Podcasts about Opsahl

Hva skjer når stadig flere opplever at politikerne ikke lenger representerer dem? Når beslutninger tas langt fra hverdagen til vanlige mennesker, og avstanden mellom makthavere og folk flest bare vokser? I kveld møter vi bonde, lokalpolitiker og forfatter Thorstein Opsahl, aktuell med boken Når politikerne svikter folket.Boken er en bred kritikk av norsk klima- og energipolitikk, men også av et samfunn der mange opplever at sunn fornuft, praktisk erfaring og lokale hensyn må vike for ideologi, byråkrati og internasjonale føringer. Opsahl mener Norge er på feil kurs, og at tilliten mellom velgerne og de folkevalgte er i ferd med å slå sprekker.Er det norske demokratiet blitt mindre lydhørt? Har klimadebatten utviklet seg til å bli en kamp om makt og konsensus? Og hvorfor føler så mange at de ikke lenger blir hørt? Dette er spørsmålene vi tar opp i kveldens Dagsorden.

Myhres åpenhet. Offensive banditter og Halvor Rødølen Opsahl.

If you are listening to this prior to October 9, 2025, go to the 32BJ Changing the Playbook on Hospital Prices event, where Mark Cuban will be keynoting. Cora Opsahl will also be speaking, and I will be there listening. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. So, trust, simplicity, and a chicken. Yeah, this is where this whole conversation with Mark Cuban and Cora Opsahl winds up. And it is a barnstormer because you know what some really good advice is for anybody trying to do right by patients and taxpayers and plan sponsors? It will take trust. It will take making the complicated as simple as possible. And also if you could pay with a chicken, like in the good old days, that would be messy—I can say with confidence, having grown up in Pennsylvania Dutch country, where there are many, many chickens—but also being able to pay with a chicken could also indicate that healthcare prices are reasonably chicken proportionate and that the doctor-patient relationship is good enough to break bread (or have chicken). That last part is really important, and Cora Opsahl says this at one point in the episode that follows. It doesn't matter how wonderful the transparency or the financing. If the prices are insane and there's no more reasonably priced options in any given market, then yeah. Shane Cerone says in an upcoming show, he says, “We do not have a broken healthcare market. We do not have a healthcare market. There is no market.” Okay … so, you could call this conversation a continuation of the episode with Ann Kempski (EP444), entitled “Two State Healthcare Laws Often Don't Go as Planned.” But it's not just healthcare laws that often don't go as planned. It's some very foundational constructs that we have built the healthcare sector upon that may also not go as planned. The healthcare sector is like a game of pachinko. You chuck an input into the mix, and it will bounce all around into all the perverse incentives and human beings and the non-market that we have. And who the heck knows what is gonna pop out the other side? It's like game theory at its most unpredictable. So, in healthcare, there are many, many examples of when the solution to a problem arguably creates worse problems than the problems the solution was trying to solve for. But we—Mark Cuban, Cora Opsahl, and I—are gonna shake our fists at two such solutions today: high deductible health plans (or just high deductibles in general) and then self-insured employers trying to solve the complexity of the healthcare industry by hiring consultants and middlemen, middle people, and other vendors to navigate the pachinko parlor (that is, our $4.9 trillion healthcare sector) on their behalf. Now, I am not in any way saying the spirit of these two endeavors—high deductibles and hiring consultants and middlemen—weren't wholehearted. They seem just like many other well-intentioned solutions: very logical on their face. What I am saying is there are many ways in the real world for even the most, again, genuine endeavor to turn into a money grab for those so inclined. While at the same time I'm saying all this, I'm also very much saying that there are some amazing consultants and middle folks such as independent third-party administrators, otherwise known as TPAs, and PBMs (pharmacy benefit managers) who are transparent and hold themselves accountable to the fiduciary responsibilities that their clients are held to in real terms—not just in marketing speak with 40 pages of disclaimers following. There are great folks out there, many of whom listen to this podcast and are part of our tribe on the regular. And to you, I say thank you for being here, because it takes all the knowledge and more from every one of the guests featured in these past 487 Relentless Health Value episodes plus treating every day like a school day to make sure that we all are not getting shanked from behind by some innocent-looking contract term that turns out to be anything but. The conversation that follows starts out talking about high deductibles; naturally segues into how third-party intermediaries can actually exacerbate the issues here; then we get into transparency, financing, clinical organizations taking on risk, and the benefits and challenges of direct contracts; then Mark lays out a vision for the future. Okay … I wanna get to this conversation. If you are a new listener here—and you might be because … yeah, Mark Cuban—let me just inform you that this podcast is largely listened to by those who work in the healthcare industry. So, you are going to encounter acronyms. You will also encounter me referencing earlier episodes because surveys say listeners really appreciate these callbacks to go get additional information about any given topic. You can get what amounts to a personalized Master's of Healthcare Administration curriculum if you follow the episode threads long enough. And that was a direct quote from a listener. About the acronyms: They are holy terrors, and we in the healthcare industry are chock-full of them. See the list of acronyms that come up so that you can follow along at home if this is your first day at our rodeo. Also in the show notes is a transcript of this show, along with links to all of the mentioned episodes. Okay … here's my conversation with Mark Cuban, who is Mark Cuban and also CEO and founder of Mark Cuban Cost Plus Drugs. Also, we have Cora Opsahl, who is health fund director of the 32BJ Health Fund and an expert in many things healthcare. Also mentioned in this episode are Shane Cerone; Ann Kempski; Mark Cuban Cost Plus Drugs; 32BJ Health Fund; Preston Alexander; Stanley Schwartz, MD; Elizabeth Mitchell; Kimberly Carleson; Andreas Mang; Jonathan Baran; Claire Brockbank; Dave Chase; Cristin Dickerson, MD; Green Imaging; Kevin Lyons; and Vivian Ho, PhD.   You can learn more at markcubancompanies.com and costplusdrugs.com and follow Mark on LinkedIn, Bluesky, Threads, and X. You can follow Cora on LinkedIn.   Mark Cuban, a native of Pittsburgh, PA; a graduate of Indiana University; and now a Dallas, TX, resident, has always been an entrepreneur. From selling and trading baseball cards, selling garbage bags and magazines door-to-door, to starting a business buying and selling stamps at age 16, there have been few years in his life when he wasn't starting or running a business. He got a job at one of Dallas's first retail software stores, Your Business Software. He spent nine months doing everything from learning how to code, supporting and installing every type of business software, and of course, making sure the store opened on time. That went well until he made the executive decision to turn over the store opening duties to a peer so he could pick up a check for a sale. He was fired. Mark decided it was time to start on his own. The next day, MicroSolutions was founded. Over the next seven years, MicroSolutions became a national leader in Systems Integration and custom applications for local and wide area networks. Growing to 80 employees, never having a losing month of operations and nearly $36M in annualized sales, in 1990, MicroSolutions was sold to CompuServe. At that point Mark “retired” to investing in public and private companies. His knowledge of the networking industry led to success and brought returns of 80% and more each year. Mark purchased the Dallas Mavericks for $285M. The Mavs would have the second-best record in the NBA during his ownership tenure. Mark sold majority control of the Mavs in 2023 but continues to be actively involved with the team. He first appeared as a “Shark” on ABC's Emmy Award–winning hit business show Shark Tank in 2011 and quickly established himself as one of the most popular and tough Sharks, investing millions of dollars in hundreds of small businesses. He's been nominated nine times for an Emmy for Shark Tank. His last appearance on the program was during season 16 in May 2025. In 2019, Mark co-founded costplusdrugs.com. Its launch on January 19, 2022, with transparent pricing and a limited markup, has fundamentally changed the pricing of medications in the United States. Cora Opsahl is the director of the 32BJ Health Fund, a self-insured Taft-Hartley benefit fund that sets comprehensive design parameters to ensure the 200,000 members and families of SEIU 32BJ have easy and sustained access to affordable, high-quality healthcare. Cora has prioritized a data-driven approach, focusing on reducing trend, solving the affordability challenge on behalf of union members, and, most important, keeping members at the center of every decision. Under her leadership, the 32BJ Health Fund has saved more than $35 million annually—which it has reinvested in new and better benefits, including the first fertility benefit for members—by removing NewYork-Presbyterian hospitals and physicians from its network, transitioning to a new pharmacy vendor and pharmacy group purchasing coalition, and establishing an expanded Centers of Excellence program. In 2024, Cora conducted an innovative medical request for proposal, stipulating that all finalists have a signature-ready contract drafted by the 32BJ Health Fund prior to award. As a result, the Fund negotiated an agreement that brought unprecedented visibility and increased accountability to its benefit. In 2025, the Health Fund is focused on direct-contracting opportunities that allow it to carve out key benefits and ensure quality while managing spend. Cora is regarded as an expert in pharmacy benefit management and was recently appointed to the Board of Governors for the National Alliance for Healthcare Purchaser Coalitions and the Purchaser Advisory Council for the National Quality Forum and Joint Commission. She previously worked at Express Scripts, where she held a variety of roles, ranging from Medicare Part D to operations, strategy, and acquisitions. Cora earned an MBA from Saint Louis University.   06:25 What was the original rationale behind high deductibles? 07:38 How high deductibles are creating a class of functionally uninsured people. 09:29 EP482 with Preston Alexander. 10:20 “We're using health insurance as a proxy for healthcare.” —Mark 12:30 How providers are now in the debt collecting business rather than the healthcare business. 12:55 EP486 with Stan Schwartz, MD. 15:16 “We have a fundamental reasonability problem.” —Cora 16:07 EP425 with Marshall Allen. 18:25 Direct contracting versus self-funded employers. 19:27 EP436 with Elizabeth Mitchell. 19:30 EP480 with Kimberly Carleson. 19:33 EP372 with Cora Opsahl. 23:53 Why the current system doesn't allow the accountability that is needed. 24:39 EP452 with Cora Opsahl. 26:34 How direct contracting gives strength back to independent practices that high deductible plans take away. 27:46 Who pays, what's the price, and where does the power lie? 31:24 EP419 with Andreas Mang. 34:45 How it comes down to power and leverage when controlling healthcare costs. 38:13 EP483 (Part 1 and Part 2) with Jonathan Baran. 38:35 Why putting together a network and just buying healthcare—not discounts—is not as difficult as it seems. 40:10 Why we need to stop talking about disruption and start talking about change. 40:56 EP453 with Claire Brockbank. 41:02 EP484 with Dave Chase. 43:07 EP485 with Cristin Dickerson, MD. 44:32 EP487 (Part 1) with Kevin Lyons. 46:34 EP466 with Vivian Ho, PhD. 47:40 Why it's the incentives that are different between American hospitals and hospitals in a single-payer program. 50:25 The main takeaways from the conversation. 51:08 Why you can't fix the problems in healthcare without transparency.   You can learn more at markcubancompanies.com and costplusdrugs.com and follow Mark on LinkedIn, Bluesky, Threads, and X. You can follow Cora on LinkedIn.   @mcuban of @costplusdrugs and Cora Opsahl discuss trust and simplicity in #healthcare on our #healthcarepodcast. #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Kevin Lyons (Part 2), Kevin Lyons (Part 1), Dr Stan Schwartz (EP486), Dr Cristin Dickerson, Elizabeth Mitchell (Take Two: EP436), Dave Chase, Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode), Dr Stan Schwartz (Summer Shorts), Preston Alexander

