 physicians by 2034, including 48,000 primary care physicians. Dr. Marschall Runge, Executive Vice President for Medical Affairs at the University of Michigan and CEO of Michigan Medicine joined us to discuss the shortages and how technological advances, policy changes, and emerging business models are fundamentally transforming American healthcare.Listen to WBZ NewsRadio on the NEW iHeart Radio app and be sure to set WBZ NewsRadio as your #1 preset!

Experiencing Healthcare Podcast
Balancing Growth and Purpose: Lessons from Your Health's Expansion

Experiencing Healthcare Podcast

Play Episode Listen Later Feb 14, 2025 37:42


Healthy Lifestyle with Lori Anne
Episode 291 - Tiffany Roggia - A Healthcare Disruption - Alternatives 2-1-25

Healthy Lifestyle with Lori Anne

Play Episode Listen Later Feb 1, 2025 42:41


HEALTHY LIFESTYLE with Host & America's #1 Take Action Success Coach & Strategist Lori Anne Casdia chats with Tiffany Roggia from IMPACT - a healthcare disruption.  Think of a health care plan that works with you not against you. Want to save money on your healthcare?  Listen to this episodeTo Contact:https://www1.impacthealthsharing.com/?referral_id=03919475Impactwithtiffany@gmail.comSee Coach Lori Anne on her TV show "Take Action with Coach Lori Anne" - Roku, Amazon Fire, YouTube, Facebook, Linked In, X/Twitter.  Find us on BOLD BRAVE TV "TAKE ACTION WITH COACH LORI ANNE" every Thursday night at 7PM EST. Like and Follow to get announcements and alerts. Join the Take Action Community - FREE for the first 100 MembersA FREE Gift from Lori Anne: 3 Steps to Cleaning up you Opens, Messes & IncompletesTAKE the  FREE Super Ball Quiz  - What's your bounce pattern?  This is a quick 5 minute quiz to provide you with information where you are and what you can focus on to step into the next version of you.  Bonus is FREE 30 minute session with Coach Lori Anne as she takes you through your Bounce Pattern results. Here is your access to Coach Lori Anne's Workshops (where we are training while you are implementing):Action Accelerator Workshop SeriesJanuary: New Year Vision & Goal Setting WorkshopFebruary: Activation Vision Board WorkshopMarch: Spring Into Activation WorkshopApril: Spring Clean Your Business WorkshopMay: Productivity & Habit Tracker WorkshopJune: Slaying Imposter Syndrome Workshop July: High Vibes Spiritual Healing WorkshopAugust: Self-Care Everyday Workshop September: Forged in Fire Pre Retreat WorkshopOctober: Uncover Your Unique Transformation Workshop November:Dream Big Workshop December: 12 Days to TransformationFor more infomarion please to to https://ldcstrategies.com and click on the TAKE ACTION ACADEMY - Scroll to workshops. You can attend one (they work stand alone) or every workshop as each workshop stacks (works) with the next workshop. Our Goal at Healthy Lifestyle is to empower minds, educate hearts, inspire action and ignite success so  you can choose to have a fulfilled Healthy, Emotional, Spiritual, and Physical life, to live the life you have always wanted and dreamedAbout Our HostShe's not just your average success guru; oh no, she's the guiding light on your journey to becoming the most vibrant, authentic version of yourself!Coach Lori Anne is America's #1 Take Action Success Coach & Strategist teaching founders and entrepreneurs how to put a sustainable business model under their dream and actualize their vision of success. Coach Lori Anne is a decision partner, delivering strategic distinctions, tailored tactics and key connections."As your coach, I make suggestions, You make decisions" ~ Coach Lori AnneCoach Lori Anne isn't just about boosting profits; she's on a mission to nurture your spirit, fuel your passions, and ignite the flames of growth within your soul. With a heart as expansive as the universe itself, she's dedicated to fostering a culture of love, kindness, and personal empowerment.Imagine a world where every setback is a stepping stone, every challenge a chance for growth, and every dream a seed waiting to bloom. That's the world Coach Lori Anne invites you to inhabit, where self-discovery is celebrated, and every moment is an opportunity to shine becoming the Next Best Version of Yourself.As a result of her work, Coach Lori Anne's clients grow their business anywhere of 75 to 200% over the course of 12-18 months.Through her gentle guidance and unwavering support, Coach Lori Anne helps you peel back the layers of self-doubt, revealing the radiant gem that lies within.