Today the gang speaks with Ari Opsahl of Tivoli Brewing, the maker of the fast-growing lager, Outlaw Light, and his unique model for growth. ================================Our 3 Daily Bev-Alc Trade Publications: https://beernet.com/Watch on Youtube: https://www.youtube.com/@BeerNetRadio/videosPodcast feeds - Audio: https://creators.spotify.com/pod/beernetradio=================================About Us:Beer Business Daily / Wine & Spirits Daily publisher Harry Schuhmacher joins his editors and bev-alc industry guests once a week as they grok the beer and beverage business issues of the day. Like and subscribe; it's free.-Our Three Daily Bev-Alc Trade Publications: https://beernet.com/-Twitter: @beerbizdaily#beernews #beerindustry #beer #beerbusiness

I fjor sommer satte Stian Opsahl, bedre kjent som Stian på Stien, kursen mot Nord-Sverige. Med seg hadde han en blytung sekk med mat og utstyr for seks uker og en grovspikket plan om å loffe seg gjennom svensk villmark i akkurat passe tempo. I denne episoden prater vi oss gjennom fantastiske villmarksopplevelelser i sagnomsuste områder som Sarek, Padjelanta og Kebnekaise. Underveis snakker vi om hva som gjør at disse områdene utmerker seg, hvordan de skiller seg fra norsk villmark og hvordan man finner nødvendig informasjon. Dessuten bruker vi god tid på elvekryssinger, i tillegg til tallrike digresjoner og sidespor av større eller mindre relevans i forhold til dagens tema.Bli med i turlaget på PatreonBesøk min kommersielle samarbeidspartner Barents Outdoor AS Hosted on Acast. See acast.com/privacy for more information.

Last time Cora Opsahl was on the show, Michelle Bernabe, RN, KAT, wrote a comment on LinkedIn I thought encapsulated the gist of it all so well. She wrote, “[Cora] first became a mentor/ally through Relentless Health Value episode 372. … It opened a doorway to a whole group of very relentless people.” For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. I want to start there because it's a nice comment, but it's also a call to action. Think about this and think about it not in the context of being a “stakeholder” and not in the context of being an organization but in the context of humans who work at these various organizations who, combined, comprise the bucket of companies that we lumped together using the old stakeholder word. All of these individuals are making choices every day, and all of these choices, they could be made with integrity and with the patient or member in mind … or not. In real life, right now, the overwhelming majority of members/patients in this country get their clinical care and the pleasure of paying for that care or drugs within the current ecosystem we have here in the USA. For any of us, or all of us who work within that traditional ecosystem, it is up to us to choose our own legacy here. It's probably why you listen to this show in the first place, actually. There are so many RHV (Relentless Health Value) listeners who are pushing for patients against the riptide that is the profit motives of the organization that they work for. It's hard. But yeah, it's all about finding our people and supporting each other. Okay, so let's get to the “between a rock and a hard place” portion of this discussion. Hospitals and ASOs (administrative services organizations)/carriers/TPAs (third-party administrators) often enter into or sometimes enter into what amounts to anticompetitive contracts with each other. Listen to episode 395 with Brennan Bilberry for the rundown on that one. But meanwhile, the CAA, the Consolidated Appropriations Act from 2021, holds employer plan sponsors accountable and responsible to ensure that plan assets are spent prudently, that costs paid are reasonable, and that there's no conflict of interest (COI). This is the definition of what a fiduciary is supposed to do, by the way—prudent, reasonable, and no COI. Anticompetitive contracts between a carrier and a hospital are the very definition of COI. And when that COI results in higher, maybe unreasonable, prices and non-prudent spend, well, plan sponsors are put between a rock and a hard place if they stick with their existing vendors. Rosa Novo from Miami-Dade County Public Schools put this really succinctly on a panel at a 32BJ event recently. She said what amounts to, I have no choice but to actually do the right thing here, for many reasons, but one of them is I do not look good in orange. She said, my personal butt is on the line here. And furthermore, who do class action lawsuits make look bad when their company or CEO or CFO are personally sued over conflicted benefits? See the Wells Fargo lawsuit, J&J lawsuit, etc. It sucks that employers or plan sponsors get put into this pickle by their own vendors. And that's what we're talking about today. This is a conversation that starts out talking about rates (ie, prices), edges into rights (ie, plan sponsor rights), and ends up all about power. And by the way, if you're a plan sponsor, especially in New York City, maybe doing the right thing here means hatching a plan to steer and tier in your benefit design, figuring out how to, for reals, help support the efforts of 32BJ to advantage pretty much every patient near and far. The pushback I often hear to doing something like this often involves the perception that plan members are too rich to care about reasonable prices, prudent plan spending, and COI. And yeah, to state the obvious, these same people are also sophisticated enough to smell a fine opportunity for a class action lawsuit; and also, they probably do care, as more and more studies suggest. Sorry if I just stumbled onto a sacred cow. Cora Opsahl, my guest today, is the director of the 32BJ Health Fund, serving over 200,000 folks. Their ability to kick NewYork-Presbyterian, a big, consolidated, very expensive hospital, out of their network in 2018 enabled them to offer maternity benefits for $40 in total out-of-pocket for members. And also, employees got their biggest raise ever; employers got a premium holiday and a 3% rate increase for a bunch of years after that; and yeah … this is where we start the conversation today. And yeah, it's a freakin' tangled web we weave; and this tale is a perfect case study of it. It makes me even more invested in remembering my own manifesto (that was episode 400) to ensure that I can feel good about what I personally have accomplished and what I have been a part of and the net impact of my own personal actions, since I, too, very often work in the belly of the beast. Furthermore, you will find links to a template health savings calculator for plan sponsors and also a template contract (again for plan sponsors) that 32BJ has made available. More on that in the show that follows. Also mentioned in this episode are 32BJ Benefit Funds; Michelle Bernabe, RN, KAT; Brennan Bilberry; Rosa Novo; Marilyn Bartlett; Cynthia Fisher; Zack Cooper, PhD; Claire Brockbank; Andreas Mang; Chris Deacon; Elizabeth Mitchell; and Purchaser Business Group on Health.   You can learn more at health.32bjfunds.org and by following Cora on LinkedIn.   Cora Opsahl is the director of the 32BJ Health Fund, a self-insured Taft-Hartley benefit fund that sets comprehensive design parameters to ensure the 200,000 members and families of Service Employees International Union 32BJ have easy and sustained access to affordable, high-quality healthcare. Since becoming director of the Health Fund in 2021, Cora has prioritized a data-driven approach to healthcare, focusing on reducing trend; solving the affordability challenge on behalf of union members; and most important, keeping members at the center of every decision. Under her leadership, the 32BJ Health Fund has saved more than $35 million annually—which it has reinvested in new and better benefits, including the first fertility benefit for members—by removing NewYork-Presbyterian hospitals and physicians from its network, transitioning to a new pharmacy vendor and pharmacy group purchasing coalition, and establishing an expanded Centers of Excellence program. Most recently, Cora conducted an innovative medical request for proposal (RFP), stipulating that all finalists must have a signature-ready contract drafted by the Health Fund prior to award. By including the Health Fund–drafted contract in the RFP process, the Fund was able to negotiate an agreement that brought unprecedented visibility and increased accountability to the 32BJ Health Fund benefit. Cora is regarded as an expert in pharmacy benefit management and previously worked at Express Scripts, where she held a variety of roles, ranging from Medicare Part D to operations to strategy and acquisitions. She earned an MBA from Saint Louis University.   06:16 Why is it imperative for employers to do something differently when it comes to being plan sponsors? 09:22 How analyzing claims data allowed 32BJ Health Fund to reshape their benefit design. 12:09 What anticompetitive rights did 32BJ run into that limited 32BJ Health Fund from managing their benefit design? 14:12 How do these anticompetitive rights have quality implications as well as cost implications? 18:43 How did 32BJ Health Fund remove NewYork-Presbyterian from their network, and how much did it save 32BJ Health Fund per year? 19:46 What did the healthcare savings allow the unions and employers to do? 20:46 Study by Zack Cooper, PhD. 21:26 Why rising healthcare costs has pushed 32BJ Health Fund to move beyond benefit design to manage healthcare spend. 24:15 Why 32BJ Health Fund wants to control the contracting process. 26:00 EP419 with Andreas Mang. 27:18 What are 32BJ Health Fund's four non-negotiables? 33:17 Wall Street Journal article on health insurance contract. 35:30 Upcoming episode with Claire Brockbank. 36:14 What is the challenge that exists in our current healthcare environment? 37:43 Cora's advice on how to get high-quality healthcare at an affordable price.   You can learn more at health.32bjfunds.org and by following Cora on LinkedIn.   @CoraOpsahl discusses #fiduciaryresponsibility in #healthcare on our #healthcarepodcast. #podcast #financialhealth #primarycare #patientoutcomes #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Dan Nardi, Dr Spencer Dorn (EP451), Marilyn Bartlett, Dr Marty Makary, Shawn Gremminger (Part 2), Shawn Gremminger (Part 1), Elizabeth Mitchell (Summer Shorts 9), Dr Will Shrank (Encore! EP413), Dr Amy Scanlan (Encore! EP402), Ashleigh Gunter, Dr Spencer Dorn (EP446)  

This week, Matt and Teddy are joined by fellow Marylander Matt Opsahl of Maverick Outfitters. Matt is the owner and operator of Maverick Outfitters based on MD's Eastern Shore guiding puddle duck and Canada goose hunts. We covered a lot of great topics in this one from what it's like guiding in Maryland, how to treat clients with respect and hospitality, and even what Matt's experience was like judging a calling contest for the first time in Easton last year. This was an awesome conversation and an episode you definitely want to hear!  Follow Matt and Maverick Outfitters on social media @maverick.outfitters and visit his website to book a hunt at maverickoutfittersmd.com .    Enjoy the show? Rate us/leave a review wherever you listen to podcasts.  Give us your feedback and support the show and our sponsors on social media:  Follow The Hail Call @thehailcallpodcast.  Follow the International Callers Association (ICA) @ica_calling Follow Mallard Marketing @Mallard.Marketing Follow Duck Creek Decoy Works @DuckCreekDecoyWorks   This podcast is recorded, edited and produced by Mallard Marketing and mallard-marketing.com  

For a full transcript of this episode, click here. Why did I decide to encore this episode where Cora Opsahl from 32BJ spends 29 minutes talking about the importance of getting your data if you are an employer or a union health fund? Let me quote Jeff Hogan with some light edits here. Jeff wrote about the “outsized role” that employer data and intentional analytics can and will play. This is emerging and a must-have. The show with Andreas Mang (EP419) from three weeks ago, the show with Dan Mendelson (EP385), the one with Mark Cuban and Ferrin Williams (EP418) … everything that has been talked about in all of these shows and more is gonna be hard to do without having the data so you know what's going on. But I will let Cora Opsahl explain far more succinctly than I can here. One more note before we dive in here: After you listen to this show, you might want to go back and listen to episode 373 with Cora—and that one is entitled “How to Kick a Big Hospital Out of Your Network”—because this is one of the things that 32BJ did when it got its data. 32BJ realized that if it kicked out the really expensive hospital from their network, it would (and did!) save $35 million. Kicking this one hospital out of its network enabled the union to get its biggest wage hike in however many years, and also the employers employing union members got a premium holiday and did not have to pay into the health fund for a few months. Imagine if they didn't have this data and realized the millions and millions of dollars being siphoned out of the plan by this one hospital charging way too much. It's just crazy how many employers or unions wind up becoming imprudent fiduciaries because they just don't have the data to know better. But I'll tell you who is realizing it: class action attorneys. In this healthcare podcast, I am speaking with Cora Opsahl, who directs the 32BJ Health Fund. Important to know about Cora's background is this: In previous roles, she's worked deep in the inner workings of the healthcare industry. So, she came to 32BJ armed with a BS meter that is finely tuned, which is, unfortunately, an essential skill for anyone trying to help the patients and members relying on them to successfully navigate the healthcare industry. This conversation gets into everything that the 32BJ Health Fund does with their data. They have lots of data. They demand it. So, besides kicking out overly expensive health systems from their network, here's other things that 32BJ is currently doing with their data and which other employers and unions may get a few ideas from. If you have the data, you (like 32BJ) can use it to: Make smart benefit decisions that are validated, not just guesses. Before you decide to do something (add a wellness program etc), be able to model it accurately for how much it will actually cost you—which, spoiler alert, is most of the time not what the vendor will estimate. You have way more data than the vendor does, so you can certainly use it to great effect in this way. Make sure that the right members are being communicated with so that benefit designs are successful. As Ashleigh Gunter said in episode 368, success when changing benefit designs has a lot more to do with communication than many realize. Create dashboards for leadership that may show trend lines, for example, which could be very helpful to ensure that the fund doesn't run out of money etc … little things like that. Figure out how much the fund is spending on various procedures and where. There's all this talk right now about the crazy variability of prices for the same exact service in the same local market. At one hospital, a colonoscopy could literally cost $10,000; and in another hospital—same quality, same basically everything—that same colonoscopy will be $2000 or $3000. I mean, there's a 500% delta or something in some of these cases. Ensure that if a vendor said they were going to do something, that they are actually doing it. This is especially meaningful for point solutions because of the whole squeezing the balloon thing. I can save money in a silo, and you won't realize that those dollars are getting transferred elsewhere unless you are doing your own math. This is a big deal if you start thinking about how pharmacy benefits are typically siloed from medical benefits. So, if I'm a pharmacy benefit manager, I can talk about how much I'm saving by denying patients drugs without consideration of the medical downstream implications of that. Ensure you're not paying a bill and writing a check for more than the bill was for, which is weirdly common. There's a whole show with Dawn Cornelis (EP285) about this. 32BJ has an engineering team that is creating an app to help members navigate to great doctors with fair prices. All of these things roll into basically three categories: 1.    Cutting wasteful spending and finding fraud 2.    Making smart benefit decisions 3.    Being able to see trends and forecast the future, which is really helpful for financial solvency etc As Cora Opsahl says, “I think we [all can] recognize [that] you [cannot] make smart … decisions and be a fiduciary of [a] fund without having [data].” This whole conversation has been really a big bright spot for me and will provide hope, I think, for any employer/union who is seeking ways to protect their members and patients, the ones on their plans and therefore under their aegis and whom they have a fiduciary responsibility to look out for. 32BJ represents about 200,000 members. They are mostly in residential and commercial real estate—so, for example, your doormen, your maintenance workers, your security, your cleaners, amongst others. Members are in about 11 states, but a lot of them are in the New York City metro area. These union members who are in the fund work for over 5000 different employers. The 32BJ Health Fund has zero-dollar premiums. Wowza on that point—that's a huge benefit. Also mentioned in this episode are Jeff Hogan; Andreas Mang; Dan Mendelson; Mark Cuban; Ferrin Williams, PharmD, MBA; Ashleigh Gunter; Dawn Cornelis; and Wayne Jenkins, MD. You can learn more at 32bjhealthfundinsights.org.   Cora Opsahl is the director of the 32BJ Health Fund, a self-funded plan that provides affordable, comprehensive, and innovative health coverage to 200,000 union members and their families. As director of the Health Fund, Cora has implemented multiple benefit changes that saved more than $35 million: removing NewYork-Presbyterian Hospital System and physicians from the network, transitioning to a new pharmacy vendor and pharmacy group purchasing coalition, and establishing an expanded Centers of Excellence program administered by Mount Sinai Solutions. Currently, she is leading a comprehensive medical RFP. Prior to joining the 32BJ Health Fund, Cora spent 12 years at Express Scripts, a pharmacy benefit manager, where she held a variety of roles, including with Medicare Part D, strategy and acquisitions, operations, and account management. She holds an MBA from Saint Louis University.   06:53 How much data does 32BJ Health Fund have, where do they get it, and how do they use it? 08:52 How did 32BJ Health Fund successfully demand their data from 100% of their vendors? 09:42 “We feel it's really important that we own this information ourselves.” 10:05 “It always concerns me—if a vendor doesn't want to give you the information, what are they hiding?” 10:32 “It's not just getting the data; it's then using the data.” 13:41 “Without data, you're really just taking a guess; and guesses are never gonna get you where you need to go.” 15:19 EP285 with Dawn Cornelis. 15:40 Is the cost of creating a data analytics team worth the cost savings of those data discoveries? 19:03 “The use of data has really built our knowledge.” 20:52 “It's really important to us that as we make benefit decisions, we're doing it smartly.” 25:27 EP358 with Wayne Jenkins, MD. 25:38 How is 32BJ Health Fund making their data knowledge actionable? 28:11 “If we can figure out how to make telehealth accessible … there may be an opportunity for telehealth … to upset some of these … monopoly systems or low-choice options.” 30:22 “It's really easy to think that we can solve this problem through benefit design … but in the end … it's the price.”   You can learn more at 32bjhealthfundinsights.org. Cora Opsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #healthcareleadership #healthcaretransformation #healthcareinnovation Recent past interviews: Click a guest's name for their latest RHV episode! Jodilyn Owen, Ge Bai, Andreas Mang, Karen Root (Encore! EP381), Mark Cuban and Ferrin Williams, Dan Mendelson (Encore! EP385), Josh Berlin, Dr Adam Brown, Rob Andrews, Justina Lehman