JVC Broadcasting
Healthy Lifestyle 2-1-25 - Tiffany Roggia - A Healthcare Disruption - Alternatives

JVC Broadcasting

Play Episode Listen Later Jan 30, 2025 42:57


Healthy Lifestyle 2-1-25 - Tiffany Roggia - A Healthcare Disruption - Alternatives by JVC Broadcasting

alternatives healthy lifestyle healthcare disruption jvc broadcasting
Three Cartoon Avatars
EP 129: Tom Hale (CEO, Oura) Shares Health Habits That Will Make You a Better Leader

Three Cartoon Avatars

Play Episode Listen Later Jan 24, 2025 84:49


Two weeks after Oura CEO Tom Hale started tracking and improving his sleep, he recalls, “It was like walking out of a black-and-white movie into a 4K technicolor movie… I've been missing this for 30 years.” The experience of feeling 20 again every day inspired him to apply for the Oura CEO role. Now, nearly 3 years into the job, he sat down to discuss what all founders and CEOs should consider when it comes to avoiding burnout and maximizing health and productivity. We covered his experiences with tools like continuous glucose monitoring, his thoughts on the future of wearables, and how AI insights will help us take better control of our health. (00:00) Intro(00:53) The Journey with Oura Ring(01:47) Sleep Optimization and Health Trends(05:06) Behavioral Changes for Better Sleep(09:33) Tom Hale's Professional Background(12:47) Challenges and Opportunities at Oura(22:50) The Importance of Sleep(26:05) Health Benefits of Quality Sleep(28:38) Oura's Unique Position in the Market(36:47) Consumer Choice and Healthcare Disruption(40:59) Unexpected Insights from HSA and FSA Spending(41:36) The Future of Insurance and Wearable Data(44:40) Preventative Care and Employer Incentives(47:21) The Impact of Small Choices on Health(48:52) Artificial Intelligence in Healthcare(54:08) The Role of Continuous Glucose Monitors(59:50) Expanding Oura's Market and Product Strategy(01:12:04) Navigating Leadership and Company Culture(01:19:22) Future Opportunities and Global Expansion(01:23:43) Closing Remarks and Reflections  Executive Producer: Rashad AssirProducer: Leah ClapperMixing and editing: Justin Hrabovsky Check out Unsupervised Learning, Redpoint's AI Podcast: https://www.youtube.com/@UCUl-s_Vp-Kkk_XVyDylNwLA

The Meat Mafia Podcast
Revolutionizing Healthcare: Why Traditional Systems Are Being Left Behind w/ Andy Schoonover | MMP #374