Mer revy, revy til folket! Hvem var Arve Opsahl før han var Egon? Bottolph, Inspektør Snusen, kineser, tyrefekter, boms, lydmann, og fyllik, viser det seg. Med lydklipp hentet fra åpne kilder på nett og benyttet i henhold til god skikk for sitering. Disse inkluderer klipp fra Norge i Rødt Hvitt og Blått (Jens Book-Jenssen), Olsenbanden Siste Skrik (2022), Uno (2004), Lasse og Geir (1976), Flåklypa Grand Prix (1975), Mot i Brøstet (1994), Fort Boyard (1990), Snake Eater (Norihiko Hibino), Døden på Oslo S (1990) og Filmmagasinet (1961).

Stian Opsahl var lei av skolen og ville slutte på linja for medieproduksjon for å gå Norge på langs. En smart lærer så at det ikke trengte å være enten eller, for var ikke dette prosjektet egentlig perfekt for å kombinere tur og formidling? Dermed kunne Stian, som da var 17 år gammel, starte alene fra Lindesnes med kurs for Nordkapp. Der ventet ikke bare familien, men også en stolt lærer med vitnemålet. I dagens episode snakker vi mer om dette, men vi kommer også innom nattlige turer opp i heisekraner og inn i gamle bunkere, følelsen av å gå tom for mat, kryssing av Hardangervidda i vårløsninga og overnatting i grabben på en gravemaskin.Besøk min kommersielle samarbeidspartner Barents Outdoor ASBli med i det digitale turlaget på Patreon Hosted on Acast. See acast.com/privacy for more information.

Halvor Rødølen Opsahl er snart 21 år, spiller for HamKam og U21-landslaget.. og er ukas gjest i podkasten vår!

Join Paul Brigner, Head of US Policy and Strategic Advocacy for the Electric Coin Co., as he dives deep into the world of cryptocurrency policy and regulation. Recorded live from ZCon4 in Barcelona, Spain, this episode features a panel of esteemed guests: Kurt Opsahl, Associate General Counsel for Cyber Security and Civil Liberties Policy at the Filecoin Foundation. Jay Stanley, Senior Policy Analyst at the ACLU. Jake Wiener, Counsel at the Electronic Privacy Information Center. Together, they discuss the importance of privacy in the digital age, the potential of zero-knowledge proof technology, and the challenges and opportunities of decentralizing the internet. Plus, hear insights from the Zcash community's annual meeting and a surprise visit from a special guest! EPISODE LINKS ACLU Website: https://www.aclu.org/ Jay Stanley's LinkedIn: https://www.linkedin.com/in/jay-c-stanley/ Jay Stanley's Twitter: https://twitter.com/JayCStanley Electronic Privacy Information Center (EPIC) Website: https://epic.org/ Jake Wiener's LinkedIn: https://www.linkedin.com/in/jacob-wiener-70a4baa8/ Jake Wiener's Twitter: https://twitter.com/RealJakeWiener Filecoin Foundation Website: https://fil.org/ Kurt Opsahl's LinkedIn: https://www.linkedin.com/in/kurt-opsahl-0858654/ Kurt Opsahl's Twitter: https://twitter.com/kurtopsahl PODCAST INFO Podcast website: https://podcast.pgpforcrypto.org Apple Podcasts: https://podcasts.apple.com/us/podcast/pgp*-pretty-good-policy-for-crypto-podcast/id1669504720 RSS: https://feed.pod.co/pgp-for-crypto-podcast HOST INFO Paul Brigner's Twitter: https://twitter.com/paulbrigner Paul Brigner's LinkedIn: https://www.linkedin.com/in/paulbrigner/ Electric Coin Co. Website: https://electriccoin.co Electric Coin Co. Twitter: https://twitter.com/ElectricCoinCo TIMESTAMPS 00:00 Welcome 00:42 Introduction 01:49 Kurt Opsahl on Privacy and ZCon4 02:46 Jay Stanley on Cryptocurrency and Privacy 05:27 Jake Wiener on Policing, Digital Identity, and Privacy 07:43 The Promise of ZK Proof Technology 09:51 Jay's Insights on Cryptography and Digital Identity 12:41 The Challenge of Achieving True Privacy 14:59 Kurt's Transition to Filecoin 16:55 The Debate on Decentralization 19:56 Further Decentralizing Zcash 22:21 The Future of Zcash and User Experience and a Surprise Guest 27:49 Recent Developments in U.S. Policy 36:32 Concluding Remarks DISCLAIMER Please be advised that the information provided in this podcast is for informational and educational purposes only and is not to be taken as legal or financial advice. The opinions and views expressed by our guests are their own and may not reflect the official stance of the organizations they represent or those of Electric Coin Co. Always consult a legal or financial professional before making any decisions.

Kristina Opsahl - om ledervei, finne sin lederrolle og bli en god markedssjefI denne episoden snakker jeg med Kristina Opsahl, markedssjef i Elkjøp Norge. Hun ble også kåret til en av E24s ledertalenter i 2020.I episoden snakker vi blant annet om:Riktig sted til riktig tid og hva det innebærer.Hvordan hun fikk sin første lederjobb.Hva jobben hennes innebærer.Å gå fra kollega til leder.Hvordan motvirke impostor syndrom.Gode råd hun har fått på veien.Hva hardt arbeidet vil si.Bygge team og hva hun ser etter når hun ansetter.

Et av de tidlige vellykkede plattformspillene var The Adventures of Captain Comic. IBM-maskiner var ikke spesielt gode på scrolling, men dette spillet forsøkte likevel. Det var også en pioner ved at spillet var shareware. Vi har fått med oss Sindre fra spillegal for å diskutere klassikeren som banet vei for Commander Keen og andre lignende spill.   Gå til spillhistorie.no og les tilhørende artikkel. Støtt oss gjerne på patreon. (01:31) Intro av gjest: Sindre Opsahl Skaare (05:45) Kommentarer fra sist (09:30) Episodens spill: The Adventures of Captain Comic Kom til DOS i 1988, utviklet av Michael A. Denio (16:43) Introskjerm og manual (19:39) Går igjennom spillet brett for brett (29:41) Tech Specs (32:07) Musikken Ulike versjoner hadde forskjellig tema-musikk. Originalt: United States Marine Corps Hymn (35:42) Fiendene (44:44) LItt om hvordan det ble til (50:22) BoxArt (57:40) Kommentarer fra sosiale medier (58:58) Oppfølgeren: Captain Comic II: Fractured Reality 1990 eksklusivt til DOS (01:04:03) Har det holdt seg? (01:09:45) Et tips fra Sigve (01:10:46) Neste spill: Syndicate Chapters, images & show notes powered by vizzy.fm.

Det går fint å dyrke spiselige planter i høyden. Enten vi har hage på bakkeplan, balkong eller takterrasse, så har vi mulighet vi kose oss med ferske grønnsaker, urter, frukt og bær. Liv Opsahl er gartner og har arbeidsplassen sin i grønne omgivelser 8-10 etasjer over bakken. På taket til Økern Portal i Oslo sørger hun for god vekst i både andelshage, markedshage og en matskog. Hele taket er en stor spiselig park som er åpen for alle. Det er Nord-Europas største spiselige takhage. Liv deler gode tips og råd, enten vi dyrker i bakken, eller i blåsten på et tak. Du finner Hagespiren her:https://hagespiren.no/Mail:podcast@hagespiren.noFølg gjerne Hagespiren Podcast på Instagram:https://www.instagram.com/hagespirenpodcast/Facebook:https://www.facebook.com/groups/hagespirenYouTube:https://www.youtube.com/channel/UCBHDkK1G9iu3Ytv_pgLCOjgTusen takk for at du lytter til Hagespiren Podcast!Del gjerne podkasten med andre som du tenker vil ha glede av den. Episoden kan inneholde målrettet reklame, basert på din IP-adresse, enhet og posisjon. Se smartpod.no/personvern for informasjon og dine valg om deling av data.

I ukens episode er min fine kollega Karoline J. Opsahl gjest. Hun er prosjektleder for karriereujka og arbeidslivskontakt ved Karrieresenteret ved UIO. Vi snakker om hvordan skal man finne ut av hva man skal bli, at utdanning er mer enn bare fag og at jaggu er det mye å velge i. Må man vite alt? Hvorfor sammenligner man seg med andre? Er det vanlig kjenne på FOMO, og ikke minst, får du konkrete tips for å sette i gang med å skape de mulighetene som er riktig og viktig for deg

Hvordan kan et strømselskap drive forretningsutvikling? Hva er de siste trendene? I denne episoden diskuterer Tarje Holskil fra Aneo og Kenneth Opsahl fra Salgscoach AS disse spørsmålene og merProduct as a service” skaper et hav av nye muligheter Dette lørner du: Digitalisering Nye energimarkeder Anbefalt literature:Ledelse: pokcasten OBF den har mange gode episoder. Er du salgsleder vil jeg anbefale Keith Rosens bøker. EJeg anbefaler å følge Jim Keena på LInkedin, en fantastisk kompetent salgstrener, ellers anbefaler jeg boken «Endringskoden» som jeg også er medforfatter på.Faglig innhold/læringspunkter Hosted on Acast. See acast.com/privacy for more information.

In this episode of the "Coast To Coasties" podcast, I sit down with Seaman Sterling Opsahl for the my first episode recorded at A-School. We discuss his time as a non-rate at station Umpquaw in Oregon working at a surf station and highlighting the Surfman community in the United States Coast Guard. The surf community is specialized in heavy weather surf training to rescue people in heavy wave conditions and Sterling does an excellent job describing day to day life and rescue procedure at these unique units We also discuss his ownership and hobby of being a snake keeper and talks about caring for his green tree pythons and how other coasties can get started in owning and caring for snakes and other reptiles of their own. If anyone is interested in hearing about the amazing work the Coast Guard Surfmen are doing, this is a great episode to tune in for!

DUI on a golf cart? Christina Opsahl, from the Law office of Christina J Opsahl sits in with us to help make sure you know your rights if you get in trouble…

Når mamma er blitt skallet fins det ikke en bedre julegave enn akkurat denne. Ragnhild Bjørvik Opsahl er sykehusprest ved UNN i Tromsø. Hør episoden i appen NRK Radio

I denne episoden inntar vi det filosofiske hjørnet og snakker om tro, vitenskap og pasientmøtet. Med på denne reisen har vi Jan-Henrik Opsahl, som skrev en kronikk i Tidsskriftet med tittelen "Hva tror du på?" med nettopp denne tematikken. Bli med mens vi diskuterer krysningen mellom tro og vitenskap, og behovet for å finne mening. Både for oss selv og for pasientene. Link til kronikken til Jan-Henrik: https://tidsskriftet.no/2022/09/legelivet/hva-tror-du-paBli med på kurs. Den 14.01 holder vi fagdagen vår "VONDT i skulderen" på Apexklinikken i Oslo. Bestill billett her: https://jevnehelse.hoopla.no/sales/event/vondtoslo2023 Musikk: Joseph Mcdade - Mirrors

In this healthcare podcast, I am speaking with Cora Opsahl, who directs the 32BJ Health Fund. This is the second conversation I'm having with Cora (last one was EP372), but these two conversations are not really linear—so listen in whatever order you want to.   Important to know about Cora's background, in previous roles, she has worked deep in the inner sanctums of the healthcare industry. So, she came to 32BJ armed with a BS meter that's finely tuned, which is, as I said last week, an unfortunately essential skill for anyone trying to help patients and members relying on them to successfully navigate the healthcare industry. Here's a pivotal fact: 56% of total spend at the 32BJ Health Fund goes to hospitals. So, from a “making the juice worth the squeeze” perspective, focusing on hospital prices can have a lot of impact. This is doubly true because of the seriously huge price variations for the same exact types of services at different hospitals, even in the same local market. Because the 32BJ Health Fund demands and gets all of its own data, it can actually run reports and see the impact and nuances of hospital spend very clearly—unlike, frankly, the majority of employers and unions who have zero clue this is all going on behind their backs because they think some other party is actually the fiduciary and not them, which is false, of course. So, let's just linger on this really high hospital prices that are various across a market for one moment. Here's a Tweet from Rik Renard: “The price of CABG [coronary artery bypass graft] varies more than 10-fold across US hospitals (ranging from $44,824 to $448,038). There was no evidence to suggest that hospitals that charge higher prices provide a better quality of care.”   WHAT?! An employer could pay $44,000, or it could pay $448,000. Seriously? This is why we can't have nice raises—because some employer spent $400,000 not on raises but on overpriced hospital services. Ugh … so frustrating. When employers, almost willfully at this juncture, turn a blind eye to all of this because they think it might be disruptive, meanwhile they're worrying about employee retention and trying to figure out how to give raises. Okay, well, here's a suggestion: Get your healthcare house in order and then you'll have enough money for raises, but that aside … In the New York City market, 32BJ used all of the data that we talked about in the last episode (EP372). They used all of that data to deduce, quite crisply, that NewYork-Presbyterian is really, really expensive—even in comparison to other expensive health systems in the New York metro area.   Furthermore, the Fund realized that it could not be sustainable without tackling the challenge of hospital prices. As Cora Opsahl says, “You can't reduce spend by benefit design alone.” Which reminded me of that famous quote by Uwe Reinhardt, “It's the prices, stupid.” Which, of course, reminded me of what David Contorno has said a million times, “You can't pay less for healthcare unless you pay less for healthcare.” I can't overemphasize these points and their impact on employers and workers. It's really hard to be competitive in the global marketplace when shelling out an extra $400,000 here and an extra whatever tens of thousand dollars there for fringe benefits that do not actually add any value from the workers' standpoint and/or confer any additional health. This is just blatantly throwing money away. So, there's gonna be a few health system peeps listening here who will reflexively mutter under their breath a sentence including the terminology “razor-thin operating margin.” It must be an AHA talking point because I talk to a lot of health system people from all over the country, and “razor-thin operating margin” is invariably the term that gets used. But let's just dig into that marketing-speak for a moment. While there are some hospitals who assuredly suffered under COVID (or were suffering even before COVID and definitely after), mostly these are rural ones—but let's not talk about them for a moment. Let's talk about the large, consolidated health systems who got billions in COVID relief. Are you kidding me with their razor-thin operating margin crocodile tears? Check out “New Study—Hospitals Hike Charges by Up to 18 Times Cost.”   Here's a few bullet points from that study: Hospital charges play a major role in mounting healthcare costs, with health expenditures closing in on one-fifth of the gross domestic product (GDP). Hospital profits/margins have mushroomed by 411% since 1999 to a record $88 billion in 2017. The rise in charges coincides with growing hospital mergers and acquisitions by large systems. (This is brutally apparent at this juncture.) The result is increased market consolidation, which leads to, again, higher profits and increased charges, not savings for patients as hospital systems often claim. Listen to the show with Kevin Schulman, MD (EP366). It explains a lot about how these “razor-thin operating margins” and the “oh no, we're losing money on Medicare, so we must cost shift” manifest if you actually follow the dollar. As Dr. Schulman says, it's not A; it's not B. I mean, it's not like payers aren't taking their own piece of the action. You just got to look at their stock valuations to see all that going on. We have a dysfunctional health benefits market and a lot of rational actors in that market doing what you'd expect rational economic actors to do.   So anyway, 32BJ sees in their own data that all this is going on with hospitals, and they aim to stop covering a super expensive hospital in their local market, which is just making bad even worse. It was a whole thing to do this, and in this episode, Cora Opsahl relays the dramatic tale. You can learn more at 32bjhealthfundinsights.org.   Cora Opsahl is the director of the 32BJ Health Fund, a self-funded plan that provides affordable, comprehensive, and innovative health coverage to 200,000 union members and their families. During her time at the Health Fund, Cora has led the implementation of multiple benefit changes: removing NewYork-Presbyterian Hospital System and physicians from the network, transitioning to a new pharmacy vendor and pharmacy group purchasing coalition, and implementing an expanded Centers of Excellence program administered by Mount Sinai Hospital System. These efforts are projected to save over $35 million in 2022. Prior to joining the 32BJ Health Fund, Cora spent 12 years with Express Scripts, a pharmacy benefit manager. During her time there, she held a variety of roles, including Medicare Part D, strategy and acquisitions, operations, and account management. 07:02 What motivated the decision for 32BJ to cut NewYork-Presbyterian out of their network? 09:14 How did 32BJ compare their spending at each hospital in their network? 13:01 “We cannot be sustainable as a health fund … without really tackling the challenge of hospital prices.” 13:38 “It is one of the challenges as a self-funded plan that, even having this data, there's not a lot we can do with it.” 16:10 What is 32BJ Health Fund's maternity program? 19:34 What is the HEAL Act, and why did 32BJ Health Fund support it? 21:39 “For us, we just don't feel it's right that anyone gets to dictate our benefit.” 22:43 EP368 with Ashleigh Gunter.23:34 Why did 32BJ Health Fund reprice their claims using Medicare rates? 24:58 “It really goes to show you how high the commercial prices are in comparison to Medicare.” 25:52 EP366 with Kevin Schulman, MD.   You can learn more at 32bjhealthfundinsights.org.  @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth What motivated the decision for 32BJ to cut NewYork-Presbyterian out of their network? @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth How did 32BJ compare their spending at each hospital in their network? @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth “We cannot be sustainable as a health fund … without really tackling the challenge of hospital prices.” @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It is one of the challenges as a self-funded plan that, even having this data, there's not a lot we can do with it.” @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth What is 32BJ Health Fund's maternity program? @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth What is the HEAL Act, and why did 32BJ Health Fund support it? @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth “For us, we just don't feel it's right that anyone gets to dictate our benefit.” @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why did 32BJ Health Fund reprice their claims using Medicare rates? @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It really goes to show you how high the commercial prices are in comparison to Medicare.” @CoraOpsahl discusses managing #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #digitalhealth Recent past interviews: Click a guest's name for their latest RHV episode! Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370), Keith Hartman, Dr Aaron Mitchell (Encore! EP282), Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai, Nikhil Krishnan, Shawn Rhodes, Pramod John (EP353), Pramod John (EP352), Dr Eric Bricker, Katy Talento, Stacey Richter (INBW33), Stacey Richter (INBW32)