The Meat Mafia Podcast

Play Episode Listen Later Nov 18, 2024 60:23


Andy Schoonover is the founder and CEO of CrowdHealth, a revolutionary platform redefining the healthcare industry. With a mission to challenge traditional insurance models, Andy has built a community-driven alternative that emphasizes personal responsibility, cost-effectiveness, and support. His approach draws inspiration from tribal support systems, aligning modern technology with timeless human values. In this episode, Andy Schoonover returns for a third conversation about the groundbreaking work of CrowdHealth. He dives deep into the flaws of traditional healthcare systems, the power of community-based solutions, and the importance of personal responsibility in healthcare.With practical tips, real-life stories, and a clear passion for change, this episode is a must-listen for anyone reconsidering their healthcare options. What we cover:- The Different Types of Healthcare Coverage - The Flaws in Traditional Healthcare - Cost Transparency in Healthcare - Healthcare Options for Entrepreneurs - Challenges in Healthcare Reform - Building a Healthy, Aligned Community Timestamps:(03:45) Navigating Health Insurance Costs and Options(17:44) Reviving Community-Based Healthcare Model(24:15) Community-Based Healthcare Funding Model(32:19) Challenges With Traditional Healthcare System(43:55) Building Niche Health Communities(48:28) Empowering Personal Health Through Community(58:35) Building Community Support for Healthcare*** LINKS***Check out our Newsletter - Food for Thought - to dramatically improve your health this year!Join The Meat Mafia community Telegram group for daily conversations to keep up with what's happening between episodes of the show.Get Connected with CrowdHealthCrowdHealthInstagramTwitterConnect with Brett:InstagramXConnect with Harry:InstagramXConnect with Meat Mafia:Instagram - Meat MafiaX - Meat MafiaYouTube - Meat MafiaConnect with Noble Protein:Website - Noble ProteinX - Noble ProteinInstagram - Noble ProteinAFFILIATESLMNT - Electrolyte salts to supplement minerals on low-carb dietThe Carnivore Bar - Use Code 'MEATMAFIA' for 10% OFF - Delicious & convenient Pemmican BarPerennial Pastures - Use CODE 'MEATMAFIA' 10% OFF - Regeneratively raised, grass-fed & grass-finished beef from California & MontanaFarrow Skincare - Use CODE 'MEATMAFIA' at checkout for 20% OFFHeart & Soil - CODE ‘MEATMAFIA' for 10% OFF - enhanced nutrition to replace daily vitamins!Carnivore Snax - Use CODE 'MEATMAFIA' Crispy, airy meat chips that melt in your mouth. Regeneratively raised in the USA.Pluck Seasoning - 15% OFF - Nutrient-dense seasoning with INSANE flavor! Use CODE: MEATMAFIAWe Feed Raw 25% OFF your first order - ancestrally consistent food for your dog! Use CODE 'MEATMAFIA'Fond Bone Broth - 15% OFF - REAL bone broth with HIGH-QUALITY ingredients! It's a daily product for us! Use CODE: MAFIAMaui Nui- 15% OFF. Use CODE: MEATMAFIA

Business of Tech
AI Innovations in Customer Service, Windows 11 Updates, and Apple's Healthcare Disruption

Business of Tech

Play Episode Listen Later Sep 19, 2024 12:43


Slack is enhancing user workflows by integrating AI agents from various partners, including Salesforce and Asana, to streamline tasks and improve productivity. However, user adoption remains a challenge as many are still hesitant about AI in the workplace. T-Mobile's collaboration with OpenAI aims to create a new AI-powered customer service platform, IntentCX, which will analyze call transcripts to enhance customer interactions. Meanwhile, Adobe is set to launch a new video model for its Firefly AI platform, allowing users to create short videos on demand.The episode also highlights LinkedIn's controversial decision to opt users into training generative AI models using their data without prior consent, raising concerns about data privacy and trust. While users can opt out, this policy does not affect data already used for training. LinkedIn claims to employ privacy-enhancing technologies to protect personal data, but the move has drawn scrutiny, especially following similar practices by Meta. Sobel emphasizes the importance of ethical AI integration and the need for providers to help clients navigate these new tools while addressing growing concerns about data privacy.As the tech landscape evolves, host Dave Sobel discusses the upcoming rollout of Windows 11 version 24H2, which is set to begin in October 2024. This minor update includes performance improvements, particularly for AMD-based PCs, but comes at a time when Windows 10 is approaching its end of support date. With a significant portion of users still on Windows 10, the implications for security and the potential for cyber attacks are critical. Sobel urges IT service providers to prepare for the transition by assessing client systems for upgrade readiness and ensuring compatibility with the new operating system.Finally, the episode delves into Apple's recent move into healthcare, transforming AirPods Pro 2 into hearing aids through a software update. This development follows regulatory changes that opened the market for over-the-counter hearing aids, allowing tech companies to innovate in a space previously dominated by a few firms. Sobel also discusses the transformative potential of AI in IT support, emphasizing the need for strategic implementation that enhances efficiency while maintaining human oversight. The episode concludes with a call for a balanced approach to innovation, ensuring that new technologies are adopted thoughtfully and responsibly.Three things to know today 00:00 As Slack, T-Mobile, and Adobe Launch AI Agents, LinkedIn's Data Practices Highlight Growing Trust Issues04:41 Windows 11 Version 24H2 Rolls Out Amid Looming Windows 10 End-of-Support Deadline: Security Challenges Ahead06:34 Apple's Healthcare Move, AI in IT Support, and Next-Gen Reasoning Models: Balancing Innovation with Strategic Caution  Supported by:  https://timezest.com/mspradio/https://www.huntress.com/mspradio/   All our Sponsors: https://businessof.tech/sponsors/ Do you want the show on your podcast app or the written versions of the stories? Subscribe to the Business of Tech: https://www.businessof.tech/subscribe/Looking for a link from the stories? The entire script of the show, with links to articles, are posted in each story on https://www.businessof.tech/ Support the show on Patreon: https://patreon.com/mspradio/ Want our stuff? Cool Merch? Wear “Why Do We Care?” - Visit https://mspradio.myspreadshop.com Follow us on:LinkedIn: https://www.linkedin.com/company/28908079/YouTube: https://youtube.com/mspradio/Facebook: https://www.facebook.com/mspradionews/Instagram: https://www.instagram.com/mspradio/TikTok: https://www.tiktok.com/@businessoftechBluesky: https://bsky.app/profile/businessoftech.bsky.social