In this healthcare podcast, I am speaking with Cora Opsahl, who directs the 32BJ Health Fund. Important to know about Cora's background is this: In previous roles, she's worked deep in the inner workings of the healthcare industry. So, she came to 32BJ armed with a BS meter that is finely tuned, which is, unfortunately, an essential skill for anyone trying to help the patients and members relying on them to successfully navigate the healthcare industry. So sorry to have to say that, but employers and unions, your employees and members need your help. If you do not help them, then your employees can find themselves defenseless against so many pit traps of financial toxicity and also clinical decision-making that is not made by patients and their clinicians in the service of improving patient outcomes but made by some other party in the service of financial maximization. It is really frightening what goes on in some cases. I really appreciated this interview with Cora Opsahl, which will be two shows, this week and next week. This whole conversation has been really a big bright spot for me and will provide hope, I think, for any employer/union who is seeking ways to protect their members and patients, the ones on their plans and therefore under their aegis and whom they have a fiduciary responsibility to look out for. It also should be a bright spot for dedicated clinicians out there suffering under the weight of moral injury because you are expected to do things that you know are not in your patient's best interest—or not do things, as the case may be. This whole conversation should put on notice health systems and others who have been really taking advantage of employers who are asleep at the wheel. Change is always really, really slow—until it hits a zeitgeist and then it's not slow anymore. I just attended the MTVA (Moving to Value Alliance) in Connecticut last month, and there were 30 employers there listening and learning. I hear similar numbers from business coalitions across the country penetrating their local markets (Houston, Indiana, for example). Also, spoiler alert, upcoming conversations with Dave Chase will continue this “yeah, there's good things happening out there” theme. So, let's start here with a little bit more about the 32BJ union and their Health Fund that we'll hear about in this episode. 32BJ represents about 200,000 members. They are mostly in residential and commercial real estate—so, for example, your doormen, your maintenance workers, your security, your cleaners, amongst others. Members are in about 11 states, but a lot of them are in the New York City metro area. These union members who are in the fund work for over 5000 different employers. The 32BJ Health Fund has zero-dollar premiums. Also, employees have no premium contribution. Wowza on that point—that's a huge benefit. Here's one more thing that I'm gonna say about the 32BJ Health Fund overseen by Cora Opsahl, my guest today. Let's talk about their amazing leadership, because I do not, nor should anyone else, take exceptional leadership for granted. We have had one guest after another on this podcast who, when asked what it takes to actually attain value for plan members or attain the quadruple aim, what it takes to navigate and overcome bureaucracy and inertia, every one of those thought leaders asked the “What does it take?” question came back with the following included in their list: It takes leadership. Real leadership. The mark of an exceptional leader is one who can conceive of a big mission statement, a goal to deliver better for their members at lower costs, and also the chops and determination to operationalize that vision. This operationalization requires brainpower and relentless dedication to untangle the deliberate opacity that some current healthcare stakeholders absolutely rely on as a business strategy. It takes work to get to the bottom of and disarm some deliberately labyrinthine and noncompetitive contract terms. Let me just pause for a beat on these basically egregious contract terms. Certain healthcare stakeholders seem to consider it somehow their birthright and their privilege to demand that employer and union customers sign on some pretty insane dotted lines—to the detriment of members and employees. By the way, if anyone is thinking CAA right now, I'm right there with you. Talking about the new Consolidated Appropriations Act that went into effect late 2021, and it's gonna take a lot of C-suite executives by surprise when they're named in class action lawsuits. So, there is another impetus to question bad contract terms if anyone at an employer or union needs an additional reason besides the health and safety of employees and members to justify getting their healthcare house under control. For more on the CAA, the Consolidated Appropriations Act, listen to the show with Christin Deacon (EP342).   But as I mentioned a moment ago, we are breaking this conversation up into two power-packed episodes. This first one gets into everything that the 32BJ Health Fund does with their data. They have lots of data. They demand it. Next week's show gets into their unprecedented decision to kick a major local health system out of their network. This decision was also a data-driven decision, but it's a whole other conversation, which is why it is now a whole other episode. So, besides kicking out overly expensive health systems from their network, here's other things that 32BJ is currently doing with their data and which other employers and unions may get a few ideas from. If you have the data, you (like 32BJ) can use it to: Make smart benefit decisions that are validated, not just guesses. Before you decide to do something (add a wellness program etc), be able to model it accurately for how much it will actually cost you—which, spoiler alert, is most of the time not what the vendor will estimate. You have way more data than the vendor does, so you can certainly use it to great effect in this way. Make sure that the right members are being communicated with so that benefit designs are successful. As Ashleigh Gunter said in EP368, success when changing benefit designs has a lot more to do with communication than many realize. Create dashboards for leadership that may show trend lines, for example, which could be very helpful to ensure that the fund doesn't run out of money etc … little things like that. Figure out how much the fund is spending on various procedures and where. There's all this talk right now about the crazy variability of prices for the same exact service in the same local market. At one hospital, a colonoscopy could literally cost $10,000; and in another hospital—same quality, same basically everything—that same colonoscopy will be $2000 or $3000. I mean, there's a 500% delta or something in some of these cases. Ensure that if a vendor said they were going to do something, that they are actually doing it. This is especially meaningful for point solutions because of the whole squeezing the balloon thing. I can save money in a silo, and you won't realize that those dollars are getting transferred elsewhere unless you are doing your own math. This is a big deal if you start thinking about how pharmacy benefits are typically siloed from medical benefits. So, if I'm a pharmacy benefit manager, I can talk about how much I'm saving by denying patients drugs without consideration of the medical downstream implications of that. Ensure you're not paying a bill and writing a check for more than the bill was for, which is weirdly common. There's a whole show with Dawn Cornelis (EP285) about this. 32BJ has an engineering team that is creating an app to help members navigate to great doctors with fair prices. All of these things roll into basically three categories: Cutting wasteful spending and finding fraud Making smart benefit decisions Being able to see trends and forecast the future, which is really helpful for financial solvency etc As Cora Opsahl says, “I think we [all can] recognize [that] you [cannot] make smart … decisions and be a fiduciary of [a] fund without having [data].” You can learn more at 32bjhealthfundinsights.org.  Cora Opsahl is the director of the 32BJ Health Fund, a self-funded plan that provides affordable, comprehensive, and innovative health coverage to 200,000 union members and their families. During her time at the Health Fund, Cora has led the implementation of multiple benefit changes: removing NewYork-Presbyterian Hospital System and physicians from the network, transitioning to a new pharmacy vendor and pharmacy group purchasing coalition, and implementing an expanded Centers of Excellence program administered by Mount Sinai Hospital System. These efforts are projected to save over $35 million in 2022. Prior to joining the 32BJ Health Fund, Cora spent 12 years with Express Scripts, a pharmacy benefit manager. During her time there, she held a variety of roles, including Medicare Part D, strategy and acquisitions, operations, and account management. 08:55 How much data does 32BJ Health Fund have, where do they get it, and how do they use it? 10:56 How did 32BJ Health Fund successfully demand their data from 100% of their vendors? 11:45 “We feel it's really important that we own this information ourselves.” 12:08 “It always concerns me—if a vendor doesn't want to give you the information, what are they hiding?” 12:34 “It's not just getting the data; it's then using the data.” 15:44 “Without data, you're really just taking a guess; and guesses are never gonna get you where you need to go.” 17:23 EP285 with Dawn Cornelis.17:42 Is the cost of creating a data analytics team worth the cost savings of those data discoveries? 21:07 “The use of data has really built our knowledge.” 22:55 “It's really important to us that as we make benefit decisions, we're doing it smartly.” 27:34 EP358 with Wayne Jenkins, MD.27:42 How is 32BJ Health Fund making their data knowledge actionable? 30:14 “If we can figure out how to make telehealth accessible … there may be an opportunity for telehealth … to upset some of these … monopoly systems or low-choice options.” 32:25 “It's really easy to think that we can solve this problem through benefit design … but in the end … it's the price.” You can learn more at 32bjhealthfundinsights.org.  @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth How much data does 32BJ Health Fund have, where do they get it, and how do they use it? @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth How did 32BJ Health Fund successfully demand their data from 100% of their vendors? @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth “We feel it's really important that we own this information ourselves.” @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It always concerns me—if a vendor doesn't want to give you the information, what are they hiding?” @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It's not just getting the data; it's then using the data.” @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Without data, you're really just taking a guess; and guesses are never gonna get you where you need to go.” @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth Is the cost of creating a data analytics team worth the cost savings of those data discoveries? @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth “The use of data has really built our knowledge.” @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It's really important to us that as we make benefit decisions, we're doing it smartly.” @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth How is 32BJ Health Fund making their data knowledge actionable? @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth “If we can figure out how to make telehealth accessible … there may be an opportunity for telehealth … to upset some of these … monopoly systems or low-choice options.” @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth “It's really easy to think that we can solve this problem through benefit design … but in the end … it's the price.” @CoraOpsahl discusses #healthdata on our #healthcarepodcast. #healthcare #podcast #digitalhealth Recent past interviews: Click a guest's name for their latest RHV episode! Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370), Keith Hartman, Dr Aaron Mitchell (Encore! EP282), Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai, Nikhil Krishnan, Shawn Rhodes, Pramod John (EP353), Pramod John (EP352), Dr Eric Bricker, Katy Talento, Stacey Richter (INBW33), Stacey Richter (INBW32), Dr Steve Schutzer (Encore! EP294)  

Av og til er det alt du skal gjøre. Lytte. Ragnhild Bjørvik Opsahl er prest i Tromsø. Hør episoden i appen NRK Radio

Anders Opsahl er visjonæren, eiendomsutvikleren og tømreren som vokste opp på familiens gård på Skullerud i Oslo. I denne episoden snakker vi om oppvekst, styrken i gode foreldre, motivasjonen og drivkraften du får av en god barndom, Opsahl Gruppen og utvikling av eiendom.

S6E1: “The I Am and The Tree” with Falon Opsahl BartonWednesday, May 11, 2022PreacHer PodcastPreacHer: Falon Opsahl BartonSummary: Through true death on a tree, Jesus beckons us into true life in God's kingdom.Resources + Social Media Handles:Falon on FacebookFalon on IGSpouse of @Bartons_Abroad.Minister for @UCCMalibu at @Pepperdine.DMin at @LipscombUniversity.Friend of @KiboGroupWhat to do next:Join our monthly letter listJoin our Patreon CommunityShare this episode! Connect with JenShouts of gratitude to our patron partners!Sarah P, Steve G, Sheila B, Tom BSupport the show

Don Wooten and Rebecca Wee speak with poet Michelle Opsahl.

We welcomed the CEO of Actify, Dave Opsahl and he took us into the world of the automotive industry; helping us to understand the inner workings and the people within the industry and how Actify help to serve them. Actify is transforming automotive program management with purpose-built solutions. With the complexities of operations and communication in the industry, Actify has taken their experience and developed a desperately needed solution to manage the end-to-end program lifecycle. With a traditional market and their new category, Dave's focus is on providing value and he dives into how they do that and how they reach their diverse audience.

I denne episoden handler det om stauden Alunrot.  Jeg besøker Svein Åge Opsahl, for mange kjent som Blomster-Svein, i drivhuset hans på Grette Gartneri i Lier.Svein har spesialisert seg på Alunrot og kan tilby Norges største utvalg av denne populære stauden.Litt avhengig av sort, er alunrot herdig over det meste av landet. Det er en fargerik bladplante som også byr på vakker blomstring. En ypperlig plante som gjør mye ut av seg både i bed og krukker.Ønsker du å besøke gartneriet finner du adresse og info på hjemmesiden http://www.blomste-svein.com/ Du finner Hagespiren her:https://hagespiren.no/Mail:podcast@hagespiren.noFølg gjerne Hagespiren Podcast på Instagram:https://www.instagram.com/hagespirenpodcast/Facebook:https://www.facebook.com/groups/hagespirenTusen takk for at du lytter til Hagespiren Podcast!Del gjerne podkasten med andre som du tenker vil ha glede av den. Episoden kan inneholde målrettet reklame, basert på din IP-adresse, enhet og posisjon. Se smartpod.no/personvern for informasjon og dine valg om deling av data.

I denne episoden handler det om stauden Alunrot.  Jeg besøker Svein Åge Opsahl, for mange kjent som Blomster-Svein, i drivhuset hans på Grette Gartneri i Lier.Svein har spesialisert seg på Alunrot og kan tilby Norges største utvalg av denne populære stauden.Litt avhengig av sort, er alunrot herdig over det meste av landet. Det er en fargerik bladplante som også byr på vakker blomstring. En ypperlig plante som gjør mye ut av seg både i bed og krukker.Ønsker du å besøke gartneriet finner du adresse og info på hjemmesiden http://www.blomste-svein.com/

Suksesshistorie / Forskning / Teori i praksis Become a member at https://plus.acast.com/s/et-bedre-skole-norge. Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.

For sin innsats med å etablere og drive Tandberg til den ledende videokonferanseleverandøren i verden i 2010 er Jan Chr. Opsahl, Bengt Thuresson og Ralph Høibakk tildelt NTVAs – Norges Tekniske Vitenskapsakademi, ærespris for 2021. Vi har snakket med de tre prisvinnerne om den fantastiske historien som førte fram til det vi i dag omtaler som Video Valley.

For sin innsats med å etablere og drive Tandberg til den ledende videokonferanseleverandøren i verden i 2010 er Jan Chr. Opsahl, Bengt Thuresson og Ralph Høibakk tildelt NTVAs – Norges Tekniske Vitenskapsakademi, ærespris for 2021. Vi har snakket med de tre prisvinnerne om den fantastiske historien som førte fram til det vi i dag omtaler som Video Valley.