The Vivek Show
Dr. Keith Smith: Redefining Healthcare through Capitalism

The Vivek Show

Play Episode Listen Later Jun 12, 2023 19:34


In this episode, Vivek Ramaswamy hosts Dr. Keith Smith, who elaborates on the concept of affordable healthcare provision by circumventing traditional insurance and government interventions. He emphasizes the benefits of capitalism in the healthcare industry, highlighting the way his practice provides affordable, quality services, charging a fraction of the traditional hospital costs while remaining profitable. This practice has garnered attention from patients nationwide and beyond. Furthermore, Dr. Smith sheds light on the burgeoning wave of free market alternatives within healthcare, with more medical professionals and institutions adopting this model. He provides insight into his innovative transparent pricing model which disrupts traditional insurance industry norms, with many patients finding his all-inclusive prices financially advantageous. He also touches on the growth of cost-sharing ministries as a plausible alternative to traditional insurance. Lastly, Dr. Smith passionately advocates for the repeal of government laws and regulations that skew the market in favor of industry insiders, leading to distortions that affect the delivery of healthcare services.--Donate here: https://t.co/PE1rfuVBmbFor more content follow me here:Twitter - @VivekGRamaswamyInstagram - @vivekgramaswamyFacebook - http://facebook.com/VivekGRamaswamyTruth Social - @VivekRamaswamyRumble - @VivekRamaswamy-- Time-codes: 00:00:30: Vivek Ramaswamy highlights the humaneness and efficiency of capitalism in resource allocation.00:00:59: Ramaswamy introduces the special guest, Dr. Keith Smith, applauding his innovative healthcare provision model.00:02:31: Dr. Smith expounds on how his practice sustains profitability while charging significantly less than traditional hospitals.00:05:34: Dr. Smith mentions his practice's far-reaching influence, attracting patients from all over the country and Canada.00:06:49: The discussion reveals a growing trend in healthcare towards free market alternatives.00:08:36: Dr. Smith explains the disruptive influence of his transparent pricing model on insurance company profiteering.00:09:21: Dr. Smith highlights that for many patients, his all-inclusive prices are less than their insurance deductibles.00:10:47: A discussion on the growth and advantages of cost-sharing ministries as an alternative to traditional insurance.00:15:30: Dr. Smith criticizes numerous laws and regulations that have been passed to the advantage of healthcare industry insiders, causing market distortions.00:16:20: He further elaborates on the negative impact of Medicare overpaying hospitals and doctors, leading to limited choices, reduced competition, and hampered innovation.