Ragnhild Bjørvik Opsahl forteller hva hun synes er det viktigste i jobben som prest. Marthe Valle synger "Ikkje aleina"

Season 3 Episode 7Opening the Harp Chakra - The PodcastBringing you beautiful, healing, magical Harp Music...and talking with the artists that create it...Hosted by Jay MichaelsTrine Opsahl talks with us from her home in Denmark. We discuss her early adventures in music eventually leading to the Harp, her involvement with the International  Harp Therapy Program and her work as a Therapeutic Harp Practitioner. She also shares her some of her lovely music with us.To learn more about Trine…http://opsahl.dk/en/home/Youtube https://youtube.com/user/snillermikeFacebook https://www.facebook.com/pages/category/Musician-Band/Trine-Opsahl-245841715507875/ LinkedIn https://www.linkedin.com/in/trine-opsahl-a4290340Twitter https://twitter.com/trineopsahl?s=21—————————————————————If you are enjoying this podcast, please consider writing a review.Do you have questions or guest suggestions? Please email  Jay Michaels: openingtheharpchakra@yahoo.comIf you would like to make a financial contribution to help support the production of this podcast (any amount is appreciated):PayPal.me/harperminstrelVenmo.com/harper-minstrelSupport the show (https://PayPal.me/harperminstrel)

Lillehammer forsterker stadig HamKam, og sist ut i rekken er Halvor Rødølen Opsahl. Han svarer på mange (!) lytterspørsmål og i tillegg snakker vi om sommerens store nyhet og mye mer. NB: Beklager telefonstøy, det er siste gang det skjer!

In this episode of "On Deck," Amy Faust chats with Audrey Opsahl, a 17 year-old singer with the Pacific Youth Choir and the Cleveland High School Choir.

I dag er vi tilbake i Norge etter en tre uker lang reise som gikk fra Bulgaria til Madegaskar mellom 24. april og 8. mai 2021. Vi er i Norge for å feire det som hadde vært skuespiller og komiker Arve Opsahls (1921-2007) 100-års jubeleum. (den 14 mai 2021). Dette gjør de ved å spille av diverse lydklipp fra ulike forestillinger han har gjort og roller han har spilt. Vi begynner med to scener fra "Mot i Brøstet" som gikk på TV 2 fra 1993 til 1997. Samt TV 2s julekalender som heter "The Julekalender" fra 1994 og noen forestillinger. Den ene het "Arve Opsahl Som Sinna Mann" fra 1973 der han irriterer seg over det han mener er "perfekte" nordmenn. Per har også med seg lyd fra en revyforestilling fra Chat Noir i Oslo fra 1967 samt NRKs dekning av begravelsen hans. I dagens NRK-hjørne blir det unyttig fakta. I neste uke snakker Per og Henrik om gode monarker. God lytting! ------ Today we are back in Norway after a three-week journey that went from Bulgaria to Madegaskar between April 24 and May 8, 2021. We are in Norway to celebrate what had been actor and comedian Arve Opsahl's (1921-2007) 100th anniversary. (May 14, 2021). They do this by playing various sound clips from various performances he has done and roles he has played. We begin with two scenes from "Mot i Brøstet" that aired on TV 2 from 1993 to 1997. As well as TV 2's Christmas calendar called "The Julekalender" from 1994 and some performances. One is called "Arve Opsahl Som Sinna Mann" from 1973 where he gets annoyed about what he thinks are "perfect" Norwegians. Per also brings audio from a revue performance from Chat Noir in Oslo from 1967 as well as NRK's coverage of his funeral. In today's NRK corner there will be useless facts. Next week Per and Henrik will talk about good monarchs. Good listening!  

Dave Opsahl is the CEO at Actify. For more than 15 years, Actify has been the leading provider of collaboration, integration, and data visualization solutions to the automotive industry.  Actify serves a global base of more than 1,500 companies in 45 countries.

Gaven som aldri kan brukes opp eller gå ut på dato. Ragnhild Bjørvik Opsahl, prest i Grønnåsen menighet. Eva Weel Skram synger "Selmas sang"

Season 1 of the Historical Wisdom Podcast has come to an end. In this closing episode, we will hear a recap of previous episodes, important takeaways, useful resources for more learning, and a conversation with family physician Dr. Opsahl on her thoughts about the first season of the Historical Wisdom Podcast. Season 2 of the podcast is in the works and we look forward to sharing it with all of our listeners.

Endelig er det mandag igjen, og en ny episode står på tapeten! Denne gangen har vi fått med oss en kjent, habil specimenfisker ved navn Morten Opsahl. Morten har vært en viktig pådriver i det norske predatorfisket, og er en kjent figur for mange. I denne episoden tar han med oss ut i den kommende, kalde tiden og legger fram sine tanker og taktikker rundt ismete etter gjedde! Enjoy :D 

This week's episode is a fun one. Jesse talks to Keene High School Senior, Amelia Opsahl. in June, Amelia won the Platinum Award in Le Grand Concours, the 2020 National French Contest. Jesse and Amelia will talk about that experience and her experience with the French Language. Keene Sentinel Article - https://www.sentinelsource.com/news/local/keene-high-student-outscores-rest-of-the-nation-on-french-exam/article_47812d09-5bbe-5f92-a525-c7e95a8a2838.html Le Grand Concours website - https://www.frenchteachers.org/concours/ Reading on the Road - readingontheroadkhs.wordpress.com Reading on the Road Facebook page - www.facebook.com/Readingontheroad.khs School year abroad - https://www.sya.org/ Putney Grammar School Vermont - https://www.thegrammarschool.org/ Don’t forget to check out our Patreon for extra bonus content and a way to support the show - https://www.patreon.com/fclpodcast You can get your own FCL Face Mask, check out our merch on Teespring – https://www.teespring.com/fclpodcast

Melody is here to tell you about the blogs and events to check out in the coming weeks. Before Jesse tells you about next week’s episode, he talks to Melody about her new blog, a must read, Moderne Francos. Then Jesse let’s you know about next week’s guest Amelia Opsahl. Melody's Blog - https://modernefrancos.com/ Keene Sentinel Article - https://www.sentinelsource.com/news/local/keene-high-student-outscores-rest-of-the-nation-on-french-exam/article_47812d09-5bbe-5f92-a525-c7e95a8a2838.html Le Grand Concours website - https://www.frenchteachers.org/concours/ Reading on the Road - readingontheroadkhs.wordpress.com Reading on the Road Facebook page - www.facebook.com/Readingontheroad.khs School year abroad - https://www.sya.org/ Putney Grammar School Vermont - https://www.thegrammarschool.org/ Don’t forget to check out our Patreon for extra bonus content and a way to support the show - https://www.patreon.com/fclpodcast You can get your own FCL Face Mask, check out our merch on Teespring – https://www.teespring.com/fclpodcast

We share the story surrounding the controversial events of Patricia Hearst and the Symbionese Liberation Army, along with our thoughts on it.  Promo: Reverie Podcast https://podcasts.apple.com/us/podcast/reverie-true-crime/id1492793721 If you enjoy our show, be sure to subscribe to us. We'd really appreciate a rating and a review.  Email us at vovpodcast@gmail.com Support us and get BONUS CONTENT at www.patreon.com/vovpodcast Get VoV Merch vovpodcast.threadless.com Follow us on Instagram www.instagram.com/vovpodcast Join our Facebook Group: https://www.facebook.com/groups/vovsupportsystem

Prest i Grønnåsen kirke Ragnhild Bjørvik Opsahl om å tørre å gi slipp på kontrollen, og ta sjansen på å bli en erfaring rikere. Tema for uken er troen på at det alltid finnes nye begynnelser.

I min Gudstro, er det stor plass til ting jeg ikke har forklaring på. Men også det jeg har en forklaring på, er for meg like mye under og Gudstro. Ragnhild Bjørvik Opsahl er prest i Grønnåsen kirke i Tromsø.

Kanskje livet er en øvelse i å leve i undring, og muligens finne ei mening, underveis. Ragnhild Bjørvik Opsahl er prest i Grønnåsen kirke i Tromsø.

Det handler om å se Gud i de små tingene, enten det er i en kaffekopp eller i andre hverdagslige ting, i denne andakten med Ragnhild Bjørvik Opsahl, prest i Grønnåsen kirke.

On today's episode of Windy City War Room, Opsahl and Hege Discuss1)  The Chicago Cubs (Yu Darvish coughs, Marquee Network issues)2)  White Sox (Vaughn spring training so far)3)  DC Defenders Update (they suck)4)  AL/NL East win totals...competition between hosts5)  Big 10 Basketball6)  Bon*r of the Week7)  Answer the Internet (Million dollars if you make 1 free throw, if you miss it, you can never text again..what taking your shot?)Please follow us on Instagram @windycitywarroom also spread the word to your fellow friends to give us a listen.  Thank you for all of your support!  Feel free to provide us any feedback on Instagram.